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To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 21 December 2017 to Question 119731 on Pneumoccocol Diseases: Vaccination, whether NHS England is responsible for funding the vaccination of adults who have undergone stem cell transplantation under paragraph 4.2 of the NHS public health functions agreement 2017-18: Service specification no.8 Pneumococcal immunisation programme.
NHS England is responsible for the delivery of vaccinations to those undergoing stem cell transplants (under the pneumococcal polysaccharide vaccination immunosuppressed indications) as part of the Public Health functions agreement section 7a. The funding is via the directly enhanced services, whereby the first dose delivered has an automatic payment. Where a patient requires additional pneumococcal vaccination (if severely immunosuppressed) the specialist clinicians are expected to use their discretion and deliver this or advise the general practitioner to deliver. The practice is required to make arrangements with their local commissioners with regards to payment.