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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]

From: Is partnership the answer? Delivering the national immunisation programme in the new English health system: a mixed methods study

Key system component Responsible organisation – pre-reform Responsible organisation – post reform (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 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)