Are you COVID Ready for Flu Welcome Introductions

Are you COVID Ready for Flu?

Welcome & Introductions

Aims & Objectives of the meeting 1 To give an overview of changes to this years’ service 2 To support you and your team to provide your flu service in a COVID safe way 3 To support you and your Community Pharmacy PCN Lead to Collaborate with your PCN 4 To ensure you have access to relevant resources and support throughout the flu season

The Importance of Service Delivery The Future of Community Pharmacy depends on us all… • Commissioners and others see our potential • The LPC will support contractors & pharmacy teams to embrace a service-led future • There is an expectation to vaccinate 75% of all target groups this year Community Pharmacy needs you to: • Step up to embrace all service opportunities • Deliver what we promise • Work together to demonstrate our value and credibility as a provider of health and care services

What’s new this year? The Final Service Specification and PGD see here https: //www. england. nhs. uk/publication/community-pharmacy-seasonal-influenza-vaccine-service/ Announcement summary: • Flu vaccination service specification and national Patient Group Direction (PGD) published • Service to commence on Tuesday 1 st September 2020 • PSNC has successfully negotiated key flexibilities to help contractors to offer the service in a COVID-safe way, allowing for vaccinations off-site and outside the consultation room • Pharmacies can also now vaccinate care home staff at their place of work • PSNC has also secured administrative improvements including a new verbal consent model • Funding is still under negotiation – PSNC is pushing hard for an uplift to funding The key changes are: • Need to obtain written consent removed. Contractors must record verbal consent obtained • Patient cohorts updated to reflect the content of the 2020/21 Annual Flu Letter • Need to notify regional teams prior to undertaking vaccinations off-site is removed • Need to notify patient’s GP in advance of vaccinating a patient in their home / care home is removed • Restrictions on off-site vaccination (only in patient’s home and care homes) removed and contractors are now able to vaccinate off-site within professional standards (this includes being able to vaccinate care home staff within the care home) • Contractors able to vaccinate patients in any appropriate space within the pharmacy (although the requirement to have a consultation room remains, and the patient must still be able to have their vaccination in the consultation room if they request it)

Pharm. Outcomes Update Automated service claims directly transferred to NHS Business Services Authority Transfer of vaccine information to the patients GP Practice via FHIR/MESH - significantly more notifications will be sent automatically - there will be less need for printing and posting Integration with the Patient Access App – Free for pharmacies who sign up and only for NHS services so can use their booking system , for private services have to pay for the App Pharm. Outcomes pre-consult – Patients will be able to pre-populate information about themselves, prior to attending the pharmacy

Pharm. Outcomes Pre-Consult https: //media. pharmoutcomes. org/video. php? name=Pharm. Outcomes. Pre. Consultinformationvideo

PPE use for the 2020/21 Flu Service Public Health England (PHE) and the other UK public health bodies, alongside the NHS, published the following guidance on Friday 21 st August 2020: COVID-19: Guidance for the remobilisation of services within health and care settings – Infection prevention and control recommendations This supersedes the previous guidance issued on 18 th June 2020 Key Information for flu vaccination provision: • In the revised guidance, gloves and aprons are recommended when there is (anticipated) exposure to blood/body fluids or non-intact skin • The guidance states that in some clinical settings, such as vaccination/injection clinics, where contact with individuals is minimal, the need for single use PPE items for each encounter, for example, gloves and aprons is not necessary. Staff administering vaccinations/injections must apply hand hygiene between patients and wear a sessional Type IIR mask • The previous guidance on PPE to be used when vaccinating patients was use of a Type IIR mask and eye protection on a sessional basis and use of disposable gloves and aprons on a single use, changed between each patient

Planning ahead Tidy up your consultation rooms – clear the clutter! Safe storage of sharps bin. Anaphylaxis kit storage. Use the whole pharmacy team and appoint a Flu Champion Consider how long each appointment will take with PPE changes and cleaning – Carry out a Pharmacy walk through and plan your patient flow Agree clinic times (can you provide clinics out of hours? ) and implement a booking system Confirm appointments in advance to avoid DNAs and remind patients to wear suitable clothing and PPE – Complete pre-consult over the phone if you can How will you deal with walk -ins? Consider using cars as waiting room or specific area of the pharmacy. Ask patients to complete the pre-consult on their phone if they can Providing off-site vaccinations – Consider how you will maintain the cold chain and make use of preconsult Cleaning – agree who will support with cleaning inbetween patients in the pharmacy and at off site clinics Pharm. Outcomes – Ensure all staff (including locums) know the login details and how to use pre-consult

Training Face to Face Training: Public Health England has confirmed that anyone who has undertaken face to face vaccination training before, and is due to undertake face-to-face training this year, can delay the face-to-face requirement until next year Virtual. Outcomes: 20 Minute E-Course for the whole pharmacy team https: //www. virtualou tcomes. co. uk/pharmac y-training E-Learning for Health – Flu Immunisation Course: interactive flu immunisation e-learning programme, available for anyone involved in delivering the flu immunisation programme https: //www. elfh. org. uk/programmes/ flu-immunisation/

Training FAQs from PSNC Q. I completed face-to-face training covering injection technique and basic life support last year, but I have been told that unless I vaccinated over a specific number of patients last year I will need to re-do the training again this year? Does this apply to the NHS Advanced Flu Vaccination Service? No, this does not apply to the NHS Advanced Flu Vaccination Service. NHSE&I 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 every three years, irrespective of how many vaccines are administered each year. If you are providing private flu vaccinations (not as part of the NHS Advanced Flu Vaccination Service) there may be minimum activity requirements in order for your training to be valid; this should be verified with the private PGD provider. Full flu FAQ from PSNC: https: //psnc. org. uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-faqs/

Training FAQs from PSNC Q. I completed face-to-face training for both injection technique and basic life support two years ago – do I need to complete face-to-face training again this year? No. Face-to-face training for both injection technique and basic life support must be completed every three years (previously this training was required every two years). Q. I completed face-to-face injection technique and basic life support training last year. Do I need to complete online refresher training this year? No, there is no requirement to complete online refresher training for the national Flu Vaccination Service. Pharmacists may choose to do this or undertake other types of CPD relating to the service, but this is not a mandatory service requirement. If you are providing private flu vaccinations (not as part of the NHS Advanced Flu Vaccination Service) there may be a requirement to complete online refresher training; this should be verified with the private PGD provider. Full flu FAQ from PSNC: https: //psnc. org. uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-faqs/

Pharmacy Quality Scheme The aim of this criterion is to increase the uptake of flu vaccination to patients aged 65 and over. Contractors in the PCN that wish to be involved, should agree how they will collaborate with each other and discuss how they could collaborate with general practice colleagues to achieve the above aim. These discussions will be facilitated by the Community Pharmacy PCN Lead, and they will also engage with the PCN Clinical Director to discuss collaborative working. Mapping community pharmacy providers to PCNs Discussing next steps with PCN Leads Using the PCN mailing groups to support collaboration

What is your LPC doing? Organised Flu vaccination training Sharing a list of providers with local and regional Flu groups Attending local PCN /Sefton Council Flu groups Attending the Cheshire & Mersey Flu Group Responding to queries from contractors, GP practices, CCGs and Public Health Teams Sharing information with contractors and stakeholders as it becomes available Linking with PSNC regarding national guidelines and considerations due to COVID Worked with Sefton council to commission a council staff flu service

Next Steps Ensure any training has been completed Check your anaphylaxis kit and waste collection is in place Ensure pharmacists understand the different vaccinations Plan how you will deliver the service Brief the team and allocate tasks – remember your locums Promote and market your service Engage with your Community Pharmacy PCN Lead and LPC , collect evidence for your Flu PQS domain Speak to local GP practices to understand how you can collaborate Read & sign Service Specification & PGD when available Ensure SOP is in place Order PPE and cleaning materials Identify a flu champion – not the pharmacist!

Questions and Answers

Resources National Flu Letters & Flu Plan: https: //www. gov. uk/government/publications/national-flu-immunisationprogramme-plan PSNC Flu Page: https: //psnc. org. uk/services-commissioning/advanced-services/flu-vaccination-service/ PSNC Early guidance on the 2020/21 Seasonal Influenza Vaccination Advanced Service: https: //psnc. org. uk/wp-content/uploads/2020/07/PSNC-Briefing-023. 20 -Early-guidance-on-the-Seasonal. Influenza-Vaccination-Advanced-Service-2020 -21 -. pdf Clinical guidance for healthcare professionals on maintaining immunisation programmes during COVID-19: https: //www. england. nhs. uk/coronavirus/wp-content/uploads/sites/52/2020/06/clinical-guidance-for-hcpson-imms-for-covid-19. pdf Virtual. Outcomes: https: //www. virtualoutcomes. co. uk/pharmacy-training E-learning for health: https: //www. e-lfh. org. uk/programmes/flu-immunisation/ Public Health England: https: //campaignresources. phe. gov. uk/resources/campaigns/34 -stay-well-thiswinter---flu/overview The Green Book: https: //www. gov. uk/government/publications/influenza-the-green-book-chapter-19 Pharm. Outcomes Update: https: //pharmoutcomes. org/pharmoutcomes/guides/provider/Pharm. Outcomes. User-Guide-Get-ready-for-Flu. pdf

If you require support from the LPC please contact us: Lisa Manning (Chief Officer) lisa@sefton-lpc. org. uk Tel: 07912 043872 Joe Clarke (Business Support Officer) joe@sefton-lpc. org. uk Tel: 07958 774715 Sara Davies (Engagement Officer) sara@sefton-lpc. org. uk Tel: 07703 689998 Follow us on Twitter: @Sefton. LPC Join our Facebook Group: Sefton LPC Visit our website: https: //psnc. org. uk/sefton-lpc/