001 CQRS: Rotavirus vaccination programme
This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators.
The rotavirus 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) |
ROTA002 | Monthly count of the contractors registered patients who have received a first dose of rotavirus vaccine given by the GP practice between 6 weeks and 14 weeks and 6 days of age in the reporting period. | 42 days (6 weeks) | 14 weeks 6 days |
ROTA003 | Monthly count of the contractors registered patients who have received a second dose of rotavirus vaccine given by the GP practice between 10 weeks and 23 weeks and 6 days of age in the reporting period. | 70 days (10 weeks) Previous dose must have been at least 28 days prior | 23 weeks 6 days |
PCIT authored reports
Payment Reports
Primary Care IT has built a set of searches to support the rotavirus 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 ROTAx. 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.
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 1st part, then 2nd part vaccination. Using the same part twice will not count. 'Rotavirus vaccination given by other healthcare provider' also does not count so should not be used by summarisers/coders on records of young children.
- Patient was too old or too young. The rotavirus vaccination is exclusively for use in babies. It should not be given before the child is 42 days old, or after 15 weeks (for first dose) and 24 weeks (for second dose). For more information refer to the Green Book Chapter 27b.
- The code was added too early. The second dose of rotavirus vaccination (ROTA003) 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.
- The patient's historical record is incomplete. Where codes are missing patients won't be picked up, so adding 'Second rotavirus vaccination' when the first code isn't present will not count the patient in either ROTA002 or ROTA003.
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.
Review the CQRS article for points to consider when using these searches.
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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