Flu Vaccination – eligible patient groups

Flu Vaccination – eligible patient groups

The service covers those patients most at risk from influenza aged 18 years and older, listed in Annex A of the service specification for the flu vaccination Advanced Service (and also listed below).

The selection of these eligible groups is informed by the NHS England, Public Health England and Department of Health and Social Care annual flu plan.

Pharmacists are not authorised to administer flu vaccines to other patient groups as part of the Flu Vaccination Service. If a vaccine is administered to patients in other groups, the community pharmacy contractor will not be paid for that vaccination and the administration will have been undertaken outside the authority of the national Patient Group Direction.

The eligible groups for the 2018/19 service are:

  • all people aged 65 years and over (including those becoming age 65 years by 31st March 2019);
  • people aged from 18 to less than 65 years of age with one or more of the following medical conditions:
    • chronic (long-term) respiratory disease, such as severe asthma, chronic obstructive pulmonary disease (COPD) or bronchitis;
    • chronic heart disease, such as heart failure;
    • chronic kidney disease at stage three, four or five;
    • chronic liver disease;
    • chronic neurological disease, such as Parkinson’s disease or motor neurone disease, or learning disability;
    • diabetes;
    • immunosuppresion, a weakened immune system due to disease (such as HIV/AIDS) or treatment (such as cancer treatment);
    • asplenia or splenic dysfunction;
    • morbid obesity
  • pregnant women aged 18 or over (including those women who become pregnant during the flu season);
  • people aged 18 or over living in long-stay residential care homes or other long-stay care facilities*;
  • social care workers;
  • hospice workers;
  • carers aged 18 or over; or
  • household contacts of immunocompromised individuals who are aged 18 or over.

Pharmacists can undertake vaccinations in a patient’s home*, where this service is requested by the patient and where the pharmacy has an existing clinical relationship with the patient (e.g. pharmacy services have previously been provided to the patient).

* Where a contractor is asked to provide flu vaccinations to eligible patients at a long-stay residential care home, other long-stay care facility or at a patient’s home they must first notify the local NHS England team. Further details on this process are available on the providing the service off-site page.

PSNC Briefing 043/18: Services Factsheet – Eligible Groups for the Flu Vaccination Service 2018/19 – this could be displayed and used as a ‘quick reference’ to assist with determining if a patient is eligible for a vaccination.

Frequently asked questions

Frequently asked questions relating to eligible patient groups can be found on the Flu Vaccination FAQs page.

Return to the flu vaccination hub page



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