The routine immunisation schedule from June 2020

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
Eight weeks old (Hib) and hepatitis B
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
Hib and hepatitis B
Twelve weeks old Pneumococcal
Pneumococcal (13 serotypes) Prevenar 13 Thigh
conjugate vaccine (PCV)
Rotavirus Rotavirus Rotarix By mouth
Diphtheria, tetanus, pertussis, polio,
DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Sixteen weeks old Hib and hepatitis B
MenB MenB Bexsero Left thigh
Hib and MenC Hib/MenC Menitorix Upper arm/thigh

One year old Pneumococcal PCV booster Prevenar 13 Upper arm/thigh

(on or after the Measles, mumps and rubella MMR VaxPRO2
child’s first birthday) MMR Upper arm/thigh
(German measles) or 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 Repevax or

Three years four dTaP/IPV Upper arm
and polio Boostrix-IPV
months old or soon
after MMR (check first MMR VaxPRO2
Measles, mumps and rubella Upper arm
dose given) or Priorix
Cancers caused by human
Boys and girls aged
papillomavirus (HPV) types 16 and HPV (two doses
twelve to thirteen Gardasil Upper arm
18 (and genital warts caused by 6-24 months apart)
years
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
MenACWY Nimenrix or Menveo Upper arm
and 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.

For vaccine supply information for the routine immunisation schedule please visit www.immform.dh.gov.uk
and check vaccine update for all other vaccine supply information.

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
MenACWY
Meningococcal groups A, B, C, W and Y MenB
Asplenia or splenic dysfunction (including
due to sickle cell and coeliac disease) Pneumococcal PCV13 (up to ten years of age) 2
Influenza PPV (from two years of age)
Annual flu vaccine
PCV13 (up to ten years of age) 2
Cochlear implants Pneumococcal
PPV (from two years of age)
Chronic respiratory and heart conditions PCV13 (up to ten years of age) 2
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 ten years of age) 2
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 ten years of age) 2

© Crown copyright 2020 – PHE Publications Gateway Number: 2020092. Available as a pdf only. Published by Public Health England 2020
Pneumococcal
Diabetes PPV (from two years of age)
Influenza
Annual flu vaccine
PCV13 (up to ten years of age) 2
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 ten years of age) 2
Pneumococcal
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 ten years of age) 2,3
Immunosuppression due to disease or Pneumococcal
PPV (from two years of age)
treatment4 Influenza
Annual flu vaccine
MenACWY
Complement disorders Meningococcal groups A, B, C, W and Y MenB
(including those receiving complement Pneumococcal PCV13 (up to ten years of age) 2
inhibitor therapy) Influenza PPV (from two years of age)
Annual flu vaccine
1. Check relevant chapter of green book for specific schedule.
2. If aged two years to under ten years of age and unimmunised or partially immunised against pneumococcal infection, give one PCV13 dose.
3. To any age in severely immunocompromised.
4. Consider annual influenza vaccination for household members and those who care for people with these conditions.

The safest way to protect children and adults