And yet, despite facing risks equal to – or in some cases greater than – those already eligible for vaccination, too many have been underserved by services that many of us take for granted.
That is not just a gap in provision. It is an injustice.
Through our 10 Year Health Plan, this government has been clear that we will not accept a system where who you are or where you come from determines your chances of staying well. We are building an NHS that tackles inequalities head on – and works for everyone.
Expanding access to flu vaccination for people experiencing homelessness is part of delivering on that promise.
The flu jab is safe, free, and offers the best protection against a virus that can be serious for people already facing tough conditions.
It follows expert advice from the Joint Committee on Vaccination and Immunisation, which recognises the very high levels of poor health among people sleeping rough and their increased risk from diseases like flu.
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But this is not just about eligibility. It is about access.
We know that people experiencing homelessness can face real barriers to healthcare – from not being registered with a GP, to struggling to attend appointments, to navigating services that were simply not designed with their circumstances in mind.
If we are serious about reducing inequalities, we cannot expect people to fit around systems that do not work for them. We must design services that reach people where they are.
That means working closely with outreach teams, hostels, and frontline organisations that are already supporting people day in, day out. It means making vaccination simple, accessible, and delivered in trusted settings.
And it means recognising that small, practical changes – like offering a flu jab in a place someone already visits – can make a life-saving difference.
There is also a wider benefit.
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Increasing vaccination among vulnerable groups helps to reduce the spread of flu across communities, preventing avoidable illness, reducing hospitalisations and easing pressure on the NHS during the most challenging time of the year.
In other words, protecting those most at risk helps protect us all.
But at its heart, this is about fairness and dignity.
Because behind every statistic is a person – someone navigating incredibly difficult circumstances, someone who deserves the same chance to stay well as anyone else.
For too long, people experiencing homelessness have been missed by services many of us rely on without a second thought. This change is about putting that right.
By making sure vulnerable groups can access free flu vaccinations on the NHS, we are taking a clear, practical step to ensure they are not overlooked – and that they receive the same potentially life-saving protection as other at-risk groups.
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This is how we’re building an NHS that reaches people where they are, tackling inequality at its root, and works for everyone.
This winter, we are making a simple choice. To act.
Sharon Hodgson, parliamentary under-secretary of state in the Department for Health and Social Care
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