General practitioner GP practices England Wales

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Vaccinations and immunisations guidance

The national arrangements for providing vaccines and immunisations are set out in the additional services section of the Statement of Financial Entitlements (SFE).

Those vaccines and immunisations that are provided as enhanced services will have their arrangements outlined in service specifications.

A review of Vaccination and Immunisation programmes will take place in 2019 with recommendations taken to negotiations for implementation in 2020 and 2021. The review will aim to reduce complexity, improve value and increase impact without cutting practice income.


GP contract-related changes to vaccinations and immunisation programmes

From 1 April 2019, there were changes to some vaccination and immunisation programmes as outlined in the 2019/20 GP contract agreement for England.

The following documents from NHS Employers contain more detailed guidance on a majority of the programmes listed below:

  • Vaccination and immunisation programmes 2019-2020 guidance and audit requirements
  • Technical requirements for 2019-2020 GMS Contract changes

More information about all the changes are available on the NHS England website


New vaccination programme

MMR catch-up programme

SFE (£5.00)

A new MMR catch-up programme for 10 and 11 year olds who have not received a completed course of vaccines via the school programme. A payment of £5 per head will be made if GP practices have completed vaccination or they have met the specified criteria.

Practices can claim the fee on vaccination and also if they have met the criteria set out in the SFE i.e. in cases where they tried but have been unable to vaccinate a child.

A patient identified as ‘eligible for vaccination’ should be contacted on no less than 3 occasions with a record of this activity shared with their commissioner. The detail of these and other requirements attached to payment are detailed in the SFE.


Changes to existing vaccination programmes

Childhood seasonal influenza

Enhanced service (IoS £10.06 per dose)

1 dose of nasal spray recommended for 2-3 year-olds, with alternative inactivated vaccine only available for children defined as at-risk in the specification and green book. The item of service fee has increased from £9.80 to £10.06 per dose.

Service specification for childhood seasonal influenza vaccination 2019/20 (NHS England)


HPV completing dose

SFE (IoS £10.06 per dose)

Practices to administer HPV booster vaccinations opportunistically or following patient request when child unable to access or missed school programme provision. The patient cohort for this programme has changed from girls aged 14-18 years, to girls and women aged 14-24 years.


Meningococcal ACWY (MenACWY) completing dose

SFE (IoS £10.06 per dose)

The cohort has been extended to include eligible school leavers previously covered by the 18 years programme. The eligibility is now 1 September 2010 (aged 14-24 years).


Pertussis (whooping cough) for pregnant women

Enhanced service (IoS £10.06 per dose)

Pertussis (whooping cough) vaccination programme for pregnant women 2019/20 service specification (NHS England) – the item of service fee has increased from £9.80 to £10.06 per dose.


Seasonal flu and pneumococcal vaccination programme

SFE and Enhanced service (IoS £10.06 per dose)

The enhanced service specification for 2019/20 has been published on the NHS England website. Practices must now use the flu vaccine recommended by NHS England, and health and social care staff workers employed by residential or nursing homes are now also eligible. The Item of Service fee has increased from £9.80 to £10.06.

Further guidance from Public Health England on the Annual flu programme


Pneumococcal PCV

SFE (IoS £15.02 per dose)

There is a consultation underway relating to the removal of one dose of pneumococcal PCV from the childhood programme. In the event this change is agreed, the funding for the remaining dose will remain at £15.02.


Continuing vaccination programmes

The following vaccination programmes are continuing unchanged.


Childhood immunisations (targeted programme)


The arrangements for the Childhood vaccines and immunisations targeted programme are set out in Chapter 11 of the Statement of Financial Entitlements.


Hepatitis B at-risk (new born babies)

SFE (IoS £10.06 per dose)

New born babies whose mother has Hepatitis B are at increased risk of contracting the disease. The number of recommended doses has been reduced to three, removing the third dose at 2 months. This was an in-year change effective from 30 October 2017.


Meningococcal ACWY (MenACWY) vaccination for university freshers

Enhanced service (IoS £10.06 per dose)

Service specification for MenC vaccination for freshers 2019/20 (NHS England)


Meningococcal B (Men B) infants

SFE (IoS £10.06 per dose)

The programme is for three doses of vaccine at 2, 4 and 12 months (in line with the childhood immunisation programme), with a catch-up element in place for children up to 2 years who can be vaccinated on an opportunistic basis. The programme has now been moved in to the SFE, but is not included in the targeted programme.

NHS Employers' vaccs and imms FAQs explain the eligible age cohort and what practices can do if parents approach them about having children outside the cohort vaccinated privately.



SFE (IoS £10.06 per dose)

In 2013-14, there was an MMR catch-up campaign in England in response to local measles outbreaks. From 1 April 2015, patients over 16 who have no record of vaccination and who self-present to the practice requesting vaccination, are to be continued to be vaccinated.



SFE (IoS £10.06 per dose)

The rotavirus vaccine is part of the childhood immunisation schedule and should be provided from six weeks of age with all doses completed before 24 weeks. Ideally, doses should be provided at eight and 12 weeks of age alongside other routine childhood vaccines.

Read Public Health England guidance on the rotavirus vaccination


Shingles Routine vaccination

SFE (IoS £10.06 per dose)

Patients are eligible when they turn 70, rather than their age on a specific date. Practices can now offer the shingles vaccine opportunistically to patients throughout the year as they become of eligible age.


Shingles Catch up programme

Enhanced service (IoS £10.06 per dose)

Patients are eligible when they turn 78 or 79 at the time of the vaccination. Patients previously eligible remain eligible until their 80th birthday.

Service specification for shingles (catch-up) vaccination programme 19/20 (NHS England)

Further information about both the routine and catch up programmes are available from the NHS Employers website.


Further guidance

Focus on travel immunisation
Our summary guidance explains which travel immunisations are available on the NHS and which can be charged for privately.

Focus on hepatitis B immunisations
Our summary guidance on hepatitis B immunisations aims to clarify the circumstances where charges can be made and where active attempts to encourage immunisation ought to be made.

Focus on vaccines and immunisations
Information for GPs about payment for vaccines and immunisations, including additional guidance specific to the devolved nations.

Patient Group and Patient Specific Directions
Our guidance explains when Patient Group and Patient Specific Directions should be used to prescribe and administer a Prescription Only Medicine (POM).

Public Health England immunisations PGD templates - Public Health England