All Signposting

This page provides signposting to the Service Specifications and national guidance

Date published:
Date last updated:
Next review date:

Green Book

The influenza chapter in ‘Immunisation against infectious disease’ (the ‘green book’) , gives detailed descriptions of the clinical risk groups and guidance for HCWs on administering the influenza vaccine.

You may also find Consent: the Green book, chapter 2 useful; it was updated on the 27 October 2025.

JCVI Guidance

JCVI Statement on Influenza Vaccines for 2025/2026

National Flu Letters

National flu immunisation programme 2025 to 2026 letter: Updated 19 February 2025
Amendment to national flu immunisation programme 2025 to 2026 letter: updated 28 July 2025
Delegation proposals for vaccination and screening: 06 February 2025
Options for GP practices providing influenza vaccination to staff: 07 July 2025
Flu and COVID-19 Seasonal Vaccination Programme: autumn/ winter 2025/26

Patient Grouped Directions

Inactivated influenza vaccine: PGD template
Live attenuated influenza vaccine: patient group direction (PGD) template
Other PGD templates

Service Specifications

(Adults and at-risk groups) General practice enhanced service specification – seasonal influenza vaccination programme 2025/26: Published 21 July 2025
(Children) General practice enhanced service specification – seasonal influenza vaccination programme 2025/26: Published 21 July 2025
Additional guidance on recording of influenza vaccination events, payments and collaboration: Published 21 July 2025
Season influenza collaboration agreement: Published 21 July 2025

Other resources

Annual flu programme | Resources
Campaign Resource Centre (for public facing and health and social care worker marketing campaigns)
Community Pharmacy Seasonal Influenza Vaccination Advanced Service
e-learning programme
Flu immunisation training
Flu vaccine uptake figures
Flu vaccines poster – aide memoire
Flu vaccination guidance for social care workers and carers
Future NHS – Collaboration platform
Health Publications
ImmForm Survey User guides
ImmForm website for ordering child flu vaccines
Influenza vaccines marketed in the UK for 2025 to 2026, including ovalbumin content
National Institute for Health and Care Excellence guidelines on increasing flu vaccine uptake
NHSBA | seasonal flu vaccine reimbursement ‘hints and tips’
Vaccine Update – UKHSA monthly newsletter

Green Book » Respiratory syncytial virus 27a

Gov.uk » RSV vaccination of older adults: information for healthcare practitioners 

NHS England » Autumn/Winter 2024 Seasonal Vaccination – noted comments re: RSV

Please note there is a slight variation between the Gov.uk site for co-administration purposes with Covid-19 when compared to the Green Book, (see Co-administration with other immunisations and immunoglobulin products on p13 of the Green Book). 

We would always recommend the Green Book is followed. 

Read our latest update here: Surrey & Sussex LMCs: Update: Respiratory Syncytial Virus (RSV) Vaccination Programme in General Practice