Influenza Vaccinations

Eligible cohorts for flu vaccination are based on the advice of the JCVI and Department of Health and Social Care.

Those eligible for NHS flu vaccine in 2022/23 are: 

• those aged 65 years and over

• those aged six months to under 65 years in clinical risk groups

• all children aged two to 10 (but not 11 years or older) on 31 August 2021 (i.e. up to school Year 6)

• pregnant women

• those in long-stay residential care homes

• carers

• close contacts of immunocompromised individuals Vaccination is also recommended for frontline healthcare workers and social care workers.


Cohorts that were eligible in the 2021/22 season but that are not included in the cohorts for 2022/23 are:

• those aged 50 to 64 years


• secondary school children in Years 7 to 11 (i.e. between 11 and 15 years of age) The aim of the NHS flu vaccination programme for the 2022/23 season is to demonstrate a 100% offer and to achieve at least the uptake levels of 2021/22 for each cohort.




We will actively plan our 2022/23 flu clinics to ensure early delivery of your flu vaccination, if you are eligible for a FREE flu vaccine, then we will be in touch to invite you to book an appointment from September 2022, alternatively you can call us from that date on 01279 594450 to book.

You do not need to go anywhere else for your vaccine, we are here to help!

The flu vaccination who should have it and why: winter 2021 to 2022 - Click here

Helping us to vaccinate pregnant women this year.

As you will be aware, pregnant women are a priority group vulnerable to the serious impacts of flu and so it is important that we ensure high vaccine uptake in this group. The flu vaccine protects pregnant women but also provides protection for their newborn in the first few months of life. At-risk babies cannot be vaccinated until six months of age. Pregnant women can be vaccinated at any stage of pregnancy. They are eligible for a free flu vaccination and can obtain one from their GP.

A video has been produced to share with pregnant patients:

Adult Flu Vaccine

Eligible patients can book via our reception team, from September 2022.  Call 01279 594450 to book your flu vaccination.

You can also request an appointment for the flu vaccine from September 2022 via our email - & we will call you back to arrange a suitable appointment.

Our Reception team will also be contacting patients eligible for a free flu vaccination via SMS text message or letter.

Reminder: please advise if you wish to decline & our reception team will update your record.

You can have a free flu vaccine if you are in the below groups:

Eligible Groups Further Details
50 to 64 years  No longer eligible as per NHS England guidance.
Chronic respiratory disease aged 6 months and over - Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission.
Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).
Children who have previously been admitted to hospital for lower respiratory tract disease.
Chronic kidney disease aged six months and over Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation
Chronic liver disease aged 6 months and over Cirrhosis, biliary atresia, chronic hepatitis.
Chronic neurological disease aged six months and over

Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers).

Clinicians will offer immunisation to all patients with a learning disability given their increased morbidity and mortality due to preventable pneumonia.

Clinicians will offer immunisation, based on individual assessment, to vulnerable individuals including those with cerebral palsy, multiple sclerosis and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.

Diabetes aged 6 months and over Type 1 diabetes, Type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet controlled diabetes
Immunosuppression aged 6 months and over

Immunosuppression due to disease or treatment, including patients undergoing chemotherapy leading to immunosuppression, bone marrow transplant, HIV infection at all stages, multiple myeloma or genetic disorders affecting the immune system (eg IRAK-4, NEMO, complement deficiency).

Individuals treated with or likely to be treated with systemic steroids for more than a month at a dose equivalent to prednisolone at 20 mg or more per day (any age), or for children under 20 kg, a dose of 1 mg or more per kg per day.

It is difficult to define at what level of immunosuppression a patient could be considered to be at a greater risk of the serious consequences of influenza and should be offered seasonal influenza vaccination. This decision is best made on an individual basis and left to the patient’s clinician.

Some immune-compromised patients may have a suboptimal immunological response to the vaccine.

Asplenia or dysfunction of the spleen aged six months and over This also includes conditions such as homozygous sickle cell disease and coeliac syndrome that may lead to splenic dysfunction.
Pregnant women Pregnant women at any stage of pregnancy (first, second or third trimesters), including those becoming pregnant during influenza season.
Morbidly obese (class III obesity) Adults with a BMI > 40 kg/m2 (adults aged 16+).
People in long-stay residential or homes Vaccination is recommended for people living in long-stay residential care homes or other long-stay care facilities where rapid spread is likely to follow introduction of infection and cause high morbidity and mortality. This does not include, for instance, prisons, young offender institutions, or university halls of residence.
Household contacts of immunocompromised individuals aged 6 months and over Vaccines should be offered to household contacts of immunocompromised individuals, who share or expect to share living accommodation with on most days over the winter and therefore for whom continuing close contact is unavoidable.
Carers Those who are in receipt of a carer’s allowance, or those who are the main Carer of an elderly or disabled person whose welfare may be at risk if the Carer falls ill.
Locum GPs Where locum GPs wish to be vaccinated, they should be vaccinated by their own GP (all other GP's and primary care staff are the responsibility of their employer as part of their occupational health arrangements).
Frontline health and social care workers

In order to protect patients in a vulnerable care setting the following groups should be vaccinated by the GP practice where they are registered as a patient:

Health and social care staff employed by a registered residential care/nursing home or registered domiciliary care provider who are directly involved in the care of vulnerable patients or clients who are at increased risk from exposure to influenza and;

Health care staff employed by a voluntary managed hospice provider who are directly involved in the care of vulnerable patients or clients who are at increased risk from exposure to influenza.

Health and social care workers employed through Direct Payments and/or Personal Health Budgets (such as personal assistants) to delivery domiciliary care to patients and service users.

  • This list of conditions isn’t definitive. It’s always an issue of clinical judgement. Your GP can assess you to take into account the risk of flu making any underlying illness you may have worse, as well as your risk of serious illness from flu itself.

For Winter 2022, we will be offering eligible patients the below recommended vaccines:

  • for those aged 65 years and over – the adjuvanted quadrivalent influenza vaccine (aQIV - Fluad Tetra), will be used at Parsonage Surgery.
  • for under-65s (including those at risk, pregnant women) QIVc - Flucelvax Tetra will be used or for egg allergies the egg-grown quadrivalent influenza vaccine (QIVe) can be used.
  • Each will benefit patients by ensuring that they have the most suitable vaccine that gives the best protection against flu.


To ensure the smooth running of flu clinics and to ensure the safety of both patients & staff, those who are given an appointment are requested to comply with the following:

  1. Do not attend if you or a household member develops any symptoms of COVID 19 such as high temperature, new continuous cough, loss of taste or smell.

  2. Do not attend if you are awaiting COVID 19 test results.
  3. Wear a face covering.

  4. Come alone where possible.

  5. Attend your appointment promptly & remove your coat / roll up your sleeve in preparation for the vaccine, this will aid the smooth running of clinics.

Click here for the NHS website page 'Who should have the flu vaccine?'.

Click here for an audio version of the 'Protecting your child from flu' leaflet.

Click here for information on how to request a copy of the 'Protecting your child from flu' leaflet in braille.

Click here for the 'Protecting your child from flu' leaflet which is also available in Arabic, Bengali, Chinese, German, Gujarati, Hindi, Italian, Polish, Romani, Romanian, Somali, Tagalog, Tamil, Turkish and Urdu.

Click here to download the EasyRead leaflet for people with learning disabilities 'Protect yourself from flu, have the flu vaccine'.

Click here to download the EasyRead leaflet for people with learning disabilities all about flu and how to stop getting it.

Click here to download the EasyRead leaflet for people with learning disabilities all about flu and the flu vaccination.

Click here for a guide to the person and their carers to support them in understanding the information and making and informed decision BEFORE they get to the appointment (EXTERNAL WEBSITE PDF LINK).

Click here for information about Flu Vaccinations for under 18s.

NASAL FLU 2022/23:

Once supplies arrive & our reception team will contact eligible patients to book appointments from September 2022.

There are strict ordering controls of nasal vaccine quantities, therefore appointments will be subject to vaccine deliveries being received.

Please be aware the nasal flu vaccine does contain gelatine that comes from pork as one of its additives. Gelatine is commonly used in a range of medicines, including capsules & some other vaccines. The gelatine used in Fluenz Tetra is highly purified & used to stabilise the live vaccine. Many stabilsers were tried out by the manufacturers but this gelatine was chosen because it was the best product. An alternative can be offered for children aged 2 and over whose parents object to live attenuated influenza vaccine (LAIV)on the ground of its porcine gelatine content, please contact us to discuss.

Click here for more information about the contents of the nasal flu vaccine.

If after reading the above you would still prefer an alternative due to religion, diet, allergies please inform our staff when booking your child's appointment & this information will be passed to our Nurse.

Eligible patients who are registered with Parsonage Surgery:

GP practices will offer vaccination to all children aged two and three years of age, but not aged four years on 31 August 2021.

  • From six months to less than 2 years old – only if at high risk / in clinical risk group (check with GP/Nurse)
  • aged two and three (on 31 August 2021) (i.e. born on or after 1 September 2017 and on or before 31 August 2019)

  • All children in Reception to year 6 (but not 11 years or older) on 31 August 2021

  • All children with a special educational need up to their 18th birthday.

How is the nasal spray flu vaccine given?

The vaccine is given as a single spray squirted up each nostril. Not only is it needle-free – a big advantage for children – the nasal spray is quick, painless, and works even better than the injected flu vaccine.

The vaccine is absorbed very quickly. It will still work even if, after the vaccination, your child develops a runny nose, sneezes or blows their nose.

Are there any children who should delay having the nasal spray flu vaccine?

Children should have their nasal spray flu vaccination delayed if they:

  • are unwell with a fever or are wheezy
  • If your child has a fever, the vaccination can be delayed until they feel better.
  • If a child is wheezy or has been wheezy in the past week, their vaccination should be postponed until they have been wheeze-free for at least 3 days.
  • If a child has a heavily blocked or runny nose, it might stop the vaccine getting into their system. In this case, their flu vaccination can be postponed until their nasal symptoms have cleared up.

The Community & School Aged Immunisation Service (CSAIS)

The contact details for parents wishing to make enquiries for vaccination schedules in schools, advice about the vaccination programmes or to book an appointment for missed immunisations is:



The main school aged immunisations are HPV, MenACWY and DTP, but the teams also deliver other programmes, as listed below:



Hertfordshire Community Trust can assist with:

  • 12-15 Covid programme
  • HCT 01727 732062 or email
  • Other School Aged immunisations inc. MMR catch up (except primary flu)
  • Hep B vaccination for babies born to hep B infected mothers
  • BCG for under 1s (born on or after 1.9.2021)

Call: 01727 732062 or email 


Primary School Children Flu Vaccinations:

Call VaccUK 01462 341173 or email



Home schooled children, parents to contact: 01727 732062


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