This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators.

The searches are built in a way which means it is not possible to review data in historic months. Practices may consider storing results for future reference.

Indicator	Description	Lower age limit	Upper age limit (inclusive)
HEPB002	Monthly count of the number of patients who received the Hepatitis B vaccination second doses given by the practice, administered within the reporting period to patients registered at the practice and at risk of Hepatitis B from birth, aged at least 4 weeks old but less than one year at the time of vaccination.	28 days Previous dose (hospital) must have been at least 28 days prior	Day before 1st birthday

PCIT authored reports

Payment Reports

Missed Activity

1. The vaccination was recorded without the GMS qualifier. The business rules require that vaccinations given under GMS should be recorded correctly. Failure to select GMS may lead to the vaccination not being recognised for payment. 
2. The wrong vaccination or part was added. The business rules are very strict and require the 1st part, then the 2nd part. We recommend using a template to minimise the chances of this occurring. The code 'Hepatitis B vaccination given by other healthcare provider' also does not count so should not be used by summarisers/coders on records of young children.
   

Despite the 6-in-1 vaccination having a HepB component, the HepB vaccination for these at risk children must be coded separately to be recognised by the ES indicator.

1. Patient was too old or too young. Patients must be 1 year old before they are considered too old for HEPB002 and 5 years old for HEPB003. The third dose (second primary care dose) will only be paid if administered after the child's 1st birthday. See Green Book Chapter 18 for more information.
2. The code was added too early. The second dose (HEPB002) must not be given until at least 28 days after the first dose. Payment won't be given if the 2nd dose was administered at 27 days.
3. The patient's historical record is incomplete. Where codes are missing patients won't be picked up. Due to the schedule of the hepatitis B vaccine, it is possible the record will not be established and the first dose given in hospital hasn't been added. Whilst it isn't essential to add the first dose prior to the Practice giving the second dose at 4 weeks old, this should be done as soon as possible within the month to ensure CQRS is able to pick the patient up. Remember that coding the correct date for the hospital dose is critical to receiving payment for the first primary care dose - check exactly which day it was given.
4. Patients who have received a stem cell transplant. Following a stem cell transplant a patient's immune system is wiped, and an accelerated individualised schedule of childhood type vaccinations is planned. Practices are likely to be asked to deliver these vaccinations, but CQRS is often not designed to accommodate these additional doses.