FLU IMMUNISATION

Should be offered each Autumn.

Update information (ie given, declined or contraindicated). If declined, discuss benefits with patient to increase chance of acceptance at next offer.

PNEUMOCOCCAL IMMUNISATION

Should be offered once only.

Update information (ie given, declined or contraindicated).
Review declined/contraindicated status each year, since circumstances may change. 

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• CHD
• COPD
• Diabetes
• LVSD
• Stroke