Guidance

Flu 2024 / 2025


Please note, this webpage is a working document that we will update if and when further advice and guidance is published. It is recommended that you check back from time to time to ensure you have the most up to date copy.


Published 27th March 2024

Last Updated 1st July 2024 (v4) – see all updates

Page Contents

Latest News

1. Introduction

2. Flu Calculator

 

Latest News:

Amendment to adult flu vaccine for autumn/winter 2024/25

Following communication from Sanofi that the recombinant Quadrivalent Influenza Vaccine (QIVr) will not be available for the 2024/25 flu season, an amendment to the National Flu Immunisation Programme 2024-2025 letter has been published. The amendment informs providers about the alternative vaccines they should order for adults based on 2024/25 JCVI recommendations, and signposts to the updated list of influenza vaccines marketed in the UK for 2024/25 which includes manufacturers’ contact details.

In the light of this change, NHS England has advised the following:

Aged 65 years and over Aged 18 to 64 years in risk groups
  • adjuvanted quadrivalent influenza vaccine (aQIV)
  • high-dose quadrivalent influenza vaccine (QIV-HD)

 

The cell-based quadrivalent influenza vaccine (QIVc) can also be considered only when every attempt to use aQIV or QIV-HD has been exhausted – evidence of this may be requested by the commissioner before reimbursement is agreed.

Aged 18 to 59 years

  • cell-based quadrivalent influenza vaccine (QIVc)

Aged 60 to 64 years

  • cell-based quadrivalent influenza vaccine (QIVc)
  • high-dose quadrivalent influenza vaccine (QIV-HD)

 

The egg-grown quadrivalent influenza vaccine (QIVe) can also be considered only when every attempt to use QIVc, or in the case of those aged 60 -64 years also QIV-HD, has been exhausted – evidence of this may be requested by the commissioner before reimbursement is agreed.

 

As QIVr is only licensed for those aged 18 and over, this does not affect the immunisation programme for younger patients.

For practices who have ordered QIVr, and who are participating in the 2024/25 immunisation programme, the primary alternative is QIV-HD [high dose quadrivalent influenza vaccine] which is licensed in the UK for those 60 and over.  Otherwise, practices may seek to order additional supplies of aQIV [Adjuvanted Quadrivalent Influenza Vaccine] for those aged 65 and over, and QIVc [Cell-based Quadrivalent Influenza Vaccine] for those under 65 years.

Start date for autumn/winter 2024/25 seasonal vaccination programme

The seasonal influenza vaccination programme was described in the national flu immunisation programme 2024-25 letter on the Government’s website.

The letter outlined that vaccination for children and pregnant women will start from 1 September 2024 and other adult vaccinations will commence in October. NHS England can now confirm that all other flu vaccinations will commence 3 October 2024.

Although the Joint Committee on Vaccination and Immunisation (JCVI) have not yet advised what will be required of a possible COVID-19 vaccination programme beyond 31 August 2024, providers should plan for any COVID-19 campaign to start alongside the main flu campaign. Eligible cohorts will be confirmed following Government’s consideration of JCVI advice.

Primary Care Bulletin – 13 June 2024 (issue 294)

 

1. Introduction

The JCVI published their advice for the flu vaccines 24/25, and UKHSA published the annual flu letter to confirm the cohorts for this season.

On 22nd March 2024 NHSE published the 24/25 Seasonal Flu Enhanced Service Specifications for Adults (updated July 24 due to QIVr unavailable) and a separate one for children.

As COVID-19 is likely to be co-circulating with flu again this year, protecting those at high risk of flu, who are also those most vulnerable to hospitalisation as a result of COVID-19, is vitally important. The covid vaccination programme should continue to help minimise hospital admissions, however other control measures may still be required to prevent the spread of the SARs-CoV-2 virus. Added to this, the possibility of delivering both programmes side by side will create more challenges as previously.

You can sign up to receive regular vaccine updates to the Governments flu vaccination programme.

N.B. The Green Book – Influenza, Chapter 19 is published on Gov.uk and you are recommended to check here for the most up to date version.

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2.Flu Calculator

We have produced a tool to enable practices to look at the costs and re-imbursement of vaccines for the Flu vaccination programme. It also includes income from the IOS Fee for Flu administration via the Enhanced Service.

Please note that this tool does not take into account other associated costs, such as staff pay and on-costs, premise and utility costs etc. This will be individual to each practice and needs to be considered when looking at the financial viability of running such services.

Flu Calculator

 

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Version History

V.1 27th March 2024
V.2 18th June 2024 Flu calculator details added
V.3 20th June 2024 Latest news on Amendment to adult flu vaccine for autumn/winter 2024/25
V.4 1st July 2024 Amendment to adult flu vaccine for autumn/winter 2024/25

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Last Reviewed Date
01/07/2024