Vaccinations and Immunisations

Lentells Medical Division





There has been a significant review of vaccination and immunisations and 2020 represents the first of a 2 year programme of reforms.


From 2020, vaccinations and immunisations become an essential service, rather than an additional service.  All practices will be expected to offer all routine pre and post- exposure vaccines and NHS travel vaccines to all of their registered patients.


The global sum will be protected, in line with the 5-year agreement.


As the service provided has varied between practices, new contractual standards have been agreed as follows:


  • A named lead for vaccine services.  The named lead will be responsible for making sure the core standards are met and will be expected to liaise with the PCN and other bodies such as PHE screening and immunisation leads.
  • Appointments are to be offered over a range of times during the week and the PCN extended hours’ service can be used at weekends and in the evening.    Appointments will also need to be bookable online.
  • Call/recall and opportunistic offers are to be made in line with national standards.
  • Practices will need to participate in national catch up campaigns.  In 2020/21 this will be a continuation of the MMR programme for 10 and 11 year olds. 
  • Adherence to defined standards for record keeping and reporting of data coverage.


Payment changes


By the time all of the changes have been implemented, there will be a standard £10.06 IOS fee for all vaccines administered (which will include those currently administered under the childhood immunisations and pre-school boosters programme).   For this first year, the IOS payment will apply to MMR 1 and 2 vaccines.  This will be paid on administration of the vaccine and not call/recall.


The achievement in 2020/21 will provide baseline figures for the repayment scheme being introduced in 2021/22.


From April 2021, the IOS fee will be applied to all routine vaccinations.  This could benefit practices who achieve less than the 70% target for child immunisations and pre-school boosters who currently do not receive any payment at all. 


However, where practices do not achieve a minimum of 79% coverage for routine childhood vaccines there will be a clawback.   The clawback will be based on the IOS fee*50% of the eligible cohort size, so, for example, if the eligible cohort was 500 patients, the clawback would be £2,515 (£10.06x50%x500).  


It is anticipated that practices will be paid on an aspiration basis, with any final balancing adjustment made at the year end.


From 2021, a new Quof domain will be introduced relating to routinely scheduled vaccines.    It is expected that this new domain will have a value of at least £40m and funding will come from the difference between current funding of routine vaccines and what is expected to be redistributed into the IOS fee.


Practice incentives for flu vaccines for the over 65’s (over and above the IOS fee) will go to Primary Care Networks through the Investment and Impact fund.



Blog post uploaded 2 Jul 2020