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GPs go forth

GPs can now order a single flu vaccine for all adults, says NHS England

GPs can now order a single flu vaccine for all patients over the age of nine for the next flu season, NHS England has announced.

The new vaccine – QIVc - was licenced for use in the UK last week, and has been ruled safe and effective in all age groups over 9 years by the Government’s vaccination advisory body.

In a letter, published today, NHS England told GPs they can order QIVc, alongside the previously available aTIV and QIVe – which were used in 2018/19 for over 65s and under 65s at risk, respectively.

This comes after Public Health England told GPs in November to re-order the same two types of vaccine as they have been using this season, for 2019/20.

PHE's advice was given despite the Joint Committee on Vaccination and Immunisation (JCVI) saying the new vaccine - QIVc – could be used across all adults, and that licencing was expected.

In the updated influenza vaccine letter, NHS England’s national medical director Professor Stephen Powis said: ‘As stated in the previous letter, the vaccines recommended for the 2018/19 season continue to be recommended for the 2019/20 season.’

‘In addition, QIVc, Flucelvax Tetra, is now licensed for use in the UK for patients aged nine years and upwards,’ he added.

The letter said the JCVI considers QIVc ‘equally suitable’ to QIVe and aTIV.

It said: ‘Providers should order currently licensed vaccines, aTIV, QIVe and QIVc for the 2019/20 season for their populations in eligible groups. These three recommended vaccines will be eligible for reimbursement by NHS England.’

Ahead of the 2018/19 flu season, which started on 1 September, practices were advised to administer the quadrivalent vaccine (QIV) to patients aged 18-65 and the adjuvanted trivalent flu vaccine (aTIV) to patients aged over 65.

However, issues were caused by the phased deliveries of the aTIV - supplied by Seqirus - which saw almost 70% of GPs experience a shortage of the vaccine, forcing them to turn away vulnerable older patients as a result.

The new vaccine (QIVc), which was used in 2017/18 US flu season, will be supplied by Seqirus.

Problems were also experienced by GPs with their orders of QIVe. Supplier Sanofi Pasteur reported packaging issues back in September, which delayed deliveries to around 1,000 GP practices by two weeks.

The issues led to the Government's medicines watchdog putting a temporary regulatory change in place to enable GP practices and pharmacies to swap flu vaccine stocks, a solution encouraged by NHS England. 

Readers' comments (3)

  • Has PHE heard about antigenic drift?
    the 2017/2018 vaccine, and event eh 2018/19 one are UNUNSUITABLE for the 2019/20 season, and a new vaccine is usually developed annually to cover the new strains circulating.
    I can no longer recommend the available flu vaccines to my patients.
    I hope someone from PHE or PHW sees this and fixes the HUGE PROBLEM they have now caused!

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  • anonymouse3 - they are not talking about reusing the same exact preparations. They are saying we could order the same product which is changed each year as normal to account for your antigenic drift. Not sure why anyone would use these now though with this new QIVc on the block. Lets hope they can make enough of it in time.

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  • Took Early Retirement

    From the picture, it looks like someone is using a B12 injection. It is clearly unlike any influenza immunization I ever gave.
    PULSE really ought to be more careful in its selection of photos. I presume this is an old stock one from their records.

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