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Community pharmacy flu vaccination services- preparing for 2014/15

Community pharmacy flu vaccination services- preparing for 2014/15. Greater Manchester Flu Service. 2013-14. Background. Greater Manchester Flu Service. Pre 2013 Changes: 10 PCTs in Greater Manchester Flu service commissioned in: Bolton (18-65) Oldham 2010-12 (Over 18s)

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Community pharmacy flu vaccination services- preparing for 2014/15

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  1. Community pharmacy flu vaccination services- preparing for 2014/15

  2. Greater Manchester Flu Service 2013-14

  3. Background Greater Manchester Flu Service Pre 2013 Changes: • 10 PCTs in Greater Manchester • Flu service commissioned in: • Bolton (18-65) • Oldham 2010-12 (Over 18s) • Mop-up service commissioned in Manchester at the end of the 2012-13 season

  4. April 2013 onwards Greater Manchester Flu Service • Community Pharmacy Greater Manchester starts to discuss flu with Area Team and Public Health England • Early September 2013 agreement that the service will be commissioned in the 18-64 at risk groups • Start delayed to November 1st

  5. The Lows Greater Manchester Flu Service • Very short time scale to get the service up and running • CPGM had to manage the service due to lack of resource at the AT • Little time to engage with organisations that could signpost to pharmacy e.g. Drug Services, Carers Support, Diabetes Centres • Contractors in Oldham were very disappointed with the age restrictions • Some pharmacies did not provide any vaccinations • Resistance from some CCGs & LMCs • Large budget allocated by the Area Team, but the late start date did not give contractors a fair chance to use it

  6. Highs Greater Manchester Flu Service • The Service was commissioned • £15 fee paid per vaccination • 209 Pharmacies took part • Some pharmacies did very well • £10K paid to CPGM towards the cost of managing the service • The service gave the LPCs the chance to work together on a large scale project • A positive working relationship was established between the AT, PHE and LPC Leads • Agreement that the service will be commissioned this year on at least the same terms as last year

  7. The Politics Greater Manchester Flu Service • Commissioning Confusion • Central delay • National? • CCG? • Local Authority? • Area Team? • Two faces of Commissioning • PHE agreed October start • Budget agreed £300k • Training done • SLA delayed… and delayed • AT Finance imposed 1st November start • Contractors didn’t recover training costs

  8. Localities Greater Manchester Flu Service • Stockport • LMC thought they’d vetoed the service • Delayed the commissioning decision • Hamstrung the service • Oldham • Locally commissioned service started very small, almost failed • Expanded over 3 years to become a genuine choice for patients • 1400 vaccines across a dozen pharmacies in 2012 • Shift to GM commissioning – late start, no 65+ • Patients had to be turned away • 291 vaccines across 21 pharmacies • Contractors (and patients) very unhappy!

  9. Greater Manchester Flu Service Thank You

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