Health protection

The health protection section includes information about:

  • childhood vaccination statistics
  • HIV (late diagnosis)
  • seasonal flu vaccinations

Childhood vaccination statistics

The Barnsley picture and how we compare

Read our childhood vaccination coverage statistics.

HIV (late diagnosis)

Why this is important

Late diagnosis of HIV leads to increased morbidity and the potential of life threatening illness. Hospitalisation and ill health place a significant challenge both to the individual and often their wider family (especially when the person affected has dependants).

People who are diagnosed at a later stage will have been infectious for a length of time before diagnosis meaning that there is a significant risk that HIV could have been transmitted to sexual partners if safer sex practices were not followed during that that period.

A person who is on a successful treatment regime resulting in undetectable levels of HIV in the body is no longer considered to be an infection risk to others during sexual activity. 

The Barnsley picture and how we compare

  • Of those diagnosed with HIV in Barnsley (aged 15 years or more) in 2016-18, more than half (61.3%) were classified as being diagnosed at a late stage.  This is higher than regional and national rates of 49.3% and 42.5%.
  • When compared to statistical neighbours, Barnsley’s HIV late diagnosis rate is the fifth highest.
  • The rate of 61.3% represents approximately six people per year in Barnsley who were diagnosed with HIV at a later stage.
  • Barnsley’s late diagnosis rates have fluctuated in recent years, with the highest being 73.7% in 2010-2012 and the lowest in 2014-2016 (39.2%).

What we're doing and the assets or services we have

  • We have commissioned an open access integrated sexual health service to provide free HIV testing. An integrated sexual health service means that almost everything relating to contraception and sexually transmitted infections (STI) needs is available in one place, including complex STI treatments and complex contraception problems. Specifically in relation to HIV this means:
    • Co-ordinate notifications for STIs and HIV to partners.
    • Risk assess cases and provide post-exposure prophylaxis (PEP) after sexual exposure to HIV. PEP involves taking antiretroviral (ARV) medicines very soon after a possible exposure to HIV to prevent becoming infected. Providing sexual health education to patients about HIV. Providing insight sessions at BEST meetings and training to other professionals.
  • Ensure that our Sexual Health service makes good links with primary care.
  • Take opportunities to engage with national HIV campaign opportunities (e.g. HIV testing week)
  • Ensure that our sexual health services report and progress in relation to ensuring there is good access for those most at risk.
  • Receive HIV testing data and review at least quarterly.
  • Ensure that we have senior management scrutiny via the Health Protection Board.

Opportunities for improvement or future development

  • We will have a free postal HIV test offer and/ or additional rapid test opportunities in 2020 for those most at risk.
  • Our online and outreach offer to those at higher risk will continue to improve.
  • We will ensure that we continue to work collaboratively.

Resources and supporting documents

Seasonal flu vaccinations

Why this is important

For most healthy people, seasonal flu is an unpleasant but usually self-limiting (resolving itself without treatment) disease with recovery generally within a week.

However, the following people are at particular risk of severe illness if they catch flu:

  • anyone aged 65 and over
  • pregnant women
  • children and adults with an underlying health condition (such as long-term heart or respiratory disease)
  • children and adults with weakened immune systems

The Barnsley picture and how we compare 

  • Barnsley’s 2018/19 seasonal flu uptake rates for the over 65’s, under 65 years (at risk), pregnant women and two to four years olds are all higher than the England rates.
  • Barnsley also has good uptake rates in school age children, with more than three quarters of children in Reception and Years one to four being vaccinated in 2018/19.

Data from

Public Health Outcomes Framework – indicators 3.03xiv and 3.03xv

What we're doing and the assets or services we have

NHS England’s flu programme is a co-ordinated and evidence based approach to planning for the demands of seasonal flu across England.  The aim is to increase vaccine uptake rates, particularly among those who are most vulnerable to the effects of flu.

GP practices invite children aged two and three years, those aged from six months to 65 years with an underlying health condition, pregnant women and those aged over 65 years for a flu vaccination throughout the flu season (September to March).

Pharmacists, who are signed up to give the vaccine, offer flu vaccinations to those aged 18 and over with an underlying condition, to those aged over 65 years and to pregnant women throughout the flu season (September to March).

Barnsley Maternity services offer flu vaccination to pregnant women throughout the flu season (September to March).

A school based flu vaccination programme is offered to all children in reception and school years one to six.

The health care and social worker vaccination programme offers vaccinations for those employed in health care organisations, social care organisations, local authority organisations and private and community organisations across Barnsley.

Opportunities for improvement or future development

The Barnsley Flu Vaccination Programme Local Operational Group review uptake reports and insight from the providers of the flu vaccination programme throughout the season to support a system wide approach to planning and priority setting.

Flu vaccination uptake remains a priority for two and three year olds and those with an underlying health condition, particularly those with a respiratory condition, as uptake is lower in these groups.