Seasonal Influenza London Region SLA the 2024/25 Season update
The 3 SLAs have now been updated to include RSV, all links are now correct and working and also please note an extension to the original sign-up deadline.
Note: Shingles, PPV and RSV are vaccinations listed as Essential Services in the GP Contract and so can only be signed up to within this SLA document by GP practices or with GP practices signing as the commissioning (sub-contracting) organisation.
NHSE is pleased to announce it will be offering 3 SLAs to providers wishing to sign up this Flu Season.
- Unregistered SLA will enable GPs to provide unregistered populations (including children) with the seasonal flu vaccination and for eligible adults, shingles vaccination, and PPV.
- GP Confederation SLA will enable GP Confederation/PCNs to provide the flu vaccination to all eligible cohorts – again to provide additional capacity.
- Housebound SLA will enable District Nurse Services/GP Confederations/PCNs/GP to deliver seasonal flu, shingles, and PPV vaccinations to housebound patients that are not registered with the practice. Please note individual GP practices are already contracted to deliver these vaccinations to their housebound patients so the purpose of this SLA is to provide additional capacity and a governance structure to delegate responsibility of delivery of these vaccinations to an alternative provider. Housebound SLA is to only be used where the GP has delegated responsibility of vaccinating housebound patients to alternative provider and only where this has been agreed with their ICB. Claims for vaccinating your own housebound patients is only through CQRS and NOT this SLA.
GPs/Providers can sign up to the SLAs by clicking on the LINKS below – Deadline Friday 6 September 2024
| Links | |
| 1- Sign up Deadline – Friday 6 September 2024 | https://forms.office.com/e/ZZHAXgMY1E |
| 2- Activity Deadline – Thursday 28 February 2025 | Please note all activity under this SLA must be completed by 29 February 2024. |
| 3- Reporting Deadline – Friday 7 March 2025 | https://forms.office.com/e/K54Yt9Vhug |
To support and enable access amongst those who are most at risk and experience inequalities, the flu vaccine will be free for all patients within health inclusion groups. For more detailed guidance on eligibility please see Appendix 2. For community-based delivery, these SLAs support the payment for all delivery via PCN.
The table below provides further information on all the SLAs:
| SLA | What vaccinations the SLA covers | Cohort | Who can sign and deliver the SLA | Rationale | Next Steps required to deliver SLA |
| Unregistered | Flu Shingles PPV RSV | Adults Children For the Shingles vaccination, please note the eligibility information within the SLA. This SLA should not be used to vaccinate GP staff as there is a separate mechanism for this. For RSV vaccinations, please note the eligibility criteria within the SLA | Individual GP practice | This SLA allows GPs to provide a flu vaccination to any patient who is not registered with a GP practice. The practice should encourage the patient to register with them. | ICB to send this SLA to all practices. Sign up to the SLA via the link above. |
| GP Confed/PCN | Flu Shingles PPV RSV | Adults Children For the Shingles vaccination, please note the eligibility information within the SLA. For RSV vaccinations, please note the eligibility criteria within the SLA. | GP Confederation PCN | If the GP does not have capacity to vaccinate all eligible patients or requires extra support, this SLA provides a mechanism by which Confed’s/PCNs can vaccinate the GP’s patients. | ICB/Borough Leads should broker discussions between GP, Confed/PCN and encourage them to focus on cohorts where uptake has been low or is in danger of falling below aspiration. If the Provider does sign up to ensure individual GPs delegate the agreed list to the Provider. Sign up to the SLA via the link above |
| Housebound | Flu Shingles PPV RSV | All housebound patients who are eligible for the relevant vaccination (adults & children). For the Shingles vaccination, please note the eligibility information within the SLA. All family contacts of extremely clinically vulnerable (flu only). For RSV vaccinations, please note the eligibility criteria within the SLA | District Nurse Provider GP Confederation PCN | GPs are already contracted and are responsible for all their patients including housebound. This SLA is for the GP practice that does not have capacity to vaccinate its housebound patients. The SLA provides a mechanism by which DNs, Confed’s or PCNs can vaccinate their patients | ICB/Borough Leads should broker discussions between GPs and an alternative provider such as DN Provider/ Confed’s/PCNs to decide if they can provide additional capacity to support individual GP practices. If the alternative Provider can vaccinate GP Housebound patients, ICBs to ensure the individual GPs provide the provider with an agreed delegated list. GPs do not need to sign this SLA. Sign up to the SLA via the link above |
Acute Trusts will deliver flu vaccinations under a separate arrangement.
Downloads
Housebound SLA 2024/25
Unregistered at GP practice SLA 2024/25
GP confederation SLA 2024/25