Vaccination & Immunisation
What We Do
The Vaccination and Immunisation service exists to ensure the safe and effective delivery of all vaccine programmes within Liverpool and to maintain standards of clinical excellence. There are a variety of vaccinations that need to be given at specific points during childhood, in order to protect against disease in later life.
There are also recommended vaccines for adults of certain ages or for those who suffer from chronic disease processes.
The service aims to raise awareness and promote uptake of these vaccines via campaigns, promotional stalls at health promotion events, via media and by speaking at public events
The service is audited to ensure consistency of excellence and to identify any potential issues related to the service.
Some vaccinations will be delivered via the Health Visitor/Family Health Nurse and others by School Nurses e.g.
- All baby and toddler vaccines
- Pre-school boosters
- Adolescent boosters, Diphtheria, Tetanus, Polio and Meningitis C vaccines
- Human Papilloma Virus vaccine for Year 8 girls
- Catch up programmes for children who have missed some vaccines
The Vaccination and Immunisation service coordinates the school programmes, along with the School Nurse team Leaders.
- Immunisation Foundation courses for Adults and Children’s staff
- Mandatory annual refresher courses for Adults and Children’s staff
- Foundation course for Health Care Assistants/ Health Care Support Workers
- Mandatory annual updates for Health Assistants/ Support Workers
- Tailored training for specialised staff e.g. prisons staff, nursery nurses, midwives
- Supplementary training each flu season
- Supplementary training for the frequent changes within the vaccination schedules
- External training e.g. Practice Nurses, Liverpool Women’s Hospital , Alder Hey Hospital
- Immunisation Lead
- Ensuring all literature, LCH vaccination policies and vaccine websites are up to date
- Disseminate any vaccine alerts and ensure relevant action is taken accordingly
- Strategy for reaching targets – closely involved with the Active Patient Management Team
- Immunisation Trainer
- Disseminate the above via Communications team and training
- Providing advice re the more complex vaccination cases
- Devising courses tailored to certain groups of staff
- Supporting staff with complex vaccine cases
The Vaccination and immunisation service liaises with other services who are also involved with the immunisation process.
- Child Health Recording mechanisms
- Data analysts to monitor vaccine uptake
- Medicines management re storage of vaccines
- Public Health England for the management of outbreaks of disease
Management of Disease Outbreak
- Communicating awareness of disease outbreaks to all relevant staff
- Dispensing immediate advice/action to be taken in clinical areas during an outbreak
- Developing strategies for mass immunisation
- Co-ordinating/staffing emergency clinics to contain outbreaks
- Ensuring front line staff have received relevant vaccine
- Reflect on lessons learned and formulate preparedness plans
Alongside the Flu co-ordinator project manager, the V&I Service is involved with the planning, training delivery and implementation of the annual staff flu programme
- Planning meetings for the flu season
- Taking designated action on the flu plan
- Ensure promotional materials distributed and displayed
- Mentoring of new immunisers during the flu season
- Vaccinating staff on/off site to ensure flexibility and availability of vaccination
- Ensuring prompt return of data to analysts
- Positive contribution towards Department of Health staff flu targets
For Children & Families
- Which flu vaccination should my child have?
- Decline in Whooping Cough cases
- Childhood Vaccination Schedule
- Immunisation against infectious diseases
For Health Care Professionals
Vaccination sessions will be held at a variety of clinics, children’s centres and GP surgeries throughout Liverpool.
Adult vaccination services and times can be accessed by phoning the GP surgery.
Childhood Immunisation clinics are often discussed during an appointment with the Health Visitor and the nearest clinic and times may be written in the child’s red book or entered in the child’s eRedbook.
Parents should contact their named Health Visitor or GP for further details of Immunisation clinics.
- Consent to Immunisation form generally completed at first Health Visitor review
- Child Health system will then automatically generate childhood immunisation appointments
- Individuals new to the Country are assessed and immunised by specialist Health Visitors
- GP surgery can also supply vaccines for new residents and monitor the population to provide other adult vaccinations at appropriate times
- TB team specialise in Tuberculin skin tests and targeted BCG vaccination. The contact number for the TB team is 0151 295 3874. The team will send TB Service Referral forms out to Health Care Practitioners wishing to refer patients to the service. However, the skin tests and BCG vaccination for Occupational or travel purposes are no longer provided by this service but by the Well Travelled Clinic, Liverpool School of Tropical Medicine, L3 5QA. Phone number: 0151 705 3223.
Changes to Recommendations: Administration of Multiple Live Vaccines
Public Health England have released new evidence based guidelines on the administration of live vaccines. In the majority of cases, the old 4 week rule of thumb is no longer applicable except for MMR & Varicella/Zoster, which must be administered either on the same day or 4 weeks apart.
Yellow Fever and MMR must not be administered on the same day but 4 weeks apart (except for emergency cover, give the 2nd MMR after the 4 week period).
More information is available from the Public Health England website.
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If you have any feedback for our services, please feel free to contact us via our Patient Advice and Liaison Services (PALS).