General practitioners invited to comment on draft national immunization strategy plans | Panda Anku

NHS England has invited GPs to share their views on plans for a new national vaccination strategy and expects Covid vaccinations to become a ‘seasonal service’.

“Guideline recommendations” are to follow in the autumn, after the consultation ends on September 30th.

Government plans for a “national immunization service” were first announced in January when then-Health Secretary Sajid Javid told MPs it was needed to ensure GPs are not again asked to halt routine care, as was done during the country’s Covid vaccination programme case was.

NHS England documents later revealed that a “long-term NHS vaccination service” is currently in development and that NHS England would be consulting GPs about the plans.

GPs have warned of the impact of a potential loss of vaccination services with “serious revenue losses” for practices.

Yesterday NHS England announced it had launched a “market participation exercise” and gave GPs until September 30 to “contribute to the future shape of vaccination services”.

A GP email bulletin read: “We shared our intent to seek your views on a future vaccination and immunization strategy in our letter dated 22 June 2022.

“A market engagement exercise has now started. This is an opportunity to share your views on what is working well and what could be improved to maximize immunization uptake, reduce variability and continue to protect people and their families.’

The questionnaire, published on a procurement portal, included an “outline vision for a future NHS vaccination strategy” that aims to build on “the success and lessons learned from our existing Covid, flu and routine vaccination programmes”.

It states: “NHS England is seeking market engagement to provide information on the future form of vaccination services and to identify potential opportunities to integrate the Covid-19 vaccination program with other vaccinations supplied by the NHS.

“In addition, NHS England has responsibility for a broader range of immunization programs and, building on lessons learned from the delivery of Covid-19 vaccines, is now taking this opportunity to review the future strategy for all vaccine delivery.”

The document, which is listed under buyers NHS Arden and Greater East Midlands Commissioning Support Unit on behalf of NHS England, says it comes as Covid vaccinations are expected to “move towards a seasonal service” in the “coming months”. ” will go.

It added, “Longer term, we must build on the success of routine immunization programs and draw on national and international evidence to continue to improve our approach and outreach in underserved communities.”

The included draft strategy aims to:

  • Improve capture and coverage and reduce variation
  • Address health inequalities related to vaccine uptake
  • Ensure that “every contact with a person counts” such as
  • Have clinicians “routinely use other health interventions as a way to promote immunization in primary and secondary care.”
  • Use a range of flexible delivery models that meet community needs and minimize impact to other services
  • Support “local systems to build sustainable, responsive NHS immunization care” delivered by “an agile, efficient and trained workforce that reflects the communities they serve”.

It added that while the new framework should “provide national infrastructure and enablers where appropriate” it should also “support local innovation in delivery” – backed by a “payments approach that offers the best value for the NHS as a whole.” “.

The document states: “We will present headline recommendations in autumn 2022 so that we can set up the building blocks for the potential implementation of some changes in or after 2023/24.

“Some parts of the model may take longer to implement, but for some changes based on a strong evidence base and widespread agreement, we may be able to start improving sooner.”

It added that it could “test new approaches in specific systems or regions” and that the process will allow for “broader discussions” about the future role of ICBs in commissioning NHS vaccination programmes.

It was announced last month that the new national vaccination service could start as early as next year thanks to an advertisement on a government procurement portal.

Consultation questions on draft national vaccination strategy

  1. Do you agree with the proposed vision for future immunization services to the public (Appendix A)? If no, why not?
  2. What are the current national, regional or local obstacles to realizing this vision?
  3. Which national, regional or local trailblazers would support this vision?
  4. Across immunization programs, what is currently working well at the national, regional or local level (e.g. contract framework, workforce models, supply pathways, etc.) that you do not want to lose? What works less well?
  5. Based on your experience and knowledge, what delivery approaches result in the best uptake and coverage across all immunization programs, particularly in underserved communities? How could these approaches be scaled up, adapted or applied to a wider range of vaccines?
  6. What innovations in delivery of Covid or other vaccines are you aware of, either through piloting or full implementation, that you would like to see maintained or used more widely? Were these innovations implemented despite obstacles, and if so, could those obstacles be removed to help the innovation continue?
  7. Are you aware of any improvements being considered or planned for existing immunization programs in which you are involved? What use should these have? Which national measures would support these improvements?
  8. What would be the critical elements of a future deployment model in your region/system/organization, and what order and contract approach is best suited to deploying that model?
  9. What additional activities/interventions are currently being or could be offered as part of or alongside a vaccination episode?
  10. What high-level outcomes should we aim for with all immunization programs? For example: level of uptake and coverage within the population; preventable morbidity and mortality; improvements in coverage for relevant underserved populations within this region; reducing preventable outbreaks; etc.
  11. Please highlight any other important points you think we should consider when designing supply arrangements for future vaccination services. state: (a) why you think these need to be taken into account; and (b) any views you have as to how they should be managed through appropriate commercial mechanisms.

source: NHS Arden and Greater East Midlands CSU on behalf of NHS England

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