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Mmr and quoff
Heidisummers1

1 Posts

Posted:  06-Jan-2018 08:53
Hi with quoff does anyone know if the mmr catch up programme pops up with any patient of any age (including over 60’s) that hasn’t had 2 vaccines in a lifetime, or if it just targets children and younger adults?
tigger1

1086 Posts

Posted:  06-Jan-2018 09:49
Hi, I think you may be confused over the target, mmr is not a Qof target. It is a public health issue and there are payments attached. Depending on your computer system an alert may pop up to say incomplete immunisation but we use emis web and it only seems to pop up on those born after mmr was introduced into the national schedule and not on older patients. We tend to catch them through travel appointments and anti natal but otherwise don't actively search for them. I think this is correct but happy to hear different from others.
blue.tunic.syndrome

1493 Posts



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Posted:  06-Jan-2018 11:54
Sounds right to me Tigger1 x
MMR  is a particular campaign close to my heart, I nursed several people severely affected by Congenital Rubella and did my original diploma lit searches and essays around the subject.
getting immigrants up to uk schedule is very important and as Tigger1 says travel appointments are a great opportunity to review this. 
Also time to discuss it prior to uni , if parents declined vaccine then the young adult needs to review this decision for themselves, often find patient and family will say yes then.

Faith x
Sisters function as safety nets in a chaotic world simply by being there for each other.
buffy

267 Posts

Posted:  06-Jan-2018 17:09
what ages are you specifically looking at....e.g. i,m born 1970 and not had mmr, been nursing for a LONG time....
tiredandemotional

4189 Posts



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Posted:  06-Jan-2018 17:17 Log in to like this post
You would be eligible for 2 doses, buffy. Measles is very infectious before it becomes symptomatic, and if a case is identified in your workplace, anybody who has been in contact may be unable to work for 2 weeks, unless they have had 2 documented doses or serology to prove immunity. Vaccination is cheaper.

Anyone born prior to 1970 and requesting MMR can have it too.

This is just my opinion and not an instruction. T&E x
baloo the bear

16 Posts

Posted:  08-Jan-2018 08:57 Log in to like this post
Regarding those born before 1970 who request it, I presume it is ok to use stock from ImmForm? Am new to ordering but I’ll learn ....

blue.tunic.syndrome

1493 Posts



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Posted:  08-Jan-2018 14:33
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/669418/VU_273_December2017.pdf the latest issue of vaccine update clarifies that for us Baloo - that's a yes . Sign up to get this by email from PHE if you haven't already - great way to keep up to date with changes 

Faith x
Sisters function as safety nets in a chaotic world simply by being there for each other.
GPN_London

16 Posts

Posted:  09-Jan-2018 11:06
The information we have received in practice is that it doesn't matter if they were born after 1970 if they don't have 2 doses recorded or if they have not had all 3 diseases then we should be catching them up.

GPN_London
Barkercm

64 Posts

Posted:  10-Jan-2018 07:18
I’m wondering whether I’m right in thinking ... that if a or for whatever reason has had one MMR and a MR that they still need a 2nd MMR as they have not got the 2nd Mumps . Also that We claim back for any extra used from Imform for any extra ones for post chemo etc

Caroline
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tiredandemotional

4189 Posts



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Posted:  10-Jan-2018 08:03
Caroline, yes, the imms schedule is 2 doses of MMR

Needing to revaccinate is a rare occurrence, not required for everyone having chemo. I would have no problem in using central stock in this scenario.

This is just my opinion and not an instruction. T&E x
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Barkercm

64 Posts

Posted:  10-Jan-2018 09:47
With children I’ve been asked to revaccinate as per consultants letter not always MMR .. it’s the timings that I get confused about.. not a very individual approach... leaves us to work what ones to do... have had a few recently... no training day providers have ever really answered about what we should do about the extras and taking from central stock... it just bothers me a lot...

Caroline
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tiredandemotional

4189 Posts



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Posted:  10-Jan-2018 16:24
I’m sure your local imms coordinator at PHE could give you guidance on this.

This is just my opinion and not an instruction. T&E x
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Barkercm

64 Posts

Posted:  10-Jan-2018 18:53
The local immunisation coordinators never stay the same and hardly respond to query’s these days... very much “unsupported” with regards to this... training and updates are difficult to access ... and far and few between...

Caroline
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bamboothy

68 Posts

Posted:  11-Jan-2018 16:52
my understanding of this catch up programme is dependent on year of birth.
If born 1970-1979 then yo are unlikely to have had a combined mmr therefore need to have boosters.
Prior to this my understanding is that adults will have been exposed therefore have immunity? after this time the vaccine changed so these people are covered?
astrid

104 Posts

Posted:  11-Jan-2018 20:48 Log in to like this post
Barkercm not sure about children but for adults post stem cell transplant we have been advised by consultant to treat as baby imms so for example boostrix and prevenar give the together X 3  followed by mmr (plus one other menintorix?)  6 months later.

 
tiredandemotional

4189 Posts



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Posted:  11-Jan-2018 21:00
Bamboothy, there was a subtle change a while ago. As I said in an earlier post, anyone requesting an MMR can have it, if they haven't already received 2 doses.

The Green Book puts it a little clearer.

From P218
 
  • ●  individuals born before 1970 are likely to have had all three natural

    infections and are less likely to be susceptible. MMR vaccine should be offered to such individuals on request or if they are considered to be at high risk of exposure. Where such adults are being vaccinated because they have been demonstrated to be susceptible to at least one of the vaccine components, then either two doses should be given or there should be evidence of seroconversion to the relevant antigen. 



This is just my opinion and not an instruction. T&E x
karen.rudd

11831 Posts

Posted:  11-Jan-2018 23:11
The link BTS already posted clarified all of this so have cut and paste for those that may have had trouble finding page 5 of the vaccine update linked confirming eligibility and central immform stock use

‘All children over the age of three years and four months who do not have two recorded doses of MMR vaccine remain eligible and should be caught up at the earliest opportunity. Catching up children aged 16 years or younger is covered as part of an additional service (see weblink 1 for list of additional and enhanced immunisation services).

Practices should note that there is no upper age limit to offering MMR vaccine and that adults who are not protected should also be caught up. An item of service fee can be claimed manually via the CQRS MMR programme for each dose of MMR administered to patients aged 16 years or over. This includes patients born before 1970 who have no history of measles or MMR vaccination. (see weblink 2).

Central MMR vaccine stock (ordered from Immform) can be used to catch-up anyone of any age – this also covers opportunistic catch-up prompted by travel.’

Page 5
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/669418/VU_273_December2017.pdfPlease be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.karen
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