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Service specification
Community pharmacy seasonal influenza vaccination pilot service for 18 – under 65 years At Risk Groups excluding pregnant women, healthcare workers, people in long stay
residential care or homes and carers
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Contents
1. Service description and background 4
2. Aims and intended service outcomes 4
3. Service specification 5
4. Training and premises requirements 7
5. Stock ordering process 8
6. Service availability 8
7. Data collection and reporting requirements 9
8. Payment arrangements 9
Annex A: Service Agreement Form 10
Annex B: Community Pharmacy Check List 11
Annex C: Groups included in this advanced service 12
Annex D: Notification of administration of flu vaccine to Patient’s GP Practice and consent 14
Annex E: NHS Flu Vaccination Service – Patient 15 Questionnaire
Annex F: Payment Claim Form 16
Annex G Ordering Frequently Asked Questions 17
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Key steps for contractors
Familiarise yourself with this service specification. Ensure your standard operating procedure (SOP) is up to date. Ensure training of all pharmacists providing vaccinations on behalf of the pharmacy
is up to date, and that support staff are aware of the service and eligible cohorts. Ensure that all pharmacists providing vaccinations on behalf of the pharmacy sign
the NHS Lothian patient group direction (PGD). Be aware of storage requirements for vaccines. Ensure stocks of consent forms and any other relevant paperwork that is not being
completed electronically.
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1. Service description and background
1.1 For most healthy people, influenza (flu) is an unpleasant but usually self-limiting disease. However those with underlying diseases are at particular risk of severe illness if they catch it.
1.2 Flu is a key factor in NHS resilience. It impacts on those who become ill, the NHS services that provide direct care as a result, and on the wider health and social care system. The annual immunisation programme helps to reduce unplanned hospital admissions and pressure on A&E. It is therefore a critical element of the system- wide approach for delivering robust and resilient health and care services during winter.
1.3 During the seasonal flu vaccination campaign period, pharmacy staff will identify
people eligible for flu vaccination and encourage them to be vaccinated. This pilot service covers eligible patients aged 18 years to under 65 years who are specified in the Scottish Government seasonal flu CMO letter
1.4 The pilot community pharmacy seasonal flu immunisation service will run from 1
October 2019 to 31 March 2020. Focus should be given to vaccinating eligible patients between 1 October 2019 and 31 January 2020 in order to maximise the impact.
1.5 The vaccination is to be administered to eligible patients, who do not have any
contraindications to vaccination, under the NHS Lothian patient group direction (PGD) which will be published on the NHS Lothian Intranet site and Lothian Community Pharmacy internet site.
1.6 This service will operate as a pilot in selected areas allowing Community Pharmacy
to provide influenza vaccine as a free NHS service to eligible patients in the agreed cohort.
1.7 This is a pilot being developed and evaluated as part of the Vaccine Transformation Programme (VTP) supporting delivery of the new GP contract by 2021.
2. Aims and intended service outcomes
2.1 The aims of this service are:
a. to sustain and maximise uptake of flu vaccine in at risk groups by assessing the capacity of community pharmacies as an alternative to general practice in the selected areas.
b. to provide more opportunities and improve convenience for eligible patients to access free NHS flu vaccinations
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3. Service specification
3.1 The pharmacy contractor is required to offer eligible patients the opportunity of receiving a flu vaccination at the pharmacy. The contractor will receive a payment per eligible vaccination delivered from NHS Lothian. The vaccine is to be administered by an appropriately trained pharmacist under the authority of the NHS Lothian PGD.
3.2 The service is effective from 1 October 2019 and runs to 31 March 2020, but focus should be given to vaccinating eligible patients between 1 September and 31 January each year. Eligible patients should be vaccinated as soon as the vaccine is available. Widespread immunisation may continue until December in order to achieve maximum impact, but where possible, should be completed before flu starts to circulate in the community. However, flu can circulate considerably later than this and pharmacists should apply clinical judgement to assess the needs of individual patients who are eligible for vaccination under this service to receive immunisation beyond 31 January 2020. This should take into account the level of flu-like illness in the community and the fact that immune response following immunisation takes about two weeks to fully develop.
3.3 The patient groups eligible for seasonal flu vaccination under this service are the
18 years to under 65 years in at risk categories, unless contraindicated, as listed in Annex C and included in the CMO letter. Pregnant women, people in long- stay residential care or homes, carers or healthcare workers are excluded and out with the scope of this pilot. Contra indications to the vaccine are listed in the PGD and in the Summary of Product Characteristics (SPC) for each vaccine.
3.4 The seasonal flu vaccination to be administered under this service is the
quadrivalent flu vaccines as indicated by the Scottish Government seasonal influenza vaccination programme 2019-20. https://www.sehd.scot.nhs.uk/cmo/CMO(2019)11.pdf
3.5 Pharmacy contractors must ensure that vaccinations offered under this service are
provided in line with Immunisation against infectious disease (The Green Book), which outlines all relevant details on the background, dosage, timings and administration of the vaccination, and disposal of clinical waste.
3.6 The pharmacy contractor must have a standard operating procedure (SOP) in place for this service, which includes procedures to ensure cold chain integrity. All vaccines are to be stored in accordance with the manufacturer’s instructions and all refrigerators in which vaccines are stored are required to have a maximum / minimum thermometer. Readings are to be taken and recorded from the thermometer on all working days. The NHS Lothian Guidance for Vaccine Storage and Handling must be followed (available here). The vaccines should not be used after the expiry date shown on the product.
3.7 Facilities must be available to ensure appropriate hygiene levels are maintained throughout service delivery.
3.8 Each patient being administered a vaccine should be given a copy of the
manufacturer’s patient information leaflet about the vaccine.
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3.9 Patients who are eligible for other vaccinations should be referred to their GP practice for these vaccinations, for example, pneumococcal vaccine.
3.10 Each patient will be required to complete a consent form before being administered
the vaccine. Pharmacy contractors must use the consent form set out in D. The consent covers the administration of the vaccine and sharing the patient’s details with the GP Practice and NHS Lothian. The form notifies the patient of the information flows that may take place as necessary for the appropriate recording in the patient’s GP practice record and for the purpose of post payment verification by NHS Lothian.
3.11 Consent forms should be retained for an appropriate period of time, but for the
purposes of post-payment verification, the forms should be kept for a minimum of three years after the vaccination takes place. As pharmacy contractors are the data controller, it is for each contractor to determine what the appropriate length of time is, beyond three years. Decisions on this matter must be documented and should be in line with national and local policies. The NHS Lothian ‘Records Policy incorporating Destruction and Retention of Records Procedure is Available Here
3.12 Where consent forms are scanned into a third-party data transfer software solution, care must be taken to ensure that the scanned copy is of a good quality and is a true copy of the original.
3.13 The information contained in the Flu Vaccination Consent Form may be shared on
request with NHS Lothian PCCO for the purpose of post payment verification.
3.14 The pharmacy contractor must maintain appropriate records to ensure effective ongoing service delivery and post payment verification. Section 6 details the required records that must be kept as part of provision of the service.
3.15 The pharmacy contractor will ensure that a notification of the vaccine is sent to the patient’s GP practice on the same day the vaccine is administered or on the following working day. This should preferably be via secure email to the GP practice clinical inbox or as agreed locally with the practice.
The information sent to the GP practice should include the following details as a
minimum: a. the patient’s name, address, date of birth and CHI number (where known) b. the date of the administration of the vaccine c. the applicable read code d. any adverse reaction to the vaccination and action taken/recommended to manage
the adverse reaction.
The form at D can be used for this purpose.
Table 1: Applicable read codes for notification to the GP practice
Code
Type
Code Description
Read code 65ED0 Seasonal influenza vaccination given by pharmacist
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3.16 Where a patient presents with an adverse drug reaction following the initial vaccination and the pharmacist believes this is of clinical significance, such that the patient’s GP practice should be informed, this information should be shared with the GP practice as soon as possible either via the GP Practice Notification Form (Annex D) or if that has already been sent to the GP practice, by an alternative method of communication such as SBAR. Adverse events should be reported to the Commission on Human Medicines (CHM) via the yellow card scheme.
3.17 The pharmacy contractor is required to comply with NHS Lothian arrangements for
the removal and safe disposal of any clinical waste related to the provision of this service.
3.18 Any questions or comments regarding any aspect of the service from contractors can be sent to [email protected] .Any patient comments/ complaints should be directed to the Patient Experience Team on 0131 536 3370 or email: [email protected]
4. Training and premises requirements
4.1 In order to provide the service, pharmacies must have a consultation room. The consultation room, which will be used to undertake vaccinations, must comply with the minimum requirements set out below:
the consultation room must be clearly designated as an area for confidential consultations
it must be distinct from the general public areas of the pharmacy premises
it must be a room where both the person receiving services and the pharmacist providing those services are able to sit down together and talk at normal speaking volumes without being overheard by any other person (including pharmacy staff), other than a person whose presence the patient requests or consents to (such as a carer or chaperone).
4.2 The consultation room must also meet the General Pharmaceutical Council
(GPhC) Standards for Registered Premises.
4.3 Vaccinations under this pilot service will be carried out on the pharmacy premises in
the consultation room.
4.4 All pharmacists delivering flu vaccination must undertake immunisation training
including anaphylaxis management. The training can be delivered by a recognised private immunization training organization or by attendance at NHS Lothian training. Adrenaline injection for the management of anaphylaxis must be available.
4.5 The NHS Lothian Vaccine Storage and Handling Guidance must be followed. If a
vaccine or cold chain incident occurs the Health Protection Scotland Vaccine Incident Guidance should be followed vaccine-incident-guidance-actions-to-take-in-response- to-vaccine-errors.
4.6 The pharmacy contractor should ensure that they have reviewed the Service Specification and other associated documents
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4.7 The pharmacy contractor must ensure that staff are appropriately trained and made aware of the risks associated with the handling and disposal of clinical waste and that correct procedures are used to minimise those risks. A needle stick injury procedure must be in place.
4.8 The pharmacy contractor must ensure that staff involved in the provision of this
service are advised that they should consider being vaccinated against Hepatitis B and be advised of the risks should they decide not to be vaccinated.
4.9 Vaccine waste from the pilot should be placed in NHS Lothian provided sharps boxes for uplift by NHS Lothian.
4.10 A service checklist is available at Annex B
5. Stock Ordering Process
5.1 Stock will be provided from National Procurement and distributed by Movianto.
5.2 Order processes are detailed as Q and A in Annex G.
6. Service availability
6.1 The pharmacy contractor should seek to ensure that the service is available throughout the pharmacy’s contracted opening hours as far as possible.
6.2 The pharmacy contractor should ensure that locums or relief pharmacists are
adequately trained, so as to ensure continuity of service provision across the opening hours of the pharmacy as far as possible.
6.3 If the pharmacy cannot offer the service at any given time the pharmacy staff should signpost patients appropriately to either a different time/ date to re- present or to an alternative participating nearby contractor.
6.4 The pharmacy contractor must ensure the service is accessible, appropriate and
sensitive to the needs of all service users. No eligible patient shall be excluded or experience particular difficulty in accessing and effectively using this service due to their race, gender, disability, sexual orientation, religion or belief, gender reassignment, marriage or civil partnership status.
6.5 Off site provision of this vaccination service is out with the scope of this pilot.
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7. Data collection and reporting
requirements
7.1 The pharmacy contractor must maintain appropriate records to ensure effective ongoing service delivery.
7.2 Where record forms are scanned into either a patient’s notes or into a third-party
data transfer software solution, care must be taken to ensure that the scanned copy is of a good quality and is a true copy of the original.
7.3 Annex E is a questionnaire which patients should be asked to complete whilst in the pharmacy following administration of the vaccine. Paper copies of the questionnaire should be made available to patients. Patient responses will be
collated and analysed as part of the evaluation of the pilot. All completed questionnaires should be returned on a regular basis throughout the period of the pilot to: Maureen Reid, NHS Lothian Public Health, Waverley Gate, 2-4 Waterloo Place, Edinburgh. EH1 3EG
8. Payment arrangements
8.1 Prior to provision of the service, the pharmacy contractor must ensure that both their premises and all pharmacists administering NHS flu vaccinations meet the requirements outlined in this service specification.
8.2 Claims for payments for this programme should be made monthly by email using
the claim form (Annex F). Claims will be accepted within four months of administration of the vaccination. Later claims will not be processed.
8.3 Payment will be £7.67 per administered dose of vaccine. The vaccine used is expected to be that recommended by NHS Scotland. Additional costs related to use of alternative vaccines will not be paid. Supplies of vaccine are accessed as per national procurement arrangements
8.4 Claims for pharmacy contractor to be reimbursed or remunerated, under this pilot
service, for vaccines administered to patients outside of the eligibility criteria set out in Annex C will be assessed prior to payment.
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Annex A: Service Agreement Form
Service Agreement
Community Pharmacy Seasonal Influenza Vaccination Pilot
NHS Lothian Representative Signature Name (Block Capitals)
Contractor Representative Signature Name (block capitals)
Trading name of pharmacy
Contractor Code
Date
Return by e-mail (using contractor generic mailbox) to:
or
Return by post to:
Community Pharmacy Contracts Support Officer, Primary Care Contracts Organisation NHS Lothian, 2nd Floor Waverley Gate 2-4 Waterloo Place EDINBURGH EH1 3EG
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Annex B: Community Pharmacy Checklist
Practice Checklist
Practitioners
Practitioner competent to deliver immunisation
Practitioner has read and signed the PGD(s)
Practitioner has completed immunisation training
Practitioner has required training in anaphylaxis
Practitioners have appropriate occupational immunisations
Practitioner is competent with standard hand hygiene procedures
Product
Practitioner has read the SPC for the product
Product is fit for use
Recommended flu vaccines available
Resources
Copies of the PGD(s) are available
Copies of standard reference texts are available
A telephone is available
Gloves are available (if required)
Vaccine supplies and sharps bins are available
Standard operating procedures for cold chain/ fridge monitoring and vaccine incident management
Adrenaline / Epinephrine is available
Premises
A private clinical area is available
A pharmaceutical grade refrigerator is used to store vaccine
Hand cleansing facilities are available
The cleanliness of the clinical area is maintained.
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Annex C: Groups included in this pilot service
This pilot service covers those patients most at risk from influenza aged 18 years to
under 65 years of age as listed below.
The selection of these eligible groups has been informed by the target list from the
annual Flu Plan and Immunisation against infectious disease: The Green Book.
Eligible groups Further details
People aged from 18 years to less than 65 years of age with one or more serious medical condition(s) outlined below:
Chronic (long term) respiratory disease, such as severe asthma, chronic obstructive pulmonary disease (COPD) or bronchitis
Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission. Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).
Chronic heart disease, such as heart failure
Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease.
Chronic kidney disease at stage three, four or five
Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation.
Chronic liver disease
Cirrhosis, biliary atresia, chronic hepatitis.
Chronic neurological disease, such as Parkinson’s disease or motor neurone disease, or learning disability
Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers). Clinicians should offer immunisation, based on individual assessment, to clinically vulnerable individuals including those with cerebral palsy, learning disabilities, multiple sclerosis and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.
Diabetes Type 1 diabetes, type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet controlled diabetes.
Immunosuppression, a weakened immune system due to disease (such as HIV/AIDS) or
Immunosuppression due to disease or treatment, including patients undergoing chemotherapy leading to immunosuppression, bone marrow transplant, HIV infection at all stages, multiple myeloma or genetic disorders affecting
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treatment (such as cancer treatment)
the immune system (e.g. IRAK-4, NEMO, complement disorder). Individuals treated with or likely to be treated with systemic steroids for more than a month at a dose equivalent to prednisolone at 20mg or more per day. It is difficult to define at what level of immunosuppression a patient could be considered to be at a greater risk of the serious consequences of influenza and should be offered seasonal influenza vaccination. This decision is best made on an individual basis and left to the patient’s clinician. Some immune-compromised patients may have a suboptimal immunological response to the vaccine.
Asplenia or splenic dysfunction
Morbid obesity (class III obesity)*
This also includes conditions such as homozygous sickle cell disease and coeliac syndrome that may lead to splenic dysfunction.
Adults with a Body Mass Index ≥ 40 kg/m²Adults with a Body Mass Index ≥ 40 kg/m²
Household contacts of immunocompromised individuals
People who are household contacts, aged 18 and over, of immunocompromised individuals, specifically individuals who expect to share living accommodation on most days over the winter and, therefore, for whom continuing close contact is unavoidable
* Many of this patient group will already be eligible due to complications of obesity that place them in another risk category.
Patients over 64 years of age, pregnant women, people in long-stay residential care or homes, carers or healthcare workers are excluded and out with the scope of this pilot.
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Annex D: NHS Community Pharmacy Seasonal influenza Vaccination Service - Notification of administration of flu vaccination to Patient’s GP practice and consent Details can be completed by patient requesting influenza vaccine or by pharmacy staff
GP Practice
Patient Name
Patient DOB
Patient CHI Number
(Pharmacy team- please use CHI lookup function on
PCR if unknown)
Consent to participate in the: NHS Lothian Community Pharmacy Seasonal Influenza Vaccination Pilot. I agree to being given a flu vaccination by a trained pharmacist. I confirm I have not already had a flu vaccination for this flu season and am eligible to receive an NHS flu vaccination.
Patient’s signature
Date
We will send your name, address and information about your flu vaccination to your GP practice so they can update your health record. To GP Practice: Please update your records for this patient using the read code below.
Read code 65ED0 Seasonal influenza vaccination given by pharmacist
We may send this completed form to NHS Lothian if they need to check our payments for providing this service. If they need to, this will allow them to contact you to check that we gave you the flu vaccination. If you have any queries about how we process your personal data or would like to exercise your rights under data protections legislation please speak to a member of staff.
FOR PHARMACY USE ONLY
Name of vaccine
Date of administration
Site
Batch number
Expiry Date
Pharmacist Name
Pharmacist Signature
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Annex E: NHS Flu Vaccination Service - Patient Questionnaire
Please complete the short questionnaire below, after you have been vaccinated. The answers will help NHS Lothian to evaluate this service and plan future services.
1 Did you have a flu vaccination last winter?
Yes No
If yes, where were you vaccinated?
GP Practice This pharmacy
Another pharmacy Other location
2 How did you hear about this pharmacy flu vaccination service? (choose all that apply)
From the pharmacy staff Poster in the pharmacy From my GP/nurse
I have used this service before Poster in the GP practice By word of mouth
3 What were your reasons for choosing to have your vaccination at this pharmacy today? (choose all that apply)
Convenience of not having to book an appointment Already attending the pharmacy for something else It’s the pharmacy I regularly use for prescriptions Difficulty getting an appointment at GP practice Convenience of long opening hours Recommended to me Easier for me to get to pharmacy (i.e. location) Other
4 How satisfied are you with the following?
a) Information provided by pharmacy staff about the vaccination service
Very satisfied
Fairly satisfied
Not very satisfied
Not at all satisfied
b) Waiting time before getting your vaccination
Very satisfied
Fairly satisfied
Not very satisfied
Not at all satisfied
c) Suitability of the consultation room where you had your vaccination
Very satisfied
Fairly satisfied
Not very satisfied
Not at all satisfied
5 Overall, how satisfied were you with the flu vaccination service you received?
Very satisfied
Fairly satisfied
Not very satisfied
Not at all satisfied
6 How likely would you be to do the following?
a) Recommend this service to your friends and family
Very likely
Fairly likely
Not very likely
Not at all likely
b) Come back to this pharmacy for for vaccinations in the future
Very likely
Fairly likely
Not very likely
Not at all likely
7 If you had not had your flu vaccination in the pharmacy this year, would you have been vaccinated elsewhere?
Yes No Not sure
DATE:
TIME:
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Annex F: NHS Flu Vaccination Service Pilot Claim Form
NHS LOTHIAN COMMUNITY PHARMACY CLAIM FORM PILOT INFLUENZA IMMUNISATION SERVICE
Contractor Code:
Section A – Immunisations administered for the month of
Number of claims submitted for
Influenza vaccination 18-64 years at risk groups
TOTAL
Completed client consent forms may be requested for the purpose of payment verification.
Payment Fee applicable £7.67 per immunisation
Claims should be submitted by the 1sth of the month to: PCCO, Waverley Gate, 2-4 Waterloo Place Edinburgh EH13EG
Report details of any patient safety incidents here:
I declare that the information I have given on this form is correct and complete and I understand that if it is not, action may be taken against me. I acknowledge that my claim will be authenticated from appropriate records, and that payment will be made to my Pharmacy, which will be subject to Payment Verification. Where Primary Care Contracting Organisation is unable to obtain authentication, I acknowledge that the onus is on me to provide documentary evidence to support this claim.
Signed by .........................................................
Date ..................................................................
Date .................................... Signed .......................................................
Passed for payment:
Received by Vaccine Transformation Programme Team
FOR OFFICE USE ONLY
Date stamp:
Pharmacy Stamp
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Annex G Ordering Frequently Asked Questions Q How do I order my vaccines for the flu pilot? A Orders will be placed via OM Movianto website. A Users Guide can be found Here Q Do I need a login for OM Movianto? A Yes. Your individual pharmacy login will be sent to the generic nhs mail account for the pharmacy You will receive an email on 05/09/2019 from OM Movianto requesting you to confirm your email address. This should be your nhs.net account. Once you have confirmed the email contact address you will be sent your login details. Q Which vaccine should I order? A The Cell-Culture based Quadrivalent Influenza Vaccine (QIVc) Flucelvax Tetra® Q When will I receive the vaccines? A Your initial order will arrive by the end of September in time for the pilot starting on 1st October. If you place a second order this will be delivered to you from Movianto. Movianto deliver weekly on a designated day. There are no Saturday deliveries
Q Is there a limit to the number of vaccines I can order? A Yes. Each pharmacy can order a maximum of 50 vaccines. The vaccines must be ordered in multiples of 10. Q Do I have to order all 50 at the same time? A No. We recommend that you place an initial order shortly after you receive your login details. Q How will I know how many to order initially? A We suggest that you consider the storage space in your fridge and also the number of vaccines you think you can do. Q If I don’t order all 50 initially, will I be able to order the rest at a later date? A Yes. You will be able to place a second order. Q Can I place more than two orders? A No. You can order up to a maximum of 50 vaccines over two orders. Q What if I use my 50 vaccines? A If you use your 50 vaccines you can e-mail [email protected]. We may be able to authorise a further order being placed from your pharmacy depending on national stocks. You will only be able to place a further order to Movianto with this authorisation. Q. What if I lose my login details?
A. On the login page there is a button that will provide options for recovering your login details, however, you can also contact OM Movianto customer services for further assistance on 01234 248 623
Q. How do I change my contact details? A. The system will allow for alterations to be made to the contact details; however you can also contact OM Movianto customer services for any further assistance you require on 01234 248 623 Your nhs mail account should be the contact details held by OM Movianto.
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Q. Will the OM Movianto website be accessible from any PC? A. The OM Movianto website and online ordering system should be accessible from all PCs. If you have any difficulty please contact [email protected]
Q. Do I receive confirmation when an order is placed online? A. When an order is placed the user will receive email receipts/order confirmations containing key information including their order number, quantity and estimated delivery date. You should check and review your order when you receive the electronic receipt, much like any online purchase. Should there be any inaccuracies you are advised to contact the OM Movianto customer service team on 01234 248 623 Q. What Customer PO do I include when ordering online? A. Your Customer PO should be your name and the date you place the order e.g. Sarah 15th October or Sarah15/10. The Customer PO must be unique to every order. Re-using a previous Customer PO may cause delays to your order being processed. Q. What happens if my order can’t be delivered? A. In the unlikely event that delivery cannot take place, OM Movianto is required to give you as early warning of this as possible. If a delivery slot is missed due to failure on the part of OM Movianto they will be required to re-deliver within 24 hours unless otherwise agreed with you. Should you be unhappy with the service provided, you should contact the OM Movianto customer service team in the first instance on 01234 248 623 If the issue cannot be resolved directly with OM Movianto, the issue should be escalated to [email protected] Q. Should I check my flu vaccine order when it’s delivered? A. Yes. Upon delivery please check that the paperwork is correct, along with the number of cartons, and that there are no visible signs of damage to the packaging. The driver will not be able to wait for every unit to be checked; any issues must be flagged within two working days with OM Movianto Customer Services team on 01234 248 623 Q. Who do I contact if there is a problem with my delivery? A. If there is an error in the order or late delivery contact OM Movianto Customer Services Team. Q. What happens to any left-over vaccines at the end of the flu season? A. Pharmacies should only order the volume of vaccines required. Guidance on how to return flu vaccines will be issued in March 2020. It will only be possible to return complete packs of unused vaccines in their original packaging at the end of the season.
Q. What happens if, for some reason, my fridges fail?
A. Local contingency plans should be in place. Please contact [email protected] if flu vaccine for the pilot is compromised as a result of fridge failure for advice about flu vaccine viability and to request replacement stock. Requests for replacement flu vaccine for the pilot will require authorisation.
