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Coding for flu and CQRS

NHS England (Central and Midlands) have pulled information together to support practices in getting their GP Extraction Services (GPES) data / CQRS flu payments as accurate as possible. This year it’s in the form of a power point slide set and covers:

  • Snomed / Dual Coding
  • Recording Fluad
  • Who needs 9OX4.
  • Health and Social Care workers Flu

Please also note the slides about Health and Social Care workers flu given this is manual data that will not be found by the main seasonal flu extraction. There is an XLS manual log provided for you to use if you wish to but you can always identify your own in house recording mechanism.


With flu season fast approaching, LLR LMC would like to inform our members on processes to follow this year and information available for practices.

Children who miss their in-school vaccination:

As you are probably already aware, The LPC have commissioned pharmacies to run the missed flu vaccination programme this year.

The parents/guardians are provided with a letter by the LPT immunisation team to ensure referred patients access the service.

If parents/guardians want their children to have their flu jab at a pharmacy but do not have the referral letter they are unable to access the service.

The Public Health Team who commissioned this service are keen that this is still seen as a school-based service and that a choice is not offered for the initial dose. Practices can sign post any parents/guardians that approach them to the immunisation team who are contactable on 0300 3000 007.

Central Midlands Bulletin:

This bulletin was released by Public Health England and should be seen by all GPs and practice staff.

It was produced by the Screening and Immunisation team with information on:

  • Changes to the Programme
  • Adjuvanted Trivalent Influenza Vaccine- aTIV (Fluad®)
  • Uptake Information on eligiable groups

Public Health Bulletin 


LLR LMC are aware of the ongoing discussions and concerns regarding vaccine ordering the for the 2018-19 influenza season. The LMC Buying Group has been in negotiations with suppliers on behalf of our members and full update can be read here

NHS England has released its ‘definitive’ guidance for GP practices about which flu vaccines to use for the 2018-19 season.

NHS England is now advising all practices to use the adjuvanted trivalent vaccine (Fluad - Seqirus) for all patients over 65 and a quadrivalent vaccine for any ‘at risk’ groups including pregnant women aged 18-65 years.

This decision has been based on clinical evidence from the Joint Committee on Vaccination and Immunisation (JCVI) and cost effectiveness studies by Public Health England.

Suppliers of the adjuvanted trivalent and quadrivalent vaccines have given NHS England assurances that they will be able to cope with the increased demand for their vaccines.

Additional funding has been found to cover the additional costs of using the adjuvanted trivalent and quadrivalent vaccines, so practices do not need to worry about not being reimbursed.

Please note that practices will still need to order trivalent vaccines for any at risk patients age six months to two years as Fluenz, Fluad and quadrivalent vaccines aren’t licensed for this age group. MASTA, Mylan and Seqirus can provide vaccines suitable for children age six months and above. For more information on these discounts, please visit our website.

As this definitive guidance was released after most practices would have placed their vaccine order with their preferred supplier, we have spoken with the four companies we negotiated discounts with for the 2018-19 season to compile advice for those practices that now need to cancel or amend their original vaccine orders (see next pages).

A further update as Seqirus has extended its ‘early bird’ pricing until 29 March.

If you have any questions, please contact the LMC Buying group on 0115 979 6910, or email info@lmcbuyinggroups.co.uk

Updated on Friday, 5 October 2018, 1600 views

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