1. Too busy dispensing / can’t afford locum cover to leave the pharmacy
2. Can’t easily arrange insurance cover to vaccinate children if independent prescriber
3. Can’t arrange PGD for children if pharmacist not registered as a prescriber
4. Haven’t arranged DBS certificate to treat children
5. School / Nursery completely unaware pharmacist can vaccinate
6. CCG unwillingly to fund pharmacists
7. Few pharmacists willing or experienced in treating children
8. Record keeping and notification doesn’t meet CCG standards / GDPR regulations etc.
9. Transportation of cold chain vaccines not possible. Disposable of sharps bin not straightforward. Availability of adrenaline in case of anaphylaxis limited
10. Parents would prefer nurse to pharmacist
