The Vaccination and Immunisation area forms part of the "Prevention and Tackling Health Inequalities" domain of the Investment and Impact Fund. It aims to improve the coverage and uptake of flu vaccinations.


This area includes three indicators with each indicator requiring the eligible cohorts to be vaccinated between 1st September 2022-31st March 2023. The cohorts are as follows:

  • Patients aged 65 or over
  • Patients aged 18-64 years and in a clinical at-risk group
  • Children aged 2-3 years 


NB - patients on end of life care will be excluded from the cohorts above


The flu vaccine can be administered in any patient setting (GP Surgery, Community Pharmacy), providing this is accurately coded in the clinical system. The codes include:

  • Administration of first intranasal seasonal influenza vaccination - 2280931000000115
  • Administration of first inactivated seasonal influenza vaccination - 2505331000000118
  • First intranasal seasonal influenza vaccination given by pharmacist - 2618081000000118
  • First intranasal seasonal influenza vaccination given by healthcare provider - 2437111000000119
  • First inactivated seasonal influenza given by pharmacist - 2618161000000111
  • Seasonal influenza vaccination given by midwife - 2677731000000114
  • First activated seasonal influenza vaccination given by midwife - 2677751000000119
  • Seasonal influenza vaccination given by other healthcare provider - 2437091000000112
  • Seasonal influenza vaccination given by pharmacist - 2437171000000112
  • Seasonal influenza vaccination given while hospital inpatient - 2437191000000111


Personalised care adjustments (PCA or otherwise known as exceptions) can be applied manually for patients that decline the offer of the vaccination or for those patients it's deemed clinically appropriate. Applying the appropriate decline or contraindication codes in the patient record will remove the patient from the eligible cohort list.


A PCA will be automatically applied to any patients that have received two invitations between 1st September - 31st March. This is providing the practice have recorded the two separate invites during this timeframe with at least 7 days apart. Remember the patient is automatically excepted and you do not need to apply any other codes.  


Achievement


Indicator
PointsThresholds
VI-01 - Percentage of patients aged 65 or over who received a seasonal influenza vaccination between 1 September 2022 and 31 March 2023 40LT - 80%
UT -86%
VI-02 - Percentage of patients aged 18 to 64 years and in a clinical at-risk group who received a seasonal influenza vaccination between 1 September 2022 and 31 March 2023
88LT - 57%
UT - 90%
VI-03 - Percentage of children aged two or three years on 31 August 2022 who received a seasonal influenza vaccination between 1 September 2022 and 31 March 2023 14LT - 45%
UT - 82%


Monitoring Network DES Activity for Seasonal Influenza

Navigate to the Ardens Searches > 5.32 Network Contract DES (NCD) (2022-23) > a. Investment and Impact Fund (IIF).

 

The Work done folder will show practice achievement.

 

The Work to do folder will identify outstanding work to be done.

 

 

For each 'TO DO' search click on the "Population Included" tab to view the list of patients.


Patients identified in the DATA QUALITY searches will have been coded with an incorrect (non recognised) vaccination code and must be updated with an appropriate code to be counted towards achievement.


Supporting Ardens Resources

To support practices with theses indicators the following resources are available:


Call and Recall 

The Admin Team may wish to use the Ardens Flu Search Suite to manage call and recalling for flu vaccines:



Recording a flu vaccine has been given 

For the patients that have attended the practice for a flu vaccine, clinicians can run the Ardens Flu Protocol during a consultation to accurately record a flu vaccine has been given. The option to add a declined or contraindication code for the patient can also be recorded here:



Monitoring flu achievement 

To monitor the practice achievement for the flu indicators access the Population Reporting module > Ardens Searches > 5.32 Network Contract DES (NCD) (2022-23) > a. Investment and Impact Fund (IIF) > 1. Work done > Seasonal Influenza folder:



The "Denominator" searches are the number of eligible patients, this is then further broken down by how many have received the vaccine.


Remember patients will be excluded from the denominator search if they are coded as declined, contraindicated or have had 2 invites recorded. 


Identifying outstanding work

The aim of using the Ardens Flu call and recall searches is to streamline calling patients in for their flu vaccines. For an overview of work still remaining to do, access the Population Reporting module > Ardens Searches > 5.32 Network Contract DES (NCD) (2022-23) > a. Investment and Impact Fund (IIF) > 2. Work to do > Seasonal Influenza folder:



The DATA QUALITY searches will identify patients that have been vaccinated but the wrong vaccination code has been applied. Access each of the patient records using the "Patient Included" tab and amend the code accordingly. 


The TO DO searches will identify eligible patients that have not had their flu vaccine for this flu season. 


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