Devon School Immunisation Pathways for the 2016/17 academic year

Introduction

This information is aimed to support local practices in understanding school aged immunisations, which have changed considerably over the past few years. This information includes:

 An overview of arrangements in your local area  A practice checklist to help understand your responsibilities  A childhood flu pathway  A MenACWY pathway  A Td/IPV pathway  A HPV pathway  Useful information, links and contacts  Financial information

We hope you find this information useful and clear: if you have any comments, suggestions or queries please contact the South (South West) Screening and Immunisations Team on [email protected]

Overview of school aged immunisations for Practices

Flu in primary school

In Devon flu vaccination during 2016/17 is being delivered in schools by Boots. They will be vaccinating all children in school years 1, 2 and 3. Further information can be found on pages 3 – 11 below.

All secondary school aged immunisations are delivered by the school nursing team. This academic year will also see the first phase of moving MenACWY & Td/IPV vaccination from year 10 to year 9. During this academic year (2016/17) all year 10 (girls and boys) and all year 9 boys only will be vaccinated for MenACWY & Td/IPV. Next year (2017/18) all year 9 (girls and boys) and all year 10 girls will be vaccinated for MenACWY & Td/IPV. From

PHE publications gateway number: N/A Published: September 2016 2018/19 onwards Devon will then be in line with the national recommended pathway of vaccinating all children for MenACWY & Td/IPV in school year 9. Further information for 2016/17 is explained below, and this will be updated in future academic years:

 HPV dose 1—year 8  HPV dose 2—year 9  MenACWY and Td/IPV—year 9 boys only (main cohort)  MenACWY and Td/IPV—year 10 (catch-up cohort)

GP checklist for Devon Practices

 Check that all data on immunisations delivered in schools has been uploaded onto your GP practice patient records. This data will have historically been sent to you throughout the academic year by the Child Health (CHIS) team. If you believe there is any missing data contact the Child Health (CHIS) team. Note: all flu information will be sent directly from Boots and should also be updated on your patient records.

 Check that all data on immunisations you have given in your practice has been sent to the Child Health (CHIS) team. If you are unsure, send it again or contact the Child Health (CHIS) team to discuss this with them.

 Continue to call and recall all of last year’s year 13 students for MenACWY (DOB 01.09.97—31.08.98) vaccination.

 Opportunistically check the vaccination status to catch up any missing immunisations. Make sure you check whether they have had two doses of MMR as well as any other missing immunisations.

 Offer appointments to young people with known missing immunisations: a good time to try this is in year 10 for HPV, and year 11 for MenACWY & Td/IPV after all young people have been offered vaccination in schools.

 Review how young people are invited for vaccinations at your surgery and whether this meets their needs. Points to consider: o Are the sessions outside of school hours? o Can the young people get to your surgery for the appointments? Consider evening or weekend sessions for parents to be able to attend appointments too. o Are you sending information leaflets to ensure young people are aware of what they are being invited for? o Are you using text messaging reminders?

 Make sure you are promoting school aged immunisations through leaflets, posters and through links on your website.

Page 2 Devon School Immunisation Pathways for the 2016/17 academic year

Page 3 Devon School Immunisation Pathways for the 2016/17 academic year Dates of scheduled flu sessions at schools in Devon

School name Date Primary School 16/11/2016 All Saints Church of England Primary School 21/11/2016 All Saints CofE Primary School (Marsh) 25/11/2016 Alphington Primary School 10/10/2016 Appledore School 22/11/2016 Ashburton Primary School 21/11/2016 Ashleigh CofE (VC) Primary School 09/11/2016 Primary School 30/11/2016 CofE Primary School 22/11/2016 Church of England Primary School 17/11/2016 Community Primary School 22/11/2016 Bampton Church of England Primary School 18/11/2016 Barley Lane School TBC Bassetts Farm Primary School 15/11/2016 Community Primary & Nursery School 01/12/2016 Bearnes Voluntary Primary School 15/11/2016 Beer Church of England Primary School 16/11/2016 Bere Alston Primary School 12/10/2016 Parochial Church of England Primary School 11/10/2016 Church of England Primary School 08/11/2016 Bickleigh Down Church of England Primary School 28/11/2016 Bickleigh on Exe Church of England Primary School 16/11/2016 Bidwell Brook School 04/11/2016 Bishops Nympton Primary School 18/11/2016 Bishops Tawton Primary School 16/11/2016 School 08/11/2016 Church of England Primary School TBC Primary School 17/10/2016 Blackpool Church of England Primary School 07/11/2016 Blundell's Preparatory School 25/11/2016 Boasley Cross Community Primary School 10/11/2016 Bolham Community Primary School 16/11/2016 Primary School 22/11/2016 Bow Community Primary School 10/11/2016 Bowhill Primary School 04/11/2016 Bradford Primary School 30/11/2016 Bradley Barton Primary School and Nursery Unit 03/11/2016 Primary Academy 30/11/2016 14/10/2016 Church of England Primary School 07/11/2016 Church of England Primary School 18/11/2016

Page 4 Devon School Immunisation Pathways for the 2016/17 academic year Community Primary School 25/11/2016 Primary School 31/10/2016 Primary School 17/11/2016 Church of England Primary School 30/11/2016 Brixington Primary School 21/11/2016 Broadclyst Primary Academy Trust 07/11/2016 Church of England Primary School 17/11/2016 Village Primary School 18/11/2016 Primary School 21/11/2016 Community Primary School 18/11/2016 Church of England Primary School 01/12/2016 Burrington Church of England Controlled Primary School TBC Caen Community Primary School 21/10/2016 Canada Hill Community Primary School 11/11/2016 Church of England Primary School 02/12/2016 Church of England Primary School 24/11/2016 Chelfham Bere Alston TBC Cheriton Bishop Community Primary School 31/10/2016 Cheriton Fitzpaine Primary School 23/11/2016 Church of England Primary School 19/10/2016 Community School 18/10/2016 Church of England Community Primary School 09/11/2016 Chudleigh Knighton Church of England Primary School 13/10/2016 Primary School 28/11/2016 Primary School 30/11/2016 Clyst Heath Nursery and Community Primary School 01/11/2016 Primary School 04/11/2016 Primary School 02/11/2016 Cockwood Primary School 21/10/2016 Colyton Primary School 16/11/2016 Primary School 17/10/2016 Primary School 24/11/2016 Church of England Primary School 17/11/2016 Countess Wear Community School 19/10/2016 Primary School 02/12/2016 Church of England Primary School 01/11/2016 19/10/2016 Decoy Primary School 29/11/2016 Denbury Primary School 18/11/2016 Parochial Church of England Primary School 24/11/2016 Doddiscombsleigh Community School 18/10/2016 Dolton Church of England Primary School 11/11/2016 Drake's Church of England Primary School 10/11/2016 Dunsford Community Primary School 18/10/2016

Page 5 Devon School Immunisation Pathways for the 2016/17 academic year Primary School 22/11/2016 Primary School 25/11/2016 Primary School 24/11/2016 East-the-Water Community Primary School 14/11/2016 Ellen Tinkham School 14/10/2016 Emmanuel School TBC Ermington Primary School 21/11/2016 Exbourne Church of England Primary School 02/12/2016 Exeter 12/10/2016 Exeter Road Community Primary School 09/11/2016 20/10/2016 Exminster Community Primary 11/10/2016 Exwick Heights Primary School 20/10/2016 Church of England Primary School TBC Church of England Primary School 17/11/2016 Community Primary School 31/10/2016 Forches Cross Community Primary School 04/11/2016 Fremington Community Primary and Nursery School 17/11/2016 Gatehouse ACE Academy 14/10/2016 Church of England (VC) Primary School 21/10/2016 Church of England Primary School 31/10/2016 Bluecoat Church of England Primary School 29/11/2016 Gulworthy Primary School 31/10/2016 Primary School 25/11/2016 Community Primary School 10/11/2016 Harbertonford Church of England Primary School 18/10/2016 Hartland Primary School 18/11/2016 Community Primary School 11/11/2016 Hawkchurch Church of England School 22/11/2016 Haytor View Community Primary School 01/12/2016 Hayward's Primary School 25/11/2016 Hazeldown School 02/11/2016 Heathcoat Primary School 18/11/2016 Primary School 01/12/2016 Community Primary School TBC High Church of England Primary School 19/10/2016 Highampton Community Primary School 30/11/2016 Highweek Community Primary and Nursery School 30/11/2016 School TBC Church of England Primary School 30/11/2016 Holywell Church of England Primary School 16/11/2016 Primary School 14/11/2016 Community Primary School 04/11/2016 Horwood and Newton Tracey Community Primary School 16/11/2016

Page 6 Devon School Immunisation Pathways for the 2016/17 academic year Ide Primary School 10/10/2016 Church of England Junior School 02/11/2016 Ilfracombe Infant and Nursery School 03/11/2016 Church of England Primary School 15/11/2016 Community Primary School 17/11/2016 Primary School 16/11/2016 20/10/2016 Kenn Church of England Primary School 10/10/2016 Church of England Primary School 29/11/2016 Primary School 17/10/2016 Kenton Primary School 10/10/2016 Kilmington Primary School 22/11/2016 Kings Nympton Community Primary School 01/12/2016 Kingsacre Primary School 20/10/2016 Community Primary School 21/11/2016 Church of England Primary School 14/11/2016 Kingsley School 22/11/2016 Community Primary School 01/11/2016 Lady Modiford's Church of England (Voluntary Aided) Primary School 13/10/2016 Lady Seaward's Church of England Primary School 01/11/2016 Ladysmith Infant School 31/10/2016 Ladysmith Junior School 31/10/2016 Church of England Voluntary Controlled Primary School 20/10/2016 Primary School 19/10/2016 Landscore Primary School 25/11/2016 Landscove Church of England Primary School 18/11/2016 Community School and Nursery Unit 01/12/2016 Community Primary School 24/11/2016 Lew Trenchard Church of England Primary School 02/11/2016 Lifton Community Primary School 02/11/2016 Church of England Primary School 08/11/2016 Littletown Primary Academy 10/11/2016 Primary School 22/11/2016 Primary School TBC Church of England Primary School 08/11/2016 Lynton Church of England Primary School 17/10/2016 Magdalen Court School 20/10/2016 with Church of England Primary School 24/11/2016 Manor Primary School 08/11/2016 Church of England Primary School 11/10/2016 Marpool Primary School 14/11/2016 Marwood School 20/10/2016 and Community Primary School 02/11/2016

Page 7 Devon School Immunisation Pathways for the 2016/17 academic year Church of England Primary School 13/10/2016 Membury Primary School TBC Mill Water School 10/11/2016 Milton Abbot School 31/10/2016 Primary School 07/11/2016 Primary School 18/11/2016 Montgomery Primary School 03/11/2016 Church of England Primary School 23/11/2016 Primary School 02/12/2016 Mrs Ethelston's Church of England (VA) Primary School 18/11/2016 Primary School 18/11/2016 Newport Community School Primary Academy 07/11/2016 Newton Ferrers Church of England Primary School 10/11/2016 Primary School 10/11/2016 Primary School 07/11/2016 Newtown Primary School 12/10/2016 North Molton School 28/11/2016 Community Primary School 30/11/2016 and Ashbury Parochial Church of England Primary School 17/11/2016 Oaklands Park School 23/11/2016 Church of England Primary School 21/11/2016 Primary School and Foundation Unit 17/11/2016 Orchard Vale Community School 01/11/2016 Church of England Primary School 10/11/2016 Primary School 13/10/2016 Our Lady and St Patrick's Roman Catholic Primary School 25/11/2016 Our Lady's Catholic Primary School 04/11/2016 Park School TBC Primary School 18/11/2016 Church of England Primary School 17/10/2016 Pathfield School 09/11/2016 Church of England Primary School 17/11/2016 Pilton Bluecoat Church of England Junior School 11/11/2016 Pilton Infants' School 11/11/2016 Pinhoe Church of England Primary School 12/10/2016 Church of England Primary School 28/11/2016 Princetown Community Primary School 12/10/2016 Pynes Infant School and Nursery TBC Church of England Primary School TBC Church of England Primary School 25/11/2016 Ratcliffe School 23/11/2016 Redhills Community Primary School 13/10/2016 Church of England Primary School 08/11/2016

Page 8 Devon School Immunisation Pathways for the 2016/17 academic year Rydon Primary School 10/11/2016 Church of England Primary School 24/11/2016 Church of England Primary School 18/11/2016 Sandford School 23/11/2016 School for Inspiring Talents TBC Seaton Primary School 23/11/2016 Primary School 02/12/2016 Primary School 13/10/2016 College TBC Shebbear Community School 01/12/2016 Community Primary School 20/10/2016 Shute Community Primary School 16/11/2016 Sidbury Church of England Primary School 15/11/2016 Church of England (VA) Primary School 08/11/2016 Silverton Church of England Primary School 04/11/2016 Primary School 24/11/2016 South Devon Steiner School TBC Infants' 02/12/2016 South Molton United Church of England Junior School 02/12/2016 Primary School 30/11/2016 Southmead School 15/11/2016 All Saints Primary School 17/11/2016 Spreyton School 02/12/2016 St Andrew's Church of England (VA) Primary School () 09/11/2016 St Andrew's Church of England Primary School (Buckland) 17/10/2016 St Andrew's Primary School (Cullumpton) 29/11/2016 St Catherine's CofE Nursery & Primary School 17/11/2016 St Christophers School 04/11/2016 St David's Church of England Primary School 11/10/2016 St George's Church of England (VA) Infant and Nursery School 21/11/2016 St Giles-on-the-Heath Community School 10/11/2016 St Helen's Church of England Primary School 24/11/2016 St John the Baptist Roman Catholic Primary School Dartmouth 20/10/2016 St John's Catholic Primary School 16/11/2016 St John's International School 15/11/2016 St Joseph's Catholic Primary School 30/11/2016 St Joseph's Catholic Primary School 11/11/2016 St Leonard's (CofE) Primary School (VC) 14/10/2016 St Margaret's Church of England (Aided) Junior School 21/11/2016 St Martin's CofE Primary & Nursery School 22/11/2016 St Mary's Catholic Primary School (Axminster) 18/11/2016 St Mary's Catholic Primary School (Buckfast) 28/11/2016 St Mary's Church of England Primary School () 23/11/2016 St Mary's Church of England Primary School (Brixton) 17/11/2016

Page 9 Devon School Immunisation Pathways for the 2016/17 academic year St Michael's Church of England Primary Academy (Heavitree) 18/10/2016 St Michael's Church of England Primary School () 24/11/2016 St Nicholas Catholic Primary School 21/10/2016 St Peter's Church of England (VA) Junior School () 19/10/2016 St Peter's Church of England Primary School (Budleigh) 17/11/2016 St Peter's School 16/11/2016 St Rumon's Church of England (VC) Infants School 19/10/2016 St Sidwell's Church of England Primary School 11/10/2016 St Thomas Primary School 18/10/2016 St Wilfrid's School 20/10/2016 Primary School 21/10/2016 Steiner Academy Exeter 14/10/2016 Community School 18/10/2016 Stockland Church of England Primary School 09/11/2016 Church of England Primary School 07/11/2016 Community Primary School 17/10/2016 Primary School 10/10/2016 Stoke Hill Infants and Nursery School 02/11/2016 Stoke Hill Junior School 02/11/2016 School 01/12/2016 Area Primary School 25/11/2016 Stover School 17/11/2016 School 09/11/2016 Community Primary School TBC Swimbridge Church of England Primary School 25/11/2016 Tavistock Community Primary & Nursery School 03/11/2016 School 31/10/2016 Community School Mill Lane 30/11/2016 The Beacon CofE (VA) Primary School 09/11/2016 The Castle Primary School 02/12/2016 The Central Devon Personalised Learning Service TBC The Clinton Church of England Primary School 01/12/2016 The Duchy School 04/11/2016 The Erme Primary School 08/11/2016 The Grove Primary School 18/10/2016 The Lampard Community School 07/11/2016 The Libra School TBC 11/10/2016 The New School 10/10/2016 The Topsham School 21/10/2016 The Woodwater Academy 03/11/2016 Church of England Primary School 07/11/2016 All Saints Church of England Primary School 24/11/2016 Tidcombe Primary School 09/11/2016

Page 10 Devon School Immunisation Pathways for the 2016/17 academic year Tipton St John Church of England Primary School 15/11/2016 St John's Church of England Primary School 19/10/2016 Trinity School 13/10/2016 Two Moors Primary School 24/11/2016 Primary School 01/12/2016 Primary School 10/11/2016 Umberleigh Community Primary School TBC Church of England Primary School 18/11/2016 Primary School 09/11/2016 Vranch House School 12/10/2016 Webber's Church of England Primary School 18/11/2016 Primary School 07/11/2016 Church of England Primary School 25/11/2016 TBC West Croft Junior School 24/11/2016 School 08/11/2016 West Hill Primary School 21/11/2016 Westcliff School 12/10/2016 Primary School 08/11/2016 Whipton Barton Infants and Nursery School 17/10/2016 Whipton Barton Junior School 17/10/2016 Whitchurch Community Primary School 17/10/2016 Widecombe-in-the-Moor Primary 15/11/2016 Wilcombe Primary School 09/11/2016 School 30/11/2016 Willowbank Primary School 28/11/2016 Willowbrook School 19/10/2016 Primary School 11/11/2016 Witheridge Church of England Primary School 24/11/2016 Withycombe Raleigh Church of England Primary School 11/11/2016 Wolborough Church of England (Aided) Nursery and Primary School 28/11/2016 Woodbury Church of England Primary School 01/11/2016 Woodbury Salterton Church of England Primary School 01/11/2016 Woodlands Park Primary School 14/11/2016 Woolacombe School 08/11/2016 Woolsery Primary School 22/11/2016 Wynstream School 17/10/2016 Primary School 21/11/2016 Yeo Valley Primary School 10/11/2016 Yeoford Community Primary School 25/11/2016

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Page 16 Devon School Immunisation Pathways for the 2016/17 academic year Page 17 Devon School Immunisation Pathways for the 2016/17 academic year Useful Information for School Aged Immunisations

Training  MenB and MenACWY programmes: a video training guide for healthcare professionals https://www.gov.uk/government/publications/menb-and- menacwy-programmes-training-guide

Resources  Meningococcal leaflets, consent forms, information for healthcare practitioners and other MenACWY-specific materials https://www.gov.uk/government/collections/meningococcal-acwy-menacwy- vaccination-programme  MenACWY GP invitation letter template. https://www.gov.uk/government/publications/menacwy-gp-invitation-letter- template  HPV and MenACWY leaflets and posters, and the immunisations for young people leaflet (which includes information on Td/IPV can be ordered from www.orderline.dh.gov.uk/

Supporting guidance  Meningococcal ACWY Immunisation Programme for Adolescents: Information for healthcare professionals (July 2016) https://www.gov.uk/government/publications/menacwy-programme- information-for-healthcare-professionals  Green Book: https://www.gov.uk/government/collections/immunisation- against-infectious-disease-the-green-book  Meningitis Research Foundation: http://www.meningitis.org/

Data  Uptake data for MenACWY for the main cohort GPs are responsible for calling and recalling (DOB 01.09.97—31.08.98) can be found on Immform https://portal.immform.dh.gov.uk/

PGDs  Can be accessed via the NHS England South (South West) website https://www.england.nhs.uk/south/info-professional/pgd/south- west/downloads/

Page 18 Devon School Immunisation Pathways for the 2016/17 academic year Date of births and year groups for 2016/17 academic year

School Year Date of birth Age

Year 1 01.09.10—31.08.11 5 to 6

Year 2 01.09.09—31.08.10 6 to 7

Year 3 01.09.08—31.08.09 7 to 8

School Year Date of birth Age

Year 8 01.09.03—31.08.04 12 to 13

Year 9 01.09.02—31.08.03 13 to 14

Year 10 01.09.01—31.08.02 14 to 15

Year 11 01.09.00—31.08.01 15 to 16

Year 12 01.09.99—31.08.00 16 to 17

Year 13 01.09.98—31.08.99 17 to 18

Useful contacts:  Screening and Immunisations Team: [email protected]  Boots school based flu: tel: 07596591261 or email [email protected]  Virgin Immunisation Team: [email protected]

Page 19 Devon School Immunisation Pathways for the 2016/17 academic year Financial Information Full practice payment information can be found on the NHS Employers website http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical- services/vaccination-and-immunisation/2016-17-vaccination-and-immunisation

A summary is: MenACWY

 Practices will receive £9.80 per vaccination given  In academic year 2016/17 the school programme is in year 9 and 10 in Devon. Teenagers can be vaccinated in general practice at the end of the academic year when if they have missed the opportunities in school. Vaccination activity is claimed for under the meningococcal booster 16/17 programme on CQRS.  The enhanced service for MenACWY 18 years old on 31/08/16 (last year’s year 13 students). The practice should be calling and recalling teenagers in this group and claiming on CQRS under the scheme called Meningococcal ACWY (MenACWY) vaccination programme. If teenagers who were eligible last year (18 on 31/08/15) present to the practice they can also be vaccinated under this scheme.  The enhanced service for the Meningococcal fresher’s vaccination programme is for patients aged 19 to 25 on 31/08/16 who present to the practice and are attending university for the first time this year. There is no need to do any call recall. Claims for vaccinations delivered should also be on CQRS under the scheme called Meningococcal ACWY (MenACWY) vaccination programme.

HPV

 HPV is claimed through CQRS  Practices will receive £9.80 per vaccination given  HPV is delivered in year 8 and 9. Young people should be encouraged to receive vaccination either at school or at a catch up session. The first dose will be offered by the school based team throughout year 8 and year 9 so GP practices should not need to offer vaccinations to girls until the end of school year 9. In exceptional circumstances the school based team may refer a young person for vaccination at your surgery.

Td/IPV (adolescent booster)

 This vaccine is part of the global sum and practices receive payment for this vaccination through baseline funding.

Page 20 Devon School Immunisation Pathways for the 2016/17 academic year MMR catch up

 Young people and children under the age of 16 are included as part of the global sum and practices receive payment for this vaccination through baseline funding.  Practices can claim £9.80 payment for vaccinating anyone aged 16 or older for MMR due to an incomplete schedule (i.e. missing one or two doses)

Flu (years 1, 2 and 3)

 Healthy children in years 1, 2, and 3 should be offered vaccination in school (see flu pathway for further information). Practices are not commissioned to deliver vaccinations to these healthy children. If a child misses the vaccination in school they will be able to receive a catch up vaccination following local pathways. The PGD will cover vaccinating healthy children, but if you did this it would be on the basis that you are delivering a service practices are not commissioned/paid to provide.  Practices will receive payment for vaccinating at risk children of any age, including those in years 1, 2 or 3.

Note: please refer to pathway document for further information.

First published: October 2016

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