Seasonal Flu vaccine ordering arrangements. From 2016/17

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1 Seasonal Flu vaccine ordering arrangements From 2016/17

2 Background NHS Scotland 2015/16 flu vaccines circa 5.5m > 65 years At risk categories community pharmacy Childhood flu In patients Occupational health centrally procured

3 Plan 2016/17 & 2017/18 Central procurement All vaccines Trivalent vaccine across 3 manufacturers (Sequirius, Pfizer, Sanofi) Quadrivalent vaccine (GSK) No egg free Central storage and distribution On line ordering with track and trace Direct delivery to GPs SG contingency stock for pandemic

4 Timetable 12 th Aug Late Aug Eary Sep Oct Mar 17 Initial (pre) Order placed via Movianto e mail/phone to non responders e mail confirming delivery date Subsequent orders as required minimum required ( 25)? Uplift of vaccine /unopened boxes

5 Actions Now Ensure key contact(s) aware Review how many deliveries required ( 25)? Know delivery day and cut off time for orders Deliveries Mon Friday only. Plan capacity Check adequacy of fridge storage Any requirement for >1 delivery in any week required? phone in advance (Movianto) Order in units of 10 (tip: type influenza into search box) Adult vaccine only usually Pfizer (Sanofi for low ovaalbumin)

6 Actions during Season Ensure order placed well before cut off time Check confirmation Received e mail Quantity and date expected or phone Movianto Don t plan mass clinics until confirmed delivery or in stock. Use tracking. On delivery check order and paperwork. Any problem phone Movianto Check PSD website Movianto user guide FAQs

7 Trouble shooting Log in problems/ address Missed cut off time Order details wrong/amendment Additional order >1/week (in advance) Change in delivery address/ Staff details Cold chain as usual Accessing website local IT/Movianto Urgent order authorisation/escalation Phone PHPU ( circumstances

8 Key points Know what you want for initial order Amend by phone Movianto CS Know your order cut off time and expected delivery day 12.00pm 3 days before delivery day Be aware vaccine ordering is in packs of 10 Prior authorisation is required for exceptional orders Movianto Customer Services

9 Communication SG letter 19 th May New arrangements for ordering seasonal flu vaccine 2016/17 PSD website PHPU newsletter to follow CMO letter to follow Seminars?Others

10 Risks Lack of awareness Delivery day/cut off day Fridge capacity Escalation of problems Emergency deliveries Regularly monitored, reasons Assumed 10 for NHS GGC (BCP group)

11 Cause of cold chain incidents Other 12% Fridge equipment failure 49% Fridge door left open 11% Fridge accidentally turned off 6% Delivered vaccine not put in fridge 2% Power supply problem 20% 65% of fridges in NHSGGC are over 5 years old Most fridge equipment failure occurs in older fridges

12 Ordering Childhood vaccines Routine By SIRS allocation (PDC) Ring fenced stock Individualized order form Short expiry Fridge space Consider last year uptake (PDC) Fluenz on request up to 50% cohort Mass clinics discuss with PDC Men C Return to PDC GENERAL PRACTITIONER VACCINE REQUISITION FORM ASCRIBE NO: «Ascribe_Code» SIRS NO: «Sirs_Code» DELIVERY DAY: «Comments» PRACTICE NO: «GP_Code» - «GP_Name_» «GP_Address» «Telephone_Number» CLINIC DATE. COMPLETE & FAX TO PDC. RETAIN A COPY FOR YOUR RECORDS. CODE VACCINE ISSUE UNIT GGS456A Hepatitis B 10mcg/0.5ml Vaccine Single GGS754A Infanrix IPV AND Hib (PRIMARY VACCINE) GGT576E DTaP HIB IPV (Pediacel) (PRIMARY VACCINE) GGT010C Meningococcal C Vaccine (Menjugatekit) DO NOT POST CONFIRMATION COPY AFTER FAXING Single Single Single GGA781A Meningococcal C Vaccine (Neis Vac) 1x10 GGS656A Measles Mumps Rubella (Priorix) Single GGA276C Measles Mumps Rubella MMR (Vaxpro) Single GGS665A DTaP + IPV (Infanrix IPV) (PRE SCHOOL) Single GGT511B Haemophilus B/MenC (Menitorix) Single PDC584G Pneumococcal Vaccine (Prevenar 13) 1x10 DVG367A Rotavirus (Rotarix) Single PDC187S Zostavax (Varicella Zoster) Single PDC429U Boostrix IPV (pregnant ladies) Single PDC340G Bexero Men B 1x10 PDC264Q Fluenz Tetra (nasal vaccine) 1x10 PDC539Z Fluarix Tetra (quadravalent >3years-18 years) PDC537X Trivalent Flu <3 years 1 1x10 EXISTING STOCK IN PRACTICE (GP use only) QUANTITY REQ D (GP use only) CALL NO S (PDC use only) ALL VACCINES MUST BE REFRIGERATED IMMEDIATELY WHEN RECEIVED Check above details are correct and contact Public Health on to amend if not Enter date of clinic Complete column 1 and 2 only PDC will issue vaccine according to SIRS list Clearly mark on order if vaccines are required outwith SIRS list Sign order and fax to PDC QUANTITY SENT (PDC use only)

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