We talked about the vaccinations that you’ll be targeted on for QOF purposes here.

That’s not the whole picture though. With the move of vaccinations and immunisations to being an essential service, with the notable exception of Influenza and COVID vaccinations, we need to think differently about the way our vaccinations are organised – particularly in view of the 80% average threshold for childhood immunisations with no allowance for declined vaccinations.

NHSE published a letter in March 2021 that talked about the changes to vaccination and immunisation, but with everything PMs have had thrown at them in the last 18 months, you’d be forgiven if it’s not reached the top of your ‘to-do’ list yet.

Back in April, we blogged about the changes to Vaccination and Immunisation. The changes have brought with them a host of different criteria that we’re not used to, and the pandemic has meant that the 12-month build-up we should have seen didn’t happen as planned, so practices are having to adopt changes more quickly than they ever expected.

We know the most important thing is that patients are vaccinated in line with the advice given in the Green Book. If the vaccinations are administered correctly and in line with the most recent recommendations, we need to ensure that patient notes give the correct information to make sure reimbursement happens. The importance of data quality to ensure correct reimbursement cannot be overstated.

While we can’t write your searches for you, we can give you some pointers about what to look for. One of the most important points is to make certain that when vaccinations are administered, they’re added to the notes using a code for the appropriate dose. If you’re not making sure that this is happening, you might miss out on potential income.

In the list below, the searches are looking for patients who were registered on the achievement date. Generally, for monthly services, this will be patients who were registered during the month. This includes patients who are currently registered, and those who were registered but have since de-registered after the achievement date.

Reports are looking at a one-month period prior to the achievement date unless otherwise specified. Vaccinations must have been administered by the GP practice unless otherwise stated.

Hepatitis B ‘at-risk’

HEPB002

The report looks for patients at risk of Hepatitis B from birth, who received their second vaccination from the GP practice in the reporting period, who were at least 4 weeks old, but less than a year old, at the time of vaccination. The second vaccination must have been administered a minimum of four weeks after the first.

HEPB003

Patients who are at risk of Hepatitis B from birth who are over 12 months of age and have received a Hepatitis blood test in the reporting period. The blood test must have been completed within four weeks before or after the practice has administered the completing Hepatitis B vaccination, and the patient must have received the completing dose from the practice.

Meningococcal ACWY

MACWYC04

Patients who became 14 years of age on or after 1^st April 2011, and who are aged 24 or under on the reporting date, who were given a MenACWY vaccination in the period. Patients who were vaccinated before their 14^th birthday will not be counted.

There are also Management Information counts MACWYMI01 and MACWYMI02 which will not be used for payment calculation purposes.

Meningococcal B

MENBI01

Patients who received a first dose of MenB vaccination from the practice in the reporting period. The vaccination must have been given to patients at least 2 months of age and under 2 years of age. This should be added to the notes using a suitable ‘first dose’ code.

MENBI03

Patients who received a second dose of MenB vaccination from the practice in the reporting period. The vaccination must have been given to patients at least 4 months of age and under 2 years of age. This should be added to the notes using a suitable ‘second dose’ code.

MENBI09

Patients who received a booster dose of MenB vaccination from the practice in the reporting period. The vaccination must have been given to patients at least 12 months of age and under 2 years of age. This should be added to the notes using a suitable ‘booster dose’ code. Patients included in this count had their first dose of the MenB vaccine prior to 12 months of age.

MENBI10

Patients who received a booster dose of MenB at 12 months or older, but not yet 24 months, in the reporting period, where the initial dose wasn’t given until the patient was over 12 months. The vaccination should be added to the notes using a suitable ‘booster dose’ code.

There are also Management Information counts that are not used for payment calculations. These are MENBIMI01, MENBIMI02, MENBIMI03, MENBIMI04, MENBIMI05, MENBIMI06, MENBIMI07, MENBIMI08, MENBIMI09, MENBIMI10, MENBIMI11, MENBIMI12, MENBIMI13 and MENBIMI14.

PCVHibMenC

PCVHIB001

Patients aged at least 12 weeks of age, and under 1 year old, who received a first dose of PCV13 from the GP practice during the reporting period. Patients with asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised are not included. The vaccination must have been administered within a one-month period prior to the period end date. Vaccinations must be added to the notes using an appropriate ‘first dose’ code.

PCVHIB002

Patients with asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised who have received a first dose of PCV13 vaccine from the GP practice in the reporting period. To be included in the count, patients must have received the vaccination between 6 weeks of age and prior to attaining 1 year of age in the one month prior to the end of the reporting period. Vaccinations must be added to the notes using an appropriate ‘first dose’ code.

PCVHIB003

Patients with asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised who have received a second dose of PCV13 vaccine from the GP practice in the reporting period. To be included in the count, patients must have received the vaccination between 14 weeks of age and prior to attaining 1 year of age, in the one month prior to the end of the reporting period. Vaccinations must be added to the notes using an appropriate ‘second dose’ code. Vaccinations must have been administered at least 8 weeks after the first dose.

PCVHIB004

This report looks at patients who have received a booster dose of the PCV13 vaccine, who were given the vaccination by the GP practice on or after their 1^st birthday and before they reach 2 years of age. The dose must have been given in the month before the end of the reporting period, and more than four weeks after the previous dose. Patients who have asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised, must have had two prior doses and have received their third in the period to be counted.

PCVHIB005

The number of patients who were previously unvaccinated or partially immunised, who are at clinical risk (including those with asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised), who received one dose of PCV13 on or after their 2^nd birthday and before their 10^th birthday, where that vaccination was given by the GP practice in the month before the end of the reporting period. Patients who are already fully vaccinated (3 doses – asplenia, splenic dysfunction, complement disorder or who are severely immunocompromised; or 2 doses where patients do not have asplenia, splenic dysfunction, complement disorder and are not severely immunocompromised) will not be counted.

PCVHIB006

This report looks for the number of children aged at least 1 year old and under 2 at the point of vaccination, who received a Hib/MenC vaccination from the GP practice in the one month before the end of the reporting period.

PCVHIB007

Patients who are aged 2 years or over and under 10 years of age at the point of vaccination who were administered a dose of Hib/MenC by the GP practice in the reporting period. Only patients with an incomplete or uncertain vaccination history are included in the count.

Management Information count PCVHIBMI001 is included but not used to calculate payment.

Pertussis

PT001

This count looks at the number of pregnant patients who have received a Pertussis vaccination completed by the GP practice in the period. The vaccination must be added to the patients’ notes using an appropriate code that denotes Pertussis vaccination during pregnancy. Patients who have received a Pertussis vaccination within the last six months, whether administered by the GP practice or another provider, will be excluded from the count.

There is also a Management Information count PTMI001 which will not be used to calculate payment information.

Pneumococcal

PNEU001

This count is looking for the number of patients aged 65 and over who have received a Pneumococcal vaccination (PPV) administered by the GP practice in the reporting period. Patients who received a PPV vaccination at least aged 2 or over, and within five years of the Quality Service start date, will not be included. Patients who have received a PPV vaccination from another provider during the Quality Service period before that administered by the GP practice will not be included.

PNEU002

Patients who are aged at least 2 years of age up to and including 64 years of age who have at least one risk code in their notes that would identify them as being at risk (disease codes). Patients must have received a PPV vaccination in the reporting period administered by the GP practice. Patients who have received a PPV vaccination aged at least 2 years of age and who have received a vaccination in the five years prior to the Quality Service start date will not be included. Patients who received a PPV vaccination from another provider during the Quality Service period, where that vaccination was provided prior to any vaccination by the GP practice, will not be included.

PNEU003

Patients included here are those who are aged 2 to 64 and who are identified as being at risk by way of the clinical code ‘Requires a pneumococcal vaccination’. Vaccination must be administered in the reporting period by the GP practice. Any patients included at PNEU002 are excluded from PNEU003. Patients who have received a PPV vaccination aged at least 2 years and who have received a vaccination in the five years prior to the Quality Service start date will not be included. Patients who received a PPV vaccination from another provider during the Quality Service period, where that vaccination was provided prior to any vaccination by the GP practice, will not be included.

Management Information counts PNEUMI001, PNEUMI002, PNEUMI003, PNEUMI004, PNEUMI007 and PNEUMI008 are not used for payment calculations.

Rotavirus

ROTA002

Included patients received a first dose of the Rotavirus vaccination in the reporting period. Patients must have been aged between 6 weeks and 14 weeks 6 days at the point of vaccination. Vaccination must have been administered by the GP practice in the reporting period, and must be added to the patients’ notes using an appropriate ‘first dose’ code.

ROTA003

Included patients received a second dose of the Rotavirus vaccination in the reporting period administered by the GP surgery. The second dose must have been administered using an appropriate ‘second dose’ code. Vaccination must have been administered while the patient was aged between 10 weeks and 23 weeks 6 days. The second dose must have been administered at least four weeks after the first dose.

Management Information counts ROTAMI001, ROTAMI002, ROTAMI003, ROTAMI005 and ROTAMI006 will not be used for payment calculations.