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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

Consent must be obtained before starting any patient care - this includes the administration of vaccines. The HRCH Immunisation team want the parents or legal guardian to be involved in their son or daughters care by discussing the vaccinations with them and by returning a signed vaccination form. 

Vaccine information and consent forms are sent out from the schools on multiple occasions as are parent mail reminders. In addition, we ask for reminders and PowerPoint information about the vaccine to be shown to the young people in school assembly or tutor time. However, we do acknowledge that despite our best efforts forms do not always reach home and addresses, emails or mobile numbers change which results in information not being received by the families.

Our ultimate aim is to prevent these young people getting vaccine preventable diseases. Therefore, on the day of the immunisations we invite all those that have consented to have the vaccine AND those who have not yet returned a form to attend the session. This is so we can discuss the vaccine with the young person and to attempt to contact their parent or legal guardian.

Self-consent

However, in the absence of a signed consent form and being unable to contact the parent we will assess the young person for self-consent. Not all young people will be competent; it is assessed on an individual basis by an immunisation nurse. The final decision to consent or refuse vaccination is the young person’s choice - we will not give a vaccination where it is not wanted by the young person. 

To assess the young person’s ability to self-consent for the vaccine we use the Gillick Competence guidelines which are defined below but can also be found online at:

www.nhs.uk/conditions/consent-to-treatment (opens in a new window)

  • Voluntary – the decision to either consent or not to consent to treatment must be made by the person themselves, and must not be influenced by pressure from medical staff, friends or family

  • Informed – the person must be given all of the information in terms of what the treatment involves, including the benefits and risks, whether there are reasonable alternative treatments, and what will happen if treatment doesn't go ahead

  • Capacity – the person must be capable of giving consent, which means they understand the information given to them and they can use it to make an informed decision

Children under the age of 16 can consent to their own treatment if they're believed to have enough intelligence, competence and understanding to fully appreciate what's involved in their treatment.

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:

Julie Hale (Divisional Manager) - 020 8973 3181

Sheila Roberts (Service Lead) - 07500 974 573

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.ImmunisationTeamSuttonMailbox@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. 


Download the latest immunisations schedule:

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.

In the autumn/winter of 2017-18, the vaccine will be available free on the NHS for eligible children, including:

  • children aged two and three on August 31 2017 – that is, children born between September 1 2013 and August 31 2015

  • children in reception class and school years one, two, three and four a letter and consent form letter will be distributed through your child’s school 

  • children aged 2 to 17 with long-term health conditions

Over the next few years the programme will gradually be extended to include older children .

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

BCG tuberculosis (TB) vaccine

HRCH provides the BCG vaccination to eligible infants across the London Boroughs of Bexley, Bromley, Greenwich, Hounslow, Kingston, Merton, Richmond and Sutton. 

The BCG vaccination protects against TB meningitis in the younger age group and is a targeted vaccination, which means it is only offered to babies if they meet strict eligibility criteria.

Eligibility criteria

  • Aged between 28 days and 12 months and living in the borough of Hounslow.

  • Aged between 28 days and 12 months old, living in Bexley, Bromley, Greenwich, Kingston, Merton, Richmond and Sutton and have a parent or grandparent born in a country where the annual incidence of TB is 40 in 100,000 or greater (see the WHO website for current countries).

Babies only need to have one BCG vaccination and some maternity hospitals have started to administer the BCG vaccination before 28 days, so please check whether the baby has received a BCG before referring them.

NHS England has commissioned us to provide the vaccination to babies up to one year of age and we are therefore unable to accept referrals for babies above this age group.

If you are a parent or carer of a baby who you thinks meets the criteria please ask your health visitor or GP to refer to us.

If you are a parent or carer of a baby who is not eligible and you wish to have more information, please see the NHS.UK website

The only BCG vaccination available in the UK is Intervax which is an unlicensed product. Please read the following for more information about the unlicensed BCG.

Public Health England unlicensed BCG leaflet

It is important that ba bies are referred before they turn 11 months old to allow time for an appointment to be made .

To refer a baby, please use the referral form below.

How common is TB in the UK?

TB isn't very common in the UK. There were 6,240 cases of TB in the UK in 2015. Rates of TB are higher in some communities of non-UK born people. This is largely because of their connections to areas of the world where rates of TB are high.

Is TB contagious?

Yes. TB is spread when a person with TB in their lungs or throat, coughs or sneezes and somebody else breathes in the droplets of saliva containing the infection.

However, TB is not as infectious as the common cold or flu. You usually need to spend a long time in close contact with an infected person before you catch TB.

For example, infections usually spread between family members who are living in the same house. You are unlikely to catch TB by sitting or standing next to someone who is infected. TB cannot be spread through touch, or sharing cutlery, bedding or clothes.

Referral information

 

Aftercare advice

  • It is unlikely that the BCG vaccination will cause a high temperature in your baby and therefore paracetamol is not required. Any reaction is likely to be localised in the injection site.

  • Some babies have no reaction to the vaccination and some have a bigger reaction.

  • Leave the injection site open to the air and do not cover with plasters unless you are taking the baby swimming

  • Bath your baby as normal but do not apply any products directly to the site or massage the area.

  • The injection site may swell and can be large, up to the size of a 10p coin.

  • The injection site may also look like an abscess and take up to 12 weeks to heal.

  • Your baby can have their routine vaccinations at any time before or after their BCG but should not have any further injections in their left arm for 12 weeks/3 months after their BCG.

When to seek advice from the GP:

  • If the injection site becomes bigger than a 10 p coin.

  • If the redness and swelling moves away from the injection site.

  • If your baby develops any lumps or swelling in the armpit

  • If the injection site has not healed by 12 weeks.


Contact the BCG team

Email: hrch.bcg@nhs.net

Phone number for parents and professionals: 

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

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

Please do not leave messages on both phones. This vaccine is routine and non-urgent – calls will be returned but may take a 1-2 days.


More information:

If you need more information, see the NHS.UK website (opens in a new window)

 

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