Immunisations: National and local strategies

Supporting Information

In 2009, in response to the NHS London lead on immunisation as a public health priority, Lewisham’s Public Health team devised, and agreed with key local stakeholders, an immunisation action plan. In addition to elements on training and communication with the public, key elements of the action plan include:

  • An Information Action Plan – improving information systems is where much of the PCT’s efforts have been, and striking improvements were made. The challenge is that these improvements have to be maintained, with an associated cost. Further improvement is also necessary, most notably in how we use information on uptake to have a positive influence on the behaviour of GPs locally. The ideal situation, which is the ultimate aim, is a single information system to serve as a basis for the management of payments to GPs, to generate COVER data (the basis of performance management), as well as to help actively manage the immunisation of individual children.
  • Development of care pathways – it is expected that pathways, including a clear definition of the roles of key individuals will have a major impact locally. The MMR pathway, the first of these, was launched in July of 2010. Other pathways will come on line during 2012.
  • Implementation of care pathways requires continued review of related service level agreements and contracts.
  • Support for GPs in aiming for best practice, in implementing care pathways fully and to ensure good flow of data, including feedback of information to practices.
  • Opportunistic immunisation of children whenever they present within the health service. This is the least developed element of the plan to date. It is hoped that engaging with Lewisham Hospital and with the community paediatric service to secure development of opportunistic immunisation of children will form a major element of activity in the future.






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