Note - Further to our recent communication we have had queries from a number of GP practices that have identified a significant number of children who have been coded historically using a non "booster" pre-school immunisation code.

 

QOF VI003 requires children turning 5 years old after 1st April 2021 to have received a "reinforcing" dose of DTaP/IPC (usually given from age 3 years and 4 months). Many of these children will have received this vaccination in a previous financial year, and they will be included in the VI003 cohort if they turn 5 in this financial year.

 

The provisional QOF Business Rules clearly state that only a "booster" code will be accepted for this indicator.

 

Given the numbers of patients that practices are identifying that need re-coding, and that this work does not need completing until 31st March 2022, Ardens has contacted NHS Digital to raise this as an issue. Practices may wish to delay completing this re-coding work in case the provisional business rules are updated to allow achievement to be based on historical codes. We will inform practices of any changes to the business rules when they are released.


The QOF requirements for the Vaccinations and Immunisations domains (VI001, VI002, VI003 and VI004) have very specific coding requirements.


To support practices in maximising their performance, we have created a suite of data quality searches which will show you patients who have been vaccinated but who do not meet the QOF coding requirements.


Please note - the searches referred to are in 1.3 Ardens Admin Searches v22.0 and above which can be downloaded from the Portal. The template required for accurate coding is Ardens Childhood Immunisations Template v15.0 and above. Resource Publisher sites already have this template, Template Manager sites can download it from the portal (www.ardens.live/portal).


The data quality searches can be found in the 1.3 Ardens Admin Searches > QOF Related searches (including Vaccs and Imms) > QOF Vaccination & Immunisation 21/22 folder.




They are broken into the different age groups and should be used as follows:


1a. Not had 3x DTaP - had Diphtheria OR Tetanus OR Pertussis

These are particularly useful for ex-Vision practices whose vaccinations have come into EMIS as individual vaccines. These patients need the 6-in-1 DTaP vaccine adding to their records on the same date as the original 3 vaccines were coded. This can be done using the Ardens 'Childhood Immunisations' template v15.0 or above. 

Please note - you can 'View Results' of the report to see details of the patients and the date of their original vaccine to check they were actually administered on the same day and the relevant associated text in order to be certain they are eligible for re-coding.


2a. Not had MMR - had Measles OR Mumps OR Rubella

These are also particularly useful for ex-Vision practices whose vaccinations have come into EMIS as individual vaccines. These patients need the MMR vaccine adding to their records on the same date as the original 3 vaccines were coded. This can be done using the Ardens 'Childhood Immunisations' template v15.0 or above. 

Please note - you can 'View Results' of the report to see details of the patients and the date of their original vaccine to check they were actually administered on the same day and the relevant associated text in order to be certain they are eligible for re-coding.


2b. MMR ?incorrect code

These are patients who have been coded with a combined MMR vaccine but using a code which will not count towards QOF. These patients need the original code deleting and replacing with the one which is in the Ardens 'Childhood Immunisations' template v15.0 or above.

 

3a. Not had MMR - had Measles OR Mumps OR Rubella

As with 2a above.

 

3b. MMR ?incorrect code

As with 2b above.

 

3c. DTaP booster ?incorrect code

These are patients who have been coded with a DTaP pre-school booster code which is not recognised by QOF. These patients need the original code deleting and replacing with the one which is in the Ardens 'Childhood Immunisations' template v15.0 or above.


To do this, locate and edit the original consultation. Launch the Childhood Immunisation template via the 'Run Template' option.


Click on the Pre-school page and select the correct booster code (ignore the manufacturer details at this point, the original details will be recorded once the template is saved):



Save the template to return to the consultation.


Double click on the new coded entry to display the manufacturer details and enter the original information. 



Delete the original code (Low  dose, diphtheria, tetanus.......').


Save the consultation once complete.


3d. Not had DTaP booster - had Diphtheria OR Tetanus OR Pertussis

As 1a above.


If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk