Bristol and School Aged Immunisation Pathways for the 2019/20 academic year

Introduction

This information is aimed to support local practices in understanding school aged immunisations, including changes to the schedule. This information includes:

• An overview of arrangements in your local area • A practice checklist to help understand your responsibilities • Childhood flu pathway • HPV pathway • MenACWY pathway • Td/IPV pathway • Birth dates and year groups • Useful links and contacts

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

Overview of school aged immunisations

From September 2019 the following immunisations will be delivered by the school age immunisation provider:

• Influenza: Reception to year 6 • HPV dose 1: Year 8 girls and boys • HPV dose 2: Year 9 girls only this year • Men ACWY: Year 9 • Td/IPV: Year 9

PHE publications gateway number: N/A Published: September 2019 GP checklist

 Check that all data on immunisations delivered by the school age immunisation provider that has been sent to you has been uploaded onto your GP practice patient records.

 Check that all data on immunisations you have given in your practice has been sent to the Child Health (CHIS) team. This includes any vaccination from the routine schedule given as a travel vaccination. If you are unsure, send it again or contact the Child Health (CHIS) team to discuss this with them.

 You will receive a summary report of any year 10 students who have any routine immunisations outstanding. These children will receive a letter from CHIS asking them to make an appointment with their GP practice.

 Review how young people are invited for vaccinations at your surgery and whether this meets their needs. Points to consider:

• Are the sessions outside of school hours? • 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. • Are you sending patient information leaflets (PILs) to ensure young people are aware of what they are being invited for? • 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 and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year

Page 3 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Vaccination process for HPV

The vaccine will be offered to boys, in addition to girls, in school year 8 (12–13year olds) as part of the school-aged immunisation programme from 1 September 2019. There is no HPV catch up for boys, boys are only eligible in year 8.

Any year 8 child who misses HPV will be called to a mop-up session Year 8 Children, both boys and girls Child misses run by the school aged HPV will be invited to attend a vaccination immunisation team. If a child can’t session for their first HPV dose using be vaccinated by the immunisation information from CHIS. If they miss team they can receive vaccination at this session, they will be invited to a their GP practice mop -up session by the school aged immunisation provider Child attends session and Information passed to CHIS receives HPV

Any year 9 child who misses Year 9 girls will be invited to HPV vaccination will be called attend a vaccination session Child to a mop-up session run by for their second dose using misses the school aged immunisation information from CHIS. If they HPV team. If a child can’t be

miss this session, they will be vaccinated by the invited to a mop-up session by immunisation team they can the school immunisation team. received vaccination at their If a girl has received no HPV GP Practice vaccine the school aged immunisation provider will try to deliver both dose during Child attends year 9 session and Information passed to receives HPV CHIS

Year 10 and older Children will receive no further invitation from the school age immunisation providers. It is the responsibility of GP Surgeries to Opportunistically complete any incomplete HPV schedules

INCREASE IN UPPER AGE LIMIT OF HPV VACCINE FOR GIRLS AND YOUNG WOMEN

In January 2019, the GPC (General Practitioners Committee) agreed to an increase in the upper age limit of the HPV vaccine, so girls and young women can opportunistically access the vaccine free of charge in general practice if they have missed the vaccinations through the school-based programme.

From 1 April 2019, GPs will be re-reimbursed for vaccinating young women (over the age of 18 up to 24 years & 364 days). This will help to further reduce cervical cancer, and rarer HPV-related cancers, such as anal cancer, genital cancers and cancers of the head and neck.

Page 4 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Vaccination Process for Meningitis ACWY

Yes Explain child will be Children from age 10 are offered vaccination in not normally eligible for school year 9 Men ACWY until they reach Year 9 where this will be offered, however, Has the child ever there may be received a dose of circumstances where MenC conjugate young people require Vaccine? this before year 9

GP Practice to No Information vaccinate with passed to Men ACWY CHIS

Any Child who misses Men ACWY should be referred to Child Year 9 children will be school aged immunisation team. misses invited to attend a If Child can’t be vaccinated by the Men ACWY vaccination session school aged immunisation team using information from they can receive vaccination at CHIS. If the miss this their GP Practice session, they will be invited to a mop-up session by the school Child attends session aged immunisation team Information passed and receives to CHIS Men ACWY

Child is up to date with Yes vaccination and does not need another dose of Year 10 to Year 13 Children Men ACWY should have already been offered Men ACWY Has the Child Vaccination received a dose of Men ACWY conjugate since the age of 10?

GP Practice Information No to vaccinate passed to with CHIS Men ACWY

Page 5 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Older groups eligible through opportunistic vaccination Provide Men ACWY vaccination to eligible students on an opportunistic basis or who self-present at the GP practice; unless immunisation is contraindicated.

Eligible patients are those who: i. are attending university/further education7 for the first time at the time of vaccination, ii. are aged 19 years on 31 August 2019 iii. Patients eligible from August 2015 remain eligible up to the day before their 25th birthday), iv. are vaccinated at any time during the period 1 April 2019 to 31 March 2020; The patient must be under the age of 25 years at the time of vaccination.

Page 6 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Vaccination Process for Td/IPV (Teenage Booster)

Year 8 or Younger children Explain child will be

should be not routinely No offered vaccination in offered vaccination until they school Year 9 have reach Year 9 where this will be offered by the school age immunisation team. Is there a reason that the

Td/IPV should ideally be child should receive given 10 years after the first vaccination before the booster (around 13 years 4 school age offer is made months.) However, there may in year 9 (e.g. Travel) be circumstance where

young people require this Yes GP Practice to before year 9 Pass vaccinate with information to TD/IPV CHIS

Any Year 9 child who

missed Td/IPV should be referred to the school aged immunisation team. If a Year 9 Children will be Child child can’t be vaccinated by invited to attend a misses the immunisation team they

vaccination session using Td/IPV can receive vaccination at information from CHIS. If their GP Practice they miss this session, they will be invited to a mop-up session by the Child attends school aged immunisation session and Information team. receives TD/IPV passed to CHIS

Any older Children, young people or Adults who have missed any dose of TD/IPV should be vaccinated opportunistically in general practice. Please refer to the Green Book and the incomplete vaccination schedule for further information (https://www.gov.uk/government/publication/vaccination-of-individuals-with- uncertain-or-incomplete-immunisations-status)

Page 7 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year

Date of births and year groups for 2019/20 academic year

School Year Date of birth Age

Reception 01.09.14 – 31.08.15 4 to 5

Year 1 01.09.13 – 31.08.14 5 to 6

Year 2 01.09.12 – 31.08.13 6 to 7

Year 3 01.09.11 - 31.08.12 7 to 8

Year 4 01.09.10 - 31.08.11 8 to 9

Year 5 01.09.09 - 31.08.10 9 to 10

Year 6 01.09.08 – 31.08.09 10 to 11

Year 7 01.09.07 – 31.08.08 11 to 12

Year 8 01.09.06 – 31.08.07 12 to 13

Year 9 01.09.05 – 31.08.06 13 to 14

Year 10 01.09.04 - 31.08.05 14 to 15

Year 11 01.09.03 – 31.08.04 15 to 16

Year 12 01.09.02 - 31.08.03 16 to 17

Year 13 01.09.01 - 31.08.02 17 to 18

Page 8 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Useful links and contacts Training MenB and MenACWY programmes: a video training guide for healthcare professionals https://www.gov.uk/government/publications/menb-and-menacwy-programmes-training- guide Immunisation and vaccination training update via e-learning: http://www.skillsforhealth.org.uk/news/latest-news/item/518-newly-updated-immunisation- and-vaccination-course

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/ HPV vaccination Information for healthcare practitioners https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_dat a/file/813014/PHE_HPV_universal_programme_guidance.pdf

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

Financial information Full practice payment information can be found on the NHS Employers website https://www.nhsemployers.org/pay-pensions-and-reward/primary-care-contacts/general- medical-services/vaccination-and-immunisation

Data Uptake data for MenACWY for the main cohort 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 9 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Contacts

Screening and Immunisation Team: [email protected]

CHIS: South West Child Health Information Service Contact Office Address Contact Email Number The Tel: Bridgw ater Exchange 01278 89225 Hil.bnsssg.sw [email protected] TA6 4RN

School Age Immunisation Provider Contact Details Contact Office Address Contact Email Number Sirona care & health CIC Web: Kingsw ood Locality Hub Tel: Alma Road w w w.sirona- 01454 863764 Kingsw ood Kingsw ood cic.org.uk/w w w.cchp.nh BS15 4DA s.uk

Email: Community Partnership (NSCP)

Weston- Badger House Tel: 01275 373104 Web: Super-Mare Enterprise Centre, w w w.nscphealth.co.uk Oldmixon Cresent Weston-Super- Mare BS24 9AY

Page 10 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year

Page 11 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Bristol Hospital Education Service to be contacted in September for names of children under their care but being educated at home. Schools in red writing = SEN Schools Green Schools indicate a third nurse in attendance Week

Commenci Monday Tuesday Wednesday Thursday Friday ng: **Aurora St. Woodstock Christopher Sch Schools, Rectory School, Napier a.m. BS6 7JE (34) Gardens BS10 Whitehall Primary Miles Road BS11 and 7AH (45) and BS5 9AT 0UT Team 1 Belgrave School Bristol Gateway (570) (100 approx) BS8 2XH(43) (76) ? Down p.m. Maybe just Long Cross BS11 Class may be **NB Aurora Belgrave 0QA over 18yrs Kingsweston St. Fairlawn Primary Oasis Claremont School Christopher – a.m. BS6 5JL (193) Brightstowe Unit Park Woodlands closed? AM and (49) BS11 0EB BS9 4LR (26 + 5 Academy, Elmfield School and post 16) and Whittock Road Team 2 for the Deaf Kingsweston Claremont BS14 8DQ Greystoke p.m. Redland Court (179) Avenue PM ASD Unit BS11 BS6 7EH (25) BS10 6AY (45) 9RR (29) St. Werburgh’s Briarwood St. Pius XRC Waycroft Primary, James School, Briar a.m. BS13 9AB (109) Academy Selden St. Way BS16 4EA and Road BS2 9US (75 Briarway) 07.10.2019 Lansdown Park Team 3 BS14 8PS (420) 2 x sites (364) (52 Snowden PRU, Silver Road) p.m. BS14 8SJ X 3 Nurses Birch/Willow (18 The Pod, (16) **FILMING** Barton Hill) New Fosseway Venturers Knowle DGE Glenfrome

a.m. School, Bridge Academy Autistic, Academy, Primary School,

Page 12 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Team 4 Learning Campus Withywood Road Leinster Avenue Cottisford Road, BS13 0RG BS13 9AX BS4 1NN BS5 6TY

(145) (96 Withywood) (150) (400) p.m. (40 Kingfisher site)

Week

Commenci Monday Tuesday Wednesday Thursday Friday ng: Bridge Farm Perry Court E-Act Bridge Farm Primary Wansdyke a.m. Great Hayles Primary East East Dundry Primary, School Road Dundry Road Road Close, BS14 0DU Team 1 BS14 0LL BS14 0LL (210) BS14 0AX p.m. DAY 1 (628) DAY 2 Date ok (331)

Extra nurse Four Acres Merchants Hareclive E-Act St. Joseph’s working for a.m. Academy BS13 Academy Moxham Drive Catholic BS16 North 8RB Gatehouse Ave. Team 2 BS13 0HP 3QR Somerset on (290) BS13 9AJ (377) (211) 15.10.19 at p.m. (340) Mead Vale Oasis – St. Mary Redcliffe Headley Park, St. Bernadette Connaught a.m. Windmill Close Headley Lane Gladstone Road Melvin Square BS3 4DP BS13 7QB Team 3 BS14 9LP BS4 1NH (400) (418) 14.10.2019 (210) (370) 40% last p.m. Confirmed Date ok year Oasis – New Ilminster Avenue

a.m. Oak E-Act, BS4 1BX

Page 13 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Team 4 Walsh Avenue Oasis – St. Peters CofE (329) BS14 9SN Marksbury Road, Ellfield Close p.m. (225) BS3 5JL BS13 8EF (270) (420)

3RD NURSE BOOKED FOR NORTH SOMERSET ON 15.10.19 SO DO BOOK IN ON THIS SCHEDULE

Week

Commenci Monday Tuesday Wednesday Thursday Comments ng: Carmel Christian a.m. Broomhill School BS4 5NL Infant’s BS4 Greenfield E-Act (30) St. Bonaventures Team 1 4UY (145) Novers Lane And Catholic BS7 And BS4 1QW Cleve House 8HP Broomhill Junior (400) School (402) p.m. (181) BS4 2PN (60)

Holymead Holymead

a.m. Primary Primary St. Patricks Brunel Field BS7 BS4 4LE BS4 4LE Catholic 9JT Team 2 (Infant) (Junior) BS5 8AS (420) (620 – both) (210) p.m. DAY 1 DAY 2

Knowle Park Knowle Park 21.10.2019 Primary Primary a.m. Primary School Parsons Street BS4 2XG BS4 2XG BS3 2QG Primary BS3 5NR Team 3 (630) (192) (420)

p.m. DAY 1 DAY 2 Page 14 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year

St. John’s CofE St. Ursula’s E- St. John’s CofE St. Ursula’s E-Act Worrall Road a.m. Act Worrall Road BS9 4DT Clifton BS9 4DT Clifton BS8 2UH Yr3 – Team 4 (630) BS8 2UH R-Yr 2 Yr6 (520) p.m. DAY 2 DAY 1 DAY 1 DAY 2

Week

Commenci Monday Tuesday Wednesday Thursday Comments: ng: The Kingfisher School Lichfield a.m. Luckwell Rd Shirehampton Primary Hillcrest Primary BS4 4BJ (150) BS11 9RR BS3 3ET BS4 3DE Team 1 and (500) (188) (420) Autistic group on p.m. site (40 max)

Bristol Steiner BS6 6UX (100) a.m. Holy Cross RC St. Anne’s Infant Wicklea Academy

Dean Lane BS3 Bloomfield Road BS4 4HR Yr3 – Andalusia Team 2 1DB BS4 3QJ Yr 6 Academy (203) (270) (300) 04.11.2019 p.m. BS2 0BA (76 PM) Southville Southville Brentry Primary Hannah More

a.m. Primary Primary School, Brentry Primary BS2 0LT

Page 15 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Team 3 Merrywood Myrtle Street Lane, Bristol BS10 (330) Road site BS3 site 6RG

1EB BS3 1EB (210) p.m. (586) DAY 1 DAY 2 The Dolphin Ashton Gate Ashton Gate School Primary BS3 Primary a.m. Fair Furlong Bath Buildings 1SZ BS3 1SZ BS13 9HS Team 4 BS6 5PT (780) (420) (370) p.m. DAY 1 DAY 2

Week

Commenci Monday Tuesday Wednesday Thursday Comments: ng:

Summerhill Summerhill Compass Point Barton Hill

a.m. Academy Academy BS3 3AU Academy Team 1 Infant BS5 7LE Junior BS5 7JU (197) BS5 9TX

p.m. (242) (360) (385)

Chester Park Two Mile Hill Infant BS16 Oasis Academy a.m. CofE Primary 3QG (270) Long Cross BS11 Team 2 BS16 3UH Kingswood Chester Park 0LP (420) BS15 8AA Junior BS16 (400) p.m. (580) 3NX (197) 11.11.2019 Bridge Learning Air Balloon Hill Air Balloon Hill

a.m. Campus, William BS5 7PB BS5 7PB

Page 16 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Team 3 Steiner Jessop Way (769) Academy Bristol BS13 0RL BS16 2JP (433) x 3 Nurses DAY 1 DAY 2 p.m. (200) and on to Gracefield Prep BS16 2RG (70) Colston’s May Park Primary Minerva Primary School BS5 6LE a.m. (Hillfields) Academy Bell Hill (608) Team 4 BS16 4HA BS16 2QS BS16 1BJ Poor uptake (314) (210) p.m. (210)

Week

Commenci Monday Tuesday Wednesday Thursday Comments: ng: Avenue Redmaids’ High Orchard Campus BS9 3AW (140) a.m. Filton Avenue BS7 0XZ and Road Primary (210) Badminton Team 1 BS7 9RP BS7 9PD Back to School (630) (420) p.m. Lockleaze Road if BS9 3BA (140) necessary

Stoke Park Begbrook Victoria Park Sea Mills Primary a.m. Primary Primary Team 2 BS3 4QS BS9 2HL BS7 9BY BS16 1HG (420) (271) (210) (571) p.m. 18.11.2019 Cheddar Grove Sefton Park Sefton Park Redfield Educate

a.m. BS13 7EN Infant Junior Together

Page 17 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Team 3 (420) BS7 9BJ BS7 9BJ BS5 9RH (420) (360) p.m. DAY 1 DAY 2 Evergreen Upper Horfield Primary Primary BS7 0PU a.m. St. Nicholas of Bannerman Road (Millpond) BS5 (190) and Toletine BS5 Community 0YR 2.00pm to 0TJ Academy BS5 Team 4 (176) Torwood BS6 (195) 0HR St. Barnabas 6XE p.m. (330) CofE Max of 38! 50% BS6 5LQ (120) last year

Week

Commenci Monday Tuesday Wednesday Thursday Comments: ng:

St. Teresa’s Cathedral Primary CofE a.m. Catholic BS7 Primary BS8 4ND BS11 9LG Team 1 0UP BS1 5TS (190) (194) p.m. (210) (362)

QEH Berkeley a.m. Place BS8 1JX (90) Badocks Wood Clifton College Horfield CofE and E-Act BS8 3JH BS10 5BD St Georges CofE Team 2 BS10 5PU (300) (420) BS1 5XJ (62) p.m. (200) 25.11.2019 Start at 1.15 please

Page 18 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Christ Church a.m. Bristol Grammer CofE Henleaze Infant Henleaze Junior Team 3 BS8 1SR Royal Park BS9 4LG BS9 4LG (340) BS8 3AW (271) (380) p.m. (390)

St. Michael on Clifton High St. Peter & Paul St Bernard’s a.m. the Mount Cof E School RC Catholic Team 4 BS2 8BE BS8 3JD BS6 6HY BS11 9TU (140) (230) (210) (210) p.m.

Week

Commenci Monday Tuesday Wednesday Thursday Comments: ng: Cotham Bishop Road Bishop Road Gardens BS6 Primary Primary a.m. Westbury Park 6AL BS7 8LS BS7 8LS BS6 7NU Team 1 (510) (840) (420) p.m. 2 sites next to eachother Extra B2 Needed Extra B2 Needed

Oasis Academy a.m. Bank Leaze BS11 0SN Elmlea Infant Elmlea Junior Nova School (209) Elmlea Avenue The Dell BS11 9NG Team 2 Offer help to BS9 3UU BS9 3UF (420 approx) team 1 when (270) (280) 02.12.2018 p.m. finished

Page 19 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year Easton CofE Fonthill Primary BS5 0SQ a.m. Court Our Lady of the BS10 5SW (480) only did 50 Primary RC (202) last year! and Team 3 BS10 7NY BS11 0PA Help at Nova if Cabot BS2 9JE (363) (211) p.m. needed (180) did 23 last year a.m. Stoke Bishop CofE Westbury on Westbury on CofE BS9 1BW Trym Trym Team 4 BS9 1BW DAY 2 BS9 3HZ BS9 3HZ (411) Offer help to (420) p.m. DAY 1 team 1 when DAY 1 DAY 2 finished

Week Comments Commenci Monday Tuesday Wednesday Thursday : ng: West Town Little Mead Lane Academy a.m. BS10 6DS BS4 5DT Team 1 (420 approx) (630) p.m. TBC Refusing Day 1 West Town

a.m. Lane Academy Team 2 09.12.2018 BS4 5DT As above p.m.

Page 20 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year

School of

a.m. Christ the King Team 3 BS4 1HD (210) p.m.

a.m. Blaise Primary Team 4 BS10 7EJ (395) p.m.

Page 21 Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 academic year