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School aged immunisations (South London)

injection

The two main ways to prevent the spread of diseases and infections are hand washing, closely followed by immunisation. Immunisations are estimated to save between two and three million deaths each year around the world.

The trust’s immunisations team deliver the school-aged immunisations programme in the London Borough of Richmond.

The role of the nurse is predominantly focussed on health promotion and the prevention of the spread of illness of disease through immunisation. The immunisations team is involved in educating, advising and promoting immunisations.

The team attends schools across the borough to administer the planned vaccinations. The team of nurses regularly attend schools to administer vaccines, as directed by the National Childhood Immunisations Programme.

The information on the immunisations tab describes the national programme and vaccinations your child will be offered to protect them against certain illnesses and disease.

The nurses will be able to support and provide advice on the various immunisations advised for children of different ages and will also be able to direct you to further information for you and your child to make an informed choice about the planned vaccination.

Information regarding the immunisations is always shared with the parent /guardian and in age appropriate terms that a child can understand.  In secondary schools, the nurse offers to attend the school to give a talk on the planned vaccines.

Consent for immunisations

When immunisations are given at school, parental/legal guardian consent is required. This is usually written consent, but in some circumstances the nurse would be happy to accept verbal consent from the parent.

If a young person has appropriate understanding to the planned vaccination and attempts have been made to discuss with a parent - the young person can self consent themselves.

What happens after vaccinations?

After the vaccination is administered, your child will be given an information leaflet about any potential side effects - to take home for the parent. They may also be given a card for the parent to retain the information in the child/young person’s health record (red) book.

Within a couple of weeks your GP should also have the details of the vaccination given unless you specifically request us not to inform them.

We keep information of vaccinations given in school. If you or your child requires a copy you child or yourself can request this. 

we are a mobile service
School-aged immunisations is a mobile service
Richmond school aged immunisations team
Members of our Richmond school aged immunisations team

By phone:

If you need to contact the immunisations team please see below: 

By email for each borough

Email the team via the secure email address:

HRCH.ImmunisationTeamMailbox@nhs.net (Richmond team). Tel: 020 3691 1019 

HRCH.ImmunisationTeamMertonMailbox@nhs.net (Merton team). Tel:

Emma Collins (Team Lead) – 07741232062

Martina Jones (Senior Nurse) – 07880261648

Teresa Wood (Nurse) – 07880277960

Natalie Lander (Admin) – 07880277958

HRCH.ImmunisationTeamBromleyMailbox@nhs.net (Bromley team). Mobile: 07880 172029/ 07741 233459.

HRCH.ImmunisationTeamBexleyMailbox@nhs.net (Bexley team). Mobile:  07880 277967/ 07741 233459

HRCH.ImmunisationTeamMailboxSouthwark@nhs.net (Southwark team). Tel: 02030497188

Christiana Ogunleye, Immunisation Team Leader for Lambeth & Southwark, 02030498799 / 07741233628

HRCH.ImmunisationTeamMailboxLambeth@nhs.net (Lambeth team). Tel: 02030497188

Christiana Ogunleye, Immunisation Team Leader for Lambeth & Southwark, 02030498799 / 07741233628

HRCH.ImmunisationTeamMailboxKingston@nhs.net (Kingston team). Tel: 020 3691 1043

HRCH.ImmunisationTeamMailboxSutton@nhs.net (Sutton team). Tel:

Emma Collins (Team Lead) – 07741232062

Martina Jones (Senior Nurse) – 07880261648

Teresa Wood (Nurse) – 07880277960

Natalie Lander (Admin) – 07880277958

 

 

 

 
Richmond imms admin team
Our Richmond school aged immunisations team and admin colleagues

Watch part one of the NHS Choices' vaccination series to find out why not being vaccinated, due to worry about side effects, means serious illnesses can become more common:

There is a national vaccination schedule that is routinely offered by the NHS to young people. As part of this programme a team of school/immunisation nurses attend schools at regular intervals to offer young people their vaccines when they are due. Vaccinations are offered in school as part of this national programme

Reasons for doing this in school:  

  • Prevents children / young people missing school for a vaccination that should be given when they are healthy

  • Young people are involved and may take more of an interest in their health as they are directly spoken to by the nurse as to their understanding of the planned vaccine
  • Locally and nationally we achieve better uptake this is commonly referred to as Herd protection. This in turn helps protect any persons unable to be protected i.e. new-born babies elderly and persons with a low immunity due to health reasons
  • The school nurse immunisation nurse in Hounslow and Richmond offer talks/ assemblies in schools before the planned vaccines to give young people an opportunity to understand the planned vaccines and ask questions.


Whilst we actively encourage parents to be involved with consent to the planned vaccines we are aware that the Young person ultimately is able to decide if they are competent to do so.
 

We now have a section for young people to self–consent on the booster vaccination form (Diptheria Tetanus and Polio (Td/IVP) and Meningitis C) if they can demonstrate understanding of the risks of disease versus benefits of the vaccine and risks of the disease.  

It is worth noting that these are vaccinations their parent/carer would have consented to as babies and this is just the young person completing the course. 

                                                                                

 

 Immunisations schedule

 
 Immunisations due at:

 Which vaccine is due?

 Route:
 Two months old  

Diphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib)

Pneumococcal (PCV13)

Rotavirus vaccine

One injection

One injection

Given orally
 Three months old

Diphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib)

Meningitis C (Men C)

Rotavirus vaccine

One injection

One injection

Given orally
 Four months old

Diphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib)

Pneumococcal (PCV13)

One injection

One injection
 Between 12-13 months old

Hib/meningitis C

Measles, mumps and rubella (MMR) Pneumococcal (PCV13)

One injection

One injection

One injection
 Two, three and four years old  Influenza (from September)

Nasal spray

or one injection 

 Three years and four months old or soon after Diphtheria, tetanus, pertussis, polio (DTaP/IPV or dTaP/IPV)

Measles, mumps and rubella (MMR)

One injection

One injection  
 Girls aged 12 to 13 years

Cervical cancer caused by human papilloma virus types 16 and 18. HPV vaccine

Two injections given 6-24 months apart

 Around 14 years old

Meningococcal C (Men C)

 Tetanus, diphtheria, and polio (Td/IPV)

One injection

One injection

Diphtheria
Diphtheria is an infectious disease spread by bacteria or germs that live in the mouth, throat and nose of an infected person. It is easily passed to others through coughing and sneezing.
 

Tetanus (Lockjaw)
Is caused by a poison produced by a germ found in soil, dust and manure that can enter the body through a cut, wound or any break in the skin. Tetanus causes serious, painful spasms of muscles and can lead to "locking" of the jaw so a person cannot open his or her mouth, swallow, breath or move. 

Poliomyelitis (Polio)
Paralytic polio is a virus that strikes children and adults and can cripple and kill. It is spread by contact with the faeces (bowel movement) of an infected person.

Meningitis C
Meningococcal group C bacteria can cause meningitis and Septicaemia. Teenagers are offered a booster now typical symptoms may be fever, vomiting, drowsiness, difficult to wake up, irritability and/or confusion dislike of bright lights severe headache or muscle pains, blotchy skin with or without a rash, stiff neck.

Measles:
A virus can be spread very easily by airborne or droplet transmission. Symptoms include a rash, fever, cough and watery eyes. Measles also can cause pneumonia, brain damage, seizures or death.

Mumps:
Spread by airborne or droplet transmission causes fever, headaches and swollen salivary glands under the jaw. May develop a mild meningitis Also it can result in permanent hearing loss and serious complications particularly in males.

Rubella: (German measles)
The virus usually causes mild sickness with fever, swollen glands and a rash. If a pregnant woman gets rubella, she can lose her baby, or the baby can be born blind, deaf, mentally retarded or with heart defects or other serious problems.

Many of you may have heard about the new Flu vaccine for children. It is a nasal vaccine given in the prevention of flu 's given as a nasal spray and will be offered from autumn 2014 for  children with long term health conditions and  to all children who were aged two, three and four on September 1 2014. 

Most pupils attending this school will probably be eligible due to their health needs. We all know children with health problems are more susceptible to these infections and are often more poorly than others if they do get flu, by having this vaccine it aims to protect them from flu and the impact it will have on them.

Flu can be a very unpleasant in children and can cause high temperature, blocked nose cough, sore throat, muscle or joint aches and tiredness. Some children need hospital treatment for this or for further complications such as ear infection, bronchitis, and pneumonia

This also impacts on their education particularly if they have any other medical conditions as they may be more susceptible at picking up infections. Please arrange with your doctor for your child to have this new inhaled vaccine.      

There is a tool at the top of the page to translate to other languages if English is not your first language. 

This vaccine is not suitable for everyone and some children with allergies, a weakened immune system, severe asthma or wheezing at time of vaccine, these people may be recommended the flu injection instead.

For further information please also see NHS Choices.

Video:  Flu Heroes - Nasal flu spray for kids  

Watch the film below.  The nasal flu vaccination programme is being piloted in primary schools across England. Find out more by visiting www.healthforkids.co.uk

Update on BCG vaccine - for parents and professionals (January 2017)

HRCH has been awarded the contract to administer BCG's across several areas , to specific groups only – please read the eligibility criteria:
 
If your baby is under 28 days your maternity service may be offering a recall service.  Please check with the local maternity service to see if this is happening.
 
We appreciate parents’ anxiety about getting their infant their BCG vaccine, but they should be reassured that their child need to be living in close contact with adults with TB for several weeks / months before they can contract TB. Our priority at this time is to prevent TB Meningitis which has affected 6 babies in the past 10 years.
 
1. If your child was born between July 2015 and May 2016, there was no vaccine, so regretfully your child will not be prioritised for the new limited stock supply because  they are now over 3 months old and have a reduced risk of meningitis since they will received other routine vaccinations.
 
2. If your child was born between 1st May and 31st August 2016 they will be eligible for a vaccine if they are living in a household with parents or grandparents from countries where the TB incidence rate is 40 cases per 100,000 or higher.
 
3. If your child is born after the 1st September 2016:

a. You will be offered at BCG at birth or within 28 days at a BCG clinic at your maternity unit in London.
b. If for some reason you were not offered this vacation and if you are living in a London borough where the TB incidence rate is 40 cases per 100,000 or higher or your infant is living in a household with parents or grandparents from countries where the TB incidence rate is 40 cases per 100,000 or higher, then you take your baby to your health visitor, midwife, GP or other clinician and they can refer you to a community BCG clinic.
 

4. We do not recommend private BCG vaccination since you have no assurance regarding the potency (strength) of these vaccines. 

Unlicensed vaccine explained:
The current BCG is an unlicenced product.   There is a global shortage of BCG vaccine that has caused breaks in vaccine supply to the national BCG immunisation programme. Our contracted supplier has not been able to supply us with BCG vaccine.

The risk of contracting TB in the UK remains low, however for eligible babies to still be able to receive BCG vaccine; Public Health England has worked with other suppliers and has secured a short-term supply of BCG vaccine.

This vaccine, made by InterVax, has been a WHO approved vaccine for many years and is used extensively across the globe. However the vaccine does not have a license in the UK.

What is the difference between a licensed and unlicensed vaccine?

All vaccines used in the UK are authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) or the European Medicines Agency (EMA). While no medicine is completely risk free, a licence indicates that trials of the medicine’s safety and effectiveness have been carried out and the benefits of the medicine are believed to outweigh the risks.

Only when all the information about the vaccine has been accepted by the MHRA or EMA will they be given a licence and be produced and promoted by the manufacturers for general use. An unlicensed medicine may be licensed in other countries but not have a current licence in the UK because the manufacturer has not applied for one. In certain areas of healthcare, for example in childrens’ health, many medicines used are unlicensed. So, not having a UK licence does not mean the medicine is unsafe or untested.

Who has PHE asked for advice over the importation of unlicensed BCG vaccine?
Before importing BCG vaccine without a UK licence, PHE has taken advice from the Medicines and Healthcare Products Regulatory Agency (MHRA), the National Institute for Biological Standards and Control (NIBSC), the Joint Committee on Vaccination and Immunisation (JCVI) and the Department of Health (DH).

Unlicensed BCG vaccine is being imported into the UK in accordance with medicines legislation, which is permitted when there are shortages of a suitable licensed product. The MHRA has not objected to the importation of the Intervax vaccine.
PHE has also consulted with WHO and other European countries where the vaccine is in use. For the full leaflet is available from the www.gov.uk website.
 
Having taken on the contract we currently setting clinics up and and will soon have the service running, however this will take some time, so please be reassured that we will vaccinate your baby as soon as possible , there is a waiting list.

If you choose to take your baby on holiday please note we will not be putting babies travelling as a higher priority than others.
Areas covered  by HRCH : -Bexley, Bromley, Greenwich, Sutton, Merton, Kingston, Richmond, Hounslow. 

If you have a question not answered here please email  hrch.bcg@nhs.net with your contact details.

The BCG tuberculosis (TB) vaccine is offered to babies through a referral process only for babies under 1 year old, living in Hounslow or Richmond.

All babies born at West Middlesex University Hospital are routinely offered the BCG vaccine . We are informed that West Middlesex Hospital will contact parents directly to offer a catch up programme.

In Hounslow, we routinely offer the BCG vaccine to all babies under 1 year old, regardless of which hospital they were born at. In Richmond there is a criteria list to complete to determine risk that needs to be met before babies are immunised If your baby lives in Hounslow or Richmond boroughs but was not born at  West Middlesex Hospital - ask your health visitor about a referral.

There may be a delay in appointment bookings due to a national shortage of the vaccine currently. 
 

Advice for parents on the BCG vaccination 

  1. Whilst it is unlikely that your baby if he /she does develop a temperature or become fretful,or if you have any concerns - discuss with your GP, Pharmacist or Phone the NHS advice line on 111 for advice  on the use of paracetemol (Calpol). 

  2. Leave the injection site to air, do not cover with plasters. 

  3. You can bath your baby as normal. 

  4. The injection site may swell and be quite large, i.e. the size of a 10p coin or more.  If the site is larger than a 10p coin, seek advice from your GP as soon as possible. 

  5. If redness or swelling moves away from the injection site, or if there is any swelling at the child’s armpit seek advice from your GP as soon as possible. 

  6. The injection site may also look like an abscess, and can take up to three months to heal. This is positive as it shows the vaccine and your child’s immune system is working. 

  7. If the site is oozing and you want to take your baby swimming, apply a dressing for a short time only. 

  8. Please do not squeeze the injection site or ulcer formed by the vaccine 

  9. If the site has not healed after 3 months, seek advice from your GP as your baby may require follow up treatment. 

  10. Your baby can still start their routine immunisations, however you should make sure that your baby is not given another injection in the same arm as the BCG for at least 3 months. 

 

BCG team contact details

BCG team email: hrch.bcg@nhs.net)

Phone number for parents and professionals:
 

  • For babies residing in Hounslow, Richmond, Kingston, Sutton, and Merton:  020 3771 6050

  • For babies residing in Greenwich , Bexley,  Bromley:  020 3771 6055

Please do not leave messages on both phones. This vaccine is routine and none urgent – calls will be returned but may take a 1-2 days.

 

More information:

If you need more information, see the NHS Choices website. There is a translation tool on the top left hand side of the screen.

 

Further immunisations information for all childhood vaccines and diseases is provided for you to see below:

Diseases that we protect against in school:                                              

Find out about Nasal Flu vaccines (for years 1,2,3 in school and children attending special needs schools)

child having nasal flu vaccine
nasal flu vaccine
Find out about HPV (for year 8) 
Find out about DTP  & MenACWY (years 9/10)

Useful information:

Distraction techniques:

  • Please bring an IPOD and download/ listen to your favourite music whilst having an injection

  • Why not watch this distraction video below on your mobile whilst having an injection

 

Immunisations explained for children with special needs:

Immunisations explained for children with special needs 1/5
Immunisations explained for children with special needs 2/5
Immunisations explained for children with special needs 3/5
Immunisations explained for children with special needs 4/5
Immunisations explained for children with special needs 5/5