Immunisations (primary school)

Since Autumn 2015, all children in school years R (Reception), 1, 2, 3, 4 and 5 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.

We send parents/carers a letter about the immunisation at the start of the Autumn term. This will ask for consent for your child to be given the vaccine. The immunisation will then be done at school by the school nurse.

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.

Annual Flu Vaccinations

GPs are commissioned to vaccinate all children with a date of birth between 1 September 2014 and 31 August 2016. Children and Family Health Surrey is commissioned to vaccinate all children resident in Surrey with a date of birth between 1 September 2008 and 31 August 2014 including those who are not yet attending school, or may be schooled at home.

Catch-up clinics

General immunisation catch-up clincis are running during Autumn/Winter. You can find out how to book and the dates and times for these clinics in the timetable.  

For additional advice and information contact your local Health Visiting or School Nursing team

Teams and contact details

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

For further information

  • To follow up a referral

For example, for developmental paediatrics or therapy services such as speech and language therapy. Contact the One Stop referral centre (tel: 0300 222 5755, Option 2) and they will be able to advise.

  • For advice or questions about your child's health

​Contact your local Health Visiting team or call their Advice Line

  • 2 year development checks

​Contact your local Health Visiting team or call their Advice Line 

  • Referrals for ASD, ADHD or another neurological/developmental condition

Your GP will need to make a referral. Visit the Developmental Paediatrician service page for more information about these services in Surrey.

  • Access to mental health services

Your GP needs to refer your child via MINDSIGHT Surrey CAHMS

  • Hearing concerns

Contact the Audiology service 

  • Concerns or complaints about a Children and Family  Health Surrey service

Go to https://childrenshealthsurrey.nhs.uk/feedback to read about our approach and who to contact. You can also email the Patient Experience Team directly using csh.patientexperience@nhs.net 

If your query is not covered by the routes above, please use the form below to contact us.  Your query will be passed to the relevant team who will aim to respond within 7 working days.