GP practices

Changes to vaccination arrangements

Injection being givenThe 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.

There are a number of changes to the vaccination programmes in England as from 1 April 2014 which are explained in this section.

ArrowView our table of what the changes mean for practices in England (Word)

Vaccinations and immunisation guidance

Details on all the changes to the vaccination and immunisation programme 2014-2015 are available in the overall joint guidance from the BMA, NHS England and NHS Employers.

ArrowVaccination and immunisation programmes 2014-2015 (NHS Employers)

ArrowGMS contract changes 2014-15 – guidance and audit requirement and technical requirements (NHS Employers)


New vaccination programmes - April 2014

These new vaccination programmes commence from 1 April 2014  

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 will be incorporated into SFE for providers of the childhood immunisation additional services.

Further guidance for this programme is available within the Guidance and Audit requirement document, available to download above.


MenC vaccination for freshers

Enhanced Service

Booster offered to freshers (first time university or further education students who have received notification via UCAS to obtain MenC vaccination) not previously vaccinated with MenC since reaching age 10.

ArrowMenC vaccination for freshers - Enhanced service specification

Important note
From 1 June 2013, there have been changes to the MenC vaccination programme, which includes the removal of the second dose from the routine schedule for infants, a new adolescent booster dose provided in schools, and the above mentioned booster for freshers.

ArrowMenC vaccination schedule: planned changes from June 2013


Existing vaccination programmes - April 2014

These existing vaccination programmes are continuing from 1 April 2014



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 2014, 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 (this requirement has been added to the SFE).  The requirement for practices to identify patients aged 10-16 who were unvaccinated and invite them to the practice was retired as from 31 March 2014.

There remains a catch-up programme in place in Wales as a result of severe outbreak of measles.

Further guidance for this programme is available within the Guidance and Audit requirement document, available to download above.


Pertussis for pregnant women

Temporary Enhanced Service

Since 1 October 2012, a temporary programme of pertussis (whooping cough) vaccinations for pregnant women has been in place, while the JCVI evaluate the cost and clinical effectiveness of the programme. This programme has now been extended to 31 March 2015.

ArrowPertussis (whooping cough) vaccination programme for pregnant women




From 1 July 2013, the rotavirus vaccine was introduced as part of the childhood immunisation schedule (at 2 and 3 months).

There is an item of service fee of £7.64 for a completed course and the vaccine supply will be centrally procured and therefore not liable to PA fees. This programme is included in the SFE and will continue until 31 March 2015.

ArrowRead the tripartite letter on the introduction of rotavirus vaccination for babies at 2-3 months


Existing vaccination programmes - August 2014

These existing vaccination programmes are continuing after August 2014

Seasonal influenza for at-risk patients

Enhanced Service

The seasonal flu programme has been widened so that as from 1 April 2014 it mirrors the at-risk groups set out in the Green Book to include pregnant women, but excluding 2-4 year olds, as they will be covered under the childhood flu programme.

ArrowInfluenza: The Green Book, Chapter 19

Arrangements for flu vaccinations for 2013-2014 were set out by the Department of Health, NHS England and Public Health England

ArrowRead the tripartite letter about the flu immunisation programme 2014-2015

ArrowRead guidance from Public Health England on the Annual flu programme

ArrowSeasonal influenza and pneumococcal immunisation enhanced service specification (PDF 228K)
Further guidance for this programme is available within the guidance and audit requirements document.


Childhood seasonal influenza

Enhanced service

As from 1 April 2014, the age range to this enhanced service has been extended to included children aged 4, so that the new cohort is children aged 2-4.

ArrowChildhood seasonal influenza vaccination programme - Enhanced service specification (May 2014)

ArrowRead the letter about the extension of the programme to children (2013)

ArrowVaccination guidance - further guidance for this programme is available within the Guidance and audit requirements (version 3, June 2014) (PDF 699K).




There is an addition to the Pneumococcal vaccination programme to resolve a historic anomaly between the enhanced service and the recommended cohort as indicated within the Green Book.

As from 1 April, the requirement is to offer the vaccination to patients who have achieved the age of 65 during the financial year 2014-2015 and to patients identified as at clinical risk as indicated in the Green Book.

This vaccination will be delivered alongside flu from 1 August 2014.

ArrowPneumococcal: The Green Book, Chapter 25

ArrowSeasonal influenza and pneumococcal immunisation enhanced service specification (PDF 228K)
Further guidance for this programme is available within the guidance and audit requirements document.



Routine vaccination for over 70's - 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 79. As from 1 April 2014, the age cohort of the catch-up programme has been extended to include patients aged 78.

ArrowEnhanced service specification - shingles (catch-up) vaccination programme 2014 (PDF 52K)

ArrowVaccination and immunisation programmes 2014-2015 - guidance and audit requirements (version 3, June 2014) (PDF 699K)
This document provides further information on the vaccination guidance programme.

ArrowShingles vaccination programme for over 70's - FAQs (2013)

ArrowIntroduction of shingles vaccine to over 70's - letter from Public Health England (2013)


'Focus on' guides

ArrowFocus on vaccines and immunisations
Our Focus on vaccines and immunisation (2014) explains the national arrangements for provision of immunisations on the NHS.

ArrowFocus on travel immunisation
This guidance explains which travel immunisations are available on the NHS and which can be charged for privately.

ArrowFocus on hepatitis B immunisations
The Focus 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.

GP practices

Guidance to help GP practices, including information on services, premises and staffing.

ArrowWhat you need to know

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