Perspectives from CQC 'outstanding' practices: How to have good uptake of vaccination services.

London's vaccination rates are consistently lower than England's averages. General practices are inspected by England's Care Quality Commission, but to date no best practice guidance for vaccination services has been published. This study explores what learning could be extrapolated from general practices that are rated as 'outstanding' by England's Care Quality Commission in relation to their vaccination services. The intention is to share this learning to help other practices improve their vaccination services. A qualitative methodology was utilised, consisting of 12 unstructured interviews with staff at seven of London's nice 'outstanding' practices in February 2016. Thematic analysis revealed that good immunisation practice was influenced by having patient- and family-centred care, trained 'up-to-date' staff, planning ahead, an ethos of working together, and allowing time for discussion about vaccinations with patients/parents. Further research is needed to test if the implementation of learning from 'outstanding' practices will increase immunisation rates. [ABSTRACT FROM AUTHOR]