Case studies

Vulnerable groups such as travellers and asylum seekers are known to have lower rates of vaccination than the general population. In Brighton and Hove the local immunisation team has been working closely with health visitors, commissioned by the city council, to increase uptake.

The fragmentation of the vaccination system has been highlighted as one of the key contributors to the low uptake of immunisations. But in Derbyshire a strong working relationship has been established between the council’s health protection team and the regional NHS England immunisation service.

Doncaster Council has worked with local NHS organisations and care providers to try to ensure high rates of flu vaccination uptake. There has been a particular focus on care staff in recent years after they were incorporated into the winter flu vaccination campaign. Work has also been completed with other groups including council staff and pregnant women.

Two years ago Leeds suffered an outbreak of measles. There were more than 30 confirmed cases in just three months, prompting an emergency response to contain the spread and get unvaccinated children immunised quickly. Since then, the city has worked hard to drive up vaccination rates more generally – and taking pro-vaccination messages direct to the public has played a key role.

Slough Borough Council has supported a local partnership, involving the fire service and school immunisation team, to run pop-up vaccination clinics.

Despite social care staff being eligible for the flu jab, uptake has remained low. In Wakefield only between 2 per cent and 7 per cent of staff have come forward for their jab in recent years. But that is now changing thanks to work by the council’s public health team and its partners.

The London Borough of Tower Hamlets has sought to be innovative in the way it promotes the benefits of flu and routine vaccinations to children and their families. This has included the use of online videos and storybooks.

A new integrated adult Community Learning Disability (LD) Team has been uniquely co-located with children’s social care and education services in purpose-designed premises to improve outcomes for residents of all ages with disabilities.

The East Midlands Association of Directors of Adult Social Services (ADASS) Network group commissioned a project on how to assess the risk of market failure at a regional and sub-regional level. This project was based on the premise that early communication between authorities can enable interventions to prevent market failure, or help manage the impact of any failure. The project was supported by the LGA through the Care and Health Improvement Programme (CHIP).

A stand-alone Recovery Hub has been established as part of Sutton’s substance misuse service. It is situated away from the main treatment clinic giving clients a sense of progress and achievement when they get there, while providing them with the on-going support they need to stay alcohol-free.