Approval of Designated Yellow Fever Centres

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A decision made on 17 June 2019

Decision Reference: MD-HSS-2019-0028
Decision Summary Title :	Approval of Designated Yellow Fever Centres		Date of Decision Summary:	12 June 2019
Decision Summary Author:	Assistant Director, Policy and Ministerial Support		Decision Summary: Public or Exempt? (State clauses from Code of Practice booklet)	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:
Written Report Title :	Approval of Designated Yellow Fever Centres		Date of Written Report:	12 June 2019
Written Report Author:	Head of Professional and Care Regulation		Written Report : Public or Exempt? (State clauses from Code of Practice booklet)	Public
Subject: International Health Regulations - Designated Yellow Fever Centres
Decision(s): The Minister for Health and Social Services devolved responsibility for the designation of Yellow Fever Centres under the International Health Regulations 2005 to the Jersey Care Commission.
Reason(s) for Decision: As the independent regulator of health and social care, the Care Commission is the most appropriate body to administer the designation of Yellow Fever Centres in Jersey.
Resource Implications: None – cost of administration already covered by existing fees for designation
Action required: The Minister to formally advise the Jersey Care Commission of the decision
Signature:		Position: Minister for Health and Community Services
Date Signed:		Date of Decision (If different from Date Signed):

Approval of Designated Yellow Fever Centres

HEALTH AND COMMUNITY SERVICES DEPARTMENT

International Health Regulations 2005, Designation of Yellow Fever Centres – devolving the administration of Yellow Fever Centre designation to the Jersey Care Commission

Background

The International Health Regulations (IHR) adopted by the World Health Organisation (WHO) in 1969 were formulated to help prevent the international spread of disease, and in the context of international travel, to do so with the minimum of inconvenience to the passenger. The Regulations were designed primarily as a public health measure for the receiving country rather than for the protection of the individual. The World Health Organisation approved the revised edition of the IHR in May 2005.

Yellow fever is currently the only disease for which an International Certificate of Vaccination or Prophylaxis (ICVP) may be required for entry into a country. Yellow fever vaccine can only be administered at centres that are designated by the national health administration. The requirement for designating centres is to ensure the ‘quality and safety of the procedures and materials employed’[i].

In England and Wales, the National Travel Health Network and Centre (NaTHNaC) is commissioned by the Department of Health to administer Yellow Fever Centre designation. In Scotland this responsibility is devolved to Health Protection Scotland.

Administration and oversight of Yellow Fever Centre designation in Jersey

There are currently ten designated centres in Jersey monitored to ensure they meet the WHO and International Health Regulations requirements. They are all located in General Practice and are:

Dr M Winspear

Castle Quay Medical Practice

La Rue de L’Eau, St Helier, JE2 3EH

Dr M Wilson

Lister House Surgery, The Parade

St Helier, JE2 3QQ

Dr D Balbes

Indigo House, 2 – 8 Oxford Road

St Helier, JE1 4HB

Dr D Balbes

Indigo Medical, Little Grove Clinic

La Rue de Haut

St Lawrence, JE3 1JZ

Dr C Cook & Partners

Island Medical Practice, 14 Gloucester Street

St Helier, JE2 3QR

Dr S Ryan

Route du Fort Surgery, Suite 2.2 Lido Medical Centre

St Saviour’s Road, St Saviour, JE2 7LA

Dr R Worth

Health Plus Health Centre, Queens Road

St Helier, JE2 4HY

Dr L Guise

Lido Medical Centre, St Saviours Road

St Saviour, JE1 4HB

Dr H Juchniewicz

Cleveland Clinic, 12 Cleveland Road

St Helier, JE1 4HD

Dr B Ellis & Partners

Cooperative Medical, Bath Street Medical Centre

87-91 Bath Street

St Helier, JE24SU

Only these designated practices are permitted to give Yellow Fever vaccinations in Jersey and issue a vaccination certificate.

The administration of Yellow Fever Centre designation was carried out on behalf of the Minister for Health and Social Services by the Professional and Care Regulation Team, originally in the Public Health Directorate and latterly in Community and Constitutional Affairs (now Strategic Policy, Performance and Population).

In January 2019, the Professional and Care Regulation Team transferred to the Jersey Care Commission when it became fully established following the implementation of the Regulation of Care (Jersey) Law 2014. At the same time, a number of other regulatory functions, under Jersey legislation, were transferred to the Commission. The authority to designate Yellow Fever Centres was not transferred by Regulation – as this sits under international rather than local legislation.

The Care Commission has staff with the experience, skills and knowledge to undertake the necessary work and, as the independent regulator of health and social care, is an appropriate body to administer the designation of Yellow Fever Centres in Jersey.

Recommendation

The Minister is recommended to:

1) Authorise the Jersey Care Commission to administer and monitor the designation of Yellow Fever Centres and ensure that these comply with the requirements set out under the International Health Regulations 2005.

2) Require the Jersey Care Commission to provide the Minister with a report annually on the number and location of designated centres, the number of inspections undertaken and the number of vaccines administered.

3) Require the Jersey Care Commission to advise the Minister of any issues of concern that arise in relation to any Designated Yellow Fever Centre.

Official

[i] “State Parties shall designate specific yellow fever vaccination centres (YFVCs) within their territories in order to ensure the quality and safety of the procedures and materials employed.” (IHR, May 2005, Annex 7.2.f)