General practitioner GP practices England Wales

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Vaccinations and immunisation 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.


Zika virus infection

There is currently an ongoing outbreak of Zika virus infections in South and Central America and the Caribbean, and increasing evidence that infection in pregnancy may be associated with fetal microcephaly and other central nervous system abnormalities.

This guidance is for those working in primary care to advise patients, including pregnant women, who are travelling to or returning from countries that are part of this outbreak.

Read the guidance


GP contract-related changes to vaccinations and immunisation programmes

There have been changes to vaccination and immunisation programmes in line with the GP contract 2016-2017 England. As from 1 April 2016, all fees vaccines and immunisations have been uplifted to £9.80, as part of the 2016/17 contract agreement.

NHS Employers guidance

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

  • Vaccination and immunisation programmes 2016-2017 guidance and audit requirements
  • Technical requirements for 2016-2017 GMS Contract changes

Visit NHS Employers website


Changes to existing vaccination programmes

There have been some changes to the existing vaccination programmes which will commence from 1 April 2016. 


Meningococcal B (Men B) vaccination infants

Enhanced service

The programme is for three doses of vaccine at 2, 4 and 12 to 13 months (in line with the childhood immunisation programme), with a catch-up element in place for children born on or after 1 May 2015, who can be vaccinated up to 2 years on an opportunistic basis. JCVI has recommend three doses of prophylactic paracetamol (2.5ml of infant paracetamol 120mg/5ml suspension) to be administered following the vaccinations at 2 and 4 months, but this is no longer centrally provided. 

The service specification is available from the NHS England website and further information is available on the Public Health England website.

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.


Meningococcal C (MenC) vaccination infants

The infant dose of MenC will be removed from the routine childhood schedule following advice from the JCVI. This is because the MenB vaccine provides coverage against the ‘c’ strain of this disease.

This will be removed from the programme from 1 July 2016, and due to the two year payment lag, the funding will be removed from April 2018. 


Meningococcal ACWY (MenACWY)

Enhanced service

The Men ACWY vaccination will be expanded to allow the opportunistic vaccination of 19-25 year olds (including non-freshers) who self-present to the practice alongside the single-dose programme for all patients aged 18 years on 31 August 2016.

The service specification is available from the NHS England website.


Pertussis (whooping cough) for pregnant women

Enhanced service

Pertussis vaccinations for pregnant women and new mothers who missed the opportunity to be vaccinated while pregnant. The eligibility has been changed from 28 weeks to 20 weeks.

Pertussis (whooping cough) vaccination programme for pregnant women 2016/17 service specification (NHS England, PDF)


Continuing vaccination programmes

The existing vaccination programmes are continuing from 1 April 2016.


Meningococcal ACWY (MenACWY) booster


Practices to administer MenACWY vaccinations opportunistically or following patient request when child or young adult unable to access or has missed school programme provision. The cohort for this programme is children aged 14-25 years.


Meningococcal ACWY (MenACWY) vaccination for university freshers

Enhanced service

Booster offered to freshers (first time university or further education students who have received notification via UCAS to obtain MenACWYvaccination – aged 19-25) who have not previously been vaccinated and who self-present at their practice for vaccination.

This is a single dose programme for patients aged 19 years and over. 

Service specification for MenC vaccination for freshers 2016/17 (NHS England, PDF)


Childhood seasonal influenza

Enhanced service

As from 1 April 2015, the timeframe for this enhanced service changed from 1 September to 31 August to align with school years. The age range for this enhanced service remains children aged 2-4 years.

Service specification for childhood seasonal influenza vaccination 2016/17 (NHS England, PDF)


Seasonal flu and pneumococcal vaccination programme

The cohort for the seasonal flu and pneumococcal vaccination programme remains as at-risk patients as defined in the service specification and the Green Book.


Pharmacists delivery of seasonal flu vaccines

From September 2015, adult at-risk patients have been able to access seasonal flu vaccinations in participating community pharmacies.

Find out how this works



Routine vaccination for over 70s - SFE

Catch up programme - Enhanced service

From 1 September 2013, a shingles vaccination programme was introduced for patients aged 70, but not yet 71 [route cohort] as well as a catch-up programme for patients aged 78. As from 1 April 2015, patients aged 70 on or after 1 September 2013 remain eligible for both programmes until their 80th birthday.

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

Service specification for shingles (catch-up) vaccination programme 16/17 (NHS England, PDF)


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 for new born babies at risk


New born babies whose mother has Hepatitis B are at increased risk of contracting the disease. This programme is intended to identify these new born babies and ensure they receive vaccination (first three doses) within the first three months after birth and fourth dose at the age of 1. This vaccination has been incorporated into the SFE for providers of the childhood immunisation additional services.


HPV booster


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 is girls aged 14-18 years.




Between 25 April 2013 and 31 March 2014, there was a 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.




The rotavirus vaccine is part of the childhood immunisation schedule and should be provided at 6 weeks and 6 months). This programme is included in the SFE and will continue until 31 March 2017.

Read Public Health England guidance on the rotavirus vaccination


'Focus on' guides

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.