Bristol and South Gloucestershire School Aged Immunisation Pathways for the 2019/20 Academic Year

Bristol and South Gloucestershire 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 england [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 5 • 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 Bristol 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 Child misses run by the school aged Year 8 Children, both boys and girls HPV immunisation team. If a child can’t will be invited to attend a vaccination be vaccinated by the immunisation session for their first HPV dose using team they can receive vaccination information from CHIS. If they miss at their GP practice this session, they will be invited to a 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 HPV information from CHIS. If they 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 No should be not routinely 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 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: Bridgwater Exchange 01278 89225 [email protected] TA6 4RN

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

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

South Gloucestershire – Flu Immunisation Schedule 2019

Week Commencing: Monday Tuesday Wednesday Thursday Friday New Siblands Culverhill 140 Warmley Park 136 Silverhill 135 The Tynings 400 Team a.m. Primary 45 1 p.m. St. John’s Mead 315 Parkwall 130 a.m Sheilings 40 New Siblands New Horizons 45 07.10.2019 Team 70Secondary 2 sites 2 Courtney Road / p.m Mulberry Drive Aurora Hedgeway SGS Pegasus 46 Gillingstool 156 The Manor 193 Kings Oak 240 Team a.m. Pilning40 3 p.m. The Park 545 Staple Hill 294 Beacon Rise (630) Barley Close 373 Stanbridge 415 Team a.m. 1 4 nurses going in p.m. The Park –as above Blackhorse 420 Trinity 145 St Augustines 150 Rangeworthy 61 Team a.m 14.10.2019 2 p.m Old Sodbury 95 The Meadows 167 Redfield Edge 200 St Pauls 210 St Barnabas 204 Wick 180 Team a.m.

3 p.m. Barrs Court 303 St Annes 384 Watermore 355 St Michaels (Winterbourne) Mangotsfield Team a.m. 210 570

1 p.m. Pucklechurch 200 Bowsland Green 260 Frenchay 140 Wheatfield 430 Mangotsfield a.m 21.10.2019 Team As above 2 Pm. a.m. Iron Acton 97 Tyndale 160 Frampton Cotterell 312 Wellsley (210) DO NOT BOOK Team 3 Immanuel Christian Pathways 13 PM p.m. 20

Half Term

28.10.2019 Monday Tuesday Wednesday Thursday Friday Marshfield Kings Forest 413 Woodlands (Yate Christchurch (Hanham St Stephens Infants Team a.m. (200 max) Academy BS37 4HB) BS15 3LA) 379 270 1 p.m. 373 FREE Cadbury Heath 193 FREE Samuel White Infants 249 St Stephens 358 Team a.m 04.11.2019 Juniors (BS15 1XD) 2 Pm. FREE Courtney 180 Abbotswood (BS37 Hanham Abbots Juniors Emersons Green Team a.m. (BS15 9RD) 8SZ) 296 (BS15 3PN) 325 (BS16 7GA) 273 3 p.m. Christchurch Infants Bromley Heath Infants Raysfield Infant 180 Longwell Green (BS30 St Andrews Team a.m. (Downend) 225 180 Raysfield Junior 224 9BA) 414 Cromhall 65

1 p.m. Christchurch Juniors Bromley Heath Juniors Ridge Juniors 232 Broadway Infants 180 Almondsbury 311 a.m 11.11.2019 Team (Downend) 291 240 2 p.m Lyde Green 272 Alexander Hosea Cherry Gardens 180 Elm Park 270 Holy Family 205 Team a.m. 218 3 p.m. Stoke Lodge 430 Oldbury on Severn 50 St Peters (Pilning) 202 St Marys (Thornbury) 209 St. Michael’s a.m. Team Stoke Gifford 1 660 p.m. Stoke Lodge – as Meadowbrook 385 Severn Beach 133 St Helens 206 St. Michael’s a.m Team above Stoke Gifford As above 18.11.2019 2 p.m

Little Stoke 190 Olveston 176 Hawkesbury 94 Manorbrook 207 Tockington Manor a.m. Team 145 Horton 63 3 p.m.

Monday Tuesday Wednesday Thursday Friday

St Marys (Bradley Baileys Court 420 Shield Road 240 North Road 106 Crossways Infant Team a.m. Stoke) 206 180 & Junior 243 1 p.m. Holy Trinity 214 Bradley Stoke 150 Christ the King 190 Callicroft 373 Charborough Road a.m 25.11.2019 Team 300 2 p.m St. Mary’s Yate 330 Hambrook 210 Charfield 210 Coniston 186 Filton Hill 205 Team a.m. 3 p.m. Tortworth 45 Wallscourt Farm 404 Our Lady of Lourdes Team a.m. 200 1 p.m. NO FLU’S TODAY a.m Charlton Wood 90 02.12.2019 Team 2 p.m St Chads 208 Team a.m. 3 p.m.

Team a.m. 1 p.m.

Team a.m 09.12.2019 2 p.m

Team a.m. 3 p.m.

Clinics

Staff Clinics

• 16/10/19 – Kingswood 3-5 • 28/10/19 – Yate 10-2 • 12/11/19 – Downend 3-5 • 20/11/19 – Patchway 1-3 • 3/12/19 – Kingswood 12-2 • 4/12/19 – Patchway 1-3

Childrens Flu Clinics

• 21/10/19 – Kingswood 3-5 • 28/10/19 – Yate 10-2 • 13/11/19 – Kingswood 3-5 • 14/11/19 – Yate 3-5 • 28/11/19 – Patchway 3-5 • 4/12/19 – Patchway 3-5 Bristol – Flu Immunisation Schedule 2019

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 Commencing: Monday Tuesday Wednesday Thursday Friday **Aurora St. Woodstock Schools, Whitehall Primary Kingsweston School, **NB Aurora St. a.m. Christopher Sch Rectory Gardens BS5 9AT Napier Miles Road Christopher – BS6 7JE (34) and BS10 7AH (45) and (570) BS11 0UT Team 1 closed? Belgrave School BS8 Bristol Gateway (76) (100 approx) p.m. 2XH(43) Long Cross BS11 0QA ?Ashley Down Class Maybe just Belgrave may be over 18yrs Kingsweston Oasis Fairlawn Primary BS6 Claremont School Woodlands a.m. Brightstowe Unit 5JL (193) AM and Henleaze Park BS9 Academy, Whittock (49) BS11 0EB and Elmfield School for 4LR (26 + 5 post 16) Road BS14 8DQ Team 2 Kingsweston the Deaf Greystoke and Claremont (179) p.m. Shirehampton ASD Avenue PM Redland Court BS6 Unit BS11 9RR (29) BS10 6AY (45) 7EH (25) Waycroft Academy St. Werburgh’s Briarwood School, St. Pius XRC 07.10.2019 a.m. Selden Road Primary, James St. Briar Way BS16 4EA BS13 9AB (109) BS14 8PS (420) BS2 9US (75 Briarway) and Team 3 2 x sites (364) (52 Snowden Road) Lansdown Park PRU, p.m. X 3 Nurses Silver Birch/Willow (18 The Pod, Barton Stockwood BS14 8SJ **FILMING** Hill) (16) New Fosseway Venturers Academy Knowle DGE Glenfrome Primary a.m. School, Bridge Autistic, Withywood Academy, Leinster School, Cottisford Learning Campus Road BS13 9AX Avenue BS4 1NN Road, BS5 6TY Team 4 BS13 0RG (96 Withywood) (150) (400) p.m. (145) (40 Kingfisher site)