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🫁 RSV Vaccination Indicator

From 1 April 2026, a single dose of the RSV vaccine will be offered to everyone age 75 and over who has not yet had a dose, or any adult residing in, or moving into, a care home for older adults.

This is a positive care delivery indicator:

  • Complete = the patient has received the RSV vaccine

  • Not complete = the patient is eligible and may need inviting


1️⃣ RSV001

Identifies patients who are eligible for the RSV vaccination.

What it checks

Patients who:

  • are aged 75 or older

  • are aged 18–74 and resident in a care home for older adults on a long-term basis

And:

  • Are registered with the practice

  • Have not previously received an NHS RSV dose

  • Have no recorded contraindication

  • Have not declined the RSV vaccine in the last 12 months

What counts as complete

A patient is considered complete if an RSV vaccination has been recorded (by any provider). Patients without a vaccination recorded will appear for recall.

Who is not eligible

The following groups are excluded from the programme regardless of age or care home residency:

  • Individuals who have already received an NHS RSV dose (no additional dose is required)

  • Temporary residents aged under 75 (temporary residents aged 75+ who are unvaccinated should be offered the vaccine as part of routine eligibility)

  • Social care staff residing in care homes for older adults

  • Residents under 18 years of age

Note on care home residents: Patients vaccinated as a care home resident before turning 75 should not be re-offered the vaccine on reaching 75. Patients admitted to a care home for the first time above age 75 do not require an additional dose, though admission is an opportunity to confirm and record vaccination status.

How long patients remain eligible

There is no upper age limit. Eligible patients who have not yet been vaccinated remain indefinitely eligible and can receive the vaccine at any time of year, including opportunistically at care home admission or when attending for a COVID-19 vaccination.

Please note...

RSV002, which previously identified patients eligible for the catch up programme, was was retired on 1 June 2026, as all eligible patients are now included in the single RSV001 indicator. No action is required to update your campaigns.


📘 Coding rules used

RSV vaccination

  • Any recorded RSV vaccination counts (not limited to GP-administered vaccines)

Exclusions

Patients are excluded if they have:

  • An RSV vaccination contraindication recorded

  • An RSV vaccination declined code recorded within the last 12 months

Decline codes are time-limited, meaning patients may re-enter eligibility once the 12-month window has passed.


💡 Why this matters

This indicator helps practices to:

  • Identify all patients eligible for RSV vaccination, including care home residents aged 18–74

  • Manage routine and catch-up cohorts in a single indicator

  • Reduce missed vaccinations in older adults and care home residents

  • Support safe, proactive population health management

  • Align recall activity with NHS England programme rules


Key changes from the previous version: The eligibility criteria were updated on 1 April 2026 to remove the upper age limit and extend the programme to adults aged 18–74 residing in care homes for older adults.

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