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Vaccinations

General Principles

All vaccines are now given under the GMS contract apart from children and adults seasonal flu. 

NHSE NHS England » Update on vaccination and immunisation changes for 2021/22 
PHE Complete routine immunisation schedule – GOV.UK (www.gov.uk) 
Most recent schedule The complete routine immunisation schedule 

Shingles Vaccine

Shingles Vaccination forms part of two main contracts: 

  • GMS Contract – item of service – shingles vaccination for patients aged 70-79 
    • Data is extracted via CQRS monthly 
  • QoF Payments – VI004 – payment dependent on the proportion of patients who are 80 years of age who have been vaccinated 

GMS Contract 

Machine generated alternative text: CDRC Vaccinations (1471) Covid Primis (41) • covidlg (641) HPV (21 ) Hepattis S (4) Influenza (353) • MMR (99) Mengingtis ACV"" (30) Pneumococcal (160) Shingles (122) CNN reports (23) Dcs (343) Dcs Groups (31) Dcs Quality (593) OCS Research (826) 1 Shingles Vaccine- Setup 3M PSO: Eligible for zostavax but no PSO 1 Shingles Vaccine - Setup 32 PSO: Eligible for shingrix but no PSO 2 Shin les Vaccine - Eli 1 0 All atients 2 Shingles Vaccine - Eligible 1M Zostavax 2 Shingles Vaccine- Eligible 1 2 Shingrix 1st dose 2 Shingles Vaccine- Eligible 1 3 Shingrix 2nd dose 2 Shingles Vaccine - Eligible 20 Declined in the last 12m 3 Shingles Vaccine - Invitation 1 0 All patients (not housebound) - add Xaasl 3 Shingles Vaccine - Invitation 1 All patients (not housebound) - havent responded to 3 invitations in last 1 2m 3 Shingles Vaccine - Invitation 2M Housebound - Zostavax add Xaasl 3 Shingles Vaccine - Invitation 21 Housebound- Shingrix add Xaasl 3 Shingles Vaccine - Invitation 311 Patients about to turn 80 4 Shingles Vaccine QC 1 Shingrix 1 vaccine but not coded immunosuppressed 4 Shingles Vaccine QC 2 Shingrix 2 vaccine but not coded immunosuppressed 4 Shingles Vaccine QC 3 Coded vaccine without Sl vaccine on the same date - 5 Shingles Vaccine - Performance: Proportion of eligible patients with complete course 5 Shingles Vaccine - Performance: Vaccines Given 6 Shingles Vaccine - Payment: For CORS reports see CORC Contracting > Vaccines 6 Shingles Vaccine - Payment: For OOF performance see CORC Contracting > OOF Vacc and Imms

Identifying and Inviting Eligible Patients 

The highlighted report above shows patients eligible for a shingles vaccine. 

Running the Invitation 1.0 report at monthly intervals will ensure that all patients are invited three times per year.  Patients can also be targeted during the influenza vaccine campaign – their records will be flagged. 

The Invitation 1.1 report will identify patients who have not responded to three invitations over the past year.  Additional approaches could be considered. 

Viewing CQRS Performance 

Weeks (74) CDRC Archive (2) coac contracting (45) PCN DES (3) • aoF (20) accines (6) Weight Management (16) CDRC Groups (566) Avoiding Unplanned Admissions (I) Communication (38) Name Shingles Vaccine Payment: CORS SHROU02 Zostavax given and claimable Shingles Vaccine Payment: CORS SHROU03 Shingrix 1 given and claimable Shingles Vaccine Payment: CORS SHROU04 Shingrix 2 given and claimable Shingles Vaccine QC 1 Shingrix 1 vaccine but not coded immunosuppressed Shingles Vaccine QC 2 Shingrix 2 vaccine but not coded immunosuppressed Shingles Vaccine - For additional shingles payment reports see CORC Contracting OOF -V1004

Select the following breakdown option in each of the reports to obtain a monthly breakdown of eligible vaccines if you wish to compare this with your CQRS returns 

Shingles Vaccine SHVACGP (Zostavax by GP) given here between 70 and 79 ~ 

  • Event details 
  • Event month and year 

Data Quality Issues Affecting Payment 

The two QC reports identify people who have received shingrix but who are not classified as immunosuppressed according to the business rules.  They will not be eligible for payment unless an immunosuppression code is added.  The easiest code to use is Patient immunosuppressed which must be present in the 12m before each shingrix vaccine.  It would be sensible to add this report to a batch report for contract data issues. 

QoF Payments 

The VI004 indicator requires 40-60% of patients aged 80 to have had a complete shingles vaccination course after the age of 70.  The following reports will show current and end of year performance and missing patients 

Machine generated alternative text: CDRC contracting (208) PCN DES (3) OOF (183) • Vaccines (6) Weight Management (16) coac Groups (1455) Show sub-category reports in category folders Vacs and Imms V1003 Vacs and Imms V1003 Vacs and Imms V1003 acs and Imms V1004 Shin les 80 0 and vaccinated 1 acs and Imms V1004 Shingles 80yo and vaccinated 1 acs and Imms V1004 Shingles 80yo and vaccinated 1 acs and Imms V1004 Shingles 80yo and vaccinated 1 acs and Imms V1004 Shingles 80yo and vaccinated 1 acs and Imms V1004 Shingles 80yo and vaccinated 1 183 Reports(6 selected) Vacs and Imms V1002 MMR given aged between 12- 18 months 1 DTaP/IPVbooster & 2 MMR vats under 5} 1 0 HAD (87-g5%) DTaP/IPVbooster & 2 MMR vats under 5} EOY (87-g5%) DTaP/IPV booster & 2 MMR vats under 5} 1 2 Not Achieved 2 Not Achieved O HAD 50-60% EOY (50-60%) 2 Not Achieved (excluding excepted patients) 21 Not Achieved (excluding excepted patients) about to turn 80 3 Not Achieved (excepted patients) 3 Not Achieved (excepted patients) about to turn 80

If the end of year performance is below target take the following actions using the Shingles Vaccination template: 

  1. Vaccinate eligible patients – patients in report 1.2 (with a subreport showing patients who about to turn 80 where action is most urgent) 
  2. Record vaccine declined or contraindicated (e.g. terminally ill) – patients in report 1.2 
  3. Contact patients who are currently excepted and invite them for a vaccine – patients in report 1.3