001D CQRS: Childhood Seasonal Influenza searches
The current version of CQRS: Childhood Seasonal Influenza is v7.0
The Childhood seasonal influenza indicators are extracted automatically from your system approximately 10 days after the end of the monthly reporting period. Practices have a short opportunity to check their data prior to extraction and maximise their income potential. For reviewing data in historic months, the relative run date may be any date in the month following the achievement period (eg: for the achievement period of September, any date in October can be selected).
This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators; only payment indicator codes are used below.
| Indicator | Description | Lower age limit | Upper age limit (inclusive) |
CFLU006 | Monthly count of the number of patients aged two or three years (but not aged less than two years or aged four years or over) on 31 August 2026 who have received a first dose of the live attenuated influenza vaccine (LAIV) given by the GP practice within the reporting period. | Born before or on 31st August 2024 | Born on or after 1st September 2022 |
CFLU007 | Monthly
count of the number of patients aged two or three years (but not aged less than two years or aged four years
or over) on 31 August 2026 who
are eligible for a second dose and who have received a second dose of the LAIV seasonal
influenza vaccine given
by the GP practice within the reporting period. | Born before or on 31st August 2024 | Born on or after 1st September 2022 |
CFLU008 | Monthly count of the number of patients aged two or three years (but not aged less than two years or aged four years or over) on 31 August 2026, for whom the LAIV vaccine was contraindicated, who have received a first dose of TIV seasonal influenza vaccine given by the GP practice within the reporting period. | Born before or on 31st August 2024 | Born on or after 1st September 2022 |
CFLU009 | Monthly count of the number of patients aged two or three years (but not aged less than two years or aged four years or over) on 31 August 2026, for whom the LAIV vaccine was contraindicated, who are eligible for a second dose and who have received a second dose of the TIV seasonal influenza vaccine given by the GP practice within the reporting period | Born before or on 31st August 2024 | Born on or after 1st September 2022 |
CFLU010 | Monthly count of the number of eligible patients, identified as at risk, where the risk is clearly demonstrated by at least one unambiguous 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 17 years, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU011 | Monthly count of the number of eligible patients, identified as at risk, where the risk is clearly demonstrated by at least one unambiguous 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, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 8 years 11 months 6 days (+ born on or after 1st April 2019) |
CFLU012 | 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 17 years, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU013 | 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, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 8 years 11 months 6 days (+ born on or after 1st April 2019) |
CFLU014 | 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 17 years). | Born before or on 31st March 2011 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU015 | Monthly count of the number of eligible patients identified as close contacts of immunocompromised individuals, who have received a dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period. (Eligible patients are aged 6 months to 17 years, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU016 | The number of eligible patients, with an Immediately Necessary Treatment status 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 17 years). | Born before or on 30th September 2027 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU017 | The number of eligible patients with an Immediately Necessary Treatment status who have a ‘requires influenza virus vaccination’ clinical code and 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 16 to 17 years). | Born before or on 31st March 2011 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
CFLU018 | The number of patients with an Immediately Necessary Treatment status 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). | Born before or on 30th September 2027 | 8 years 11 months 6 days (+ born on or after 1st April 2019) |
CFLU019 | Monthly count of carers who have received a dose of the recommended seasonal influenza vaccine given by the GP practice in the reporting period. (Eligible patients are aged 6 months to 17 years, excluding patients aged 2 and 3 years as at 31 August 2026). | Born before or on 30th September 2027 | 17 years 11 months 6 days (+ born on or after 1st April 2008) |
Missed Activity
Due to the tightly defined cohort, and the combination of two indicators for the nasal spray (LAIV) and two indicators for the vaccination, few if any patients will appear in the Missed Activity reports, only if the incorrect code has been used. Nevertheless these reports have been produced in line with all of the other CQRS folders.
Reports to help review potential data can be found in the Missed Activity folder, named with the indicator code followed by an X. If the searches have run, highlight the report and press View Results from the ribbon or right click for the quick menu.
The missed activity reports for CQRS have been designed in a standard fashion for ease of understanding.
CHECK - data in the CHECK column means that activity is coded correctly but something else isn't right to validate the activity. This may be the absence of a GMS = True qualifier or the patient was not born in the date of birth range specified by the Enhanced Service.
INVALID - data in the INVALID column means that activity has been found but with a different code that may indicate claimable activity. This column only focuses on the code and not on the age or the interval, meaning the report may need to be re-run or work out the time criteria yourself offline.
Always check the 0% searches to ensure that single patients from the denominator are not missed!
The Full Hierarchy button on the ribbon can make checking the parent searches of 0% searches easier.
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 denominator searches. Where the main search isn't 100%, don't discount that there are other factors which erroneously brought the patient into the denominator 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.