Strategies to improve immunisation uptake Initiatives innovations ideas

Strategies to improve immunisation uptake Initiatives, innovations & ideas Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Improving immunisation uptake – key themes • Organisation – Health Board – Service providers • Information – Influencers – Target group • Data – Accuracy – Completeness – Timeliness • Accessibility & Appropriateness – Services – Information Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Using statistics to influence action • COVER reports detail uptake of the immunisations in the UK routine childhood schedule in children reaching key birthdays during the reporting quarter (or year for the annual COVER reports). • Immunisation uptake is also reported by Health Board and by Local Authority http: //howis. wales. nhs. uk/sites 3/page. cfm? org. Id=474&pid=21302#1 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

COVER data • The data produced in COVER reports are only as good as the information that is received by the Child Health Office. http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid=474&pid=21410 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

The above graph is from a Local Authority area report. It shows a downward trend in all the childhood immunisations Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

The above graph is from a Local Authority area report. It shows an upward trend in most of the childhood immunisations Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

MMR 1 at 2 years of age 2008 2009 2010 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Strategies to improve immunisation uptake Initiatives, innovations & ideas Section 2 = Some ones bright idea Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

A local initiative Flu immunisation for the housebound • Early engagement between Health Board and District Nurse borough manager • Each surgery was allocated a number of DN hours for flu immunisation • Liaison between DNs and Practice managers – DNs to keep surgery up to date with immunisation given – Practices to complete clinical forms – Funded by HB • 451 vaccines were given to the housebound that year by DNs http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid=474&pid=21412 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Immunisations – Don’t leave school without them • • A DVD and work pack has been produced for use with secondary school pupils. Designed for pupils of mixed ability at key stages 3 and 4 and envisaged as a useful resource for PSE lessons, the DVD and the work pack can be used flexibly. – The work pack may be either used in its entirety, utilising lesson plans and photocopiable tools or extracts may be used alone. – The DVD is in several chapters so again may be used as a stand alone tool or skipped through automatically stopping at each chapter to view as required. The DVD and work pack have been distributed across Wales to every secondary school, as well as PSE leads, heads of school nursing and immunisation coordinators Available to download http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid =474&pid=38229 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Pregnant women – sharing key information • The at risk group – Advice leaflet • Get protected - flu can be a serious risk to your health and the health of your baby • The influencers (midwives) – Training template – Information sheet • Flu and flu vaccination in pregnancy: factsheet for midwives 2010 -11 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

http: //new. wales. gov. uk/topics/health/protection/immunisation/leaflets/? lang=en Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Invitations • • • Birthday cards Personal invitations (signed by the GP) Telephone calls Text messaging Opportunistic (whole practice team commitment) Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Now you are 65 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Health and social care workers – sharing key information • 10 reasons to have the flu jab – The facts • Posters – Awareness raising • Stickers – Grown ups seem to love stickers as much as children do!!! Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Initiatives, innovation and ideas to improve immunisation uptake http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid=474&pid=38044 Vaccine Preventable Disease Programme 2010

The development of an “Immunisation Incidents bulletin” • A way of communicating with the influencers of immunisation • Encouraging reflection • Highlighting clinical governance issues http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid=474&pid=21406 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Data validation exercise • Completeness – There was local concern regarding potential inaccuracies in the Child Health Office database in two neighbouring Welsh counties • Audit – Supported by Child Health Office and the Immunisation Working Group – A one off validation exercise was performed across those two counties • Data cleansing – Each General Practice in the area generated a list of children under 6 years old – This was compared with the Child Health Office data – 59 children were added and 77 were removed from the Child health Office database as a result http: //howis. wales. nhs. uk/sites 3/page. cfm? orgid=474&pid=28079 Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Initiatives • Across Wales there is much innovative practice around immunisation issues at all levels. • Look at the VPDP intiatives page http: //howis. wales. nhs. uk/sites 3/p age. cfm? orgid=474&pid=21273 • If you have carried out a project of any kind and would be willing to share either some documents, insight into lessons learned or a short summary then please contact nicola. meredith@wales. nhs. uk Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010

Initiatives, innovation and ideas to improve immunisation uptake Vaccine Preventable Disease Programme 2010