provisional data on coverage for the following immunisations: 12 months: dtap/ipv/hib 24 months:...
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Provisional data on coverage for the following immunisations: 12 months: DTaP/IPV/Hib 24 months: MMR dose 1 5 years: MMR dose 2
Provisional data, not for release outside the NHS/Public Health Department
CHILDHOOD IMMUNISATION COVERAGEQ2 2014/15
2
Camden had 92% coverage in 12-month olds, which was significantly higher than London (90%), although still short of the WHO 95% target.
14th out of 31 London boroughs.
Context – Camden vs London boroughs, 12 months
Note: Enfield is not included in this analysis as data is not available. City of London is also excluded, due to small numbers of eligible children. Source: PHE, 2015
0%10%20%30%40%50%60%70%80%90%
100%
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Local Authority
DTaP/IPV/Hib coverage in children aged 12 months, London Local Authorities, London and England, Q2 2014/15
London England
3
Camden had 85% coverage in 24-month olds, which was significantly lower than the national average (92%).
Context – Camden vs London boroughs, 24 months
Note: Enfield is not included in this analysis as data is not available. City of London is also excluded, due to small numbers of eligible children. Source: PHE, 2015
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100%
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MMR coverage in children aged 24 months, London Local Authorities, London and England, Q2 2014/15
London England
4
Camden had 82% coverage in five-year olds, which was significantly lower than the national average (89%).
Context – Camden vs London boroughs, 5 year
Note: Enfield is not included in this analysis as data is not available. City of London is also excluded, due to small numbers of eligible children. Source: PHE, 2015
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100%
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MMR 2 coverage in children aged 5 years, London Local Authorities, London and England, Q2 2014/15
London England
5
Coverage in one-year old children ranged from 93% to 100% among GP practices in West locality.
None of the GP practices in West locality had significantly lower coverage than the WHO target (95%).
DTaP/IPV/Hib coverage in children aged 12 months
Note: Red bars indicate a coverage lower than the WHO target and blue bars indicate a coverage no different to the WHO target. Bedford Square Medical Centre and Plender Street in South Camden are now closed and are not included in this analysis. Source: PHE, 2015
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Locality and GP practice
DTaP/IPV/Hib coverage in children aged 12 months, by locality and GP practice, Camden, Q2 2014/15 WHO target
6
In total there was only one child aged 12 months needed to be immunised to meet the 95% target in Q2 2014/15 in West locality.
How many children aged 12 months needed to be immunised to meet 95% WHO target?
Note: Bedford Square Medical Centre and Plender Street in South Camden are now closed and are not included in this analysis. Source: PHE, 2015
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Additional number of children that need to be immunised to bring coverage of DTaP/IPV/Hib in children aged 12 months up to the WHO target, by locality and GP practice, Camden, Q2 2014/15
7
MMR coverage among two-year old children ranged from 60% to 100% among GP practices in West locality.
Two GP practices in West locality had significantly lower coverage than the WHO target (95%).
MMR coverage in children aged 24 months
Note: Red bars indicate a coverage lower than the WHO target and blue bars indicate a coverage no different to the WHO target. St Philips Medical Centre in South Camden has not submitted the data and is not included in this analysis. Bedford Square Medical Centre and Plender Street in South Camden are now closed and are excluded from this analysis. Source: PHE, 2015
0%10%20%30%40%50%60%70%80%90%
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Per
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Locality and GP practice
MMR coverage in children aged 24 months, by locality and GP practice, Camden, Q2 2014/15 WHO target
8
In total there were 12 children aged 24 months needed to be immunised to meet the 95% target in Q2 2014/15 in West locality.
Most of the practices in West locality below the 95% target were between 1 and 4 children away from meeting it.
How many children aged 24 months needed to be immunised to meet WHO target?
Note: St Philips Medical Centre in South Camden has not submitted the data and is not included in this analysis. Bedford Square Medical Centre and Plender Street in South Camden are now closed and are excluded from this analysis. Source: PHE, 2015
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Locality and GP practice
Additional number of children that need to be immunised to bring coverage of MMR in children aged 24 months up to the WHO target,
by locality and GP practice, Camden, Q2 2014/15
9
MMR2 coverage among five-year old children ranged from 50% to 100% among GP practices in West locality.
Three GP practices in West locality had significantly lower coverage than the WHO target (95%).
MMR 2 coverage in children aged 5 years
Note: Red bars indicate a coverage lower than the WHO target and blue bars indicate a coverage no different to the WHO target. St Philips Medical Centre in South Camden has not submitted the data and is not included in this analysis. Bedford Square Medical Centre and Plender Street in South Camden are now closed and are excluded from this analysis. Source: PHE, 2015
0%10%20%30%40%50%60%70%80%90%
100%
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Per
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Locality and GP practice
MMR 2 coverage in children aged 5 years, by locality and GP practice, Camden, Q2 2014/15 WHO target
10
In total there were 13 children aged 5 years needed to be immunised to meet the 95% target in Q2 2014/15 in West locality.
The four practices below the 95% target were between 1 and 6 children away from meeting it.
How many children aged 5 years needed to be immunised to meet WHO target?
Note: St Philips Medical Centre in South Camden has not submitted the data and is not included in this analysis. Bedford Square Medical Centre and Plender Street in South Camden are now closed and are excluded from this analysis. Source: PHE, 2015
0
2
4
6
8
10
12
14
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Nu
mb
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ild
ren
Locality and GP practice
Additional number of children that need to be immunised to bring coverage of MMR 2 in children aged 5 years up to the WHO target,
by locality and GP practice, Camden, Q2 2014/15
11
How many children needed to be immunised? Q4 2013/14 to Q2 2014/15 combined, West locality
Note: The percentages are the additional number of children needed to immunised to bring coverage up to the 95% target split by whether the practices missed the target continuously or not, as proportion to the additional number of whole children needed. Practices that did not submit the data for any of the three quarters are not included in this analysis.
Number % Number %
12 months 0 19 0 0% 19 100%
24 months 1 32 14 44% 18 56%
5 years 2 50 23 46% 27 54%
Additional number of children needed to immunised
Practices that missed all three
targetsOther practices
Age of children
Number of practices missed WHO 95% target for all the three quarters
Total additional number of children
needed to be immunised to bring coverage up to the
95% target
12
Camden has low coverage in childhood immunisations compared to London and England, particularly for vaccinations in older children (two and five year olds).
There is considerable variation in immunisation uptake between GP practices within Camden, particularly in older children. In Q2 2014/15 3 GP practices in West locality achieved 95% coverage for MMR2 in 5 year olds. However, 3 practices were significantly below the WHO target and all of those were also significantly below target in the previous quarter.
Further work is needed to improve uptake of immunisations to reach WHO recommended coverage levels (95%).
The findings from the previous quarters suggest everyone can do more, and only a small additional number of children vaccinated would result in a noticeable rise in coverage.
Focus needs to be on improving the accessibility and reach of the immunisation programme, as well as to improve data recording, reporting and monitoring.
Key messages
THANK YOU
For any questions about the childhood immunisation coverage data, please contact us at:
marta.Calonge-Contreras@islington.gov.uk
minkyoung.choi@islington.gov.uk
13
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