In the past, vaccinations in acute environments were covered by block contracts, but as these are expired by the GCs, funding for these vaccinations in acute environments is also less clear. It is possible that the at-risk groups covered by the NHSE Commission may have included their vaccinations in their contracts and that an agreement on extended local service (LES) between NHSE and general practices could be reached for primary care. NHS England/PHE has established a series of patient group instructions (PGDs) for practices assigned by NHS England to carry out vaccinations in accordance with heading 7a. Check the national service specifications for the Public Health Functions Agreement (Section 7A) 2018/19. A special web space is available to help health organizations and social organizations vaccinate their staff. The intentions of the NHS England Public Health Commissioning 2017/18 have now been published. They informed health care providers of NHS England`s public health services intentions as part of the Public Health Functions Agreement (Section 7A). The Public Health Functions Agreement (S7A) is an agreement between the Secretary of State for Health and NHS England. This publication is available at www.gov.uk/government/publications/public-health-commissioning-in-the-nhs-2020-to-2021/annex-public-health-functions-section-7a-agreement-2020-to-2021-services-to-be-provided The NHS has undergone profound changes in the way with the introduction of the Health and Social Care Act in 2012. 1 NHSE is now responsible for the routine commissioning of national screening and vaccination programmes in accordance with the agreement of Section 7a (S7a). Although it is difficult to quantify, an approximate estimate of the at-risk groups indicates that the numbers are too large to be easily considered.
For example, it is estimated that 2 million people with diabetes between the ages of 19 and 59 are recommended for pneumococcal vaccine5 when using age-specific prevalence rates6, but are not currently paid by NHSE, without taking into account other recommended risk groups, such as chronic kidney failure or chronic liver disease. . This is a prescription directive: vaccinations must be ordered directly from the manufacturer or obtained via the prescription portal (FP10). The stockpile of vaccines is reserved for the national programs of Section 7a.