COVID-19 spreads more easily in winter because we spend more time indoors with others. Having your COVID-19 vaccination will give you protection from serious COVID illness over winter.

As we move into autumn, protection from any earlier COVID-19 vaccination you may have had will be starting to wane. For those who are more likely to become seriously ill from COVID-19, the NHS offers a free vaccine in the autumn, previously known as the ‘Autumn Booster’.

Your GP practice will contact you to book you in for an appointment if you are part of the eligible cohorts. However, If you know you are eligible for a Covid-19 vaccination this autumn you do not have to wait to be invited. You will be able to use the National Booking System to book an appointment from the 3rd of October onwards.

Eligible groups this autumn

  • adults aged 65 years and over
  • residents in a care home for older adults
  • individuals aged 6 months to 64 years in a clinical risk group (as defined in tables 3 or 4 in the COVID-19 Green Book chapter 14a

Compared to the previous Autumn campaigns, household contacts of the immunosuppressed, and frontline health and social care workers are no longer included in the eligible cohort. This because the protection against mild and asymptomatic illness appears to be limited and short in duration, particularly with the highly transmissible Omicron variants. Therefore the indirect benefits of vaccinating households are less evident than in previous years.

Health and social care providers may offer occupational health vaccination programs for frontline workers if considered appropriate.

The eligibility is the same across the 4 nations of the UK (England, Scotland, Wales and Northern Ireland).

The vaccine should usually be offered no earlier than around 6 months after the last vaccine dose. If you are eligible, you can get protection from an autumn COVID-19 vaccination even if you have not taken up a COVID-19 vaccine offer in the past.

Eligibility for the immunosuppressed

We understand that having a weakened immune system (immunosuppression) is a lot less straight forward than the other criteria. Looking online can cause even more confusion, as people might see themselves (and be considered by others) as immunosuppressed but might not fit the immunosuppression criteria for vaccination.

So, what are the immunosuppression criteria? Eligibility is outlined in Chapter 14a of the Green Book chapter 14a, a document published by UKHSA specifically for public health professionals. It can be a complicated document for non-experts, so we've listed some of the groups here:

  • Organ, bone marrow or stem cell transplant patients
  • Those being treated with systemic steroids for more than a month
  • Those living with HIV
  • Those receiving immunosuppressive or immunomodulating biological therapy, including children who are about to receive therapy
  • Those undergoing chemotherapy or radiotherapy
  • Those who require long-term treatment for immunosuppression
  • Those with a history of haematological malignancy including chronic leukaemia, lymphomas, and leukaemia
  • Those with genetic disorders affecting the immune system

While this list summarises some major groups, it does not cover everything. Please check online at nhs.uk/get-vaccine to see if you are eligible.

For more information please visit A guide to the COVID-19 autumn vaccination - GOV.UK (www.gov.uk)