Nasal flu vaccine (2-3)

NCL Wide

Given the likelihood that more people will get flu this winter, as fewer people will have built up natural immunity to it during the COVID-19 pandemic, it is all the more important to make this upcoming flu season as successful as possible.

As such, the Vaccination Project Managers (VPMs) have provided a few reminders and resources to support practices reach as many children as possible, including a Nasal Flu GP Toolkit, which has videos, posters and call/recall text and letter templates that practices can use to support to programme:

Increasing influenza immunisation uptake among children: Best practice guidance for general practice provides some helpful hints and tips, including:

  • every practice should have a lead member of staff/practice immunisation lead with responsibility for running the flu immunisation campaign and keeping track of progress
  • all staff should be involved in promoting the vaccine message to parents; every member of the practice should know their role and responsibilities
  • staff should remain tenacious and re-run searches for eligible children; create IT system reminders so that opportunistic immunisation happens; be sure to Make Every Contact Count
  • ensure that staff phoning patients have a script but are also able to answer questions and address concerns; this may be particularly useful for hesitant families
  • you can order free Live Attenuated Influenza Vaccine (LAIV) nasal spray and general flu resources to share with your patients (you may need to sign up).

UK Health Security Agency (UKHSA) emails practices when influenza vaccines for the children’s programme become available to order through ImmForm. The injectable cell-based Quadrivalent Influenza Vaccine (QIVc) for healthy children whose parents object to the LAIV on the grounds of its porcine gelatine content is available again this year. Please ensure this alternative vaccine is offered from the start of the flu season to help reduce inequalities in uptake between different communities.

Wider system partners continue to support the programme, including through communications and engagement on why flu vaccination is important for those aged two to three across national, regional and local channels. If you have any ideas or suggestions that might support the delivery of the programme, please raise these with your local IIPM.


Review date: Wednesday, 03 September 2025