Advanced Services

FLU (2020/21 Service)

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Service Documents

National Flu Letter 2020/21

National Flu Letter 2020/21 Update

Service Specification

PGD

Flu Vaccine Transfer

PHE Guidance

Info for Healthcare Practitioners

PSNC Guidance

PSNC Flu Vaccination Hub

PSNC Flu Vaccination FAQs

Digital Guide 2020/21

PSNC Briefings

Guidance on 2020/21 Service

NHS Leaflets

Flu Vaccination Leaflet 2020/21

Flu Vaccine Supplies

Training Resources

PSNC Guidance on Training

e-LfH Training Course

Immunisation Training Standards

Pharmacy Complete Resources

Virtual Outcomes Training

Declaration of Competence

CPPE Link

DoC Fact Sheet

Guide to the DoC System

PharmOutcomes Support

PharmOutcomes Helpdesk

Features for 2020/21 Flu season

Community pharmacists in England administered 1,524,753 flu vaccinations to patients under the national NHS Flu Vaccination Service in 2019/20.

On 20th July 2015, PSNC announced that community pharmacies in England can offer a seasonal influenza (flu) vaccination service for patients in at-risk groups.  The service can be provided by any community pharmacy that meets the expected regulations, has had the relevant training and notified NHS England they are offering the service.

The provision of flu vaccinations through local pharmacies, with no need for a prior appointment, increases access to this public health initiative to a wider cohort of patients who would not have previously accessed it.

Source: PSNC



Additional support and commonly asked questions.

  • Communications about the 2020/21 vaccination service
  • How does Covid-19 affect training for the 2020/21 Flu Vaccination Service?
  • What PPE needs to be used to provide this service in 2020/21?
  • How can I provide this service in a Covid-safe way?
  • What’s the guidance on using consultation rooms safely?
  • What are the main changes for the 2020/21 service?
  • How much are pharmacies paid for the 2020/21 flu vaccination service?
  • Which patients are eligible to receive a vaccine under the NHS community pharmacy Advanced Flu Vaccination Service?
  • When can the 50-64-year-old age group be vaccinated?
  • Can children receive a flu vaccination under the community pharmacy Advanced Flu Vaccination Service?
  • Are pharmacy team members an eligible group for flu vaccination within the Advanced Service?
  • Are social care and hospice staff eligible for flu vaccination within the Advanced Service?
  • What are the training and premises requirements for this service?
  • Where can I access training for this service?
  • How often do I need to complete practical training in order to provide the service?
  • Do I have to arrange my own clinical waste disposal service to dispose of waste resulting from the NHS Flu Vaccination Service?
  • How often do I need to complete the vaccination DoC in order to provide the service?
  • How do I send notification to GP practices?
  • More FAQs
  • Record Keeping and Forms
How does Covid-19 affect training for the 2020/21 Flu Vaccination Service?

Following the close of the 2019/20 flu season, we are aware that training and refresher training for community pharmacy teams would normally start to take place, so everyone involved in administering the flu jabs are up-to-date with their training and ready for the new season from September.

Working with Public Health England (PHE) we have received confirmation that their immunisation standards will be amended for the coming season. Anyone who has not previously trained to undertake immunisations must undertake full training before commencing flu vaccination. However, for anyone who has undertaken the vaccinations training before and is due to undertake face-to-face training this year, in the current circumstances online training is the best option, and face-to-face training requirements can be undertaken next year instead.

PHE intend to update the HEE flu e-learning programme (available to all, free of charge at https://www.e-lfh.org.uk/programmes/flu-immunisation/) for the 2020/21 flu season. Those pharmacists who previously received immunisation training/had a role in immunisation in the past can undertake the assessment session before they undertake the whole knowledge session to see if there are gaps in their knowledge where they feel less confident. For those with some familiarity with immunisation, reading through the knowledge sessions should be relatively quick.

Pharmacists can also use the knowledge and skills competency assessment tool (Appendix A in the National minimum standards and core curriculum for immunisation training for registered healthcare practitioners) or similar assessment tools to identify the areas they need further information/training on.

As at 1 September 2020, anyone who is due to undertake annual online refresher training, but has done so within the previous 18 months, does not have to do the training again for the 2020/21 season (although they may do so if they wish).  However, they must ensure that they are familiar with the various documents to support the season, including choice of vaccine and contents of the annual flu letter.

More info:
https://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-training/ 

What PPE needs to be used to provide this service in 2020/21?

Pharmacists vaccinating patients in 2020/21 will not be able to maintain a social distance from the patient, so it will be necessary for them to wear PPE.

Public Health England (PHE) and the other UK public health bodies, alongside the NHS, published the following guidance on Friday 21st August 2020:

COVID-19: Guidance for the remobilisation of services within health and care settings – Infection prevention and control recommendations

This supersedes the previous guidance issued on 18th June 2020 and separate advice on the use of PPE when administering vaccines, issued by PHE and NHS England and NHS Improvement (NHSE&I).

In the revised guidance, gloves and aprons are recommended when there is (anticipated) exposure to blood/body fluids or non-intact skin.

The guidance states that in some clinical settings, such as vaccination/injection clinics, where contact with individuals is minimal, the need for single use PPE items for each encounter, for example, gloves and aprons is not necessary. Staff administering vaccinations/injections must apply hand hygiene between patients and wear a sessional Type IIR mask.

The previous guidance on PPE to be used when vaccinating patients was use of a Type IIR mask and eye protection on a sessional basis and use of disposable gloves and aprons on a single use, changed between each patient.

Source: PSNC

How much are pharmacies paid for the 2020/21 flu vaccination service?

The fee per vaccination will remain at £9.58, but we have also agreed, for this year only:

* £0.50 per vaccination will be paid, funded from the Transition Fund; and
* up to £1m of medicines margin can be retained for flu vaccinations administered above the number in a normal year.

This will be in addition to the allowed £800 million medicines margin under the Community Pharmacy Contractual Framework.

This means the combined value of fees paid per vaccination will be £10.08. As is normally the case, contractors will also be reimbursed for the vaccine costs at the basic price (list price) of the individual vaccine administered and an allowance at the applicable VAT rate will also be paid.

https://psnc.org.uk/our-news/flu-vaccination-funding-for-2020-21/

Which patients are eligible to receive a vaccine under the NHS community pharmacy Advanced Flu Vaccination Service?

Eligibility is outlined in Annex A of the Service Specification.

When can the 50-64-year-old age group be vaccinated?

All people aged 50-64 years of age who do not fall within another eligible group:

Notification of the phased eligibility of individuals in this cohort will be formally announced later in the flu season. These patients are not eligible to be vaccinated under this service until that announcement has been made.

Can children receive a flu vaccination under the community pharmacy Advanced Flu Vaccination Service?

No. The NHS Advanced Flu Vaccination Service is for patients aged 18 years and over who fall into an eligible group; it does not cover children.

Are pharmacy team members an eligible group for flu vaccination within the Advanced Service?

No. Employers may wish to offer pharmacy staff flu vaccinations as part of their occupational health arrangements, but this cannot be undertaken as part of the Advanced Service. If a pharmacy team member is eligible for an NHS flu vaccination and falls into one of the eligible patient groups for the Advanced Service, they would be able to use the service at the pharmacy.

Are social care and hospice staff eligible for flu vaccination within the Advanced Service?

Yes. This was introduced last year and will carry on this year.

Social care workers:  Health & social care staff, employed by a registered residential care/nursing home or registered domiciliary care provider, who are directly involved in the care of  vulnerable patients/clients who are at increased risk from exposure to influenza. Vulnerable means those patients/clients in a clinical risk group for flu or who are aged 65 years and over.

Hospice workers: Health and care staff, employed by a voluntary managed hospice provider, who are directly involved in the care of vulnerable patients/clients who are at increased risk from exposure to influenza. Vulnerable means those patients/clients in a clinical risk group for flu or who are aged 65 years and over.

https://www.nhs.uk/conditions/vaccinations/who-should-have-flu-vaccine/

What are the training and premises requirements for this service?

This information can be found on page 7-8 of the Service Specification:

4.1 In order to provide the service, pharmacies must have a consultation room. Vaccinations can be offered in any area of the pharmacy where suitable facilities are available and patient confidentiality is able to be respected. However, the vaccination must take place in the consultation room wherever the patient expresses this preference. The consultation room must comply with the minimum requirements set out below:

 the consultation room must be clearly designated as an area for confidential consultations
 it must be distinct from the general public areas of the pharmacy premises
 it must be a room where both the person receiving services and the pharmacist providing those services are able to sit down together and talk at  normal speaking volumes without being overheard by any other person (including pharmacy staff), other than a person whose presence the patient requests or consents to (such as a carer or chaperone)
 it must be a room where infection control standards can be maintained

4.2 Vaccinations under this advanced service will usually be carried out on the pharmacy premises, but they can also be undertaken in other suitable locations, such as in the patient’s home, a long-stay care home, a long-stay residential facility or community venues (e.g. community centres).

4.3 Where vaccinations are undertaken off the pharmacy premises, the pharmacy contractor must: ensure that vaccinators have professional indemnity that covers off-site vaccinations; continue to adhere to all professional standards relating to
vaccinations; follow appropriate cold-chain storage measures; ensure that the setting used to administer the vaccinations is appropriate (including ensuring patient confidentiality as appropriate); appropriately dispose of any clinical waste or personal protective equipment used during the vaccination process. Additionally, where vaccinations are undertaken in the patient’s own home (including a care home), contractors must ensure that vaccinators have a valid DBS certificate.

4.4 The pharmacy contractor must ensure that individuals providing the service are competent to do so. Registered pharmacy professionals should demonstrate to the pharmacy contractor that they have the necessary knowledge and skills to provide the service by completing the vaccination services Declaration of  Competence (DoC).  The pharmacy contractor must keep on the pharmacy premises copies of each DoC  completed by any registered pharmacy professionals that they employ/engage to deliver the service.

4.5 The pharmacy contractor must ensure that individuals providing the service are aware of the National Minimum Standards in relation to vaccination training and are compliant with the training requirements within those Standards that apply, including the requirements for face to face training and refresher training for injection technique and basic life support (including administration of adrenaline for anaphylaxis).

4.6 The pharmacy contractor must ensure that staff are appropriately trained and made aware of the risks associated with the handling and disposal of clinical waste and that correct procedures are used to minimise those risks. A needle stick injury procedure must be in place.

4.7 The pharmacy contractor must ensure that staff involved in the provision of this service are advised that they should consider being vaccinated against Hepatitis B and be advised of the risks should they decide not to be vaccinated.

Where can I access training for this service?

Online training is available on the following link:
https://www.e-lfh.org.uk/programmes/flu-immunisation/

This interactive flu immunisation e-learning programme, written by Public Health England and produced by Health Education England’s eLearning for Healthcare, is available for anyone involved in delivering the flu immunisation programme.

Face-to-face practical training is available from the providers listed on the following PSNC page:
https://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-training/

How often do I need to complete practical training in order to provide the service?

The statement from NHSE&I means that pharmacists who have previously undertaken vaccination training and are due to repeat face-to-face training for both injection technique and basic life support (including administration of adrenaline) in 2020 do not need to do this until 2021.

Ordinarily, all vaccinators are expected to undertake annual update training to ensure their knowledge stays up to date with changes in practice and guidance. This may involve self-directed learning, using relevant references sources, such as the Green Book and the annual flu letter. It may also include online training which is available from a range of providers.

The wording in the above NHSE&I statement notes that annual refresher training does not necessarily have to be repeated in 2020/21, subject to the stipulations in the statement. It does however state that vaccinators must ensure that they are familiar with the various documents to support the season, including choice of vaccine and contents of the annual flu letter.

PSNC recommends that all pharmacists that will provide the flu vaccination service during 2020/21, undertake annual update training prior to commencing provision of the service, to ensure they have up-to-date knowledge in relation to the provision of flu vaccinations in 2020/21 and any related matters, such as current guidance on infection control, which may need to be updated in light of the pandemic. This update training can be undertaken in a variety of ways, including self-directed learning and use of online training materials.

https://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-training/

Do I have to arrange my own clinical waste disposal service to dispose of waste resulting from the NHS Flu Vaccination Service?

Yes. Contractors have to arrange their own clinical waste disposal service to dispose of waste resulting from the Flu Vaccination Service when providing the service from the pharmacy and also when providing the service from long-stay residential care homes, other long-stay care facilities and patients’ homes.

How often do I need to complete the vaccination DoC in order to provide the service?

Pharmacists are required to complete the Vaccination services DoC every two years as part of the requirements to be able to offer the NHS Flu Vaccination Service.

If you last completed the Vaccination services DoC in 2019/20, you would not need to complete the new vaccination DoC until 2021/22. However, pharmacists could use the e-Learning for Healthcare modules included in the updated Vaccination DoC  (01- Core knowledge  and  02- Inactivated Flu vaccines) to ensure they are up-to-date for the 2020/21 Flu Vaccination Service; this could be included as part of a pharmacist’s annual update training.

https://psnc.org.uk/our-news/updated-vaccination-services-declaration-of-competence-published/

How do I send notification to GP practices?

When pharmacy teams provide the Flu Vaccination Service, notifying the patient’s GP practice is an important service requirement. This is firstly because it is important that the patient’s GP has a full record of vaccinations their patients have received, but also because Public Health England’s (PHE) ImmForm system uses GP records to assess the total number of people who have been vaccinated against flu each year.

Community pharmacy contractors must ensure that a notification of vaccination is sent to the patient’s GP practice on the same day the vaccine is administered or on the following working day. This can be undertaken by post, hand delivery, secure email or secure electronic data interchange (but it can no longer be sent by fax).

If IT systems, such as PharmOutcomes or Sonar Informatics, are available to a contractor that allow the notification of a patient’s GP practice to take place electronically, these should ideally be used.

GP Practice Notification Form 2020/21 (Word)

GP Practice Notification Form 2020/21 (PDF)

More information:

https://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-communicating-with-gp-practices/

More FAQs

For more Flu Vaccination FAQs click HERE.

Record Keeping and Forms

The eligible patient groups in 2020/21 have changed, so it is therefore important to discard any previously printed versions of the Flu Vaccination record forms from previous years and ensure that the new form is used.

Record keeping requirements

National Flu Vaccination Record Form 2020/21 (Word)

National Flu Vaccination Record Form 2020/21 (PDF)

Patient consent can be obtained verbally and should be recorded in the pharmacy’s clinical record for the service. From September 2020, the requirement for a patient to sign a consent form has been removed from the service requirements.


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