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National Flu Campaign 2020/21

Updated on Tuesday, 24 November 2020, 3323 views

Guidance on how to locally manage held flu vaccine stock in Primary Care Providers and NHS Trusts 

The National Flu Immunisation Programme 2020/21 - NHSE flu letter setting out eligible cohorts Annual 2020/21 flu season

20/21 DES specification Updated 02.09

Guidance Options and solutions for Primary Care V2

Joint Committee on Vaccination and Immunisation (JCVI) 2020/21 published statement on vaccines for 2020/21

Following on from the advice and guidance letter, there has been a further update from Public Health England (PHE) to clarify the position on vaccines for those aged 65 years and over and is as follows:-

JCVI advises the use of the following vaccines:

JCVI advise that the QIVc is considered preferable to standard egg-culture influenza vaccines (TIVe/QIVe).

The expectation is that practices should order the preferred vaccine - aTIV for this age group. QIVc is suitable and should be offered as an alternative when aTIV is not available

 

Second Flu immunisation programme 2020/21 - Update 2.8.20

 

Update on the availability of vaccines for the 2020/21 children's flu programme supplied by PHE - 10.8.20 

Vaccine

Manufacturer

Anticipated order opening for all providers

Fluenz® Tetra (LAIV)

AstraZeneca

 

Friday 28 August

Quadrivalent Influenza Vaccine (split virion, inactivated) (QIVe)

Sanofi Pasteur

By early September

 

Further to the previous update on 16 July, PHE can now confirm that we plan to open ordering for Fluenz® Tetra (LAIV) to all NHS providers of the 2020/21 children’s flu programme on Friday 28 August, with first deliveries made from Wednesday 2 September.

 

The inactivated vaccine (QIVe) for children in clinical risk groups for whom LAIV is unsuitable, will be available to order from ImmForm by early September.

 

As always, these timings remain subject to change, and plans for vaccination sessions in both schools and general practices should be made with this in mind. Should there be any changes to this schedule, we will look to update you as soon as possible and any such changes will also be notified on the ImmForm website and through Vaccine Update.

Please find below some additional vaccine ordering information for general practice and school-age immunisation providers.

LAIV ordering information for General Practice

Ordering controls will be in place for Fluenz® Tetra to enable PHE to balance supply with demand. As in previous years ordering controls for general practices are tailored to each practice and work by allocating an amount of vaccine based on the number of registered eligible patients. Increases to the allocations will be applied as soon a sufficient stock becomes available to do so. Exact timings have not been defined at this time, however we expect to be able to facilitate the following:

LAIV ordering information for school-age providers

A default ordering cap of 300 packs (3000 doses) per week, per ImmForm account will be in place for school providers.

Where this cap is insufficient and a provider needs a larger weekly volume of vaccine to deliver the programme (for example where a provider covers a large area using a single account), a higher weekly cap should be requested via the PHE Vaccine Operations team by emailing vaccinesupply@phe.gov.uk. Requests should be made by Friday 14 August to ensure that accounts are set up correctly before vaccine ordering commences.

For one-off larger orders during the ordering period, requests should be made via helpdesk@immform.org.uk in good time before the order cut-off.

Inactivated flu vaccine ordering

PHE also supplies an egg-based Quadrivalent Influenza Vaccine (split virion, inactivated) which is suitable for all children from six months to less than 18 years old.

This vaccine will have an initial order cap of 20 doses per week.

This vaccine should be ordered for all eligible children aged less than 9 years who are contraindicated for, or too young to receive Fluenz® Tetra AND are in a clinical risk group.

Full details of the vaccine arrangements for children in clinical risk groups aged 9 years and over who are contraindicated for Fluenz® Tetra can be found in the flu letter published Thursday 14 May 2020

 

Date 21 August 2020 / Issue 379a

ALTERNATIVE FLU VACCINE FOR CHILDREN - SEASONAL INFLUENZA PROGRAMME 20/21

Dear Colleagues

The flu vaccine is offered to children aged 2 to 3 years, to children of reception and primary school age, and, for the first time this year (2020) to children in Year 7. In addition, children who are clinically at risk are offered the vaccine from the age of six months.

The vaccine is given to most children in school in the form of a nasal spray and contains a highly processed form of porcine gelatine.

If a child is at high risk from one or more medical conditions or treatments and can’t have the nasal spray, the child will be offered an alternative flu vaccination by injection.

There is a limited supply of the alternative vaccine, which is less effective than the nasal spray for healthy children, so children at risk will be prioritised for this vaccine.

School age children – delivered by your local School Aged Immunisation Provider

In order to prevent localised outbreaks in the 2020/21 flu season, an inactivated flu vaccine may be offered to those children whose parents refuse the live attenuated influenza vaccine (LAIV) due to the porcine gelatine content but it would not be available until November and only then if there was sufficient stock. These children remain the responsibility of the school immunisation service. Please note children in at risk groups can be vaccinated in either setting. (eg GP or SAI Provider)

Two to three-year olds

In order to prevent localised outbreaks in the 2020/21 flu season, an inactivated flu vaccine may be offered to those children whose parents refuse the live attenuated influenza vaccine (LAIV) due to the porcine gelatine content. This would mean waiting until November and would depend upon there being sufficient stock of the alternative vaccine. GPs should not provide the alternative vaccine before November to healthy children, because children at risk must be prioritised.

Kind regards

Public Health Team

NHS England and NHS Improvement – South West

phcontractssouthwest@nhs.net

 

25 August 2020

Important info from National Teams

  1.  Sharing of PGDs across a PCN which will support GPNs working Patient Group Direction use in Primary Care Networks​
  2.  Link to podcast on having critical conversations with employers
  3.  We are hearing reports of GPNs feeling fatigued and that their resilience is low at this time. Many will be being supported through  our CARE leadership programme but this is not available to all. Please pass on the link for free coaching sessions  https://people.nhs.uk/lookingafteryoutoo/​
  4.  Link for advice on immunisation services and large-scale vaccination delivery during Covid-19 from the RCN Immunisation services and Large-scale vaccination delivery during COVID-19 - considerations and practical advice’ resource It is currently written for the influenza programme but as a web resource can be amended as we need to for any pandemic vaccine.
  5.  Link to the Digital Nurse Network- with session on PPE for Cervical Screening

Children's flu update - 27 August 2020

Fluenz® Tetra (LAIV) is now available to order by providers of the children’s flu programme in England via ImmForm.

First deliveries for Fluenz® Tetra will be made on your normal scheduled delivery day, beginning on Wednesday 2 September.

Ordering of inactivated vaccine, for children in clinical risk groups for whom LAIV is unsuitable, is currently expected to commence in early September. The most up to date information on the availability of all children’s flu vaccines provided by PHE is available on the ImmForm news page so please check this information regularly.

LAIV ordering information for General Practice

Ordering controls are in place for Fluenz® Tetra to enable PHE to balance supply with demand. As in previous years, ordering controls for general practices are tailored to each practice and work by allocating an amount of vaccine based on the number of registered eligible patients. Each GP practice has initially been allocated sufficient vaccine to vaccinate at least 50% of their eligible children (all 2 and 3-year-olds, plus children in clinical risk groups from age 4 to <18 years). Increases to the allocations will be applied as soon a sufficient stock becomes available to do so and we expect to be able to allocate sufficient vaccine for GPs to vaccinate at least 70% of their eligible cohort (as above) by early October. Further amendments to these allocations will be made in response to demand and vaccine availability, and requests for extra vaccine will be considered on a case by case basis throughout.

LAIV ordering information for school-age providers

A default ordering cap of 300 packs (3000 doses) per week, per ImmForm account will be in place for school providers.

Where this cap is insufficient and a provider needs a larger weekly volume of vaccine to deliver the programme (for example where a provider covers a large area using a single account), a higher weekly cap can be requested via the PHE Vaccine Operations team by emailing vaccinesupply@phe.gov.uk. These requests may take a few days to action and should, therefore, be made well in advance of need.

for one-off larger orders during the ordering period, requests should be made via helpdesk@immform.org.uk in good time before the order cut-off.

Inactivated flu vaccine ordering

PHE also supplies an egg-based Quadrivalent Influenza Vaccine (split virion, inactivated) which is suitable for all children from six months to less than 18 years old.

this vaccine will have an initial order cap of 20 doses per week

this vaccine should be ordered for all eligible children aged less than 9 years who are contraindicated for, or too young to receive Fluenz® Tetra AND are in a clinical risk group.

full details of the vaccine arrangements for children in clinical risk groups aged 9 years and over who are contraindicated for Fluenz® Tetra can be found in the flu letter published Thursday 14 May 2020

Supply of inactivated flu vaccine for children who object to LAIV due to the porcine gelatine content

A supply of inactivated influenza vaccine is expected to be made available to NHS providers of the children’s flu programme, for children who object to the porcine gelatine content of Fluenz® Tetra (LAIV), from November. Arrangements for this supply have not yet been finalised and further details will be communicated as soon as they are available. Until then, the limited supply of Quadrivalent Influenza Vaccine (split virion, inactivated) that is available to order through ImmForm must be prioritised for children in clinical risk groups aged 6 months to less than 9 years.

Vaccine Supply team

13 October 2020 - Somerset Flu Group Power Point

October 2020 -Flu Vaccination Eligibility: Key Messages for Reception Staff

Public Health EnglandWhy am I being asked to wait to have my flu vaccine?

 

19.11.20

DHSC Flu Stock letter for GPs v11.3

 

LMC Buying Group 

2020-21 OFFERS

The Buying Group has negotiated discounts on all vaccines that are currently available to order as well as other terms such as sale or return, reserves, early delivery etc.

Our suppliers have offered reassurances that all providers will be treated exactly the same as far as deliveries are concerned next year. We suggest that you ask your flu vaccine supplier for the earliest date that you can receive and start your clinics as early as possible. The earlier you order the more likely you are to be able to secure deliveries in your chosen week.

If you have already been provided with a quote by any vaccine company, please make sure they are using the October 2019 dispensing fee scales otherwise your quote will be incorrect as the fees have reduced since last year and that you have been given our discount. If you have any questions about how to calculate PPD or discounts then please contact us.

Register or login to view the offers for 2020-21 as well as the more recent fee scales.

The Buying Group team is happy to help you with any queries you might have about the vaccines available for 2020-21, the PPD, discounts and other terms and any other issues you may be experiencing. Please note that we do not supply flu vaccines, you will still need to contact our approved flu vaccine suppliers directly to place your orders. If you have any queries about this, you can contact us on the number below.

Tel: 0115 979 6910
You can also email us or live chat with one of the team via this website.

 

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