Combination Flu and Covid Clinics searches for EMIS Web 2025/26

Combination Flu and Covid Clinics searches for EMIS Web 2025/26

Overview

PCIT covid and flu searches are split into two separate folders:
005 COVID vaccination programme
016 Seasonal Influenza

Now that more practices are co-administering covid and flu outside of PCN hubs,  PCIT have recently had requests for recall searches that identify patients eligible for both covid and flu vaccinations and those who are only eligible for flu vaccinations.  Building these as separate searches would currently involve making significant changes to existing searches and search folders and PCIT are aware that making these types of changes once practices have already started the recall process could cause a lot of confusion at a very busy time. 

For autumn 2025/26 PCIT have therefore created the following recommendation for how to use our existing searches to identify patients eligible for both vaccinations or only eligible for flu vaccination.  Please note that due to changes in the recommend cohorts for covid autumn boosters this year and changes in the flu vaccines recommended for first line delivery, there are no cohorts listed in the Green Book that are eligible for a covid booster, who are not also eligible for the seasonal influenza vaccination.  

PCIT recommend the following process if you wish to avoid sending separate covid and flu invitations. This process must be carried out before any invites are sent; if invites have already been sent, this process will not work and will lead to inviting previously invited patients.

Instructions

  1. The 005B Covid vaccination recall 2025 AUTUMN searches include a report for Immunosuppressed patients requiring REVIEW prior to invitation. We would advise that this cohort and any similar recommendations in the latest version of the support article for 005B are dealt with before sending out invitations to avoid missing patients or inviting them to the incorrect clinic.  Please see the 005B support article linked above for a step by step guide to this.
  2. Once these patients have been reviewed use the 005B Covid booster recall 2025 AUTUMN searches to invite all patients who are eligible to your combined covid and flu Clinics, since anyone who is eligible for Covid vaccination is also eligible for flu vaccination.  Make sure to code these invitations with appropriate Covid invitation AND flu invitation codes.
    Warning
    It is essential that this step is undertaken prior to further steps otherwise you will find yourself sending multiple unnecessary invites to your flu cohort
  3. Notes
    Note that patients who have declined flu already won't get excluded. If you have already recorded some flu declines, you will want to make a new search joining 005B and rejecting SIV-X00
  4. COVID vaccination invitation
    Info
    SARS-CoV-2 vaccination invitation letter              [1402921000000102] (and all children)
    SARS-CoV-2 vaccination telephone invitation      [1402931000000100] (and all children)
    SARS-CoV-2 vaccination invitation email              [1403101000000104] (and all children)
    SARS-CoV-2 vaccination invitation SMS               [1403031000000106] (and all children)
    Flu vaccination invitation
    Info
    Influenza vaccination invitation letter sent             [315641001] (and all children)
    Invitation by telephone for influenza vaccination  [737041000] (and all children)
    Influenza vaccination invitation email                     [844941000000103] (and all children)
    Influenza vaccination invitation short message service text message sent  [1484821000000104] (and all children except influenza A virus subtype)
  5. You are now left with a cohort that is only eligible for flu and not Covid. In the 016 Seasonal Influenza 2025-26 vaccination folder, under U)Utility Tools, copy SIV-U020) Invitation placeholder
    1. Paste this into the B) Seasonal Influenza 2025-26 RECALL folder, selecting "Include descendants"

    2. Right click SIV-U020, click properties
    3. Change Based on from "Currently Registered" to "Results from" (the flu recall search you wish to use). You should see the search jump to be beneath your selected search.
    4. The search SIV-U021) No flu invitations sent 25/26 flu season should now be patients who are eligible for flu vaccination but not eligible for Covid for your selected cohort. Example:

Info
Note if doing 2nd or 3rd invitations using SIV-U022/23 you will first need to invite the covid vaccinations cohort using 005B Covid booster recall 2025 AUTUMN, code for both covid and flu and then use SIV-U022) 1 flu invitation sent 25/26 flu season to identify the patients who are only eligible for the flu vaccination. This will avoid accidentally inviting your Covid/Flu cohort non-responders 3 or more times.

Please be aware that all searches will only count 2nd invitations if there is a gap of 7 days or more between the 1st and 2nd vaccination.  This is in line with other business rules and helps to avoid patients dropping off a list because of double coding on the day.

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