Immunisation is one of the most successful and cost-effective public health interventions and a cornerstone of public health. High immunisation rates are key to preventing the spread of infectious disease, complications and possible early death among individuals, and protecting the population’s health through both individual and herd immunity.
Following recommendations from the Joint Committee on Vaccinations and Immunisations (JCVI), a number of programmes are commissioned for delivery by general practice. This includes those which are legally directed by the Secretary of State for Health to establish or offer, and those NHS England has prescribed. Some enhanced services (ES) delivered by GMS practices have payments directed in the statement of financial entitlements(SFE). The full set of enhanced services can be found on the NHS England enhanced services webpage.
A number of changes have been agreed to the vaccination and immunisation programmes.
- Childhood seasonal influenza – the removal of four year olds from enhanced service and transfer to schools programme, also removal of the requirement to use Child Health Information Systems (CHIS).
- MenACWY programmes – a reduction in the upper age limit from ‘up to 26th birthday’ to ‘up to 25th birthday’ (in line with the Green Book). [MenACWY for patients aged 18 years on 31 August 2017, MenACWY freshers and meningococcal completing dose (was previously meningococcal booster)]
- Pertussis or pregnant women – a reduction in the eligibility of patients for vaccination from 20 weeks to 16 weeks.
- Seasonal influenza – the inclusion of morbidly obese patients as an at-risk cohort and a reminder for practices that it is a contractual requirement to record all influenza vaccinations on ImmForm.
- Shingles (routine) – a change in patient eligibility to the date the patient turns 70 rather than on 1 September.
- Shingles (catch-up) – a change in patient eligibility to the date the patient turns 78 rather than on 1 September.
The following programmes continue unchanged:
- hepatitis B (newborn babies)
- HPV for adolescent girls
- measles mumps and rubella (aged 16 and over)
- meningococcal B
- pneumococcal polysaccharide
Download a summary of the new and amended programmes.
The requirements for these two new programmes will be outlined in the NHS England service specifications, which will be published by NHS England in due course.
Download the technical requirements for 2017/18 GMS contract changes.
A set of FAQs were developed to support commissioners in delivery of the 15/16 GMS contract, they can be found on our FAQs page. This page will begin to be updated to include 17/18 FAQs from July 2017.