NHS England and the UK Health Security Agency (UKHSA) have confirmed a major vaccine rollout for older adults from September.

The NHS Respiratory Syncytial Virus (RSV) vaccination programme is being expanded to adults aged between 65 and 74 years in certain clinical at risk groups later this year. The RSV vaccine has been routinely available to older adults as they turn 75 since September 2024, and was extended to include all adults aged 80 and over, and all residents in care homes, in April this year. But the eligibility criteria is now being expanded even further to include adults aged 65 to 74 years following advice from the Joint Committee on Vaccination and Immunisation (JCVI).

NHS England and the UKHSA confirmed this change on Wednesday, July 1, and said GPs will offer the vaccine to those who are eligible from September 1.

RSV is a common cause of coughs and colds and while it usually gets better by itself, it can cause severe illness for babies and older adults over the age of 75.

Those who are infected with RSV typically experience cold-like symptoms including a runny or blocked nose, a cough, sneezing, tiredness and a high temperature, but it can also lead to more serious infections like pneumonia or bronchiolitis.

The RSV vaccination is available on the NHS for free to eligible groups, which can help reduce the risk of becoming seriously ill from the infection. You can currently get the jab if:

you live in a care home for older adults

But from September 1, 2026, adults aged 65 to 74 and in either of the following clinical at risk groups will become eligible to get the RSV vaccine:

1. Chronic respiratory disease including those with:

chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema

interstitial lung fibrosis

bronchopulmonary dysplasia

2. Immunosuppression due to disease or treatment.

Confirming the expansion in a letter on July 1, Caroline Temmink, Director of Vaccination at NHS England, and Dr Mary Ramsay CBE, Director of Public Health Programmes (including immunisation) at the UKHSA, said: “From 1 September 2026, the eligibility criteria will be expanded further to include adults aged 65 to 74 years in certain clinical at risk groups as advised by the Joint Committee on Vaccination and Immunisation (JCVI):

immunosuppression due to disease or treatment

“Key points about the changes to the programme:

RSV vaccines can be administered at any time and offers of vaccination should continue throughout the year. RSV vaccination should not be routinely scheduled with influenza vaccination but can be co-administered with the COVID-19 vaccine

GP providers are expected to deliver a 100% offer to eligible groups, with call and recall delivered at the earliest opportunity

where community pharmacies have been commissioned to support the older adults RSV programme, an updated enhanced service specification will be issued ahead of 1 September, and commissioned community pharmacies will be invited by regions to enter a contract variation.”