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The eligible groups for the COVID-19 Autumn Booster 2024 are as follows:


  • Adults aged 65y and over (including those due to turn 65 of years on or before 31 March 2025)
  • Residents in a care home for older adults
  • Individuals aged 6 months to 64 years in a clinical risk group (as defined in tables 3 or 4 in the COVID-19 chapter of the Green Book) - NOTE: Be aware that there are difference in Green Book criteria for COVID and flu so patients may be eligible for Covid and not flu and vice versa
  • Frontline NHS and social care workers, and those working in care homes for older people


Further information can be found in the recent Flu and COVID-19 Seasonal Vaccination Programme: autumn/winter 2024/25 NHS England letter.

A reminder that clinical judgement and decision-making that concludes whether a patient should be vaccinated always surpasses the judgement of report outcomes. 


1. Patient Status Alert

There is a patient status alert to indicate eligibility for a COVID-19 vaccination. Eligible patients will have this icon under their name and clicking on this will open the COVID Vaccination template.  


- Consider COVID-19 Vaccination: Autumn 2024


NOTE : The Patient Status Alerts are a really helpful and important prompt of a patient's eligibility, particularly if a patient is attending for one vaccination and it is clear to the clinician vaccinating they are eligible for the other too. This is always clearly shown on the patient's home screen as below.



2. Vaccination Template

The COVID-19 vaccination template has the following; 

  • A view to show vaccination eligibility and previous vaccination history
  • An assessment questionnaire
  • An electronic PSD and paper PSD
  • Data entry options to record codes including invitations, contraindications, refusals and consent
  • A resources page with links to various useful websites

Most practices will still utilise Pinnacle for recording the vaccine administration - however, there is a link to the SystmOne POC template if your organisation is configured for this. Instructions on how to set this up via TPP are on the bottom of the template.



The assessment questionnaire can also be completed by patients themselves on either Airmid or SystmOnline, or through the Comms Annexe. 


To configure this for Airmid, go to 'Setup > Data Entry > Questionnaires'. Find the 'COVID-19 Vaccination Assessment Questionnaire'. Then right-click and copy this questionnaire, click ok and then right-click > publish to 'Patient Apps User' group. This will then appear as a survey for the patient to complete.


3. Clinical Reports - Autumn 2024

All of the COVID vaccination reports can be found by going to 'Reporting > Clinical Reporting > Ardens > Vaccinations'.


3.1 Ordering and clinic planning

There are a set of reports for ordering and planning clinics which can be found in 'Reporting > Clinical Reporting > Ardens > Vaccinations > C19 | Autumn 2024 | 01 Ordering and clinic planning'. These will give practices a indication of how many vaccines are required. The eligible figures will give you the number of patient's you have left to vaccinate if your practice need to do a top-up order.


3.2 Review Before  

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 I 02 Review before'.


We recommend practices review this folder prior to sending any COVID vaccine invitations to ensure patients are appearing in the correct cohort, eligible and invitation lists. Where applicable only patients not already in any of the other eligible groups will be found in these reports. The title of each report will make it clear the information that needs to be checked.



Of note, please ensure you have checked the 'For review before | Check if still pregnant' and 'For review before | Check if still frontline health and social care worker' are accurate lists as we are aware that these are two areas where coding can be recorded incorrectly. 


Following the MHRA Guidance, patients with a history of anaphylaxis or an anaphylactoid reaction, or patients who have had an adrenaline auto-injector issued ever were originally excluded from the eligibility and invitation reports but are now included. Further reporting changes will be made should the guidance change. However, there is still a report to identify these patients under  'For review before | ?Review as anaphylaxis or anaphylactoid reaction or adrenaline autoinjector issued'. 


3.3 Clinical Reports - Cohorts

Go to 'Reporting > Clinical Reporting > Ardens > Vaccinations > C19 I Autumn 2024 | 03 Cohorts'. 


The cohort reports will show patients who match the requirements of the latest guidance. The cohort numbers will not reduce when vaccinations are given and have no exclusions applied to them, for example, patients who decline the vaccine will remain in the cohort reports. These reports should therefore not be used for invitations.

 


In the Cohorts | Other folder there are additional groups for monitoring purposes.




3.4 Clinical Reports - Eligible

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 | 04 Eligible'. 


These reports are based on the cohort reports but have exclusions applied to them, such as, removing patients who have declined having a vaccine. They will also remove patients once they have had a vaccine recorded. Here you will find a useful breakdown of all of your eligible patients by age group etc. The eligible reports should not be used for invitations.



3.5 Clinical Reports - Invites

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 | 05 Invites'. 


These reports are based on the eligible reports and will reduce in numbers as invites are sent and vaccinations are given/declined. The invitation reports are broken down into 1st, 2nd and 3rd invites as well as by ages to allow you to invite younger cohorts separately if needed. The invite codes are shown in the naming of the reports.




3.5.1 Consider Method


The 06 Invites | Consider method folder contain patients for practices to manage separately and decide how these patients should be invited as appropriate to their personal requirements. This includes patients with Learning Disability, Severe Mental Health, Dementia, Palliative care and patients with a Reasonable Adjustment recorded. 


Important - Patients in any of these groups are excluded from the main invite reports so it is important you run these reports so that these patients are not missed.



To view which of these groups the patient falls into, or what code has added them to the Reasonable Adjustment list, there is a report output that can be used. 


Run the required consider invite method report and then right-click>show patients. 


Use the 'Select Output' option above patient list to select 'Pre-defined report output' and then select the report output called 'Consider Invite Method - LD/SMI/Dementia/EOL/RA'.



This will then allow staff to work through the list individually and decide how best to contact and/or approach each patient about their Covid vaccine. There may be some patients you wish to contact in bulk from this list, and this can be actioned as normal. 



3.6 Clinical Reports - Visits

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 | 07 Visits'. 


Here you will see reports for care home and housebound patients to help you identify who can have their autumn covid booster.



3.7 Clinical Reports - Invites for COVID and Flu

For practices doing invites for co-administration clinics, the 08 Invites | COVID and Flu folder provides lists for invitation. Please note: if a patient has already had a flu invite code added to their record, they will not show on the 1st invitation lists. Once a patient has had BOTH the Covid and flu 1st invite codes added, they will appear on the 2nd invite lists. Therefore if your practice has already sent flu invites, start from the 1st invite lists to invite those remaining for Covid vaccination, and then continue with the 2nd invite and 3rd invite process as normal. 



3.8 Clinical Reports - Review After

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 I 08 Review After '. 


Here you will find data quality reports that will help you identify potential chase up patients after 3 invites. 



3.9 Clinical Reports - Activity

Go to 'Reporting > Clinical Reporting > Ardens >  Vaccinations > C19 I Autumn 2024 I 09 Activity'. 


These provide activity counts of various groups and cohorts that have had the vaccine administered or declined etc. The percentage column gives practices a quick way to see percentage of each cohort vaccinated throughout the season.