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Community pharmacy children's flu vaccination service expanded

Community pharmacy children's flu vaccination service expanded

The community pharmacy pilot flu vaccination service for children aged 2-3 years has been extended and the fee increased to £10.06 for each vaccine administered. 

In addition, the service has been expanded to include opportunistic vaccination of two additional groups:

  • Clinically at-risk children aged 2 years to less than 18 years
  • Catch up vaccinations of school aged children (reception to year 11).

The expansion of the service to include clinically at-risk children will supplement administration of vaccines by general practice, and the vaccination of primary school and secondary school aged children supplements vaccination provision by the School Aged Immunisation Service. 

Most eligible children will be vaccinated with live attenuated influenza vaccine nasal spray suspension (LAIV) which will be supplied to pharmacies from centrally procured stock.

Director of NHS services at Community Pharmacy England (CPE), Alastair Buxton, said: “We are pleased to be able to agree this expansion of the Advanced service. While it remains a trial, we are confident that it will further demonstrate how community pharmacy teams will be able to support vaccination rates through the provision of a convenient and accessible service offer to parents and their eligible children.

“The expanded cohorts come after lobbying by Community Pharmacy England and other pharmacy bodies to expand the scope of vaccination services that the sector can offer.

“It represents yet another strategically important step forwards for community pharmacies to support the delivery of NHS vaccination programmes in line with our calls for the sector to become a hub for the provision of all NHS vaccinations.”

Henry Gregg, chief executive of the National Pharmacy Association (NPA) said: "We've long called for pharmacies to be commissioned to provide more childhood vaccinations, particularly for teenagers and older children given the alarming drops we have seen in take up since the pandemic among this age group. 

"It's good pharmacies have been commissioned to provide flu vaccines to a wider group of children as well providing catch up vaccinations for those who might have missed out. It is also important pharmacies have been given a role to support those experiencing homelessness, who often do not have access to GP services. 

"Latest NPA analysis found that take up for flu vaccines among children had dropped to 52% last year, an 8% drop from the highs of 2018. In 15-16 year olds, it has fallen to a record low of 42%, less than half of all those eligible.

"There is growing evidence to show that using pharmacies to provide more NHS vaccinations helps to improve uptake and therefore prevent instances of serious illness, particularly in deprived communities who have historically been less likely to get vaccinated.

“It makes sense for pharmacies, who are highly accessible and on people’s doorsteps, to be able to help NHS colleagues deliver vaccinations for a wider range of conditions. We must do all we can to stop the clock being turned back on efforts to eradicate serious childhood diseases.”

Malcolm Harrison, chief executive of the Company Chemists’ Association added: “The CCA has campaigned for community pharmacy to play a greater role in administering childhood flu vaccines to help increase worryingly low rates of vaccine uptake and coverage.

"The continued commissioning of the childhood flu vaccination programme to 2- and 3-year olds is a vote of confidence in the sector. Last winter, pharmacies administered over 47,000 flu vaccinations to 2- and 3-year olds, despite short notice – accounting for nearly 10% of all provision to children of this age.

"Pharmacies have a strong and growing track record of vaccination programme delivery and it is imperative that policymakers harness this to drive rate of uptake and coverage, as outlined in our recent evidence to the Lords Childhood Vaccinations Committee."

The service starts on 1 October this year. 

Start date Eligible cohort
From 1 October 2026
  • Children aged 2 to 3 years
  • Clinically at-risk children aged 2 years to less than 18 years
From 1 December 2026
  • Catch up vaccinations of school aged children (reception to year 11)

 

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