Vaccination Schedule

Routine childhood immunisations

When to immunise	Diseases protected against	Vaccine given	Site**
Two months old	Diphtheria, tetanus, pertussis, polio and Haemophilus influenzae type b (Hib)	DTaP/IPV/Hib (Pediacel)	Thigh
	Pneumococcal disease	PCV (Prevenar 13)	Thigh
	Rotavirus	Rotavirus (Rotarix)	By mouth
Three months old	Diphtheria, tetanus, pertussis, polio and Hib	DTaP/IPV/Hib (Pediacel)	Thigh
	Meningococcal group C disease (MenC)	Men C (NeisVac-C or Menjugate)	Thigh
	Rotavirus	Rotavirus (Rotarix)	By mouth
Four months old	Diphtheria, tetanus, pertussis, polio and Hib	DTaP/IPV/Hib (Pediacel)	Thigh
Four months old	Pneumococcal disease	PCV (Prevenar 13)	Thigh
Between 12 and 13 months old – within a month of the first birthday	Hib/MenC	Hib/MenC (Menitorix)	Upper arm/thigh
	Pneumococcal disease	PCV (Prevenar 13)	Upper arm/thigh
	Measles, mumps and rubella (German measles)	MMR (Priorix or MMR VaxPRO)	Upper arm/thigh
Three years four months old or soon after	Diphtheria, tetanus, pertussis and polio	dTaP/IPV (Repevax) or DTaP/IPV(Infanrix-IPV)	Upper arm
Three years four months old or soon after	Measles, mumps and rubella	MMR (Priorix or MMR VaxPRO)(check first dose has been given)	Upper arm
Girls aged 12 to 13 years old	Cervical cancer caused by human papillomavirus types 16 and 18 (and genital warts caused by types 6 and 11)	HPV (Gardasil)	Upper arm
Around 14 years old	Tetanus, diphtheria and polio	Td/IPV (Revaxis), and check MMR status	Upper arm
Around 14 years old	Meningitis C	(Meningitec, Menjugate or NeisVac-C)	Upper arm

Please note

** Where two or more injections are required at once, these should ideally be given in different limbs. Where this is not possible, injections in the same limb should be given 2.5cm apart.

The Meningitis C vaccination will be introduced during the 2013/14 academic year and the vaccine supplied will depend on the brands available at the time of ordering

Immunisations for at-risk children

When to immunise	Diseases protected against	Vaccine given	Site
At birth, 1 month old, 2 months old and 12 months old	Hepatitis B	Hep B	Thigh
At birth	Tuberculosis	BCG	Upper arm (intradermal)

Noticeboard

New telephone system

We are pleased to confirm our new telephone system has been commissioned and will be in place in July. there will be one local number for all 3 have more information we will let you know.

Online Appointments

A small number of appointments are available to book online

New Staff

We have just appointed a new Nurse Practioner Jackie Carline who will be joining us in mid June. She will work alongside our existing Nurse Practioner Debbie Burkinshaw.

April Appointments

Whilst we finalise April rotas there is good availability of appointments on the day for those with URGENT problems. We have appointments with GPs for the first 2 weeks in April and for the time being will only release appointments 2 weeks ahead.

Patrington & Roos patients are also welcome to book appointments with Locum doctors at Withernsea surgery.

We continue to have a very high number of patients who fail to attend appointments they have made each day so please do remember to cancel so they can be offered to other patients who may really need them . You can cancel your appointments online.