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Pneumococcal polysaccharide vaccination programme

Help for general practices wishing to understand the purpose of the Pneumococcal polysaccharide vaccination programme; who it's aimed at, how to claim for a 5 yearly dose, how it's commissioned and how it's provided. Also find service guides and business rules for payment count/read codes.

Purpose and outline

The pneumococcal vaccines protect against pneumococcal infections caused by the bacterium streptococcus pneumonia. The pneumococcus is one of the most frequently reported causes of bacteraemia and meningitis, and it's also the most common cause of community-acquired pneumonia.

Invasive pneumococcal disease is a major cause of morbidity and mortality and can affect anyone. However, it's more common in the very young, the elderly and those with impaired immunity or chronic conditions.

This programme delivers a consistent vaccination service across England for patients aged 65 or over and at risk patients aged 2 years to 64 years. This is in line with the guidance in the Green Book, which should be used as guidance to identify qualifying patients. This service will support practices and area teams in the delivery and monitoring of this programme.

Boosters are required at five yearly intervals in people with no spleen, splenic dysfunction or chronic renal disease, as outlined in the Green Book.

Practices should contact their commissioner to reach local agreement on the re-vaccination of these patients.

Where local agreement has been reached, the commissioner can manually adjust achievement on CQRS to facilitate payment.

Claiming for a 5 yearly dose

Practices need to raise this with their RLO, who will manually adjust the payment. This is covered in the:

How this service is commissioned and provided

NHS England Regional teams commission this service from GP practices.

NHS England service specifications

NHS Employers - Vaccination and Immunisation requirements

Please also refer to to the pneumococcal at risk clinical codes document on this page. It shows practices where 'at risk' conditions should be automatically recognised in the search. Anything other than these won't otherwise be picked up, and will require an extra code to be counted in the collection.


Important information about this service

Quality service start date: 1 April 2020

Quality service end date: 31 March 2021

Payment schedule: Monthly 

Collection schedule: Monthly

Manual or automatic entry: Automatic

Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)

Co-commissioning: No

Classification: Vaccination and immunisation programme

Service guides

Our service guides describe how to participate, manually enter and declare achievement for this service. Activity and achievement should be recorded on a monthly basis.

Payment count/clinical codes

Commissioners and practice should refer to our supporting business rules for information on management information counts and clinical codes.

Further information to support users can be found on the SNOMED CT Implementation in Primary Care site, including Codes to support Technical Requirements 18-19 -  a document providing appropriate Read v2 and CTV3 codes for SNOMED CT concept IDs.

Last edited: 21 October 2020 3:51 pm