IMMUNISATION STRATEGY
CLARE POWELL
SUE ASTON
Health Visitors
National Public Health Service
Development of Strategy
• Secondment in October 2001
• Networking with key stakeholders across North
Wales
• North Wales questionnaire relating to
immunisation service delivery January 2002
• Reviewing literature / evidence based
• Consultation of the final draft August 2002
• Final document ratified September 2002
Immunisation Strategy
• Education and continual professional
development (CPD)
• Effective systems of communication and
team working
• Developing and implementing robust
policies and procedures
Immunisation Strategy
• Partnership and collaboration with primary
health care teams
• Innovative working across nursing boundaries
to improve immunisation uptake
• Joint professional education, training,research
and development
• Structural and organisational development of a
high quality immunisation service
Strategy Action Plan
• 80 recommendations
• High, medium and Low priorities
• Three year implementation plan 2002-
2005
Recommendations Within the
Action Plan
• Training and education
• Standard setting
• Audit
• Service development
• Policy development
• Pilot development
Examples of Progress
• North Wales immunisation training established
• Neonatal BCG policy
• Anaphylaxis kit policy
• Review & update of the MMR Mythbuster
Training and Education
• Why do we immunise?
• Cold chain issues
• Risk management
• Contraindications
• Administration & documentation
• Vaccine side effects
• Travel vaccines
• Anaphylaxis
• Legal issues
Training and Education
• Emphasises the need for professionals to
have a current knowledge base of
immunisations
• Parents / carers have a need for evidence
based information
• Professionals facilitate the decision making
process
• Confidence and enthusiasm.
Service Development
Neonatal BCG
• Overarching North Wales policy
• Identify “high risk” babies through anti-
natal booking / post-natal discharge
• Acute/ Community Trust to develop
protocols as best practice
• Improved communication = improved
service delivery
Anaphylactic kits: A Policy for
Trusts & Practices
• Guidance needed
• Clinical governance issue
• North Wales working
group established
• Literature/evidence base
reviewed
• Draft policy produced
• Wide consultation
LOCAL INITIATIVE: MMR MYTHBUSTER
MMR MYTHBUSTER
Time for a review:
• Review of the MMR Mythbuster is one
of the 80 recommendations within the
strategy marked high priority.
• Working group met in March 2003 to
commence review of MMR Mythbuster.
Key questions:
• Is there a need for the MMR Mythbuster?
• Are the Myths still current?
• Do we need some new Myths?
• Is there a need for an interactive web-based MMR
Mythbuster?
North Wales Immunisation
Conference web-site
Vaccineweb.co.uk