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GPs to take on vaccinating at-risk babies against hepatitis B

GPs in England are being tasked with vaccinating newborn babies who may be at high risk of contracting hepatitis B against the disease, under a new programme starting this year.

Under the new service, practices will be responsible for checking that at-risk babies on their register have had the first dose of hepatitis B vaccine – which should ideally be given in hospital after birth – and then ensuring they also complete the three remaining doses at one, two and after 12 months.

Practices will be paid £7.64 for each of the three (or four, if the first is not done in hospital) doses they deliver.

The GPC said hospitals would usually provide the first vaccination to babies who may be at risk, which includes those whose mother has hepatitis B, and inform the mother’s practice or intended practice.

But Dr Charlotte Jones, the GPC’s new co-lead on vaccinations and immunisations, told Pulse GPs would need to be mindful that some mothers may not have registered with a GP or informed the hospital who their GP would be.

Dr Jones said: ‘The hospital will advise the patient’s registered GP, where they know who it is. But practices should be proactive about making sure those that are high-risk have it.

‘It’s a difficult one – there may be some mothers who have not chosen their registered GP or don’t tell the hospital who their GP is. My advice to practices would be to be mindful of it – and don’t rely on hospitals informing practices.’’

Dr Jones, who is also Welsh GPC chair, said although the new programme is only being introduced in England this year, it was likely GPs in Wales and the other devolved nations could be expected to follow suit in the future.

A spokesperson from Public Health England (PHE) explained the process of vaccinating babies born to hepatitis B-positive mothers had been in place since 2000, but this is the first year GPs would be paid to vaccinate babies under the SFE.

PHE said few eligible babies would miss the first dose, and GPs could safely administer an extra dose if they were uncertain whether if the first had been given or not.

The spokesperson said: ‘There will be very few babies who miss the first dose at birth. When the healthcare worker or midwife sees the child for the newborn blood spot screens (at day five after birth but could be up to day 17), they should check the child’s red book to see if they were eligible for hep B vaccine and  received the first dose; if no vaccine was given they can be referred to the GP for vaccination.

‘If the GP is not sure if the child was vaccinated (ie, not in the hospital discharge summary or red book) the GP should confirm with the maternity unit. In the rare occurrence that the GP cannot confirm vaccination was given, they can administer an extra dose as the critical doses are those given at birth and one month.’

One other new vaccination programme introduced this year is an enhanced service for the meningitis C booster vaccination for new students arriving at university.

In addition, the pneumococcal vaccination programme has been updated to include those vaccinations given to under-65s in clinical risk groups in the DES, as well as those given to the over-65s cohort, while additional cohorts have been added to the routine shingles vaccination and childhood flu vaccination programmes.

Readers' comments (8)

  • Phew, I thought there was too much free time. Luckily we can fill the gap again with this extra work.

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  • Wonder how much secondary care gets paid for this.

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  • Vinci Ho

    Well justified especially in certain ethnic groups e.g. Chinese where incidence if Hep B is historically high .
    The programme is all about better communication between primary and secondary care . I wonder how many babies had the first dose in hospital but did not have the second and third in GPs at the moment ?

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  • As per anon 9:42. Just how many more vaccs can we give? It requires time and goodwill and frankly I'm out of both. PHE try some other mug!

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  • This is like the situation for all things secondary care - I found out they get £150 for a blood test in children.

    Now the CCG are refusing to increase our rate from £1.86 to £2.16 in line with neighbouring CCGs - so we would get £1.86 if we did the test in Primary care!

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  • I think health visitors would be best placed to undertake this additonal work and could also take back the immunisation programme in its entirety. This would release GP and practice nurse time for some of the onslaught of additional work already heading our way. We can't go on absorbing more and more work in a one-way flow.

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  • You need to check your facts. Secondary care gets paid a flat national maternity tariff for each delivery, with a small increase for 'complex cases' but only if these are known at booking. All other care e.g normal delivery vs C section, antenatal admissions, rhesus screening, treating diabetes etc etc recevies NO extra funding. This makes maternity care loss-making in every hospital.

    We are all in the same boat guys, being taken for a ride by the government and unfairly slated by the press. Lets agree not to do it to each other ...

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  • Vinci Ho

    As I always said , identify the true enemy of the state , enemy of NHS and those who really want to burn its flag........

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