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I don't work in the NHS but I read this with interest - especially the bit about suspension of staff who refuse vaccination. In my world the unions would go absolutely ape. I wonder - would redeployment have been a more pragmatic solution as at least the employer would have been getting something out of them. Cant see how you can suspend without pay unless you do that for all suspensions for whatever reason,surely this issue of declining vaccination would have to be written in disciplinary procedures? Does recurrent non-attendance for appointments also constitute refusal? And do staff have it written in their job spec/contract that they will comply with vaccination recommendations? ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Milne Campbell Sent: 19 June 2008 09:54 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Measles immunity assessment Without documented evidence of 2 x MMR vaccination, Staff are offered vaccination and if declined / inappropriate (pregnancy) then serology, On the proviso that those staff that test equivocal / susceptible will have vaccination asap. We have had a situation where a member of staff was suspended for refusing to accept vaccination (who worked in a high risk area). Additionally if there is an outbreak (and we have had a few Mumps) should a person known to be at risk but declined (as apposed to could not have) vaccination be paid while suspended and if do how many times ? Further there is a group of staff we are seeing that have only had 1 x MMR (born late 80's). Campbell -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of sandy Sent: 18 June 2008 21:15 To: [log in to unmask] Subject: [OCC-HEALTH] Measles immunity assessment I work in the NHS for a Mental Health Trust. I have now been in post for 12 months developing a new in house service. Following a recent DoH communication re doctor spreading measles-it has been questioned whether checking of staff for measles should be undertaken. I am aware that the "Green Book " has recommendations. I wondered if colleagues would share how they have managed the measles, mumps, rubella, varicella situation in such an environment? -Do you routinely check all new starters? If so for all 4 diseases or just some? -Do you take short cuts e.g. assume mothers have been assessed during pregnancy for rubella? -The thought seems to be going towards giving MMRx2 to all permanent staff on certain in-patient areas as the vaccine is free and serology costs. Proof of previous immunisation will naturally preclude this. How do you manage the fact that staff do bank shifts? in the selected areas? Also locum medical staff, OTs, psychologists etc? -Do you check community staff? -Do you have much success in obtaining written proof of MMR X2 vaccination history? I seem to struggle. Looking forward to your replies Sandy ________________________________ The information in this email and in any attachment(s) is commercial in confidence. If you are not the named addressee(s) or if you receive this email in error then any distribution, copying or use of this communication or the information in it is strictly prohibited. Please return it to the sender and delete all copies. Thank you. Whilst e-mail and attachments are virus checked Gloucestershire Healthcare Community does not accept any liability in respect of any virus which is not detected. 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