Guidance

BCG and SCID screening data flowchart

Updated 20 November 2025

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This publication is available at https://www.gov.uk/government/publications/bcg-vaccination-and-scid-screening-data-pathway/bcg-and-scid-screening-data-flowchart

Data flow process for Bacillus Calmette-Guérin vaccine (BCG) vaccination.

Step 1

BCG eligibility identified at booking appointment and recorded in maternal notes.

Step 2

Baby born in hospital in community or home birth.

Step 3

Midwife, neonatal nurse or paediatrician assesses and records BCG eligibility on:

  1. NIPE S4N.
  2. Local maternity IT system.
  3. Discharge summary to GP or health visitor (HV).

Data will be transferred to CHIS via NEMS or trad feed.

Step 4

Offer BCG vaccination.

If declined go to step 5.

If accepted see steps 6 to 9.

Step 5

Notify GP or HV via discharge summary or suitable local alternative and inform CHIS [footnote 1]. Follow local procedures for declining.

Discharge.

Step 6

Referral via local systems, includes mother’s medical history, checklist, translation needs.

Step 7

Laboratory will notify the SCID result to Northgate NBS Failsafe Solution.

Data will be transferred to CHIS via NEMS or trad feed.

Step 8

BCG providers will liaise with CHIS to access the SCID result.

Step 9

BCG vaccine appointment: given, not given or declined.

Inform GP, HV, and CHIS if the BCG vaccine was given, not given or declined and record in PCHR. This should be done within 5 working days.

Discharge.

  1. Where the SCID evaluation result indicates SCID is NOT suspected, eligible babies should be offered the BCG vaccine within 28 days of birth. Vaccination may be administered earlier than 28 days provided that an appropriate SCID outcome is available. ↩

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