CQRS: Seasonal Influenza searches
The current version of CQRS: Seasonal Influenza is v4
The 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.
SFLU001 | Monthly count of patients aged 65 years and over on 31 March 2023, who have received a seasonal influenza vaccination using the recommended vaccine by the GP practice, within the reporting period. |
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 2023, excluding patients aged 2 and 3 years as at 31 August 2022). |
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 2023, excluding patients aged 2 and 3 years as at 31 August 2022). |
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 2023, excluding patients aged 2 and 3 years as at 31 August 2022). |
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 2023, excluding patients aged 2 and 3 years as at 31 August 2022). |
SFLU010 | Monthly count of healthcare and hospice workers 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 2022). |
SFLU014 | Monthly count of the number of eligible patients aged 6 months to 64 years on 31 March 2023, 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 2022). |
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. |
SFLU017 | The number of patients with an Immediately Necessary Treatment status who have a‘requires influenza virus vaccination‘ clinical code and who have received a first seasonal influenza vaccination given by the practice using the recommended vaccine within the reporting period. |
SFLU018 | 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. |
Missed Activity
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 the codes used are correct, but the patient was either too old or young, or a subsequent dose was given too early or too late. It may be necessary to refer to
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.
There may be a few scenarios where data appears in both CHECK and INVALID columns due to the way missed activity reports have been configured; prioritise CHECK before considering wither INVALID contains claimable activity.
One of the most common reasons patients will appear in the missed activity is because they are not eligible for a flu vaccination based on the codes on their medical record. Such patients will appear in SFLU008X report, but we strongly recommend that Practices address the report SIV-D99 Patients NOT at risk vaccinated by surgery found in folder 016 Seasonal Influenza; during the flu season it may be worth running that report on a weekly basis to identify patients who have been vaccinated without eligibility, and following clinical review add the code Needs influenza vaccination to the patient's medical record.
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.
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