Quality statement 3: Recording vaccinations

Quality statement

Children and young people receiving a vaccination have it recorded in their GP record, the child health information system (CHIS) and in their personal child health record.

Rationale

Accurate recording of vaccinations allows services to monitor uptake rates in their area. This can help when planning for future population immunisation programmes and appointment requirements. It aids the timely administration of vaccinations to children and young people and supports the use of call–recall systems.

Quality measures

Structure

a) Evidence of local arrangements to ensure that children and young people receiving a vaccination have it recorded electronically in their GP record.

Data source: Local data collection.

b) Evidence of local arrangements to ensure that children and young people receiving a vaccination have it recorded on the CHIS.

Data source: Local data collection.

c) Evidence of local arrangements to ensure that children and young people receiving a vaccination have it recorded in their personal child health record.

Data source: Local data collection.

Process

Proportion of children and young people receiving a vaccination who have it recorded on their GP record and personal child health record.

Numerator – the number in the denominator who have their vaccination recorded on their GP record and personal child health record.

Denominator – the number of children and young people receiving a vaccination identified as receiving one by CHIS.

Data source: Local data collection and NHS public health functions agreement 2016–17, requirement 3.19.

Outcome

a) Accurate planning for future population immunisation programmes and appointment requirements.

Data source: Local data collection.

b) Timely administration of vaccines to children and young people.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (for example, GP practices) ensure that systems are in place to record vaccinations of children and young people in their GP record, the CHIS and their personal child health record when the vaccination is given. The recording should be done electronically on the GP record and the CHIS.

Healthcare professionals (for example, GPs, health visitors, practice nurses and school nurses) ensure that the vaccinations of children and young people are recorded in the GP records, the CHIS and the personal child health record when the vaccination is given. The recording should be done electronically on the GP record and the CHIS.

Commissioners (for example, clinical commissioning groups and NHS England) ensure that they commission services that have systems for recording vaccinations when they are given. The recording should be done electronically on the GP record and the CHIS.

Children and young people have every vaccination recorded in their GP's record, their personal child health record (often shortened to 'PCHR' or 'the red book') and the child health information system. The child health information system is a record of the healthcare received by every child in England (often shortened to CHIS).

Source guidance

Immunisations: reducing differences in uptake in under 19s (2009) NICE guideline PH21, recommendation 2

Definitions of terms used in this quality statement

GP record

Every time a person visits an NHS service in England, a record is created or updated. This record is held in their GP practice and contains all the clinical information about the care the person has received. It enables every healthcare professional involved at different stages of the person's care to have access to their medical history, including allergies, operations or tests, medicines and immunisations. Based on this information, healthcare professionals can make judgements about the person's care.

[Adapted from NHS Choices and expert opinion]

Child health information system (CHIS)

CHIS is a patient administration system that provides a clinical record for individual children and supports a variety of activities related to child health, including universal services for population health and support for statutory functions. It identifies registered eligible children, sends out lists to GP practices and sends appointments directly to patients. The childhood seasonal influenza vaccination is not required to be recorded on CHIS.

[Public health functions to be exercised by NHS England (2013) NHS England and expert opinion]

Personal child health record (PCHR)

The PCHR, also known as the 'red book', is a record of the health history of children aged under 5 years. It is held by the child's parents or carers. The PCHR also provides information on the UK childhood vaccination schedule.

[NICE guideline on immunisations, and expert opinion]