Table 1 Immunisation landscape post NHS reform 2013
Key system component | Responsible organisation – pre reforms | Responsible organisation – post reforms (April 2013) |
|---|---|---|
Policy development, advice to ministers | Department of Health (national) | Department of Health (national) |
Vaccine Procurement | Department of Health (national) | Public Health England (national) |
Commissioning | Primary Care Trust (local) | NHS England (national) |
• 16 national programmes • School based programmes | Local authorities (local) or NHS England (national) | |
Disease surveillance/Outbreak response | Health Protection Agency (national) | Public Health England (national) and NHS England (national) |
Advocacy, communication and health promotion | Primary Care Trust (local) | Public Health England (national) |
Local authorities (local) | ||
System coordination | Primary Care Trust (local) | NHS England (national) |
Vaccine, Cold Chain and Logistics Management | Primary Care Trust (local) | Public Health England (national) |
Vaccine Delivery | General Practitioners (local), NHS Community Trusts (local), other providers (local or national) | General Practitioners (local), NHS Community Trusts (local), other providers (local or national) |
Child Health Information System (CHIS) and Data management | Primary Care Trusts through Child Health Information Systems (local) | Child Health Departments through CHISs (local) |
Workforce training | Primary Care Trusts (local) | Health Education England (national) |
Others: Needs assessments, scrutiny and system assurance. | Primary Care Trusts (local) | Local Authorities (local) |
Others: Quality improvement (Duty of) | Primary Care Trusts (local) | Clinical Commissioning Groups (CCGs) (local but need to give assurance to NHS England which is national) |