Freedom of Information Request
Aug 25, 2020 17:39:07 GMT
Post by Admin on Aug 25, 2020 17:39:07 GMT
Freedom of Information Request
NHS Essex Partnership University
NHS Foundation Trust
Reference Number: EPUT.FOI.19.1336
Date Received: 18th November 2019
eput.nhs.uk/PublicationWF/PDF_Output/6281.pdf
Information Requested:
I would like to request the following information under the Freedom of Information Act:
1. Why is the Patient Information Leaflet (PIL) not given to parents of school
children with the Fluenz Tetra nasal spray consent form?
2. Have all staff who give or assist with giving the nasal spray read the
Manufacturer's insert?
3. Are all staff administering the spray competent in emergency resuscitation?
Do they carry an emergency resuscitation kit?
4. Do the staff administering the nasal spray operate a 'watch and wait' period,
in order to monitor any adverse reactions?
If not, do all school staff have adequate medical training to recognise an adverse
reaction?
5. Do schools receive a monetary incentive from the CCG/PHE for turning into a
medical facility for the day?
6. Do schools receive any incentive (monetary or otherwise) from Ofsted for
turning into a medical facility for the day?
7. Do head teachers have a choice of dates on which to turn the school into a
medical facility? If not, are they able to change the planned date?
8. Does the Trust follow the advice gained from the Supreme Court's
Montgomery ruling, on the duty to disclose?
9. Does the Trust accept that it is a breaching its duty of care by giving a person
medicine without full disclosure of risks and side effects?
10. Does the Trust believe that schools are an ideal setting for a medical
procedure to take place?
NHS Essex Partnership University
NHS Foundation Trust
Reference Number: EPUT.FOI.19.1336
Date Received: 18th November 2019
eput.nhs.uk/PublicationWF/PDF_Output/6281.pdf
Information Requested:
I would like to request the following information under the Freedom of Information Act:
1. Why is the Patient Information Leaflet (PIL) not given to parents of school
children with the Fluenz Tetra nasal spray consent form?
Parents are provided with information about the vaccine to assist them to
make an informed decision about their decision to consent for their child to
receive the vaccine.
Information regarding the vaccine is provided through links on the covering letter
and within the vaccine specific leaflet that accompanies the consent form. These
resources are reviewed annually and issued by the Department of Health in preparation
for each Childhood Flu Programme.
Contact details for the immunisation team are also available on all
communications sent out so that parents are able to contact the service
directly should they have any queries or concerns.
The Patient Information Leaflet is made available to us with the vaccine
supplies and is provided to children after their vaccination. It is standard
practice for patient information leaflets to be supplied at the time that a
medication is supplied or administered.
make an informed decision about their decision to consent for their child to
receive the vaccine.
Information regarding the vaccine is provided through links on the covering letter
and within the vaccine specific leaflet that accompanies the consent form. These
resources are reviewed annually and issued by the Department of Health in preparation
for each Childhood Flu Programme.
Contact details for the immunisation team are also available on all
communications sent out so that parents are able to contact the service
directly should they have any queries or concerns.
The Patient Information Leaflet is made available to us with the vaccine
supplies and is provided to children after their vaccination. It is standard
practice for patient information leaflets to be supplied at the time that a
medication is supplied or administered.
2. Have all staff who give or assist with giving the nasal spray read the
Manufacturer's insert?
All staff read the manufacturer’s insert that accompanies the vaccine; the
manufacturer’s insert is the PIL.
In addition all staff members attend comprehensive training in all aspects of their
role and are assessed in practice to ensure they have the knowledge and practice to
undertake their role.
manufacturer’s insert is the PIL.
In addition all staff members attend comprehensive training in all aspects of their
role and are assessed in practice to ensure they have the knowledge and practice to
undertake their role.
3. Are all staff administering the spray competent in emergency resuscitation?
Do they carry an emergency resuscitation kit?
All staff administering Childhood Flu Vaccinations are trained in emergency
resuscitation and carry emergency equipment at every session.
resuscitation and carry emergency equipment at every session.
4. Do the staff administering the nasal spray operate a 'watch and wait' period,
in order to monitor any adverse reactions?
If not, do all school staff have adequate medical training to recognise an adverse
reaction?
In accordance with guidelines detailed in the Green Book ‘Recipients of any
vaccine should be observed for immediate ADRs.
There is no evidence to support the practice of keeping patients under longer observation
in the surgery’ (Public Health England 2012).
The Green Book is updated annually as a minimum and the guidance above
has not been changed since 2012.
A risk assessment is undertaken prior to all immunisation sessions, which
includes planning for the event of a serious adverse reaction.
Nurses remain on the school site for 30 minutes after an immunisation session to
ensure that they are available in the event of an adverse reaction to vaccination.
The Green Book has the latest information on vaccines and vaccination
procedures, for vaccine preventable infectious diseases in the UK and is the
main point of reference for any healthcare professional administering
vaccinations.
vaccine should be observed for immediate ADRs.
There is no evidence to support the practice of keeping patients under longer observation
in the surgery’ (Public Health England 2012).
The Green Book is updated annually as a minimum and the guidance above
has not been changed since 2012.
A risk assessment is undertaken prior to all immunisation sessions, which
includes planning for the event of a serious adverse reaction.
Nurses remain on the school site for 30 minutes after an immunisation session to
ensure that they are available in the event of an adverse reaction to vaccination.
The Green Book has the latest information on vaccines and vaccination
procedures, for vaccine preventable infectious diseases in the UK and is the
main point of reference for any healthcare professional administering
vaccinations.
5. Do schools receive a monetary incentive from the CCG/PHE for turning into a
medical facility for the day?
The Trust provide the immunisation service, however you would need to
contact the relevant CCG or PHE direct with regards to monetary incentives
contact the relevant CCG or PHE direct with regards to monetary incentives
6. Do schools receive any incentive (monetary or otherwise) from Ofsted for
turning into a medical facility for the day?
The Trust provides the immunisation service, however you would need to
contact Ofsted direct with regards to monetary incentives.
contact Ofsted direct with regards to monetary incentives.
7. Do head teachers have a choice of dates on which to turn the school into a
medical facility? If not, are they able to change the planned date?
Schools are given a proposed date of vaccination. If there is requirement from
the school to change the date a new date will be agreed.
the school to change the date a new date will be agreed.
8. Does the Trust follow the advice gained from the Supreme Court's
Montgomery ruling, on the duty to disclose?
The Supreme Court Montgomery ruling states: ‘a doctor must, when
questioned specifically by a patient about risks involved in a particular
treatment proposed, answer truthfully and as fully as the questioner requires
(Neuberger et al 2015).
All clinicians working in the immunisation team will respond accurately whenever a parent or
young person asks for any further information on the vaccinations being given.
questioned specifically by a patient about risks involved in a particular
treatment proposed, answer truthfully and as fully as the questioner requires
(Neuberger et al 2015).
All clinicians working in the immunisation team will respond accurately whenever a parent or
young person asks for any further information on the vaccinations being given.
9. Does the Trust accept that it is a breaching its duty of care by giving a person
medicine without full disclosure of risks and side effects?
This is not a request for recorded information – however the Trust does not
believe that it is breaching its duty of care and that it provides sufficient
opportunities for parents to provide informed consent and make any queries
prior to vaccination offer.
Parents are provided with information published by the Department of Health
and this is updated annually or if there are any changes to support them to
make an informed decision regarding vaccination being offered.
The leaflet supplied (in paper or electronic form) details side effects of the vaccination.
believe that it is breaching its duty of care and that it provides sufficient
opportunities for parents to provide informed consent and make any queries
prior to vaccination offer.
Parents are provided with information published by the Department of Health
and this is updated annually or if there are any changes to support them to
make an informed decision regarding vaccination being offered.
The leaflet supplied (in paper or electronic form) details side effects of the vaccination.
10. Does the Trust believe that schools are an ideal setting for a medical
procedure to take place?
This is a request for our opinion and not a request for recorded information.
www.bmj.com/content/357/bmj.j2224
References:
Lord Neuberger, Lady Hale, Lord Kerr, Lord Clarke, Lord Wilson, Lord Reed
& Lord Hodge (2015), Montgomery (Appellant) v Lanarkshire Health Board
(Respondent) (Scotland), available
at: www.supremecourt.uk/cases/docs/uksc-2013-0136-judgment.pdf
(last accesses 29.11.19)
Public Health England (2014), Immunisation procedures, Green Book of
Immunisations, available
at: assets.publishing.service.gov.uk/government/uploads/system/uploa
ds/attachment data/file/147915/Green-Book-Chapter-4.pdf (last accessed
29.11.19)
Publication Scheme:
As part of the Freedom of Information Act all public organisations are required to
proactively publish certain classes of information on a Publication Scheme. A
publication scheme is a guide to the information that is held by the organisation.
EPUT’s Publication Scheme is located on its Website at the following
link eput.nhs.uk
eput.nhs.uk/PublicationWF/PDF_Output/6281.pdf
www.bmj.com/content/357/bmj.j2224
References:
Lord Neuberger, Lady Hale, Lord Kerr, Lord Clarke, Lord Wilson, Lord Reed
& Lord Hodge (2015), Montgomery (Appellant) v Lanarkshire Health Board
(Respondent) (Scotland), available
at: www.supremecourt.uk/cases/docs/uksc-2013-0136-judgment.pdf
(last accesses 29.11.19)
Public Health England (2014), Immunisation procedures, Green Book of
Immunisations, available
at: assets.publishing.service.gov.uk/government/uploads/system/uploa
ds/attachment data/file/147915/Green-Book-Chapter-4.pdf (last accessed
29.11.19)
Publication Scheme:
As part of the Freedom of Information Act all public organisations are required to
proactively publish certain classes of information on a Publication Scheme. A
publication scheme is a guide to the information that is held by the organisation.
EPUT’s Publication Scheme is located on its Website at the following
link eput.nhs.uk
eput.nhs.uk/PublicationWF/PDF_Output/6281.pdf