Archive Flu 2018/19: NHS England Seasonal Influenza Vaccination Service

(decommissioned from 31st January 2019)


Community Pharmacy Flu Vaccination Service 2018-19 

In 2016, we  worked with the LLRLMC Leicestershire Local Medical Council to ensure we have a good understanding between GP practices and Pharmacies. We would encourage you to adhere to good practice, exercise due diligence and work in accordance to the agreed Memorandum of understanding between the LPC and the LMC.

Important Notes for Contractors  LLR(September 2017)

The Flu Service is now live.

Last year; we delivered a successful flu vaccination in LLR Achieving just under 25,000  vaccinations. It’s been a great achievement and the LPC will be supporting this years campaign with a Flu and stay well in winter Pharmacy radio campaign ( starting at the end of September).I hope this year many more contractors will be delivering the flu service.

There are some important issues to take note of in the interests of providing a safe, appropriate and effective clinical service to benefit patients;

  1. Please note that Pharmoutcomes has been kindly funded by NHSE so ensure that you have access. You can send an online request for any issues regarding Pharmoutcomes or logins etc via
  2. Please ensure that you complete the Pharmoutcomes form as soon you deliver the vaccination so the GP gets an instant notification. Elsewhere in the country there have issues of patients having double vaccinations of flu due to non-communication. This is very important from a patient safety perspective.
  3. Please also ensure you that you check the patient is eligible for a flu vaccination – use SCR if required – again there have been issues raised regarding non eligible patients being vaccinated so I urge to exercise vigilance on this matter to prevent this occurrence.
  4. Please see the  MOU above  which was agreed between the LMC and the LPC to prevent issues between GP practice and CP. I would encourage you to check that the patient has not already booked an appointment with the practice and ensure that patient choice is the foremost consideration.  Please ensure you read it and take note as it’s important we maintain good relationships with our local GP practices for the long term.
  5. If you have any concerns/ issues regarding flu service – please email or contact the LPC in the first instance.

Key Points of consideration for delivery;

  1. Please see the attached PSNC briefing ( which guides you on preparing for the service)
  2. Please print and read the directions, service specification and PGD carefully before delivering the service
  3. Please ensure you have completed up to date required flu training and certificate available
  4. Please complete the declaration of competence on CPPE website
  5. Please order your flu vaccinations in advance
  6. Please ensure you have access to pharmoutcomes
  7. All documents relating to the flu are on the PSNC website :
  8. Also consider consultation room and vaccine storage
  9. Consider marketing and advertising/ booking appointments;
  10. All template letters, leaflets and posters in multiple languages and flyers are available in the above link.

The NHS Flu service starts on the 1st September 2018

Please ensure you are undertaking training and  preparing or the 2018-19 Flu vaccination season which starts on September 1st 2018

PSNC briefing : PSNC-Briefing-042.18-Guidance-on-the-Seasonal-Influenza-Vaccination-Advanced-Service-2018-19

All information is now available at;

Key Resources



Service specification



PSNC flu vaccination briefing (please print and download)



Secretary of state directions



PGD – please read and download)



PHE resources for health promotion  (please register for free to access pdfs or ordering materials)



Stay well in winter campaign resources (register for free to access resources)



Who should have flu vaccination booklet for patients ( can order hard copies)



Declaration of competence



Changes to the service 2018-19

1.The fee for the service will increase to £7.98 per administered dose plus an additional fee of £1.50 per vaccination, making the total payment £9.48.

2.Contractors can now administer vaccinations in patients’ homes ( where the pharmacy has an existing relationship with the patient  (e.g. pharmacy services have previously been provide to the patient) or from a long stay care home or long stay residential facility to vaccinate a resident/patient in the home/facility).

Before undertaking off-site vaccinations, a contractor must submit a completed copy of the notification of intent to provide nhs flu vaccinations ( which is within annex C of the service specification to the local NHS england team. Acknowledgement of receipt is not required however I would advise all contractors to keep records of notification of intent to NHSE local team for record keeping and audit.

3.Pharmacists need only undertake face-to-face training for the service every three years (this is an extension from the previous requirement for training every two years).

4.The requirement for contractors to register to offer the service with NHS BSA has been removed.

5.Payment claims from pharmacies can now be made electronically.

6.Please see the eligible groups and order of priority in the attached PSNC briefing for payment can be made electronically using the webform or paper claim must all contractors must make a claim every calendar month. The link to the claim form will be sent to nhsmail accounts monthly. The paper version is not available to download and print at this time but will be made available in due course.

6.please ensure you meet all the requirements and relevant SOP’s In place as per the PSNC briefing


here’s a reminder of all the things that community pharmacy contractors must have done prior to providing the service.You must have:

  • a Standard Operating Procedure (detailing all the requirements of the amended Directions) and a needle stick injury procedure in place, and have ensured all staff involved in the service have received appropriate training in regards to these procedures;
  • ensured your consultation room meets the requirements specified in the service specification;
  • ensured all pharmacists providing the service from your pharmacy are competent to do so, which includes them having completed the Declaration of Competence for the service and therefore having signed a copy of the Patient Group Direction, which is also signed by the Authorising Manager;
  • advised pharmacists providing the service that they should consider being vaccinated against hepatitis B and have advised them of the risks if they decided not to be vaccinated; and
  • an anaphylaxis pack available in the pharmacy and have ensured that staff know where this is and what to do if a patient has an anaphylactic reaction (an anaphylaxis card is available on the PSNC website which can be kept by the phone to guide staff on calling an ambulance if a patient has an anaphylactic reaction to a vaccination).

It is also recommended the following are completed before commencing delivery of the service.

You should have:

  • ensured all members of the team have reviewed the paperwork for the service so they understand what needs to be completed;
  • ensured all members of the team have reviewed the IT platform for recording patient questionnaire details so they can help patients use this (if, for example, being used on a tablet device in the pharmacy), explain to patients how to use it if they choose to access the IT platform at another time or so team members can input data directly from paper copies of the patient questionnaire;
  • printed copies of:
    • the Record & Consent Form (please note, if you are using a web-based platform such as PharmOutcomes or Sonar to record patient details you will not need to print blank copies of the consent form as the systems will allow you to print copies with the patient details pre-populated which can then be used to obtain patient consent);
    • the GP Practice Notification Form (this is not required if you are using a web-based platform to notify GPs);
    • the Patient Questionnaire (for patients who choose to fill in the questionnaire on paper rather than using the IT platform available from NHS England); and
  • have made arrangements for the removal and safe disposal of any clinical waste related to the provision of the service.



Resources and Links (2017)


Pharmoutcomes letter to pharmacies – Final 180816

PSNC contractor checklist for flu delivery

further FAQ and information are available at the following link on the PSNC website

Resources, Links and ordering free flu vaccination posters and materials

PNSC have links to all posters, templates letters and leaflets in different languages etc and links to PHE and Pharma support material websites

Flu vaccination Promotion materials

 These are all available on the PNSC website at :

see above table


see above table

Flu training

LLR contract Pharmacists providing the Flu Vaccination Service need to attend face-to-face training for both injection technique and basic life support training every three  years.

Contractors have delivered flu successfully last year and I encourage you to start preparing for the flu season coming up in September.

There are a number of flu training providers who can provide flu training, online refresher and private pgds locally to LLR ; here are some examples

Please note this list is not exhaustive and the LPC do not endorse any provider – we have collated the information for your reference and consideration.  

Training Provider Link Leicester dates Others






ECG training









Currently unavailable N/A N/A
NPA (require log in to access)




Bham 3/6/2018, 1/7/2018



29.7.2018 19/8/2018

Rx advisor





26/5/2018 16/6/2018 21/7/2018


Multiple ; see website link
Numark ( require login to access )


N/A Login for access to dates – see website link

Alliance Healthcare


N/A Bham 15/7/2018



Register for access Register for access

All dates, venues and prices are available on our website (Link enclosed below)

We also offer a refresher programme for those who wish to refresh knowledge and do not require the face to face training:


Nottingham  3/6/2018