Human Papilloma Virus HPV Programme

1
Human Papilloma Virus (HPV) Programme

• Tyrone Schiefner
• Primary Care Commissioning Manager
• Donal Markey
• Acting Deputy Head of Medicines Management

2
Target Population

• 12 -16 year olds (Administered in schools)
• Based on School Population
• 16 -18 year olds (Administered in the
  community)
• Population based on Registered and Resident

3
Catch Up Campaign For 16-18 Year Olds
4
HPV Locally Enhanced Service (LES)

• Why
• Reducing health inequalities
• Based on registered and resident population
• Who
• General Practices
• Community Pharmacies

5
Why Commission Pharmacies?

• Extending existing services in Pharmacies
• Utilising the PCT investment in training
  pharmacists
• High level of engagement among pharmacy providers
  
• GP LES Overdose concerns about GP engagement
• Stimulating the market
• Innovative - supported by Senior Commissioners
  School Nursing Leads
• Improving access patient choice

6
Pharmacy Criteria for Inclusion

• Competent in
• administering vaccinations as part of a NHS
  service
• the provision of sexual health advice to young
  people as part of a NHS service
• Premises must have
• N3 connectivity, able to support NHS mail
• PCT approved private consultation area
• Defined accessibility - available for minimum of
  4 sessions per week (session 4hours)
• Continuity named pharmacists available for the
  duration of the service

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HPV Pharmacy LES

• HPV Catch Up Programme for 16-18 year old girls
• Providing young people with more choice and
  access in their local community
• Service provided opportunistically or by
  appointment
• Commissioned 7 pharmacies
• Pharmacies using NHS mail texting clients
• Marketing strategy aimed at young women
  website, text, e-mail

8
Service Innovation

• Pharmacy LES is unique in the NHS
• Short listed for a National Pharmacy Award 2009
  for Service Innovation in Community Pharmacy
• Established a new supplied route for vaccine
  stock into community pharmacies
• PCT issued pharmacies with NHS mail accounts
• Pharmacies required to text patients
• Electronic transfer of information between GP
  pharmacy Paper lite Service

9
What Have We Learned?

• Activity in 5 out of 7 pharmacies commissioned
• Pharmacists can provide the service
• PCT investment in training pharmacists is paying
  off
• Patients are returning for 2nd doses
• Stock management system works
• There is a demand non-NHSW residents attempting
  to access the service
• Pharmacies receiving GP referrals

10
Reporting

• Each vaccine given in the Pharmacy is reported
  back to the GP Practice and the PCT via NHS.net
• Information is cross checked to ensure accuracy
  of records
• Vaccines given outside of GP Practices count
  towards overall incentive payment for GP
  Practices
• Review of Uptake in November

11
Communications
12
Local HPV Websitewww.hpv123.org
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Postcards
14
Posters
15
Communication Plan

• Phase One
• Postcards and Stickers
• Posters
• HPV Local Website
• Text Messaging Reminders from both Pharmacy and
  General Practice
• Next Stage
• Videos
• Addressing Myths about HPV
• Local Press
• Teachers and Heads

16
Any Questions?
17
6th October London Childhood Immunisation
Project workshop event HPV workshop (Milton
Room) length 40 minutes 10 mins Presentation
Bromley PCT 10 mins Presentation Westminster
PCT 15 mins 3 groups to discuss and note answers
to the following questions 5 mins Any
questions Group 1 GPs and performance in
HPV 1. What performance tools work best for GP
delivery on HPV uptake? Discuss the pros and
cons of designing financial incentives for GPs to
administer HPV? Should the completion of the HPV
course offer an increased payment? 2. What
arrangements have been set up to deliver HPV
immunisation in FE colleges and universities in
your own area. Group 2 Managing data, cross
boundary flows 1. Discuss how immunisation teams
or school nursing teams update general
practitioners in terms of their patients
records. How and when have records been sent?
What reporting time frames worked best?
2. How have other PCTs been informed of HPV
immunisations given by service providers in your
area. 3. What arrangements have been made
between neighbouring PCTs to address unforeseen
cross boundary issues. Group 3 Managing
Defaulters 1. How do we best conduct a systematic
approach to capturing defaulters (in and out of
borough?) beyond letters or texts? Home visits?
Offer of consultation? 2. Suggestions for
managing the main reasons for defaulting Eg.
Cultural/religious/family influence, Fear,
Chaotic lifestyles, Other