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Table 1 Immunisation landscape post NHS reform 2013

From: “It’s a complex mesh”- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study

Key system component Responsible organisation – pre reforms Responsible organisation – post reforms (April 2013)
Policy development, advice to ministers Department of Health (national) Department of Health (national)
Vaccine Procurement Department of Health (national) Public Health England (national)
Commissioning Primary Care Trust (local) NHS England (national)
 • 16 national programmes  • School based programmes Local authorities (local) or NHS England (national)
Disease surveillance/Outbreak response Health Protection Agency (national) Public Health England (national) and NHS England (national)
Advocacy, communication and health promotion Primary Care Trust (local) Public Health England (national)
Local authorities (local)
System coordination Primary Care Trust (local) NHS England (national)
Vaccine, Cold Chain and Logistics Management Primary Care Trust (local) Public Health England (national)
Vaccine Delivery General Practitioners (local), NHS Community Trusts (local), other providers (local or national) General Practitioners (local), NHS Community Trusts (local), other providers (local or national)
Child Health Information System (CHIS) and Data management Primary Care Trusts through Child Health Information Systems (local) Child Health Departments through CHISs (local)
Workforce training Primary Care Trusts (local) Health Education England (national)
Others: Needs assessments, scrutiny and system assurance. Primary Care Trusts (local) Local Authorities (local)
Others: Quality improvement (Duty of) Primary Care Trusts (local) Clinical Commissioning Groups (CCGs) (local but need to give assurance to NHS England which is national)
  1. Source: Adapted from the immunisation and screening national delivery framework & local operating model (NHS E and PHE, 2013)