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Current services in relation to need

Adults :: Excess winter deaths :: Current services in relation to need

Influenza Immunisation

As has already been noted, immunising those at risk can reduce excess winter mortality (EWM). The topic of Immunisation and Vaccination is covered in another chapter and can be found in Appendices —> Background papers: Children/Adults —> Immunisations and vaccinations. In summary, the influenza immunisation programme in Medway is well established and largely surpasses England and South East Coast Strategic Health Authority uptake averages (Table 1), although healthcare staff immunisation rates remain relatively low.

  Medway South East
Coast SHA
Seasonal influenza vaccine uptake in those aged 65 years and over 73.3% 71.1% 72.8%
Seasonal influenza vaccine uptake in those aged 6 months to under 65 at risk 51.8% 47.9% 50.4%
Seasonal influenza vaccine uptake in Carers (aged under 65 years and not considered at risk) 54.5% 40.7% 42.7%
All frontline healthcare workers 25.0% 28.2% 34.7%
Table 1: Seasonal Influenza vaccine uptake Winter Season, 2010-11 (Medway, SHA and England

Data coverage shows end of campaign cumulative vaccine uptake data for England, for seasonal flu vaccinations administered from 1st September 2010 to 28th February 2011.

Data Source: DH ImmForm website: Registered Patient GP practice data Influenza Immunisation Vaccine Uptake Monitoring Programme. Seasonal influenza vaccine uptake amongst frontline healthcare workers (HCWs) in England


Medway Council has put initiatives in place to help residents reduce fuel poverty by supporting residents in their energy use. Between 2008 and 2011, 8,391 people were given energy efficiency advice by the Energy Savings Advice Centre.

In addition, a joint scheme (between Medway Council and NHS Medway) which draws upon existing models (e.g. Clearing House model Greater Manchester) is being due to be piloted. This will use clinical systems in GP practices to identify those at most risk and create referrals for those individuals into a service which assesses houses, carries out improvements for eligible homes and offers advice on energy use or benefits entitlement. If successful this model may be extended to other GP Practices.