Advice on using written instructions for the administration of 'flu vaccinations to healthcare staff and written instruction templates 2021/22 are available.

Staff groups that can administer

In October 2020, The Human Medicines (Coronavirus and Influenza) (Amendment) Regulations 2020 provided an additional time limited (to 1 April 2022) amendment to Schedule 17 to allow occupational health vaccinators to administer influenza or coronavirus vaccines in accordance with the written directions of a doctor. An occupational health vaccinator means a person who is employed or engaged by a person operating an occupational health scheme

NHS body or Local Authority staff groups

NHS body or Local Authority staff that can administer against a written instruction can be from one of the following staff groups:

  • Registered nurses
  • Registered midwives
  • Registered nursing associates
  • Operating department practitioners, paramedics or physiotherapists registered in Part 13, 8 or 9 of the Health and Care Professions Council register
  • Pharmacists

Independent or other organisation staff groups

Within independent or other organisations, only registered nurses can administer under a written instruction.

Authorisation within organisations

Authorisation of written instructions within organisations requires the signature of an appropriate registered doctor before they can be used.

  • The written instruction can be adopted by organisations following the signed authorisation of the written instruction by an appropriate doctor.
  • This medical signatory must be the doctor assuming responsibility for the delivery of the influenza vaccination programme to staff within an organisation.
  • This should be an Occupational Health Physician employed by the organisation but where there is no such doctor employed/contracted by the organisation it should be the doctor assuming responsibility for the delivery of the influenza vaccination programme to staff within the organisation (for example the organisation’s Medical Director).

Use within organisations

Once signed and adopted, the written instruction allows named registered healthcare professionals included in the legislation to administer the seasonal influenza vaccination to the organisation’s staff, including peer to peer vaccinators.  Vaccinators must be trained and competent to work in accordance with the written instruction.

Written Instruction Templates and Factsheets

Two written instruction templates are attached below for organisations to complete and adopt, along with a factsheet to support the use of the written instruction by organisations and additional advice which is specific to GP practices.

PGDs within Occupational Health Services

Further advice on the use of PGDs within Occupational Health Services is available in a separate article.

Change history

  1. Updated versions fact sheet and GP advice added
  1. Published