How RIVIAM supported 1.7 million school-aged vaccinations in 2025/26

During 2025/26*, RIVIAM’s Immunisations eConsent service supported school-aged immunisation services across all London boroughs, as well as a significant geographic footprint including: Bristol area, West, Hertfordshire, the Midlands, East Anglia and Yorkshire. 

This amounts to 1.7 million vaccinations. 

What began as a conversation with HCRG Care Group (formerly Virgin Care) in 2018 grew into one of the country’s largest digital school-aged immunisation eConsent services, supporting school-aged immunisation programmes at significant national scale across 40% of Local Authority areas in England. 

“I’m really proud of how RIVIAM has created a national-scale service that has delivered for millions of parents and children across England. It shows what can be achieved when technology is designed around the needs of providers, schools and families.’’ 

 

Paul Targett, CEO and Founder of RIVIAM Digital Care 

* All numbers for 2025/26 are calculated between July 2025 to June 2026.

This achievement was not simply about providing a digital engaging consent form used by parents and guardians. It required RIVIAM to understand a complex public health pathway, design technology around the way immunisation providers and schools work, support an end-to-end process from capturing consents to supporting nurses with an app at clinics and updating the customer’s clinical system. 

These figures demonstrate more than the success of one service. They show RIVIAM’s ability to design, develop and manage digital infrastructure capable of supporting complex NHS and public health programmes at national scale.

Turning a complex service into a connected digital workflow 

Providers must communicate with families, collect and review consent, confirm children’s NHS details, prepare clinic lists, support clinicians working in schools and record the outcome of each appointment. 

These processes must work across health and education organisations that use different systems and do not share a single common identifier for each child. 

RIVIAM developed connected services to help providers manage this process from beginning to end.  

Digital eConsents, online booking, automated reminders and a mobile application replaced paper eConsent forms and manual processes previously used to manage programmes. 

The service also helps families access consent forms in multiple languages, making it easier for parents and carers to respond. For clinical teams, RIVIAM’s mobile app gives nurses access to clinic lists and consent information before and during school sessions, and enables them to record immunisation outcomes digitally, even when working without an internet connection. 

Connecting schools and immunisation providers 

One of the central challenges was giving schools and immunisation teams access to accurate, up-to-date vaccination information. 

Because NHS and education systems do not use a common identifier, information could not simply be matched and shared automatically between them. 

RIVIAM responded by developing a secure School’s Portal. This gave participating schools access to clinic lists, helped schools securely provide class information, and enabled schools and providers to identify outstanding activity, manage the programme more effectively and support vaccination uptake. 

The information collected through digital consent could then support clinical teams before and during school vaccination sessions, with clearer visibility of consent status and planned activity. 

 
Technology designed around the service 

Delivering at this scale requires more than technology. It requires a platform and delivery partner that can respond to different local processes without losing the consistency, visibility and reliability needed across the wider programme. 

Mikael Mulavassilis, Director at Vaccination UK said: 

Feedback from Sirona Care and Health also highlights the importance of reliability and ongoing support. Alix Towson, Lead for School Aged Immunisations, described RIVIAM’s school immunisation consent and recording system as “user-friendly, reliable” and said the team’s responsiveness and willingness to continuously improve the system “made a real difference to our service delivery.” 

This ability to configure the platform around how providers operate was essential when supporting multiple regions, schools and immunisation teams. 

What this means for other large-scale programmes 

RIVIAM’s experience in immunisation demonstrates what is required to deliver digital services across multiple organisations and locations. 

Large programmes need digital infrastructure that can: 

• manage high volumes of activity securely and reliably
• connect workflows, information and teams across organisational boundaries, including with existing clinical systems
• give teams and leaders clear visibility while adapting to different local delivery models. 

RIVIAM provides a secure care co-ordination platform and services that connect referrals, workflows and information across organisational boundaries. 

Our experience in school-aged immunisation gives NHS, public health, social care and community organisations confidence that RIVIAM can support other large, complex programmes requiring secure, configurable technology and proven delivery expertise. 

Talk to RIVIAM 

To discuss how RIVIAM could help you design and deliver your next large-scale health and care programme, contact [email protected].