Green Book: consent
| You may also find Chapter 2: Consent in the ‘green book’ useful; it was updated on the 27 October 2025. You can also read our advice and guidance page called: consent and the provision of vaccinations by non-registered healthcare providers which includes FAQs. |
Green Book: influenza
| Chapter 19: Influenza in the ‘green book’provides detailed descriptions of the clinical risk groups and guidance for HCWs on administering the influenza vaccine. |
JCVI Guidance
National Flu Letters
| 2026/27 COVID-19 and adult influenza vaccination service specification now published for general practice: published 15 December 2025. This NHSE letter describes how they have ‘streamlined and further aligned the Covid-19 and adult influenza vaccination requirements‘; it also outlines the changes that apply from the 01 April 2026 to 31 March 2027. |
| National flu immunisation programme 2026 to 2027 letter: published 26 February 2026. This letter includes the vaccination requirements and risk groups. |
Patient Grouped Directions
| In addition to the PGD templates for the seasonal influenza programme which are provided below, a PGD template for Pharmacy Influenza Vaccination Programme is published by NHS England and NHS Improvement and a National protocol for inactivated influenza vaccine is also available. |
| Inactivated influenza vaccine: PGD template |
| Live attenuated influenza vaccine: patient group direction (PGD) template |
| Other PGD templates |
| NICE guidance on PGDs |
Patient Specific Directions
| Patient Specific Directions (PSD): this article describes PSD and the reirement for their writing and use. |
| UKHSA guidance for national minimum standards and core curriculum for vaccination training This guidance outlines the current UKHSA national minimum standards standards for Healthcare Workers administering vaccines and should be read alongside: Chapter 2: Consent in the ‘green book’ You can read our advice and guidance, including responses to commonly asked questions here:consent and the provision of vaccinations by non-registered healthcare providers |
Seasonal Vaccination Provider Programme Guide: spring 2026
| This NHSE document is to support providers to participate in the seasonal spring 2026 programme for COVID-19 vaccination. A guide to support the autumn/winter 2026 programme (including flu) is due to be shared later in the year with an expected publish date of March 2026, when additional information, for example legal mechanism links, will be available. To be advised of updates practices can sign up for the primary care bulletin here. |
Seasonal Vaccination Provider Programme Guide Spring 2026 – v 2.0
Service Specifications: Community Pharmacy
| This is the national letter relating to community pharmacy which includes key changes to costs moving from £9.58 in 2026/27 to £10.06 in line with GP arrangements2026/27 COVID-19 and adult influenza vaccination service specification now published for [community pharmacy] 01 April 2026 to 31 March 2027 |
| This service specification covers the provision of seasonal vaccination services (COVID-19 and adult influenza) in community pharmacy: Service specification: Community pharmacy seasonal vaccination services – COVID-19 and influenza vaccination advanced services 01 April 2026 to 31 March 2027 |
| Childhood service specification is pending |
Service Specifications: General Practice
| This service specification covers the provision of seasonal vaccination services (COVID-19 and adult influenza) in general practice: Service specification: General practice seasonal vaccination services – COVID-19 and influenza vaccination enhanced services 01 April 2026 to 31 March 2027 |
| Childhood service specification is pending |