Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the implications for his policies of 50-64 year olds not being eligible for a free flu vaccination in winter 2023.

The Department is guided by the independent Joint Committee on Vaccination and Immunisation (JCVI) on the approach to the seasonal flu vaccination programme in England. Details about the flu vaccination programme for 2023/24, including which groups will be eligible for a free vaccine and the vaccines that will be reimbursable to National Health Service providers, were published on 25 May 2023. The groups eligible for a free flu vaccine for the 2023 to 2024 season include those aged 65 years and over and those aged six months to under 65 years in clinical risk groups.

During the COVID-19 pandemic, eligibility for the influenza programme was temporarily extended to include all adults aged between 50 and 64 years of age to protect the population from the potential threat of cocirculation of COVID-19 and influenza and alleviate pressure on the NHS. In the JCVI’s advice for the 2023/24 programme published in November 2022, it stated that whilst there would be a health benefit in vaccinating low risk 50-64 year olds, it is uncertain whether this would be cost effective and that the overall priority should be to extend the childhood programme in secondary schools as this would be more cost effective and likely to have a greater impact on morbidity and mortality compared with vaccinating 50-64 year olds. An expansion to secondary school-aged children is being considered and should this be confirmed, further details will be set out in due course.

The Department has not conducted its own modelling on the potential impact of providing free vaccinations to people aged 50-64 on NHS resource utilisation in the 2023-24 winter period but is guided by JCVI advice on cost-effectiveness. Anyone who is clinically at-risk is still entitled to a flu vaccination this year – it is only healthy 50–64-year-olds who are no longer eligible. The expansion of the seasonal flu programme to include low-risk 50–64-year-olds was a temporary measure to ensure more people were protected from a potential threat of co-circulation of COVID-19 and the flu virus and the department also sought to reduce pressure on the NHS. As we have now transitioned to living with COVID-19 with a firmly established vaccination programme in place to protect the most vulnerable, temporary expansions to the flu programme are no longer required.

The Department does not expect to reconsider this decision but will continue to be guided by JCVI advice on this matter.