What follow-up protocols should I implement for patients who have received the HPV vaccine?

Follow-up protocols for patients who have received the HPV vaccine include:

• Encouraging women from age 25 to 64 years to participate in the NHS cervical screening programme regardless of vaccination status, as vaccination does not eliminate the need for regular cervical screening to detect precancerous lesions early and prevent invasive cancer.
• Advising sexually active girls and women to use additional barrier contraception methods such as condoms to reduce the risk of HPV infection, since the vaccine does not protect against all HPV types and condom use also protects against other STIs that can influence HPV progression.
• Providing education on limiting the number of sexual partners to reduce HPV exposure risk.
• Ensuring accurate recording and updating of vaccination status in patient-held and electronic health records to support ongoing care and screening invitations.

There is no indication for increased surveillance or additional follow-up solely based on HPV vaccination status beyond routine cervical screening and sexual health advice.