Quality statement 5: Checking immunisation status of young offenders and offering outstanding vaccinations

Quality statement 5: Checking immunisation status of young offenders and offering outstanding vaccinations

Quality statement

Young offenders have their immunisation status checked on entry into a secure setting and are offered any outstanding vaccinations.

Rationale

Young offenders are less likely to be fully immunised against infectious diseases than the general population. Having their immunisation status checked when they enter a secure setting can identify any gaps in their immunisation history. By identifying missed vaccinations and offering the outstanding vaccinations, coverage in secure settings can be increased.

Quality measures

Structure

a) Evidence of local arrangements to ensure that young offenders have their immunisation status checked on entry into a secure setting.

Data source: Local data collection.

b) Evidence of local arrangements to ensure that young offenders in secure settings are offered outstanding vaccinations.

Data source: Local data collection.

Process

a) Proportion of young offenders in secure settings who have their immunisation status checked on entry.

Numerator – the number in the denominator who have their immunisation status checked on entry.

Denominator – the number of young people entering secure settings.

Data source: Local data collection.

b) Proportion of young offenders in secure settings identified as having gaps in their immunisation history who are offered outstanding vaccinations.

Numerator – the number in the denominator who are offered outstanding vaccinations.

Denominator – the number of young people entering secure settings identified as having gaps in their immunisation history.

Data source: Local data collection.

Outcome

Immunisation coverage in young offenders.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (for example, prison medical services, GP practices and community trusts) ensure that systems are in place for healthcare professionals to check the immunisation status of young offenders at the time of entry to a secure setting and offer them any outstanding vaccinations.

Healthcare professionals (for example, nurses) ensure that they check the immunisation status of young offenders at the time of entry to a secure setting and offer them any outstanding vaccinations. The immunisation status can be checked by asking the young offender and liaising with their GP practice.

Commissioners (for example, NHS England and Public Health England) ensure that they commission services that check the immunisation status of young offenders at the time of entry to a secure setting and offer them any outstanding vaccinations.

Young people moving into a secure setting (such as a secure children's home or a young offender institution) have their vaccination records checked and are offered any outstanding vaccinations.

Source guidance

Immunisations: reducing differences in uptake in under 19s (2009) NICE guideline PH21, recommendation 5