NHS Flu Vaccination Advanced Service 2018/19


Flu Vaccination – training requirements and resources

All pharmacy staff involved in the provision of the Flu Vaccination Service should receive appropriate training relevant to the role they will undertake. Community pharmacy contractors are required to demonstrate that all pharmacists providing the service in their pharmacy have the skills needed to do so.Flu vaccination services have been widely commissioned from community pharmacies over the last few years and as a consequence many pharmacists have already received regular training on the provision of a vaccination service. There are a number of organisations offering training and support for provision of flu vaccination services and contact details can be found below.

The National Minimum Standards and Core Curriculum for Immunisation Training for Registered Healthcare Practitioners document sets the standards and lists the essential topics which should be incorporated into immunisation training for registered healthcare practitioners. Pharmacists who will provide the Flu Vaccination Service must have completed practical training in vaccination that meets these requirements.

NHS England has determined that pharmacists providing the Flu Vaccination Service need to attend face-to-face training for both injection technique and basic life support training at least every three years. This requirement means that a pharmacist who undertook face-to-face training for both injection technique and basic life support in 2016 or 2017 would not need to undertake face-to-face training in 2018. The pharmacist would then need to undertake face-to-face training in 2019 in order to continue to provide the service in 2019/20. Pharmacists who last undertook face-to-face training in 2015 would need to undertake face-to-face training in 2018, prior to providing the Flu Vaccination Service 2018/19.


Service Specification:

service specification and the Patient Group Direction

PSNC Briefing 041/18 – Changes to the Seasonal Influenza Vaccination Advanced Service 2018/19

The service is due to commence on 1st September 2018, subject to amendments to the Secretary of State Directions being made by the Department of Health and Social Care. PSNC will notify contractors when the amendments have been made and the date they can commence provision of the service.

Click here to read more

PSNC guidance and webinar
Following publication of the service specification and PGD, PSNC has published detailed guidance on the service and a flu webinar:

Click here to read PSNC Briefing 042/18: Guidance on the Seasonal Influenza Vaccination Advanced Service 2018/19

Watch an on-demand version of the webinar at: psnc.org.uk/fluwebinar

Further information on the following can be found on the Flu Vaccination – training requirements and resources page on the PSNC website:

Declaration of Competence (DoC)
PSNC resources
Training resources
Training providers
FAQs

PSNC aTIV guidance summary

In light of this year’s recommendations on the different types of flu vaccines for the Flu Vaccination Service 2018/19, PSNC has received many queries from community pharmacy contractors relating to the ordering and appropriate use of the adjuvanted trivalent influenza vaccine (aTIV).

PSNC has therefore published a Briefing which summarises the different documents and news stories relating to the use of aTIV, as well as clearly explaining what contractors should do if they have no aTIV available. Download the briefing from: ow.ly/Od7S30lRD8Z

Appropriate use of flu vaccines (aTIV and QIV):

Public Health England has updated its inactivated influenza vaccine guidance for healthcare practitioners which includes a small number of changes from its previously published version.

PSNC news story: https://psnc.org.uk/our-news/revised-flu-process-inadvertent-administration-of-inappropriate-flu-vaccine-type/

PGD addendum published:

The above addendum has been published to allow for changes for pharmacists to re-administer vaccines to patients: PGD addendum published for the Flu Vaccination Service 2018/19

Flu FAQs:
ow.ly/DzA730lRDDi

Public Health England National flu programme 2018 to 2019 – Flu Special:

Vaccine_Update_Flu_Special_August_2018

PharmOutcomes step by step guide on the use of the Seasonal Flu Vaccination platform:

PharmOutcomes step by step guide on using the Flu platform

Flu claim form and digital claiming guidance available from NHS BSA:

ow.ly/wBhI30m06M2


Flu Training

PSNC have received several queries from pharmacy contractors and LPCs on the training requirements for the Seasonal Influenza Vaccination Advanced Service and whether the revised National Minimum Standards and Core Curriculum for Immunisation Training for Registered Healthcare Practitioners which were published by Public Health England (PHE) in February 2018 will change the requirements. PSNC has published Frequently Asked Questions (FAQs) which address the issues raised with PSNC.

Flu ordering

On 5th February 2018, NHS England issued a letter to all community pharmacies and general practices giving final advice on ordering flu vaccine for the 2018/19 season.

The guidance, in a letter from NHS England’s National Medical Director and Director of Primary Care, and Public Health England’s Medical Director asks GPs and community pharmacy contractors to ensure their influenza vaccine orders for the 2018/19 season use the most effective vaccines for the population.

The letter says the clinical evidence is clear that for the 2018-19 winter season, GP practices and pharmacy contractors should offer:

  • The adjuvanted trivalent vaccine (aTIV) for all 65s and over; and
  • The quadrivalent vaccine (QIV) for people in the 18 to under 65s at risk group.

The letter also states that:

  • GPs and pharmacy contractors should review all orders (provisional and firm) for the 2018/19 season and ensure these are in line with the evidence-based clinical view;
  • Vaccine suppliers have confirmed that there will be enough adjuvanted trivalent vaccine and quadrivalent influenza vaccine to meet demand;
  • Orders for these vaccines will need to be placed by 12th April 2018;
  • There is no change to the way in which contractors will be reimbursed for vaccines administered – the system will be the same as for the current 2017/18 service; and
  • If pharmacy contractors encounter any difficulties from a manufacturer placing or amending an order, they should advise their local NHS England team.

The letter also contains the answers to a number of frequently asked questions, including on changing or switching vaccine orders.


Community Pharmacy Humber organised Flu Vaccination Practical Training on Sunday 3rd June 2018, the event was held at Hallmark Hotel, Ferriby

Training was provided by ECG covering:-

  • IM and SC injection technique
  • Adult basic life support
  • Anaphylaxis and use of adrenaline.

Price was £110, payable to the LPC

With online training provided and completed before the event. 

Flu Training Invitation Flyer

Have you already attended Flu Training?
Pharmacists providing the Flu Vaccination Service need to attend face-to-face training for both injection technique and basic life support training every 3 years. This requirement means that a pharmacist who undertook face-to-face training for both injection technique and basic life support in 2017 would not need to undertake face-to-face training in 2019.

Declaration of Competence (DoC)
Pharmacists who intend to provide the Flu Vaccination Service also need to complete the NHS seasonal influenza vaccination ADVANCED Declaration of Competence (DoC) self-assessment framework and statement of declaration every two years.