The routine immunisation schedule from Autumn 2018

Age due Diseases protected against Vaccine given and trade name Usual site
Diphtheria, tetanus, pertussis
(whooping cough), polio,
DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Haemophilus influenzae type b (Hib)
and hepatitis B
Eight weeks old Pneumococcal
Pneumococcal (13 serotypes) Prevenar 13 Thigh
conjugate vaccine (PCV)
Meningococcal group B (MenB) MenB Bexsero Left thigh
Rotavirus gastroenteritis Rotavirus Rotarix By mouth
Diphtheria, tetanus, pertussis, polio,
DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Twelve weeks old Hib and hepatitis B
Rotavirus Rotavirus Rotarix By mouth
Diphtheria, tetanus, pertussis, polio,
DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Hib and hepatitis B
Sixteen weeks old
Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh
MenB MenB Bexsero Left thigh
Hib and MenC Hib/MenC Menitorix Upper arm/thigh

One year old Pneumococcal PCV Prevenar 13 Upper arm/thigh

(on or after the Measles, mumps and rubella MMR VaxPRO or 2
child’s first birthday) MMR Upper arm/thigh
(German measles) Priorix
MenB MenB booster Bexsero Left thigh

Eligible paediatric age Influenza (each year from Live attenuated

Fluenz Tetra2, 3 Both nostrils
groups1 September) influenza vaccine LAIV2, 3

Diphtheria, tetanus, pertussis and Infanrix IPV or

Three years four DTaP/IPV Upper arm
polio Repevax
months old or soon
after MMR (check first MMR VaxPRO2 or
Measles, mumps and rubella Upper arm
dose given) Priorix
Cervical cancer caused by human
Girls aged 12 to papillomavirus (HPV) types 16 and HPV (two doses
Gardasil Upper arm
13 years 18 (and genital warts caused by 6-24 months apart)
types 6 and 11)
Td/IPV (check MMR
Tetanus, diphtheria and polio Revaxis Upper arm
Fourteen years old status)
(school year 9) Meningococcal groups A, C, W and
MenACWY Nimenrix or Menveo Upper arm
Y disease
Pneumococcal Pneumococcal
65 years old Pneumococcal (23 serotypes) Polysaccharide Vaccine Polysaccharide Upper arm
(PPV) Vaccine
65 years of age Influenza (each year from Inactivated influenza
Multiple Upper arm
and older September) vaccine
70 years old Shingles Shingles Zostavax2 Upper arm

1. See Green book chapter 19 or visit www.gov.uk/government/publications/influenza-the-green-book-chapter-19 or

www.nhs.uk/conditions/vaccinations/child-flu-vaccine/
2. Contains porcine gelatine.
3. If LAIV (live attenuated influenza vaccine) is contraindicated and child is in a clinical risk group, use inactivated flu vaccine.

All vaccines can be ordered from www.immform.dh.gov.uk free of charge except influenza for adults and pneumococcal
polysaccharide vaccine.

The safest way to protect children and adults

 Selective immunisation programmes
Target group Age and schedule Disease Vaccines required
Babies born to hepatitis B infected Hepatitis B
At birth, four weeks and 12 months old1,2 Hepatitis B
mothers (Engerix B/HBvaxPRO)
Infants in areas of the country with
At birth Tuberculosis BCG
TB incidence >= 40/100,000
Infants with a parent or grandparent
At birth Tuberculosis BCG
born in a high incidence country3
LAIV or inactivated
flu vaccine if
At risk children From 6 months to 17 years of age Influenza
contraindicated to LAIV
or under 2 years of age
During flu season
Pregnant women Influenza Inactivated flu vaccine
At any stage of pregnancy
dTaP/IPV
Pregnant women From 16 weeks gestation Pertussis
(Boostrix-IPV or Repevax)
1. Take blood for HBsAg at 12 months to exclude infection.
2. In addition hexavalent vaccine (Infanrix hexa) is given at 8, 12 and 16 weeks.
3. Where the annual incidence of TB is >= 40/100,000 – see www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people

Additional vaccines for individuals with underlying medical conditions

Medical condition Diseases protected against Vaccines required1
Hib/MenC
Meningococcal groups A, B, C, W and Y MenACWY
Asplenia or splenic dysfunction (including Pneumococcal MenB
due to sickle cell and coeliac disease) Haemophilus influenzae type b (Hib) PCV13 (up to two years of age)
Influenza PPV (from two years of age)
Annual flu vaccine
PCV13 (up to two years of age)
Cochlear implants Pneumococcal
PPV (from two years of age)
Chronic respiratory and heart conditions PCV13 (up to two years of age)
Pneumococcal
(such as severe asthma, chronic pulmonary PPV (from two years of age)
disease, and heart failure) Influenza
Annual flu vaccine
Chronic neurological conditions PCV13 (up to two years of age)
Pneumococcal
(such as Parkinson’s or motor neurone PPV (from two years of age)
disease, or learning disability) Influenza
Annual flu vaccine
PCV13 (up to two years of age)
Pneumococcal
Diabetes PPV (from two years of age)
Influenza
Annual flu vaccine
PCV13 (up to two years of age)
Pneumococcal (stage 4 and 5 CKD)
Chronic kidney disease (CKD) PPV (from two years of age)
Influenza (stage 3, 4 and 5 CKD)
(including haemodialysis) Annual flu vaccine
Hepatitis B (stage 4 and 5 CKD)
Hepatitis B
PCV13 (up to two years of age)
Pneumococcal
© Crown copyright 2018. Available as a pdf only. Published by Public Health England 2018

PPV (from two years of age)

Influenza
Chronic liver conditions Annual flu vaccine
Hepatitis A
Hepatitis A
Hepatitis B
Hepatitis B
Hepatitis A Hepatitis A
Haemophilia
Hepatitis B Hepatitis B
PCV13 (up to two years of age)2
Immunosuppression due to disease or Pneumococcal
treatment3 PPV (from two years of age)
Influenza
Annual flu vaccine
Hib/MenC
Meningococcal groups A, B, C, W and Y MenACWY
Complement disorders Pneumococcal MenB
(including those receiving complement
inhibitor therapy) Haemophilus influenzae type b (Hib) PCV13 (to any age)
Influenza PPV (from two years of age)
Annual flu vaccine
1. Check relevant chapter of green book for specific schedule.
2. To any age in severe immunosuppression.
3. Consider annual influenza vaccination for household members and those who care for people with these conditions.

The safest way to protect children and adults