Which areas have the lowest childhood MMR vaccination coverage in England?

Across 149 upper-tier local authorities in 2023–24, the lowest MMR1-at-5-years coverage was in Hackney and City of London (78.2%), Haringey (80.3%) and Westminster (80.7%); the highest were Cumbria (97.2%), Derbyshire and East Riding of Yorkshire (both 97.1%). The England MMR1 median across areas was 93.2%. Source: COVER childhood immunisation, 2023–24.

Why does MMR coverage matter, and what is the 95% target?

The WHO recommends 95% two-dose MMR coverage to stop measles spreading. England’s MMR2-at-5 coverage of 83.9% in 2023–24 is well below this, leaving children vulnerable to outbreaks. The shortfall against 95% is the core of Gera’s childhood Immunity Gap. Source: COVER, 2023–24.

Can I catch my child up on missed vaccinations?

Yes — most childhood vaccines can be given later if a dose was missed. A GeraClinic clinician can review your child’s vaccination history, explain which doses are outstanding, and arrange catch-up vaccination.

Childhood MMR & Immunisation Coverage by Area in England

Real NHS England / UKHSA COVER childhood vaccination coverage for 2023–24, across 149 upper-tier local authorities — plus the Gera childhood Immunity Gap. For adult flu and COVID uptake, see the flu & COVID hub.

What is the childhood MMR vaccination rate in England, and how does it vary by area?

In 2023–24, MMR1 coverage at age 5 in England was 91.9% and MMR2 was 83.9% — both below the WHO 95% measles target — varying from 78.2% (Hackney and City of London) to 97.2% (Cumbria) across 149 local authorities, per NHS England COVER. Gera re-dates this annually.

Source:NHS England — Childhood Vaccination Coverage Statistics, England, 2023-24 (COVER)·as of 2023–24 (year ending 31 March 2024)updated annually (last: 18 June 2026)

Gera Immunity Gap ScoreEngland childhood MMR1: 3.1 pts below targetThe Gera childhood Immunity Gap weights MMR1 (50%), MMR2 (30%) and 6-in-1 (20%) coverage and subtracts from 100. England's MMR1 of 91.9% is 3.1 points below the WHO 95% target; higher gap = more vulnerable to measles.How this index is calculated

England childhood vaccination coverage — 2023–24 (NHS England / UKHSA COVER, OGL v3.0)
Vaccine	Coverage	WHO target
MMR1 at 5 years	91.9%	95%
MMR2 at 5 years	83.9%	95%
MMR at 24 months	88.9%	95%

Check childhood coverage in your area

Pick 'A child under 5' and your local authority to see real MMR coverage vs the WHO 95% target.

Who are you checking for?Your local authority

Select a profile and your area to see real local vaccination coverage.

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.

Areas with the lowest childhood MMR coverage (2023–24)

Lowest MMR1-at-5 coverage, widest childhood immunity gap first
Local authority	MMR1 at 5	MMR2 at 5	Gera Immunity Gap
Hackney and City of London	78.2%	60.8%	29.9
Kensington and Chelsea	82.2%	64.5%	25.2
Westminster	80.7%	64.3%	24.6
Haringey	80.3%	64.5%	23.5
Enfield	81.2%	65.8%	23.2
Camden	82.1%	65.7%	22
Islington	83.5%	63.8%	21.9
Newham	82.1%	67.7%	21.8
Hammersmith and Fulham	83.3%	67.6%	21.7
Croydon	81.9%	68.1%	21.6

The England MMR1 median across areas was 93.2%. Browse every area below.

Childhood immunisation by region

London (32 areas)
Yorkshire and The Humber (15 areas)
South West (14 areas)
East of England (11 areas)
West Midlands (14 areas)
North West (23 areas)
South East (19 areas)
North East (12 areas)
East Midlands (9 areas)

See how the Gera Immunity Gap Score is calculated.

Browse childhood coverage by local authority

Childhood vaccination coverage: frequently asked questions

What is the childhood MMR vaccination rate in England?: In 2023–24, MMR1 coverage at age 5 in England was 91.9% and MMR2 (the second dose) at age 5 was 83.9% — both below the WHO 95% target needed for measles herd immunity, and the lowest MMR1 level since 2010–11. Source: NHS England / UKHSA COVER childhood immunisation, 2023–24 (OGL v3.0).
Which areas have the lowest childhood MMR vaccination coverage in England?: Across 149 upper-tier local authorities in 2023–24, the lowest MMR1-at-5-years coverage was in Hackney and City of London (78.2%), Haringey (80.3%) and Westminster (80.7%); the highest were Cumbria (97.2%), Derbyshire and East Riding of Yorkshire (both 97.1%). The England MMR1 median across areas was 93.2%. Source: COVER childhood immunisation, 2023–24.
Why does MMR coverage matter, and what is the 95% target?: The WHO recommends 95% two-dose MMR coverage to stop measles spreading. England’s MMR2-at-5 coverage of 83.9% in 2023–24 is well below this, leaving children vulnerable to outbreaks. The shortfall against 95% is the core of Gera’s childhood Immunity Gap. Source: COVER, 2023–24.
Can I catch my child up on missed vaccinations?: Yes — most childhood vaccines can be given later if a dose was missed. A GeraClinic clinician can review your child’s vaccination history, explain which doses are outstanding, and arrange catch-up vaccination.

Catch up on a missed childhood vaccination

MMR2 coverage at age 5 in England is 83.9%, below the WHO 95% target. If your child has missed a dose, a GeraClinic clinician can review their record and arrange catch-up vaccination nationwide.

Book a vaccination consultation How GeraClinic works

Contains public sector information published by NHS England Digital / UKHSA and licensed under the Open Government Licence v3.0. Source: NHS England — Childhood Vaccination Coverage Statistics, England, 2023-24 (COVER) (2023–24 (year ending 31 March 2024), published 17 September 2024).