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School aged immunisations (South London)


The two main ways to prevent the spread of diseases and infections are hand washing, closely followed by immunisation. Immunisations are estimated to save between two and three million deaths each year around the world.

The trust’s immunisations team deliver the school-aged immunisations programme across south London.

The role of the nurse is predominantly focussed on health promotion and the prevention of the spread of illness of disease through immunisation. The immunisations team is involved in educating, advising and promoting immunisations.

The team attends schools across the borough to administer the planned vaccinations. The team of nurses regularly attend schools to administer vaccines, as directed by the National Childhood Immunisations Programme.

The information on the immunisations tab describes the national programme and vaccinations your child will be offered to protect them against certain illnesses and disease.

The nurses will be able to support and provide advice on the various immunisations advised for children of different ages and will also be able to direct you to further information for you and your child to make an informed choice about the planned vaccination.

Information regarding the immunisations is always shared with the parent /guardian and in age appropriate terms that a child can understand.  In secondary schools, the nurse offers to attend the school to give a talk on the planned vaccines.

Consent for immunisations

Consent must be obtained before starting any patient care - this includes the administration of vaccines. The HRCH Immunisation team want the parents or legal guardian to be involved in their son or daughters care by discussing the vaccinations with them and by returning a signed vaccination form. 

Vaccine information and consent forms are sent out from the schools on multiple occasions as are parent mail reminders. In addition, we ask for reminders and PowerPoint information about the vaccine to be shown to the young people in school assembly or tutor time. However, we do acknowledge that despite our best efforts forms do not always reach home and addresses, emails or mobile numbers change which results in information not being received by the families.

Our ultimate aim is to prevent these young people getting vaccine preventable diseases. Therefore, on the day of the immunisations we invite all those that have consented to have the vaccine AND those who have not yet returned a form to attend the session. This is so we can discuss the vaccine with the young person and to attempt to contact their parent or legal guardian.


However, in the absence of a signed consent form and being unable to contact the parent we will assess the young person for self-consent. Not all young people will be competent; it is assessed on an individual basis by an immunisation nurse. The final decision to consent or refuse vaccination is the young person’s choice - we will not give a vaccination where it is not wanted by the young person. 

To assess the young person’s ability to self-consent for the vaccine we use the Gillick Competence guidelines which are defined below but can also be found online at:

www.nhs.uk/conditions/consent-to-treatment (opens in a new window)

  • Voluntary – the decision to either consent or not to consent to treatment must be made by the person themselves, and must not be influenced by pressure from medical staff, friends or family

  • Informed – the person must be given all of the information in terms of what the treatment involves, including the benefits and risks, whether there are reasonable alternative treatments, and what will happen if treatment doesn't go ahead

  • Capacity – the person must be capable of giving consent, which means they understand the information given to them and they can use it to make an informed decision

Children under the age of 16 can consent to their own treatment if they're believed to have enough intelligence, competence and understanding to fully appreciate what's involved in their treatment.

What happens after vaccinations?

After the vaccination is administered, your child will be given an information leaflet about any potential side effects - to take home for the parent. They may also be given a card for the parent to retain the information in the child/young person’s health record (red) book.

Within a couple of weeks your GP should also have the details of the vaccination given unless you specifically request us not to inform them.

We keep information of vaccinations given in school. If you or your child requires a copy you child or yourself can request this. 

we are a mobile service
School-aged immunisations is a mobile service
Richmond school aged immunisations team
Members of our Richmond school aged immunisations team

If you need to contact our immunisations teams, please use the contact details below.

Bexley schools: 020 3903 3380


Lead Nurse for Bexley and Bromley 020 3903 3377

Bromley schools: 020 3903 3375


Lead Nurse for Bexley and Bromley 020 3903 3377

Kingston schools: 020 3691 1043


Lead Nurse for Richmond & Kingston 020 3 91 1042


Richmond schools: 020 3691 1019


Lead Nurse for Richmond & Kingston 020 3 91 1042

Lambeth schools 020 3049 7188


Merton schools: 020 3538 0502



Southwark schools: 020 3049 7218 



Sutton schools: 020 3538 0502 



Wandsworth schools: 020 3903 3374




Watch part one of the NHS Choices' vaccination series to find out why not being vaccinated, due to worry about side effects, means serious illnesses can become more common:

There is a national vaccination schedule that is routinely offered by the NHS to young people. As part of this programme a team of school/immunisation nurses attend schools at regular intervals to offer young people their vaccines when they are due. Vaccinations are offered in school as part of this national programme

Reasons for doing this in school:  

  • Prevents children / young people missing school for a vaccination that should be given when they are healthy

  • Young people are involved and may take more of an interest in their health as they are directly spoken to by the nurse as to their understanding of the planned vaccine
  • Locally and nationally we achieve better uptake this is commonly referred to as Herd protection. This in turn helps protect any persons unable to be protected i.e. new-born babies elderly and persons with a low immunity due to health reasons
  • The school nurse immunisation nurse in Hounslow and Richmond offer talks/ assemblies in schools before the planned vaccines to give young people an opportunity to understand the planned vaccines and ask questions.

Whilst we actively encourage parents to be involved with consent to the planned vaccines we are aware that the Young person ultimately is able to decide if they are competent to do so.

We now have a section for young people to self–consent on the booster vaccination form (Diptheria Tetanus and Polio (Td/IVP) and Meningitis C) if they can demonstrate understanding of the risks of disease versus benefits of the vaccine and risks of the disease.  

It is worth noting that these are vaccinations their parent/carer would have consented to as babies and this is just the young person completing the course. 

Download the latest immunisations schedule:


Diphtheria is an infectious disease spread by bacteria or germs that live in the mouth, throat and nose of an infected person. It is easily passed to others through coughing and sneezing. 

HPV vaccine

Girls are offered the Human Papilloma Virus (HPV) vaccine aged 12 to 13 in school year 8. The second dose is offered in Year 9 (6-12 months after 1st dose). It's important to have both doses to be protected.

Girls who start the HPV vaccination after the age of 15 will need 3 doses as they do not respond as well to 2 doses as younger girls do.

The HPV vaccine is effective at stopping girls getting the types of HPV that cause most cervical cancers (99.7%), some anal and genital cancers, and cancers of the head and neck.

What is HPV? 

HPV is the name given to a very common group of viruses. There are more than 100 different types of HPV, and around 40 that affect the genital area. HPV infections do not usually cause any symptoms, and most people will not know they're infected.

How does the HPV vaccine work?

Gardasil protects against 4 types of HPV: 6, 11, 16 and 18. Types 16 and 18 are the cause of more than 70% of cervical cancers in the UK. HPV types 6 and 11 cause around 90% of genital warts. Gardasil also helps protect against some head & neck cancers caused by HPV.

Most people will get a HPV infection at some point in their lives and their bodies will get rid of it naturally without treatment, but in some cases the infection stays in the body for many years and then, for no apparent reason, starts to cause damage.

HPV vaccination does not protect against other infections spread during sex, such as chlamydia, and it will not stop girls getting pregnant, so it's still very important to practise safe sex and to have regular cervical screening (smear test) from 25 years old, as this helps detect cell changes.

Why is the HPV vaccine given at such a young age?

HPV is very common and can be caught through any kind of sexual contact with another person who already has it. HPV infections can be spread by any skin-to-skin contact and are usually found on the fingers, hands, mouth and genitals. This means the virus can be spread during any kind of sexual activity, including touching. 

The HPV vaccine works best if girls get it before they come into contact with HPV. In other words, before they become sexually active. So getting the vaccine when recommended will help protect them during their teenage years and beyond. 

How is the HPV vaccination programme changing?

From the 2019-20 school year, 12 to 13-year-old boys will become eligible. This extension of the HPV vaccination programme will help prevent more cases of HPV-related cancers in boys and girls, such as head and neck cancers and anal and genital cancers.

A catch-up programme for older boys is not necessary, as evidence suggests they're already benefitting greatly from the indirect protection (known as herd protection) that's built up from 10 years of the girls' HPV vaccination programme.

(Taken from NHS Choices) 

Meningitis ACWY

The Meningitis (Men) ACWY vaccine protects against four different strains (A, C, W and Y) of the meningococcal bacteria.  Meningitis is caused by the meninges (the lining of the brain) becoming infected & swollen. 

This can also cause septicaemia (blood poisoning) which is very serious. Those who do recover can be left with serious long-term health problems, such as amputation, deafness, blindness, epilepsy and learning difficulties. 

The meningitis viruses are usually spread by people who carry the viruses or bacteria unknowingly in their nose or throat, but aren't ill themselves. This can be transmitted through sneezing, coughing, kissing, sharing utensils, toothbrushes etc. 

People aged 15 to 24 are particularly at risk of catching meningitis. The Meningitis ACWY vaccination is routinely offered to all young people in School Year 9. Further education students aged 16-25 should contact their GPs to ensure they receive the vaccine if they have not had it in the last 10 years.          


A virus can be spread very easily by airborne or droplet transmission. Symptoms include a rash, fever, cough and watery eyes. Measles also can cause pneumonia, brain damage, seizures or death.


Spread by airborne or droplet transmission causes fever, headaches and swollen salivary glands under the jaw. May develop a mild meningitis Also it can result in permanent hearing loss and serious complications particularly in males. 

Rubella (German measles)

The virus usually causes mild sickness with fever, swollen glands and a rash. If a pregnant woman gets rubella, she can lose her baby, or the baby can be born blind, deaf, mentally retarded or with heart defects or other serious problems. 

Poliomyelitis (Polio)

Paralytic polio is a virus that strikes children and adults and can cripple and kill. It is spread by contact with the faeces (bowel movement) of an infected person. 

Tetanus (Lockjaw)

Is caused by a poison produced by a germ found in soil, dust and manure that can enter the body through a cut, wound or any break in the skin. Tetanus causes serious, painful spasms of muscles and can lead to "locking" of the jaw so a person cannot open his or her mouth, swallow, breath or move.   

 There is a language tool at the top left of the page to translate if English is not your first language.

In the autumn/winter of 2018-19, the vaccine will be available free on the NHS for eligible children, including:

  • Children aged two and three on 31 August 2018 – that is, children born between 1 September 2014 and 31 August 2016 - this is offered at your GP.

  • Children in reception class or years 1, 2, 3, 4 and 5 will be offered the vaccine in school. A consent form letter will be distributed through your child’s school. We have a short animation on YouTube explaining why children are invited to have the vaccine in school – HRCH childhood immunisations-nasal flu spray 

  • Children aged 2 to 17 with long-term health conditions.
  • Flu can be very unpleasant in children and can cause high temperatures, a blocked nose, cough, sore throat, muscle or joint aches and tiredness. Some children need hospital treatment for this or have further complications such as ear infection, bronchitis, and pneumonia. Resulting in time off school and work for family members who care for their child whilst unwell. 

The vaccine offered is given as a simple spray up the nose. It is painless, very quick, and serious side effects are uncommon. This vaccination programme is designed to protect your child against flu which can be an unpleasant illness and, although rarely, sometimes cause serious complications.

By having the flu vaccination, children are less likely to pass the virus on to friends and family. This will help to protect those who are at greater risk from flu, including infants, older people and those with an underlying health condition. The flu vaccine provides protection against the strains that are predicted to circulate in the coming season. These strains may change from year to year which is why we recommend vaccination every year.

This vaccine is not suitable for everyone and some children with severe egg allergies (needing hospitalisation), a weakened immune system, or severe asthma or wheezing at time of vaccination, may be recommended the flu injection instead.

A nasal flu vaccine leaflet explaining the programme can be collected via the school, or from www.nhs.uk/vaccinations

For further information please also see the NHS website.

Videos:  Nasal flu spray for kids  

Watch the films below about the nasal flu vaccination programme, which is being piloted in primary schools across England. Find out more by visiting www.healthforkids.co.uk

IMPORTANT NOTE: This EXAMPLE form is provided to enaable use of the language translation tool (Google translate). If you need a nasal flu consent form, please contact your primary school.




Parent / guardian to complete


Student details

First name:


Date of birth:

Gender (girl / boy):

NHS number (if known):

Home telephone number:

Parent / guardian mobile:

Email address:

Home address:


School name:

School year (Reception, year 1, 2, 3, 4 or 5)

Name of class:

GP / surgery name:

GP address




Immunisation history


Please select all options that apply to your child.

Has your child been diagnoses with Asthma?

Yes / No

If yes, please give details below. If your child is currently taking inhaled steroids (uses a preventer or regular inhaler), please enter the medication and daily dose (e.g. Budesonidine 100 micrograms, four puffs per day)

Has your child already had a flu vaccination this autumn / winter (academic year 2018/19)?

Yes / No

If yes, please give details below.

Existing immune system treatments or diseases

Does your child have a disease or treatment that severely affects their immune system (e.g. treatment for leukaemia)?

Yes / No

If yes, please give details below.


Egg allergies

Does your child have a severe egg allergy (e.g. severe anaphylaxis to egg which has previously required intensive care)?

Yes / No

If yes, please give details of egg allergy below.


Salicylate therapy (i.e. aspirin)

Is your child receiving salicylate therapy (aspirin)

Yes / No

If yes, please give details below.


On the day of the vaccination, please let the immunisation team know if your child has been wheezy in the past three days.

Important: The nasal flu vaccine contains products derived from pigs (porcine gelatine). There is no suitable alternative flu vaccine available for otherwise healthy children. More information for parents is available from www.nhs.uk/child-flu.

Consent for immunisation

Yes I consent for my child to receive the flu immunisation. I can confirm that I have parental responsibility.

No I do not consent for my child receiving the flu immunisation

If no, please give reasons below:


Print name:                                               Signature of parent / guardian:                                        Date: 

Data sharing (GDPR)

We share immunisation data with other relevant healthcare agencies, such as GPs, to ensure the young person's healthcare record is up to date.

For further information on personal records and consent to processing of data, please see this link: http://hrch.nhs.uk/patients/patient-records 

Distraction techniques:

  • Please bring your phone or an MP3 player so you can listen to your favourite music whilst having an injection

  • Why not watch this distraction video below on your mobile whilst having an injection


Immunisations explained for children with special needs:

Immunisations explained for children with special needs 1/5
Immunisations explained for children with special needs 2/5
Immunisations explained for children with special needs 3/5
Immunisations explained for children with special needs 4/5
Immunisations explained for children with special needs 5/5