Agenda item

Preventative Health

This item will be an oral update.

Minutes:

Ms Henderson updated on NHS England’s (NHSE) priorities for the coming year. NHSE intended to be more transparent and forthcoming. An action plan would be reviewed with all stakeholders. NHSE would try not to duplicate work being done elsewhere and would work directly and engage more with the 31 GP practices.

 

There would be a full clinical audit of immunisations. The data would be reviewed and NHSE would work with those practices in need of help. The MMR2 vaccination would be a priority because of the high number of children who had not received this vaccination.

 

Members welcomed the planned pro-active work with practices and support for those not performing optimally.

 

Dr Spicer stated that Central London Community Healthcare (CLCH) was moving to SystemOne, the system used by all GPs. The single data set would provide more confidence for clinicians in terms of the veracity of  the data. 

 

Dr Spicer noted the collective responsibility between health and social care and suggested that NHSE should look at the breadth of outlets with which people came into contact.

 

Councillor Macmillan queried whether there was a wide discrepancy in MMR uptake between practices. Ms Henderson responded that there were likely to be some discrepancies. In the previous year, there had been a reactionary approach. NHSE would publicise the vaccination in a more integrated way.

 

Members suggested that the key message that the vaccination was not an injection should be communicated in every contact.

 

Councillor Holder queried whether there was benchmark data by groups such as children, the elderly and the workforce.  It was believed that the CCG data from two years previously was the most recent. In respect of the flu vaccinations, data was collected from pharmacies and this could be benchmarked, but data was not readily available for children.

 

Councillor Holder queried how performance could be improved if there was no benchmark data. Johan Van Wijgerden responded that historic data could provide trends. However, it tended to be CCG locality specific.

 

Ms Andreae stated that the work which the CCG had undertaken with Public Health some two years previously in respect of screening, immunisation and health checks had shown that no practice was good at everything. This information should still be available.

 

Hammersmith & Fulham CCG had previously selected the MMR1 vaccination as a priority, and there were concerns that the MMR2 vaccination could only be targeted at those who had already received the MMR1 vaccination.

 

There had been no information in respect of the availability of the MenB vaccination from September 2015, before it had been publicised on BBC 1. (Information had subsequently been received by Hammersmith & Fulham practices.)

 

Councillor Vaughan referred to the vaccination pilots planned for that winter for children up to age six, and queried how this would be communicated to parents and whether high risk children would be targeted.

 

Ms Andreae responded that Leads had been identified in different organisations and that she was the CCG Lead. GPs would send parents at least three texts and there would be walk-in clinics. The vaccination would be publicised in schools, social care, the voluntary sector and children’s centres. Mrs Bruce was the executive Lead for the Council. A joint message and actions would be agreed by the Council, CCG and CLCH, which was responsible for school nurses.

 

RESOLVED THAT:

 

The update be noted.