Vaccination Coding in General Practice

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Thursday 17th July 2025

(1 day, 16 hours ago)

Written Statements
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Wes Streeting Portrait The Secretary of State for Health and Social Care (Wes Streeting)
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I would like to update the House of an important issue affecting the NHS’s provision of vaccinations.

An issue has been identified in the use of Accurx batch messaging, a system that allows GP practices to send the same message to a group of patients, via email, NHS app or SMS. In some cases, when invitations have been sent to patients inviting them to receive a vaccination, the code for a completed vaccination was selected on the system, rather than the code for an invitation. This did not affect patients being invited to receive a vaccination, but their record on the GP practice system was updated to say, incorrectly, that they had received a vaccination.

This has affected around 57,000 records across 337 GP practices. Our investigation suggests that this has primarily affected records in relation to vaccinations for the respiratory syncytial virus vaccination—a maximum of 2% of vaccines administered—but also some other vaccinations. For anyone to miss the opportunity to be invited to receive a necessary vaccination is extremely regrettable, and we are taking steps to resolve this. There is currently no evidence that anyone has been harmed as a result. Not everyone whose record has been affected will have missed out on a vaccination, as an initial vaccination invitation will have been sent out and a direct invitation is not the only route to securing a vaccination. We would strongly encourage anyone eligible to come forward for their vaccinations when invited, to get vital protection.

Accurx has amended its clinical coding to prevent this happening again. GP practices affected will review patient records, to make sure that anyone due a vaccination who has not received one is offered one as soon as possible, and that records are accurate and up to date. On average, an affected GP practice will have to review less than 200 cases and NHS England and integrated care boards will support them in this process. A detailed root cause analysis will be carried out to ensure that we learn from this and avoid similar issues in the future.

[HCWS850]