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L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

Prescribed List: Changes from 8 August 2017

A formal published “Ministerial Decision” is required as a record of the decision of a Minister (or an Assistant Minister where they have delegated authority) as they exercise their responsibilities and powers.

Ministers are elected by the States Assembly and have legal responsibilities and powers as “corporation sole” under the States of Jersey Law 2005 by virtue of their office and in their areas of responsibility, including entering into agreements, and under any legislation conferring on them powers.

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  • demonstrating that good governance, and clear lines of accountability and authority, are in place around decisions-making – including the reasons and basis on which a decision is made, and the action required to implement a decision

  • providing a record of decisions and actions that will be available for examination by States Members, and Panels and Committees of the States Assembly; the public, organisations, and the media; and as a historical record and point of reference for the conduct of public affairs

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A decision made 3 August 2017:

Decision Reference: MD-S-2017-0052

Decision Summary Title :

DS_Removal of flu vaccination from Prescribed list

Date of Decision Summary:

01 August 2017

Decision Summary Author:

Policy Principal

Decision Summary:

Public or Exempt?

Public

Type of Report:

Oral or Written?

Written

Person Giving

Oral Report:

N/A

Written Report

Title :

WR_Removal of flu vaccination from prescribed list

Date of Written Report:

01 August 2017

Written Report Author:

Policy Principal

Written Report :

Public or Exempt?

Public

Subject:  Changes to be made to the Prescribed List (Jersey) as at 8 August 2017

Decision(s): Further to Article 15, paragraphs (11) and (12), of the Health Insurance (Jersey) Law 1967, and having consulted with the Pharmaceutical Benefit Advisory Committee, the Minister decided to make amendments to the Prescribed List with effect from 8 August 2017 to remove inactivated influenza vaccination from the list of medicines available as pharmaceutical benefit

 

Reason(s) for Decision: Over the past couple of years Jersey has achieved a poor uptake of flu vaccination amongst those most vulnerable to flu infection and experienced a spike in hospital admissions due to flu like illnesses.  The current process for delivering seasonal  flu vaccination has been reviewed, concluding that subsidy offered via medical benefit and pharmaceutical benefit restricts access and does not encourage practitioners to focus effort where the vaccination is most effective.    A ‘flu group’ has been convened and proposed a new process to deliver a subsidised seasonal flu vaccination to target and indicated groups under contract.  This new process necessitates the removal of the flu vaccination from the prescribed list. 

 

The new process aims to

  • Improve coverage among clinically indicated groups, people and children vulnerable to the effects of flu
  • Protect communities from an outbreak of seasonal flu by vaccinating targeted groups,  these include nursery age and primary school children (who are more likely to catch flu, to experience more severe symptoms and spread flu within the population) and staff working in care homes
  • Reduce the risk of winter pressures on the General Hospital
  • Increase patient choice and improve access to flu vaccination services

Additional benefits of the flu plan include

  • Improving the value for money achieved with States funding
  • Widening role diversity for primary care providers in line with the objectives of P.82 and the sustainable primary care strategy.

 

Resource Implications:

The overall impact of the changes is expected to reduce total expenditure to the Health Insurance Fund by approximately £100,000

Action required:

Business Manager to issue public notice listing amendments and notify all approved medical practitioners and approved contractors.

 

Signature:

 

 

 

Position:

Minister

Date Signed:

 

 

 

Date of Decision (If different from Date Signed):

 

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