001 CQRS: MenB vaccination programme
This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators.
The Meningitis B indicators are extracted automatically from your system approximately 10 days after the end of the monthly reporting period. The searches will return data for the claim month from the 25th of the month, until the 24th of the following month (eg: for activity performed in the month of April, use the searches between 25th April and 24th May). This is intended to provide sufficient time for Practices to check and update their data prior to extraction, and review activity once figures are available to declare on CQRS.
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.
Service Indicators
Indicator | Description | Lower age limit | Upper age limit (inclusive) |
MENBI01 | Monthly count of the number of patients who received a first dose of MenB vaccine from the age of 8 weeks and before attaining 2 years of age, administered by the GP practice within the reporting period. | 56 days (8 weeks) | Day before 2nd birthday |
MENBI02 | Monthly count of the number of patients who received a second dose of MenB vaccine from the age of 16 weeks and before attaining 2 years of age, administered by the GP practice within the reporting period. | 112 days (16 weeks) Previous dose must have been at least 28 days prior | Day before 2nd birthday |
MENBI03 | Monthly count of the number of patients who received a booster dose of MenB vaccine from the age of 52 weeks and before attaining 2 years of age, administered by the GP practice within the reporting period where the first dose of MenB vaccine was received prior to the patient attaining 12 months of age. | 364 days (52 weeks) Previous dose must have been at least 28 days prior | Day before 2nd birthday |
MENBI04 | Monthly count of the number of patients who received a booster dose of MenB vaccine from the age of 52 weeks and before attaining 2 years of age, administered by the GP practice within the reporting period where the first dose of MenB vaccine was received on or after the patient attaining 12 months of age. | 364 days (52 weeks) Previous dose must have been at least 28 days prior | Day before 2nd birthday |
PCIT authored reports
Payment Reports
Primary Care IT has built a set of searches to support the MenB extraction. The main searches closely mirror the business rules, and it is expected that these will forecast the volume of activity recognised for payment by the CQRS count.
Missed Activity
Additional "Missed Activity" searches are provided to highlight additional patients who have not already been counted by the CQRS counts. They are identified by the prefix MENBIx. Missed Activity searches are NOT built to return a specific service indicator but to capture likely activity based on vaccinations recorded during the month, grouped by a certain characteristic. In the case of 6IN1, this is grouped between under 10s and over 10s.
There are several reasons why a patient may appear in a "Missed Activity" report instead of a "Payment" report, and these all need to be considered.
- 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.
- The wrong vaccination or part was added. The business rules are very strict and require the 1st part, then the 2nd part. Using the same part twice will not count. We recommend using a template to minimise the chances of this occurring.
- Patient was too old or too young. The MenB vaccination is only licensed for use in young children. It should not be given before the child is 56 days old, or on or after their 2nd birthday.
- The vaccination was added too early. The second and third doses of MenB vaccination (MENBI03 & MENBI09) must not be given until at least 28 days after the previous dose. Payment won't be given if subsequent doses were administered at 27 days.
- The patient's historical record is incomplete. Where vaccinations or codes are missing, patients may fall into the wrong denominator. Adding a 2nd part when the 1st part or code isn't present may not count the patient in MENBI03, MENBI09.
- 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.
The Missed Activity searches have been built around vaccinations, while the business rules allow for codes OR medication issues. Using vaccinations in SystmOne helps to offer a more precise vaccination history, but some patients may present with a mixed code and vaccination history especially if they were previously registered with a GP surgery using EMIS Web or Vision.
The business rules and code cluster lists for enhanced services can be found on the NHS Digital website.
While the main searches have been built to closely mirror the business rules, there is a creative element to the Missed Activity searches. Where patients appear in the Missed Activity searches, don't discount that there are other factors which erroneously brought the patient into the search. PCIT is always happy to hear about problems, but is unable to assist with every query why a specific patient is/isn't included.
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