Hepatitis B Workshop Iolanda Shaker Screening and Immunisation Coordinator NHS England Derbyshire and Nottinghamshire Area Team 01138 255444 or 07920 251277 iolanda.shaker@nhs.net 1 NHS | Presentation to [XXXX Company] | [Type Date]
Hepatitis B Workshop • Community pathway • Roles and responsibilities • Data collection • Payment NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 2
GP practice registration Notification form sent to Yvonne Rodney (Specialist Practitioner Immunisation) St Ann’s Valley Centre 0115 8838700 or 07715049298 YR informs PN, GP, HV, PHE, & CHRD (letter & notification form sent) Practice to check that child has registered before 4 weeks of age (liaise with HV) Confirm parent/guardian contact details Inform parent/guardian of need for vaccination & schedule Record previous Hep B vaccination and immunoglobulin (if given) Maintain a reg of babies req Hep B vaccination NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] Maintained a register of babies at risk of Hep B within the practice 3
Call/ Recall Invite child for vaccination as per schedule – -1 mth, 2 mths and 12 mths & at 3yrs 4 mths – 5yrs (with pre school booster) place alerts for subsequent vaccinations • Ensure vaccine available Book interpreter if required (CityCare) Inform HV of appointment date Contact parent/guardian by phone or text prior to appointment to act as a reminder Actively follow up children who fail to attend clinic for imms by contacting parent/guardian NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] Maintained a register of babies at risk of Hep B within the practice 4
Appointment/ Data Collection Inform parent/guardian of need for vaccination and schedule Vaccination should be given under a PSD Inform CHRD (SystmOne/ Monthly computer print outs) – include date, batch no, name of vaccine, expire date & site given. (1, 2, 12 mths and 3yr 4 mth- 5yrs (sue.curtis@nottinghamcitycare.nhs.uk 0115 883 9689 Reported on the COVER data, showing uptake on a 1/4 and annual basis Inform HV NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 5
Monitoring and review Babies at risk of Hep B should be discussed at monthly health visitor/practice meetings, this should be attended by the lead PN or minutes/ actions fed back HV & GP will ensure where appropriate vaccination is recorded as part of child protection plans Liaise when a child fails to attend for schedule vaccination, and where appropriate offer outreach vaccinations NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 6
Completion On completion of the 4 th dose, arrange for the child to have surface antigen blood test (HBs Ag) at 12 months to exclude infection Any medical concerns or where a child test positive for infection should be referred to Paediatrician NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 7
Payment • Now in GMS contract £7.64 a dose and states responsibility to ensure blood test is taken. • Claim via CQRS from July 2014 • The cost of the vaccine can be claimed via FP34 or FP34PD NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 8
Hepatitis B pathway • Any Questions NHS | Presentation to Nottingham City PNs [17 th & 24 th June 2014] 9
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