
COVID-19 cases and hospitalisations are rising across the United Kingdom, but far fewer people will qualify for a free vaccine this autumn and winter. Pharmacists in England say confusion over new NHS eligibility rules is leaving many patients frustrated after being turned away from their vaccination appointments.
The NHS and the UK Health Security Agency (UKHSA) have tightened criteria to focus on those most vulnerable to the virus. Officials have warned that even if someone was eligible for a free jab last year, they might not qualify this year.
Community Pharmacy England (CPE), which represents more than 10,000 chemists, reported that up to half of the people showing up for appointments are being refused. The National Pharmacy Association (NPA) called the situation “deeply frustrating” for both patients and staff.

Cases Rise And New Variants Spread
UKHSA data shows weekly Covid cases increased by 22 percent in the week before September 24, climbing from 2,012 to 2,459. Hospital admissions rose by 60 percent over the past month, from 1.71 to 2.73 per 100,000 people.
Nearly 90 percent of cases in England are now linked to two new variants known as NB.1.8.1 and XFG, nicknamed “Nimbus” and “Stratus.” The XFG strain and its offshoots make up more than three quarters of all new infections, while NB.1.8.1 accounts for roughly 11 percent.
Lawrence Young, a virologist at Warwick University, told the BBC that “the Nimbus variant spreads more easily, while mutations on the Stratus variant help it dodge antibodies from past infections or vaccinations.” He added that “both these features contribute to the increased spread of these variants.”
The UKHSA said there is no current evidence that these strains cause more severe illness than earlier versions of Covid.

NHS Urges Eligible Groups To Get Vaccinated
Amanda Doyle, NHS England’s primary care director, said, “It’s concerning to hear flu and Covid-19 cases are already creeping up ahead of winter,” urging eligible people to get vaccinated as soon as possible.
From October 2025, free NHS Covid boosters will only be offered to residents in care homes for older adults, people aged 75 and over, and those aged six months to 74 with weakened immune systems due to health conditions or treatments.
Virologist Ian Jones of the University of Reading told Sky News that “the UK policies are a bit miserly and have more to do with saving money than improving health.”
An NHS spokesperson said, “Please double check you are still eligible to receive a Covid-19 vaccine before booking – the NHS website sets out whether your age, health condition or medication means you are eligible.”
Health officials continue to stress that those at risk should get their vaccines and remain alert to Covid symptoms, which now often resemble a common cold.