Immunisation in Enfield Enfield Public Health Team Health Scrutiny Committee 23 Jan 2020 Striving for excellence www.enfield.gov.uk
Overview of presentation • Introduction to vaccination & routine immunisation schedule • NHS England & Improvement • Role of Enfield Council & Enfield Immunisation Plan • Enfield CCG
Why do we vaccinate? • Can give life-long immunity against some severe and life-threatening diseases • One of the most successful and cost-effective interventions to improve health outcomes • One of the only medicines that work at both individual and community levels
What happens when vaccination rates are low? • UK lost its measles ‘elimination’ status in 2018 after a marked increase in measles cases • 2019 saw increase in cases of measles and mumps in England Measles in London and England • Significant impact on individuals and high costs to NHS https://publichealthmatters.blog.gov.uk/2019/08/19/measles-in-england/ https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/853589/hpr4119_mmr.pdf
The routine immunisation schedule in England* Pregnant Infants School-aged School aged 65+ Pre-school Who? women (0-1 years) children adolescents Flu Men C HPV Diptheria Flu Pneumococcal What? Flu Men ACWY Flu Tetanus Pertussis Shingles Tetanus Diptheria Pertussis Tetanus Diptheria Polio Pertussis Polio HiB Polio Hep B MMR Pneumococcal Men B Rotavirus MMR Commissioned NHS England & Improvement by: Barnet, Enfield Barnet, Enfield GPs GPs Provided by: GPs GPs & Haringey MH & Haringey MH Community Midwives Trust Trust pharmacies (flu) Community pharmacies (flu) *Selected immunisations are also routinely provided for at-risk groups across different age groups. This schematic provides a broad overview of routine immunisations. The complete schedule can be found here: https://www.gov.uk/government/publications/the-complete-routine-immunisation-schedule
Enfield council’s role in immunisation • Enfield council have a responsibility to: – Provide independent scrutiny of NHS England, PHE and providers – Provide public health information and advice to relevant bodies in the borough (including on immunisations) Source: Immunisation & Screening National Delivery Framework & Local Operating Model https://www.england.nhs.uk/wp-content/uploads/2013/05/del-frame-local-op-model-130524.pdf
Joint immunisation plan for Enfield • Developed following a workshop with stakeholders in summer 2019 • Shared plan across NHS England, Enfield CCG, Barnet Enfield & Haringey MH Trust and Enfield Council • Key areas include primary care, schools, early years settings, commissioning and communications
Key actions and successes • Immunisation training rolled out in Early Years settings • Immunisation policies implemented in Early Years settings • Communication with Early Years settings, primary schools and foster parents about flu vaccination • Working with health visiting teams to embed flu vaccination within their protocols • Positive feedback from school nurses received regarding immunisation consent rates
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