Changes to Shingles vaccination programme
From 1 September 2025, patients aged 18+ who are severely immunosuppressed will qualify for the Shingles vaccination programme (previously 50 years +). Patients will be offered 2 doses of the non-live shingles vaccine, Shingrix, with the second dose given 8 weeks to 6...
Patient Registrations – FP69 Flags
In line with NHS England procedures, if a letter sent directly to a patient is returned to PCSE, or PCSE is notified by a screening administration service that a letter has been returned indicating the addressee is no longer at the address, PCSE is required to raise...
RSV in Pregnancy – CQRS Returns
From September, this will be an auto CQRS extraction. To ensure practices qualify for payment in future automated extractions, it is essential that both the RSV vaccination and a pregnancy code are recorded on the same day in the patient record. This is unusual as you...
Tramadol & Warfarin Interaction
Potentially fatal interaction between tramadol and warfarin due to thinning of the blood and brain bleeds. Although not noted in the BNF, the coroners office have asked for raised awareness of this potential fatal interaction: Coroner advises NHS England to warn...
QOF & Prevalence Rates
How do they compare year-on-year and how does this affect your income?
Payments – Flu/COVID Vaccinations
COPD Registers – incorrect codes adding patients to the register
July 2025 insight-FUL – Chronic obstructive pulmonary disease annual review’ (394703002) will now put a patient on the COPD register – COPD finding and COPD Follow-up have also been added to the cluster. This came to light as some practices have...
Inactivation of SNOMED Influenza Code
High PCA’s – is this a problem?
At one of our recent PCA webinars, we had a few practices who said their ICB had told them their PCA’s where patients had not responded to invites were too high. In the past, there were many reports from practices who were told their ‘informed dissent’ coding was too...Free Monthly Hints & Tips
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