Immunisations

Before starting school your child should receive all of the immunisations listed below to protect them from the most dangerous childhood diseases.

You can get your baby and children immunised at your GP surgery, which will usually be done by the practice nurse. They will check the consent form and ensure your child is well and able to have their immunisations that day. If your child is unwell, you will be given a new appointment.

Please take your Personal Child Health Record ('red book') with you so your child's record can be updated.

If your child has missed any of the vaccinations for any reason, please contact your GP surgery, who can book your child in.

Below is the vaccination schedule for babies and young children:

8 weeks

• 6-in-1 vaccine – this single jab contains vaccines to protect against six separate diseases: diphtheria, tetanus, whooping cough (pertussis), polio and Haemophilus influenzae type b (known as Hib – a bacterial infection that can cause severe pneumonia or meningitis in young children) and Hepatitis B (introduced September 2017)
• Pneumococcal (PCV) vaccine
• Rotavirus vaccine
• Meningitis B vaccine 

12 weeks

• 6-in-1 vaccine, second dose
• Rotavirus vaccine, second dose

16 weeks

• 6-in-1 vaccine, third dose
• Pneumococcal (PCV) vaccine, second dose
• Men B vaccine second dose 

One year (12 months)

• Hib/Men C booster, given as a single jab containing meningitis C (first dose) and Hib (fourth dose)
• Measles, mumps and rubella (MMR) vaccine, given as a single jab
• Pneumococcal (PCV) vaccine, third dose
• Men B vaccine, third dose 

2 to 10 years (including children in school years Reception to year 6)

• Children's nasal flu vaccine (annual)

3 years and 4 months

• Measles, mumps and rubella (MMR) vaccine, second dose
• 4-in-1 pre-school booster, given as a single jab containing vaccines against diphtheria, tetanus, whooping cough (pertussis) and polio

If your child has missed any of the vaccinations for any reason, please contact your GP surgery, who can book your child in.

The next vaccines are then given aged 12-13 years (HPV vaccine), and then at 14 years, the 3-in-1 teenage booster against diphtheria, tetanus and polio, and also the Men ACWY vaccine.

From Autumn 2019, all children in school years Reception, 1, 2, 3, 4, 5 and 6 are offered a nasal spray vaccine to protect them against the flu as part of the NHS childhood vaccination programme.

This is delivered within schools by our school nursing teams.

The flu vaccine for children is needle-free and is given as a single dose that is sprayed up each nostril. It is quick and painless and will mean your child is less likely to become ill if they come into contact with the flu virus.

The nasal spray is more effective than the injected flu vaccine, especially in young children, which is why children are now routinely offered the nasal spray rather than the flu jab.

Flu can be very unpleasant for children. They have the same symptoms as adults – including fever, chills, aching muscles, headache, stuffy nose, dry cough and sore throat lasting up to a week. Some children develop a very high fever or complications of flu such as bronchitis, pneumonia and painful middle ear infection. They may need hospital treatment, and very occasionally, a child may die from flu.

The nasal spray vaccine contains flu viruses that have been weakened to stop them causing flu. It will help your child build up immunity to flu in a similar way as natural infection (but without the symptoms). Because the main flu viruses change each year, a new nasal spray vaccine has to be given each year, in the same way as the injectable flu vaccine. The flu vaccine for children has a very good safety profile. It has been widely used in the US for more than 10 years and no safety concerns have been raised so far.

Parents/carers receive an email about the immunisation at the start of the Autumn term. This will ask for e-consent for your child to be given the vaccine. The immunisation will then be done at school by the school nurse.

View the e-consent form

The nasal spray flu vaccine has very few side effects, the main one being that vaccinated children may have a runny nose for a short time afterwards.

The National Immunisation Programme for secondary schools includes:

• The HPV (Human Papilloma Virus) vaccine for 12-13 year old girls and boys in Year 8. 
• The DTP (diphtheria, tetanus and polio) vaccine for 14-15 year old girls and boys in Year 9.
• Meningitis (Men ACWY) vaccine for 14-15 year old girls and boys in Year 9.

HPV Vaccine

The HPV vaccine has been offered to all girls in school year 8 for over ten years. From September 2019, the vaccine is also being offered to year 8 boys. This is because the evidence is clear that the HPV vaccine helps protect both boys and girls from HPV-related cancers.

The HPV vaccine helps protect against infection by the human papillomavirus (HPV).

This virus increases the risk of developing some cancers later in life, such as: cervical cancer, some mouth and throat cancers and some cancers of the anus and genital areas.

What difference has the HPV vaccine made so far? 
More than 80 million people have received the vaccine worldwide. In time it is expected that the vaccine will save hundreds of lives every year in the UK. A recent Scottish study has already shown a 71% reduction in pre-cancerous cervical disease in young women. Since the start of the vaccination programme in the UK there has been a big decline in the number of young people with genital warts.

View the e-consent form

Meningococcal ACWY, diphtheria, tetanus and polio vaccines

When you are having your Td/IPV boosters and Men ACWY vaccine, it's a good idea to check with the nurse or doctor that all your other immunisations are up to date (for example, MMR (measles, mumps and rubella), and, for some people, hepatitis B).

It's particularly important to check that your MMR immunisation is up to date because some teenagers have not had two doses of MMR.

E-consent forms and information leaflets are sent out via your child's school at the appropriate time. Young people in secondary school who are assessed as competent by nurses can legally self-consent for any immunisation.

The nurse will check the e-consent form and ensure your child is well and able to have their immunisations that day. If your child is unwell or absent, we will write to you regarding a new appointment.

View the e-consent form

General catch-up clinics for any missed immunisations are available as follows:

Woking, Runnymede, Guildford & Waverley boroughs

Goldsworth Park Health Centre, Woking - Tel:  01483 728 201 ext 377

Email: csh.sur-schoolimmswest@nhs.net

Spelthorne, Elmbridge, Epsom & Ewell Mole Valley & Banstead boroughs

Ashford Clinic, Ashford - Tel: 01784 883 705

Tattenham Clinic, Epsom Downs - Tel: 01737 371 293

Email: csh.imms@nhs.net

Tandridge, Reigate, Redhill & Horley boroughs

Caterham Dene Hospital, Caterham - Tel: 01737 775 467

Email:  fchc.immunisation.team@nhs.net