Immunisations

Consent for Immunisations

  • Written consent is not required
  • Consent may be given or withheld by parent if child is not competent to give consent
  • Parental Responsibility
    • defined by Children Act 1989
    • mothers automatically have responsibility
    • fathers have responsibility if they are married to the mother when the child was born or if they subsequently marry
    • Unmarried fathers may acquire responsibility by:
      1. Parental Responsibility Order granted by the court
      2. Residence Order granted by the court
      3. Parental responsibility agreement
  • Since 2003 unmarried fathers can acquire parental responsibility if they are named on the child’s birth certificate
  • A step parent can acquire responsibility if they marry the mother and eirter get a Parental Responsibility Agreement or the court grants a Parental Responsibility Agreement Order
  • If parents disagree then immunisations cannot go ahead without a specific court order
  • A person with parental responsibility does not need to be present at the time of immunisation. A grandparent or childminder / carer can bring the child provided that the healthcare provider is satisfied that the person with parental responsibility has consented in advance. Written confirmation is not required.

Vaccine Storage

  • Generally should be stored in the fridge at +2C to +8C and kept in original packaging o protect the vaccine from UV light
  • Refrigeratr temp should be monitored using max-min thermometer and

Immunisation in Pregnancy

  • BCG / Oral Polio / Oral typhoid / Yello fever – are live vaccines so avoid them in pregnancy
  • Hep A and Hep B vaccinations are antigen based and may be given safely in pregnancy – if travel to an area of high risk is expected