001 CQRS: Seasonal Influenza
This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators.
The seasonal influenza 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 October, use the searches between 25th October and 24th November). 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) |
SFLU001 | Monthly count of patients aged 65 years and over on 31 March, who have received a seasonal influenza vaccination using the recommended vaccine by the GP practice, within the reporting period. | Born before or on 31st March 1961 | No upper limit |
SFLU006 | Monthly count of the number of eligible patients, identified as at risk, where the risk is clearly demonstrated by at least one clinical code in the patients record, who have received a first dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period (Eligible patients are aged 6 months to 64 years on 31 March, excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born on or after 1st April 1961 |
SFLU007 | Monthly count of the number of eligible patients, identified as at risk, where the risk is clearly demonstrated by at least one clinical code in the patients record, who have received a second dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period. (Eligible patients are aged 6 months to 8 years on 31 March, excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born before or on 31st March 2017 |
SFLU008 | Monthly count of the number of eligible patients, identified as at risk, (where the only ‘at risk‘ identifier is a clinical code indicating that the patient requires an influenza virus vaccination), who have received a first dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period. (Eligible patients are aged 6 months to 64 years on 31 March, excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born on or after 1st April 1961 |
SFLU009 | Monthly count of the number of eligible patients, identified as at risk, (where the only ‘at risk‘ identifier is a clinical code indicating that the patient requires an influenza virus vaccination), who have received a second dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period. (Eligible patients are aged 6 months to 8 years on 31 March, excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born before or on 31st March 2017 |
SFLU010 | Monthly count of frontline workers in a social care setting without an employer led occupational health scheme who have received a seasonal influenza vaccination using the recommended vaccine by the GP practice, within the reporting period. (Eligible patients are aged 16 to 64 years at 31 August). | Born on or after 1st April 2010 | Born on or after 1st April 1961 |
SFLU014 | Monthly count of the number of eligible patients aged 6 months to 64 years on 31 March, identified as close contacts of immunocompromised individuals, who have received a seasonal influenza vaccine given by the GP practice in the reporting period (excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born on or after 1st April 1961 |
SFLU016 | The number of patients with an Immediately Necessary Treatment status who have received a first seasonal influenza vaccination given by the practice using the recommended vaccine within the reporting period. | No lower age | No upper age |
| SFLU017 | The number of patients with an Immediately Necessary Treatment status who have received a second seasonal influenza vaccination given by the practice using the recommended vaccine within the reporting period. | No lower age | No upper age |
SFLU018 | Monthly count of the number of patients who are aged 18 months but have not yet attained 10 years old who received a DTaP/IPV/Hib/HepB vaccination administered by the GP practice within the reporting period. | No lower age | Day before 10th birthday |
SFLU019 | Monthly count of carers who have received a seasonal influenza vaccination using the recommended vaccine by the GP practice, within the reporting period. (Eligible patients are aged 6 months to 64 years as at 31 March, excluding patients aged 2 and 3 years as at 31 August). | 6 months | Born on or after 1st April 1961 |
PCIT authored reports
Payment Reports
Primary Care IT has built a set of searches to support the Seasonal Influenza 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 6IN1x. 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 patient has already been vaccinated this season. Few patients are eligible for more than 1 seasonal influenza vaccination each season. Additional doses will not be recognised for payment.
- The code was added too early. Vaccinations administered before the season start date may not be recognised for payment. In recent years, a staggered start has been promoted so schools and vulnerable care home patients are vaccinated ahead of the rest of the eligible population.
- The patient does not have an eligible condition. Eligibility for vaccination in under 65s is governed by diagnosis codes found on the patient record. Some confer a lifetime eligibility, some require codes or medication issues to have been made in the last 12 months. Patients can slip through the net at the booking stage if they have previously been given vaccinations. To pre-empt this it is recommended to use invitations searches built based on clinical need rather than patients who were offered a vaccination last year. Adding the code "Requires seasonal influenza vaccination" will confer eligibility for the season, but it should be added before the date of the vaccination.
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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