MMR and MMRV Vaccination Programme 2026-2027

Purpose and outline

This is an automated payment service for the following patient groups receiving MMR and MMRV vaccinations:

Children aged 0-5 years:

Each vaccine delivered to a child in this cohort will accrue an item of service (IoS) fee of £12.06.

Children aged 6-10 years:

Each vaccine delivered to a child in this cohort will accrue an IoS fee of £12.06.

Children and Adults aged 11 years and over:

Patients aged 11 and over who were previously unvaccinated, will accrue an IoS fee of £12.06

MMRV Single Dose Varicella Catch Up (already fully MMR vaccinated) – Children aged 1-5 years at point of vaccination only:

Each vaccine delivered to a child in this cohort will accrue an IoS fee of £12.06.

Practices are only paid for vaccinations carried out by the practice, not for those given by other providers.

How this service is commissioned and provided

Region’s commission this service from GP practices.

2026/27: Information about this service

Quality service start date: 1 April 2026

Quality service end date: 31 March 2027

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection

Included in data collection: All system suppliers (TPP, Medicus and EMIS)

System type: Vaccination and Immunisation (V&I)

Service user guides

The below links to user guides describe how to participate, manually enter and declare achievement for this service:

Viewing, accepting and rejecting a Quality service offered in CQRS National

Manually inputting Achievement data

Declaring an achievement for payment

MS-Curettage

Purpose and outline

MS Curettage is a medical procedure that uses a curette, a spoon shaped instrument, to remove tissue for biopsy.

Information about this service

Local incentive scheme.

Example components for this service

Number of initial procedures carried out.

Number of follow up procedures carried out.

Declaration.

Multiple Sclerosis

Purpose and outline

Multiple Sclerosis (MS) is a condition that affects the brain and spinal cord. A GP can refer patients to a brain and nerve specialist. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of newly diagnosed patient support consultations.

Number of Disease Modifying Therapy (DMT) management appointments.

Declaration.

MGUS CLL LES

Information about this service

Local incentive scheme.

Example components for this service

Number of monitoring appointments.

Declaration.

Micro-Suction of Ear Service

Purpose and outline

Micro-suction of the ear is a procedure to remove earwax using a gentle suction device and a microscope.

Information about this service

Local incentive scheme.

Example components for this service

Ear Irrigation Procedures – Own Patients.

Ear Irrigation Procedures – Other Practice Patients.

Declaration.

Minor Illness

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Declaration.

Minor Injury

Information about this service

Local incentive scheme.

Example components for this service

Number of Advice and Referrals.

Number of Treatments.

Declaration.

Minor Surgery

Information about this service

Local incentive scheme.

Example components for this service

Number of Excisions.

Number of Incisions.

Number of Asperations.

Number of Injections.

Declaration.

Minor Surgery Removal of Sutures

Information about this service

Local incentive scheme.

Example components for this service

Number of suture removals.

Number of follow on appointments.

Declaration.

MRSA

Purpose and outline

MRSA is bacteria that can cause serious infection that needs immediate treatment with antibiotics. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of screening tests.

Number of patients referred to hospital.

Declaration.

Monitoring of Toxic Drugs

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Number of blood tests.

Declaration.

Medicals for Children in Care

Information about this service

Local incentive scheme.

Example components for this service

Number of medicals carried out (practice).

Number of medicals carried out (out of practice).

Declaration.

Medicines Management

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Declaration.

MMR and MMRV Vaccination Programme 2025-2026

Purpose and outline

We require an automated payment service for the following patient groups receiving MMR and MMRV vaccinations: 

Children aged 0-5 years: 

Each vaccine delivered to a child in this cohort will accrue an item of service (IoS) fee.  

Children aged 6-10 years:  

Each vaccine delivered to a child in this cohort will accrue an IoS fee

Children and Adults aged 11 years and over: 

Patients aged 11 and over who were previously unvaccinated, will accrue an IoS fee

MMRV Single Dose Varicella Catch Up (already fully MMR vaccinated; age under 11 at 1st January 2026): 

Children aged 1-5 years at point of vaccination:  

Each vaccine delivered to a child in this cohort will accrue an IoS fee.  

Children aged 6 and over at point of vaccination: 

Each vaccine delivered to a child in this cohort will accrue an IoS fee. 

Practices are only paid for vaccinations carried out by the practice, not for those given by other providers.

How this service is commissioned and provided

Regions commission this service for GP practices.

NHS England service specifications

2025/26: Information about this service

  • Quality service start date: 1 April 2025
  • Quality service end date: 31 March 2026
  • Payment period: Monthly
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic data collection
  • Included in data collection: All system suppliers (TPP, Medicus and EMIS)
  • System type: Vaccination and Immunisation programme (V&I)

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service. Activity and achievement should be recorded monthly.

Meningococcal ACWY (MenACWY) Vaccination Programme 2025-2028

Purpose and outline

The purpose of the service is to enable NHS England to commission MenACWY immunisation services of sufficient quantity and quality to prevent the infections and outbreaks caused by these organisms.

The JCVI advised that there was an outbreak of Meningococcal W in 2016 and a vaccination programme of all 14-18 year old patients was agreed. To achieve this the completing dose and those aged 18 years on 31 August programmes have now been combined in to one programme for those who attained the age of 14 years but not yet attained 25 years who have not been vaccinated under the schools programme.

The conjugate vaccine (ACWY) will be provided by central supply for all patients in this cohort.

How this service is commissioned and provided

Regions commission this service from GP practices.

NHS England service specifications

2025/28: Information about this service

  • Quality service start date: 1 April 2025
  • Quality service end date: 31 March 2028
  • Payment period: Monthly
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic
  • Included in data collection: All system suppliers (TPP, Medicus and EMIS)
  • System type: Vaccination and Immunisation (V&I)

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service.

Meningococcal B (MenB) Infant Vaccination Programme 2025-2028

Purpose and outline

This service enables NHS England to commission MenB immunisation services to effectively prevent infections and outbreaks caused by meningococcal bacteria.

This routine immunisation programme consists of a three dose schedule.

From 1st July 2025, the primary course includes two doses at 2 and 3 months, to ensure optimum protection for babies before the peak incidence at five months and a booster dose at 12 to 13 months providing long term protection.

Practices are only paid for vaccinations administered by the practice not for those given by other healthcare providers.

How this service is commissioned and provided

Regions commission this service for GP practices.

NHS England service specifications

2025/28: Information about this service

  • Quality service start date: 1 April 2025
  • Quality service end date: 31 March 2028
  • Payment period: Monthly
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic data collection
  • Included in data collection: All system suppliers (TPP, Medicus and EMIS)
  • System type: Vaccination and Immunisation (V&I)

Service user guides

The below links to user guides describe how to participate, manually enter, and declare achievement for this service:

Viewing, accepting and rejecting a Quality service offered in CQRS National

Manually inputting Achievement data

Declaring an achievement for payment