If school immunisation teams are not always given properly formatted class lists, suitably sized and equipped rooms, or timely consent forms from schools, then local public health teams should consider engaging with school leaders so they understand the importance of meeting the practical and logistical needs of immunisation teams. This could be done through a direct contact programme or a webinar/ event for all school leaders in the area. 

Encourage schools to ask about a child’s immunisation status on their induction to the school and when they leave, and signpost those who are not up-to-date with their vaccinations to their GP practice or a catch-up clinic. 

Local authorities are permitted to give the details of home-schooled children in the area to the provider of school-age immunisations. By doing so, providers can contact, and follow up with, the families directly, addressing any barriers to, or concerns about, receiving the vaccination. 

Explore ways to inspire young people to be ambassadors for vaccinations with their peers and families, as they are often the gateway to reaching relatives who might be more vaccine-hesitant.  

Encourage schools to regularly undertake activities within their Health and Wellbeing curricula to teach pupils about the importance of vaccinations, how they work, and address any of their concerns.  

To empower and utilise the voice of young people themselves, working alongside your School Nursing Service, you could establish a Young Health Champions programme, including a focus on vaccinations. See for example, Birmingham’s School Nurse Ambassadors Programme.