Investigation into pre-school vaccinations

This investigation sets out the system for providing vaccinations to pre-school children in England. It is prompted by public concerns about the levels of uptake of pre‑school vaccinations | National Audit Office

Health professionals consider that vaccinations are a crucial tool in protecting the health of individuals and that of the wider population, particularly for people with existing health problems who are more vulnerable to infectious diseases and for those who cannot receive vaccinations themselves. For vaccinations to be most effective, the World Health Organization (WHO) recommends that enough people need to be vaccinated to stop disease spreading across the population. This is called ‘herd immunity’.

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There are seven types of vaccines (which protect against 13 diseases) routinely provided to children by the National Health Service (NHS) before they go to school aged five. In 2017‑18, the Department of Health & Social Care (the Department) set NHS England a performance standard of 95% uptake for pre-school vaccinations (except flu). There has been a general fall in uptake of pre-school vaccinations in England since 2012-13 and, in many cases, uptake of these vaccinations
is below the Department’s performance standard.

This report sets out:

  • the current levels of vaccination uptake and cases of disease across England
  • Public Health England (PHE)’s and NHS England’s understanding of the problem
  • PHE’s and NHS England’s response to the problem.

The report uses the MMR vaccination, the 4-in-1 booster and the Hib/MenC booster to highlight many of the challenges that exist in the system for pre‑school vaccinations and illustrate in more detail how uptake of vaccinations is falling.

 

 

 

25 million to be offered free NHS flu jab this winter

Record numbers of people in England will be offered a flu vaccine this winter. For the first time, all primary school children will be offered the nasal spray | via Public Health England

The health service in England has prepared for its largest ever flu protection drive to help keep people well and ease pressure on urgent care services over the colder months.

injection-1674900_1280The number of people eligible has topped 25 million this year as the offer of the vaccine is now extended to all primary school aged children – an extra 600,000 children. NHS commissioned school vaccination teams, maternity services, general practices and local pharmacies are all now preparing to provide vaccines to primary school aged children, 2 and 3 year olds, those with underlying health conditions, pregnant women and older adults (aged 65 years and over).

Employers of frontline health and social care workers also have a responsibility to ensure their staff can get the free vaccine. A record number of NHS staff – almost 3 quarters of a million, or 70.3% of frontline workers – took up their workplace jab last year.

Full article at Public Health England

See also: Flu vaccination: The main things to know about the 2019 programme | Public Health England

[NICE Consultation] Healthcare-associated infections: prevention and control

NICE | September 2019 | Healthcare-associated infections: prevention and control

The Public health guideline on Healthcare-associated infections: prevention and control (PH36) has been checked by NICE for the need for update.   NICE is now seeking responses in its consultation on this guideline, it is open until  5pm on Friday, 20 September 2019.

Full details from NICE

Healthcare-associated infections: prevention and control

Hundreds of lives saved through new technology to spot sepsis

The NHS has saved hundreds of people from sepsis thanks to better use of digital technology in hospitals | NHS England

In a major nationwide push to tackle sepsis, including a one hour identification and treatment ambition, new ‘alert and action’ technology is being introduced which uses algorithms to read patients’ vital signs and alert medics to worsening conditions that are a warning sign of sepsis.

Sepsis – also known as blood poisoning – is a life-threatening response to an infection in the body, where the immune system damages tissues and organs.

Three leading hospitals are using alerts to help identify sepsis and tell doctors when patients with the serious condition are getting worse..

NHS leaders in Cambridge, Liverpool and Berkshire are now helping the rest of the health service to adopt tools to spot it, which costs 37,000 lives a year and is notoriously difficult to identify.

In Liverpool, the hospital’s digital system brings together lab results and patient observations into one place to help staff diagnose and treat suspected sepsis, saving up to 200 lives a year.

In Cambridge, deaths from sepsis have fallen consistently over the last three years, with at least 64 lives saved in the past year thanks to the innovative alert and action feature.

In Berkshire since introducing a digital system, the Trust has increased screening rates by 70% with nine in 10 patients now consistently screened for sepsis during admission as opposed to two in ten beforehand, allowing doctors to spot more cases sooner.

Full story at NHS England

MMR catch-up for 10 to 11 year old children: information for GPs

This leaflet provides resources for GP practices to support the Measles, Mumps and Rubella (MMR) catch-up programme | Public Health England

In April 2019, NHS England and the BMA General Practitioners Committee (GPC) agreed to a catch-up campaign for the Measles, Mumps and Rubella (MMR) vaccine.

The campaign includes checking and updating the child’s computerised records and inviting those children missing one or both doses of the MMR to make an appointment.

The leaflet can be viewed here

 

WHO Report: No Time to Wait- Securing the future from drug-resistant infections

World Health Organization | May 2019 | No Time to Wait: Securing the future from drug-resistant infections

A new report from WHO- No Time to Wait: Securing the future from drug-resistant infections– makes recommendations for urgent action in the global response to antimicrobial resistance.

No Time to Wait: Securing the future from drug-resistant infections

Antimicrobial resistance: 2019/20 improvement schemes

Joint NHS England and NHS Improvement Medical Director Professor Stephen Powis has written to CCG Directors of Quality, Nursing and Medicines Optimisation about two new antimicrobial resistance schemes supporting NHS acute providers to implement the five-year UK Antimicrobial Resistance (AMR) national action plan in 2019/20.

The NHS Standard Contract now includes a target of reducing total antibiotic consumption by 1%, from the 2018 baseline, by the end of Q4 2019/20 Commissioning for Quality and Innovation (CQUIN) indicators now includes improving the management of lower urinary tract infections in older people and improving appropriate use of antibiotic surgical prophylaxis in elective colorectal surgery.

Full detail at NHS Improvement