Table 1 National immunisation programme infrastructure pre and post NHS re-organisation 2013 Source: This table was adapted from information contained in the Immunisation and Screening National Delivery Framework & Local Operating Model [9] & BioMed Central was the original publisher [7]

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

Local authorities (local) or NHS England (national)

• School based programmes

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 Child Health Information Systems (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 (local but need to give assurance to NHS England which is national)