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Community pharmacy flu vaccination services- preparing for 2014/15. HISTORY. NHS Flu vaccination 1 st commissioned from pharmacy in 2012 – all risk groups, for all the flu season. First season – 55 pharmacies involved – Over 5000 vaccinations delivered.

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Presentation Transcript
history
HISTORY
  • NHS Flu vaccination 1st commissioned from pharmacy in 2012
  • – all risk groups, for all the flu season
  • First season – 55 pharmacies involved –
  • Over 5000 vaccinations delivered
  • GPs really co-operative, and happy with the service

…….NOT!

slide4

And so to 2013……………….

  • PCT replaced by Cumbria, Northumberland,Tyne & Wear ‘Local’ Area Team
  • Intranasal flu pilot for Cumbria?
  • Joint approach to NHS England Screening & Imms Team from the CNTW LPCs – in April
  • June (ish) – Screening and Imms lead agrees to commission I.M. service
  • Parallel Service development
effective training for all staff
Effective training for all staff

On Line Training provided by Area Team Screening & Imms

Theory behind BLS, anaphylaxis & flu

vaccination

Face to face practical training

Included BLS and practical scenario training

All funded by pharmacy contractors

Private trainer

privately contracted with a member of the area team - very cost effective @ £37.50 each!

disaster strikes
Disaster Strikes?
  • Start of July – we are being commissioned
  • End of July -No we’re not!
  • What to do?
  • Negotiate!!
slide7

THE FRANTIC PHASE

All those PSNC ‘negotiating skills’ seminars can’t have been wasted……..

slide8

PROGRESS??

  • August – a place at the table
  • The initial offer
  • More Negotiation!
  • Agreement!!
slide9

STILL MUCH TO DO

  • PGD………… signed on Sept 19th
  • SLA…………...signed on Oct 1st
  • Payment mechanism…sorted over October
  • Vaccination …. Started on 21st September
slide11

9224 IM Flu vaccinations

81 out of 111 pharmacies participating

Average 114 per pharmacy

But....

slide12

THE BOTTOM 10 PERFORMERS

72 16

73 13

74 13

75 13

76 13

77 12

78 7

79 5

80 4

81 3 1% of Total

the top 10 performers
THE TOP 10 PERFORMERS

1 711

2 644

3 422

4 326

5 314

6 265

7 257

8 254

9 246

10 210 40% of Total

slide15

Preparation

Staff Training

SOPs

Ordering Vaccine & Stock Control

Fridge Capacity

Sharps Bins

Consultation Room

Resuscitation

Paperwork

Demand Management

slide16

Demand Management

Active not Reactive

Create awareness

Identify candidates

Make appointments

slide17

Eligible Groups

Over 65s Kidney Disease

Pregnant Neurological Disease

Respiratory Disease Diabetes mellitus

Heart Disease Immunosuppressed

Liver Disease Main Carer

Long Stay Res./Nursing Home

slide18

Teamwork

Every member of staff should be involved

Identifying and recruiting candidates

Counter Staff

Dispensary Staff

Pharmacist

Drivers

Cleaner

slide19

SERVICE DELIVERY

Greeting and Opportunistic Recruitment

  • Counter Staff and Flu-Helper

Helping with Flu Form and escorting patient to Consultation Room

  • Flu Helper

Complete Flu Form, review responses, obtain consent

- Pharmacist

slide22

DEFINE STAFF ROLES

Administer Vaccine and record details

- Pharmacist

See patient out of Consultation Room and assist them with patient survey

- Flu Helper

Complete notifications

- Anyone / Everyone

slide23

PLANNING FOR NEXT SEASON

  • START EARLY… MAKE SURE OF YOUR STOCK – ORDER IN SPRING
  • LATE SPRING/EARLY SUMMER

LPC MEETINGS TO CELEBRATE SUCCESS/PASS ON HINTS & TIPS

  • LATE SUMMER –

PMR TO GENERATE A LIST OF VACCINATED PATIENTS - CONTACT WITH REMINDER BY POST, TEXT, EMAIL OR CARRIER PIGEON

how did we do
How Did We Do?
  • Over 15,000 I.M. vaccines given in CNTW.
  • 9,200 of these in Cumbria
  • Approx. 12% - 1848 people were vaccinated in pharmacies who were NEW to flu vaccination
  • Still only 3.6% of the region’s total – though 7.5% in Cumbria. Plenty more to go at!
slide25

INTRANASAL

13,573 vaccinations

Of which…. 11,113 given in community pharmacies – 82%

37.2% of primary school age children

feedback
FEEDBACK
  • From the public - Excellent!
  • From the GPs……..

Largely Weary Resignation

With occasional tantrums!