Transcript Community pharmacy flu vaccination services

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)
- Mop-up service commissioned in Manchester at the end of
the 2012-13 season
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
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
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
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
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!
Greater Manchester Flu Service