2014 Report details for project: Seasonal Flu Extension to Children Programme

Project name: Seasonal Flu Extension to Children Programme - there is only one report for this project
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2014 (data is from Sept 2013)
Category: Transformation - see all reports for this category
Description: Influenza is a viral infection of the respiratory system. For some people, especially older people, young infants and people with underlying health conditions, it can cause serious even life-threatening complications and death. The impact of influenza on the population varies widely from year to year due to changes in the virus. However, one recent estimate considered by the Joint Committee on Vaccination and Immunisations (JCVI) suggest that each year, on average, approximately 0.75 million people may consult their GP, approximately 27, 000 people may be hospitalised and 4, 700 people may die in England because of influenza. Currently the programme provides influenza vaccination on the NHS for people aged 65 years and older and those aged under 65 with certain underlying health conditions (e.g. those with chronic respiratory disease, chronic heart disease, pregnant women etc). JCVI has recommended that the current flu programme is extended to children aged 2 to less than 17 years. DH has a legal obligation, under the 2010 NHS Constitution , to offer new vaccines to the public that are recommended by JCVI and which are shown to be cost effective. The evidence reviewed by JCVI suggests that the extension to the current seasonal flu programme might result in around a 40% reduction in the death and hospitalisation figures shown above across the population, although there is large uncertainty either way in this estimate. For this reason, JCVI recommends that the impact and cost effectiveness of the extended programme be reviewed within five years of the introduction to assess whether the expected benefits have been realised. When fully introduced this will be the largest immunisation programme offered in the UK, offering vaccine to more than 9 million children every autumn. The programme is therefore being phased in to allow time to build up capacity and adopt learning from early pilots.
DCA (RAG): Amber/Red
DCA text: The Project Assessment Review (PAR) in October 2013 gave a red/amber rating. An action plan was produced, agreed and ratified through the Childhood Flu Implementation Board and action taken to address concerns from the MPA. As the scope of the programme has now changed considerably from the original proposal, it was agreed that the Action Plan should be signed off and a full Gate 4 Delivery review would be held in Q2 2014.
Start date: 2013-09-03
End date: 2017-09-01
Schedule text: The scale of the programme has not changed; a national programme with up to 9.5 million children to be vaccinated when fully rolled out. The pace of the roll out has been scaled down over years 14/15, 15/16 and 16/17 to take account of newly emerging information about capacity to deliver a robust and sustainable programme thus resulting in smaller cohorts of children being vaccinated in these years.  The delivery profile has changed to reflect the need to run pilots in Secondary Schools to test costing, workforce capacity and the achievability of service models. A full roll-out plan will be confirmed once piloting is complete.
Baseline: £34.20m
Forecast: £34.20m
Variance: 0.00%
Variance text: There is no variance.
Whole Life Cost: £719.50m
WLCost text: The whole life costs relate to the roll-out as set out in the FBC until the end of the contract period (2017). A considerable reduction in vaccine volume has occurred, due to a decision to extend implementation over a longer period of time, resulting in a smaller number of children being vaccination over first three years of the programme, which has reduced the whole life cost figure down from £719.50m reported in the OBC and GMPP return Q2.
Notes1:
Notes2:
Sourcefile: IPA_2014.csv

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Acknowledgement: GMPP data has been re-used under the Open Government Licence.