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Flu Vaccination September 2019 to March 2020

Flu vaccination is not currently on offer - the information below will be updated in August/September 2020 ready for the 2020-21 Flu season

We offer a Flu vaccination service to those of our patients who meet NHS eligibility criteria - please see our FAQs below about alternative vaccination options if you are ineligible.  Flu vaccination is recommended for all pregnant women but not when no longer pregnant unless other risk factors present.

Reception will be able to advise you on your eligibility for vaccination, you do not need to wait to get an invitation.  Invitations are sent mainly by text and email - please ensure we have your correct contact details.

All vaccinations will be given via appointments: (no drop-in clinics)

  • Attending an appointment with one of our nursing staff? You may be able to have your vaccination then - let the nurse/HCA know that you want the flu jab too.  If they confirm you are eligible but are unable to vaccinate you at that time please book a Flu clinic appointment when you return to Reception. 

  • Otherwise, book a Flu Clinic appointment - in person at Reception or over the phone or via Online Services

If booking online, please select the correct appointment type for your age:

  • Flu age 65+ (aged 65 and over by 31/3/19, i.e. born before 1/4/55)
  • Flu age 18-64 (must have clinical risk)
  • Flu age under 18 (see the Child Flu immunisation section and check eligibility)

If you contact Reception at your usual practice site (St George or Lodgeside), they will book you in to the appropriate appointment to receive the correct vaccine for your age group.

Adult Flu vaccination

Please see the NHS website for more information.  The vaccine used for patients aged 65 and over is supplied by Seqirus (FluAd) and the 18-64 year old vaccine is supplied by Sanofi (Quadrivalent) - for more information including safety & efficacy of these vaccines, see the Vaccine Knowledge Project page for Inactivated Flu vaccine 

Pneumococcal vaccination and/or Shingles vaccination will be offered in the same appointment if you are eligible - for more information including safety & efficacy of these vaccines, see the Vaccine Knowledge Project pages for Shingles vaccine and Pneumococcal (PPV) vaccine

Child Flu immunisation 

School Flu service:  Nasal spray immunisation will be offered at school to eligible children (Reception through to Year 6 inclusive) by North Somerset Community Partnership. This should be provided between October to December - see the NSCP website for more information.  If missed at school please call 01275 373104 to arrange for your child to attend a NSCP clinic (booking essential) - please do not contact the practice as we cannot provide vaccination for healthy school-aged children (children of primary school age with clinical risk factors can be vaccinated by the practice, either on request or by referral from the School Flu service).  Please note: the School Flu service can only provide nasal flu vaccination - unless your child has clinical risk factors and can be given Flu vaccination by our practice, the choice is to receive Nasal Flu immunisation or no immunisation.

GP service:  Flu immunisation to all children aged 2 and 3 years old on 31/8/19 (DoB 1/9/15 - 31/8/17) and children in at risk groups aged between 6 months and 17 years of age.  Primary school age children with clinical risk factors are not invited initially as vaccination available at school - we can vaccinate if you choose to attend here however we are prioritising invitation of under 4's and 11-17 year olds in high risk groups due to limited vaccine availability.  Healthy 2-3 year old children are a lower priority for vaccination than children at clinical risk when vaccine stocks are low, with healthy 3 year olds who have received nasal flu immunisation last year being the lowest priority for vaccination.

The vaccine we use for under 18s is supplied by AstraZeneca (Fluenz Tetra nasal spray) or Sanofi (Quadrivalent - for children in clinical risk groups where the nasal spray is contraindicated or if aged between 6 months and 2 years old).  Most children will only need a single dose of vaccine however children at clinical risk who are less than 9 years old and have not previously received flu vaccine, will need a second dose 4 weeks after the first. You will be advised by the nurse if a second dose is required.

For more information on Child Flu vaccination see the NHS website and/or the Nasal Flu Vaccine page from the University of Oxford Vaccine Knowledge Project (a World Health Organisation approved site which includes information about vaccine safety and efficacy)

Frequently Asked Questions about eligibility/vaccination arrangements:

  • It looks like I am ineligible for vaccination under NHS criteria, can I still be vaccinated? Flu vaccination can be obtained privately via most major supermarket and pharmacy chains if you are aged 16 and over and is relatively inexpensive.  Some of these providers also offer private nasal flu vaccination for children.  If you have a clinical condition and you believe you should qualify for an NHS vaccination but our system is not showing you as eligible, please speak to your GP - if they agree that there is a clinical risk, we can provide vaccination.  Vaccination can also be provided in this way for our patients who are living with an immunocompromised individual who would be at risk should they catch flu.
  • Can my child have the injectable Flu vaccine instead of the Nasal Flu vaccine?  The school flu service will only provide nasal flu immunisation and the practice cannot provide vaccination for healthy school age children - you may be able to obtain a private flu injection for your child however we are not able to recommend any providers for this.  Where flu vaccination is carried out by practice staff, children with any contraindications to the nasal flu vaccine, or aged between 6 months and 2 years old, will be offered the inactivated intramuscular flu vaccine instead.  Only children in clinical risk groups where the nasal spray is contraindicated are able to receive an inactivated injectable vaccine as an alternative - other children are not eligible to receive inactivated vaccine if nasal flu immunisation declined but will continue to derive benefit from the programme by virtue of the reduction of transmission among their peers. 
  • I have an egg allergy, can I have Flu vaccination?  Anyone with a history of severe anaphylactic reaction to egg which has required intensive care needs referral to a specialist for vaccination in hospital however according to JCVI advice all other adults and children should be able to be immunised by us (see Green Book Chapter 19, page 19).  When you attend please let the vaccinating clinician know about any allergies and they will manage you/your child according to the guidelines.  Studies show vaccines with a very low ovalbumin content (<0.12 micrograms/ml) may be used safely in individuals with egg allergy - all the vaccines the practice administer meet this criteria except the vaccine used for patients aged 65 and over.  You can check the ovalbumin content of 2019-20 Flu vaccines here - our suppliers are AstraZeneca (Fluenz Tetra), Sanofi (Quadrivalent) and Seqirus (FluAd).  
  • I have asthma, am I eligible for Flu vaccination?  Possibly not - only severe asthmatics are eligible (steroid issued/hospital admission in the last 12 months).  If you haven't had an Asthma review for over a year, we would advise you book that with us and the nurse will advise you further (and should be able to provide vaccination at that appointment if you are eligible and stock is available)
  • Do you provide Flu vaccinations for carers? If you are employed to deliver care please check vaccination arrangements with your employer. If you are in receipt of carer’s allowance or are the main carer of an elderly/disabled person whose welfare may be at risk if you fall ill, we can vaccinate you on the NHS if you are a registered patient with us and have also registered with us as a Carer - pick up a Carers Pack from reception to register if you have not already done so.  There is a form to complete which must be returned and entered onto your record before you will be identified as eligible for Flu vaccination.
  • I can't get to the surgery, can I have vaccination at home? Where a community nurse is regularly visiting, they will normally provide Flu/Pneumo/Shingles vaccination - please ask your nurse directly regarding arrangements.  We will make arrangements to visit patients registered with us as housebound who are eligible for Flu vaccination however this is likely to be later in the Flu season (Nov/Dec).  The decision to register you as housebound rests with your GP - please ask if you would like to query your status.  In all other instances we would ask you to attend the surgery if you would like vaccination.
  • I do not want the Flu vaccination, please can you stop inviting me?  We have a responsibility to invite at-risk patients every year but once you have declined vaccination that year, we should not invite you again - please ask any staff member to record this on your notes.  You would be invited again the following year so if you do not want any further invites, please make this clear to us in writing so we can add this note to your record however a manual process is needed each year to remove from invitation so this may not be foolproof.
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