Quality standard
Quality statement 5: Checking immunisation status of young offenders and offering outstanding vaccinations
Quality statement 5: Checking immunisation status of young offenders and offering outstanding vaccinations
Quality statement
Young offenders have their immunisation status checked within 7 days of arrival into a secure setting and are offered any outstanding vaccinations.
Rationale
Young offenders are less likely to be fully immunised against infectious diseases than the general population. Having their immunisation status checked when they enter a secure setting can identify any gaps in their immunisation history. By identifying missed vaccinations and offering the outstanding vaccinations, coverage in secure settings can be increased.
Quality measures
The following measures can be used to assess the quality of care or service provision specified in the statement. They are examples of how the statement can be measured, and can be adapted and used flexibly.
Structure
a) Evidence of local arrangements to ensure that young offenders have their immunisation status checked within 7 days of arrival into a secure setting.
Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by provider organisations, for example from service pathways or protocols.
b) Evidence of local arrangements to ensure that young offenders in secure settings are offered outstanding vaccinations.
Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by provider organisations, for example from service pathways or protocols.
Process
a) Proportion of young offenders in secure settings who have their immunisation status checked within 7 days of arrival into a secure setting.
Numerator – the number in the denominator who have their immunisation status checked within 7 days of arrival into a secure setting.
Denominator – the number of young people entering secure settings.
Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.
b) Proportion of young offenders in secure settings identified as having gaps in their immunisation history who are offered outstanding vaccinations.
Numerator – the number in the denominator who are offered outstanding vaccinations.
Denominator – the number of young people entering secure settings identified as having gaps in their immunisation history.
Data source: No routinely collected national data for this measure has been identified. Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.
What the quality statement means for different audiences
Service providers (for example, prison medical services, GP practices and community trusts) ensure that systems are in place for healthcare professionals to check the immunisation status of young offenders within 7 days of arrival into a secure setting and offer them any outstanding vaccinations.
Healthcare professionals (for example, nurses) ensure that they check the immunisation status of young offenders within 7 days of arrival into a secure setting and offer them any outstanding vaccinations. The immunisation status can be checked by asking the young offender and liaising with their GP practice.
Commissioners (for example, NHS England and Office for Health Improvement and Disparities) ensure that they commission services that check the immunisation status of young offenders within 7 days of arrival into a secure setting and offer them any outstanding vaccinations.
Young people moving into a secure setting (such as a secure children's home or a young offender institution) have their vaccination records checked within 7 days of arrival and are offered any outstanding vaccinations.
Source guidance
Vaccine uptake in the general population. NICE guideline NG218 (2022), recommendation 1.2.9