Community pharmacy flu vaccination services- preparing for 2014/15

Community pharmacy flu vaccination services- preparing for 2014/15

Seasonal InfluenzaAn integrated approach to service delivery Kevin Noble MRPharmS – Partner, Pinnacle Health LLP

Background • NHS Service commissioning 2013/14 • Service models • Uptake profile • Referral profile • Private influenza vaccination service outcomes • Barriers to service delivery • Competency & maintaining a skilled workforce Introduction and content Content

2013 NHS aspirational targets: • To reach or exceed 75% uptake for people aged 65 years and over as recommended by WHO • To reach or exceed 75% uptake for people under 65 years with clinical risk factors 2012/13 Achievement Over 65s: 73.4% Under 65s: 51.3% NHS targets Targets

Commissioning model applied. Patients were over 16 years in all areas Commissioning models applied Analysis of NHS data from 3 Discrete Areas 2013/14 Season Data from three commissioning areas has been analysed to examine the impact on uptake of vaccination & engagement *Excluded pregnant ladies

Uptake profile Engagement and uptake Analysis of NHS data from 3 areas 2013/14 Applying a no restrictions to risk groups approach for those wishing to access pharmacy services produces higher numbers of vaccinations in all risk groups

Uptake profile through life of service Engagement and uptake Analysis of NHS data from 3 areas 2013/14 Uptake of vaccination is at its peak in October. Early commissioning of service is essential to maximise uptake

Days of the week attendance Engagement and uptake Analysis of NHS data from 3 areas 2013/14 Higher levels of service delivery are seen Monday to Friday. Pharmacies provide opportunistic access to vaccination without an appointment Uptake peaks Mon to Fri – pharmacy offers opportunistic service delivery without appointment. Attractive to those in full time employment as difficult to attend appointments, less likely to attend weekend clinics Consideration – The retirement age is increasing. Many over 65s in this situation

Reasons for Pharmacy attendance Analysis of reasons for attendance Analysis of NHS data from 3 areas 2013/14 In all three areas, significant numbers of patients reported a preference for pharmacy stating convenience as a major factor

Analysis of Referral into service Referral method Analysis of NHS data from 3 areas 2013/14 A collaborative workforce will refer to other providers in periods when services are unavailable. Improved collaboration will improve uptake

Information gathered from 139 service providers where both NHS and private service available Private Flu vaccination service outcomes – patient profiles Private influenza vaccination outcomes Significant numbers of NHS eligible patients access private services. These patients are not accounted for in DH returns via ImmForm

Reasons given by NHS eligible patients for Pharmacy attendance Private Flu Vaccination outcomes Private influenza vaccination outcomes Patients eligible for NHS vaccination pay to access vaccination services rather than engage with existing models of service delivery

Chaotic approach to service commissioning • Limited access to service for certain risk groups • Opposition to commissioning decisions by other Heath Care Professionals resulting in delayed implementation – October key month for uptake • Unclear guidance for providers limits levels of provider engagement Barriers Barriers to service provision Commissioning intentions must be well planned and set out in a timely manner allowing providers to prepare to meet service quality criteria

Competency Maintaining a Competent Workforce &Sustainable services Allowing all risk groups to access pharmacy services improves levels of engagement as a more confident workforce is produced. This in turn improves sustainability of services

Conclusions Conclusion Pharmacy flu vaccination services receive high approval ratings from service users. Convenience of access is the most common reason given for using these services

Your starter for ten… … but it needs localisation BUILDING THE BUSINESS CASE Exemplar Business Case Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Key statistics prepared for you … but they need to be used in the document BUILDING THE BUSINESS CASE Exemplar Business Case Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Step 1 – The task ahead for the commissioners … can be found in the Appendix BUILDING THE BUSINESS CASE Exemplar Business Case Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Make it visual… … by using historical data BUILDING THE BUSINESS CASE Exemplar Business Case Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Final figures not yet available from PHE • We will convert historical “PCT” to “AT” data • Refresh documentwith new intelligence But don’t wait if you have the opportunity to engage BUILDING THE BUSINESS CASE Exemplar Business Case for 2014 Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Provisional figures to 31 January 2014 • Early Commissioning, Early Delivery & Full Cohort gets the best results for patients and populations The Difference We Made The Difference We Made Pinnacle Health developed this exemplar business case for use by LPCs and Area Teams to reduce the commissioning burden and allow timely service delivery

Table discussion- making the case locally

Table discussion- how to overcome barriers once the service is commissioned

Community pharmacy flu vaccination services- preparing for 2014/15