Flu & COVID Vaccination Uptake by ICB in England
Real UKHSA and NHS England vaccination data for the 2024–25 season, across 42 Integrated Care Boards and 7 commissioning regions — plus the Gera Immunity Gap Score. For childhood (MMR / COVER) coverage by area, see the childhood immunisation hub.
What is the flu vaccination rate in England, and how does it vary by area?
In the 2024–25 flu season, 74.9% of GP-registered patients aged 65 and over in England received a flu vaccine — below the WHO 75% target — varying from 60.4% (North East London) to 81.3% (Bath and North East Somerset, Swindon and Wiltshire) across 42 ICBs, per UKHSA. Gera re-dates this seasonally.
| Eligible group | Uptake | Benchmark |
|---|---|---|
| Aged 65 and over | 74.9% | WHO target 75% |
| Under 65 in a clinical risk group | 40.0% | — |
| Pregnant women | 35.0% | — |
| 2- and 3-year-olds | 42.6% | — |
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Flu data: UKHSA GP-patient flu uptake, 2024–25 season (42 ICBs). Childhood data: NHS England / UKHSA COVER, 2023–24 (149 local authorities). See the flu hub and childhood hub.
ICBs with the lowest flu vaccination uptake (over-65s, 2024–25)
| Integrated Care Board | Flu uptake (65+) | Gera Immunity Gap Score |
|---|---|---|
| North East London | 60.4% | 39.6 / 100 |
| North Central London | 60.7% | 39.3 / 100 |
| North West London | 61.0% | 39 / 100 |
| South East London | 63.1% | 36.9 / 100 |
| South West London | 65.9% | 34.1 / 100 |
| Birmingham and Solihull | 66.9% | 33.1 / 100 |
| Black Country | 68.1% | 31.9 / 100 |
| Greater Manchester | 72.4% | 27.6 / 100 |
| Mid and South Essex | 73.0% | 27 / 100 |
| Lancashire and South Cumbria | 74.0% | 26 / 100 |
Highest-uptake ICBs: Bath and North East Somerset, Swindon and Wiltshire (81.3%), Gloucestershire (80.8%), Bristol, North Somerset and South Gloucestershire (80.2%), Dorset (79.4%), Derby and Derbyshire (79.2%). The ICB median was 76.5%.
Flu uptake by commissioning region (over-65s, 2024–25)
| Region | Flu uptake (65+) | Under-65 at-risk | Pregnant |
|---|---|---|---|
| East of England | 76.5% | 40.7% | 34.3% |
| London | 62.1% | 33.0% | 30.3% |
| Midlands | 75.2% | 39.6% | 34.4% |
| North East and Yorkshire | 76.9% | 40.5% | 36.2% |
| North West | 73.7% | 39.0% | 33.1% |
| South East | 77.6% | 44.0% | 38.6% |
| South West | 79.4% | 45.8% | 41.5% |
Browse every ICB and see how the Gera Immunity Gap Score is calculated.
COVID-19 autumn 2024 vaccinations
9,807,117 COVID-19 autumn-2024 vaccinations were delivered in England (3 Oct 2024 – 2 Feb 2025), including 6,784,514 to adults aged 65 and over. UKHSA recorded 55.9% autumn booster uptake among over-65s by late November 2024. NHS England does not publish a clean per-ICB COVID uptake rate, so we show region and cohort counts only — no per-ICB COVID figure is estimated.
| Region | Vaccinations |
|---|---|
| East of England | 1,206,179 |
| London | 784,461 |
| Midlands | 1,869,945 |
| North East and Yorkshire | 1,582,467 |
| North West | 1,126,284 |
| South East | 1,806,827 |
| South West | 1,347,732 |
| Cohort | Vaccinations |
|---|---|
| Older adult care home residents | 267,312 |
| Frontline healthcare workers | 435,159 |
| Adults 65 and over | 6,784,514 |
| In a clinical risk group: immunosuppressed (aged 6m-64) | 294,664 |
| In a clinical risk group: excluding immunosuppressed (aged 6m-64) | 1,470,355 |
Related NHS data on GeraClinic
Flu & COVID vaccination uptake: frequently asked questions
- What is the flu vaccination rate in England, and is it above the target?
- In the 2024–25 flu season, 74.9% of GP-registered patients aged 65 and over in England received a flu vaccine — below the WHO 75% herd-immunity target. Uptake was 40.0% among under-65s in a clinical risk group and 35.0% among pregnant women. Source: UKHSA flu uptake in GP patients, 2024–25 flu season (OGL v3.0).
- Which English ICBs have the lowest flu vaccination uptake among over-65s?
- Across the 42 Integrated Care Boards, the lowest 65+ flu uptake in the 2024–25 flu season was in North East London (60.4%), North Central London (60.7%) and North West London (61.0%); the highest was Bath and North East Somerset, Swindon and Wiltshire (81.3%). The England 65+ figure was 74.9% and the ICB median was 76.5%. Source: UKHSA flu uptake in GP patients, 2024–25 flu season.
- What counts as the flu vaccine herd-immunity target?
- The World Health Organization recommends 75% seasonal flu vaccine coverage in older adults. England’s 74.9% uptake in over-65s in the 2024–25 flu season fell short of this. Coverage below the target leaves a wider community immunity gap — the basis of Gera’s Immunity Gap Score. Source: UKHSA, 2024–25 flu season (OGL v3.0).
- Where can I get a flu vaccine if I am not in an eligible group?
- If you are not eligible for a free NHS flu jab, you can book a private flu vaccination. A GeraClinic clinician can assess your eligibility, advise on which vaccines you need, and arrange vaccination nationwide. For a 999 emergency always call 999.
Get a flu or COVID vaccination with GeraClinic
Flu uptake among over-65s in England is 74.9%, below the WHO 75% target. If you are not eligible for a free NHS jab, or want one sooner, a GeraClinic clinician can assess your eligibility and arrange private vaccination nationwide.
Contains public sector information published by UK Health Security Agency and licensed under the Open Government Licence v3.0. Source: UKHSA — Seasonal influenza vaccine uptake in GP patients in England, winter season 2024 to 2025 (2024–25 flu season (1 Sep 2024 – 28 Feb 2025), published 22 May 2025).
Contains public sector information published by NHS England and licensed under the Open Government Licence v3.0. Source: NHS England — COVID-19 weekly vaccinations (final Autumn/Winter 2024-25) (Autumn 2024 campaign (3 Oct 2024 – 2 Feb 2025), published 6 February 2025).