15 APRIL 2004

NEW ZEALAND GAZETTE, No. 42

1071

(v) participation in and support of immunisation promotion activities;

(w) undertaking regular audit within the practice using a method approved by the Ministry of Health;

(x) chain management, using the current standard approved by the Ministry of Health, and taking part in cold chain monitoring.

2.2 Each general practitioner will maintain working relationships with relevant providers including, but not limited to:

(a) immunisation co-ordinators working for a PHO, IPA or PCO, IMAC, Public Health Service and Māori or Pacific Health Service providers;

(b) other primary care providers;

(c) Tamariki Ora Well Child services.

2.3 Each general practitioner will endeavour to ensure that he or she is delivering immunisation services in a culturally appropriate manner.

2.4 Each general practitioner will work towards meeting and maintaining the national immunisation targets that are reviewed from time to time by the District Health Board and/or the Ministry of Health.

2.5 Each general practitioner will assist with epidemic control and other situations where co-ordinated action is required.

3 Adult immunisation services

3.1 General practitioners shall provide the following vaccination services for adults:

Adult Tetanus – Diphtheria (Td)

Adults should receive boosters of Td vaccine at age 45 and 65, after some injuries and as part of any transition programme developed by the DHBs and/or Ministry of Health. The vaccine is available free but no immunisation-subsidised fee may be claimed for these booster doses. The practitioner is entitled to charge the patient an additional fee for this service.

Influenza

For persons aged 65 years or over on the date the vaccine is administered.
For persons aged under the age of 65 years with chronic illness according to guidelines issued by the Ministry of Health applicable at the time the vaccine is administered.
A subsidised fee may only be claimed for vaccines administered between 1 January and 30 June in any calendar year, unless otherwise indicated.
Influenza vaccine is to be provided in accordance with the further terms set out in clause 3.2 below.

3.2 Guidelines for fully subsidised influenza vaccine

The Ministry of Health may from time to time advise the eligibility criteria for the types of patients who are eligible for fully subsidised influenza vaccination.
This advice will be given through other mechanisms and not through the section 88 Notice. The 2002 eligibility criteria are set out in Appendix 1 to this Schedule.

3A National meningococcal B immunisation programme (“the Programme”)

3A.1 General practitioners shall administer the MeNZB™ vaccine (subject to licensure) to:

▪ all children aged six weeks up to five years;

▪ all young people aged over five years and up to but not including 20 years who are not in the school system. Save that a young person who receives the first vaccine prior to reaching the age of 20 years may continue to be vaccinated after the age of 20 for the 2nd and 3rd episode;

▪ any other eligible child or young person referred to the general practitioner who is not able to be vaccinated through the school-based campaign (which is part of the Programme) because of a medical contraindication;

▪ children referred by public health nursing services, other primary care providers, or outreach services approved by the District Health Board.

3A.2 The Programme consists of a course of three MeNZB™ injections given six weeks apart.

3A.3 MeNZB™ vaccine will be supplied and distributed through the Ministry of Health’s nominated vaccine distributor at no cost to immunisation providers.

4 Payment of subsidised fees for immunisation

4.1 If, in the course of an immunisation programme approved by the District Health Board and/or the Ministry of Health, a vaccine supplied by our authorised agent is administered by a general practitioner or by a registered nurse acting under the direction of a general practitioner, the general practitioner shall be entitled to receive, in lieu of any other fee that the general practitioner might otherwise be entitled to receive under this Notice and in respect of each occasion on which the patient attends for the administration of any such vaccine or vaccines, the subsidised fee specified in clause 4.6 below.

4.2 The general practitioner will be entitled to receive, in lieu of any other payment that the practitioner might otherwise be entitled to receive under this Notice, the subsidised fee specified in clause 4.6 below for the administration by the general practitioner or by a registered nurse acting under the direction of the general practitioner, of an influenza vaccine purchased from a supplier nominated by the Ministry of Health in writing from time to time.

4.3 Except as provided for in clause 5.9 below, nothing in this Schedule shall entitle a general practitioner to receive more than the relevant subsidised fee specified in clause 4.4 or 4.6 below in respect of the administration of more than one vaccine on the same occasion.

4.4 Subject to clause 4.5 below, no general practitioner shall demand or accept or be entitled to recover from the patient or any other person, any fee in respect of the services for which a subsidised fee is payable under this Schedule.