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Swine flu

Q: Do swine flu vaccination refusal percentages contribute anything to reducing the thresholds for the QOF patient experience indicators PE7 and PE8? Our practice vaccinated 43.8 per cent of patients over six months old who had risk factors, but 14.1 per cent of this group declined the vaccination. Is this result treated as 57.9 per cent for threshold calculation purposes or just 43.8 per cent?

A: No allowance is made for at-risk patients who declined the vaccination. The rationale is that the 50.7 prescribed percentage already allows for this.

Practices in some areas had problems with housebound patients who should have been vaccinated by community nurses but were not.

Unfortunately these patients also count when calculating if the threshold was reached and practices may well lose out on payments because of this.

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