NHS launches record flu drive as experts warn of 60,000 potential deaths this winter

Projected 60,000 flu deaths and 40,000 children hospitalized with RSV this winter if vaccination targets not met.
Both viruses are serious. They can both be fatal.
England's Deputy Chief Medical Officer on why flu and Covid vaccination matter equally this winter.
Mark

So the core of this is that last year's lockdowns actually created a vulnerability—people didn't get flu, which sounds good, but now there's no immunity in the population?

Mimi

Exactly. Natural immunity builds when you're exposed to a virus. Last winter, social distancing prevented that exposure almost entirely. So now millions of people have no antibodies against flu at all.

Luke

But wait—how confident are we in that 60,000 figure? Is that the Academy's central estimate or a worst-case scenario?

Mimi

The Academy assessed how the triple threat of coronavirus, flu, and RSV might affect the NHS. They found hospital admissions and deaths from flu and RSV could be more than double normal levels. That's what led to the 60,000 projection.

Mark

More than double—so that's a range, not a single number?

Luke

Right. The source says "could be more than double," which is directional but not precise. We don't know if they mean 1.5 times or 3 times normal.

Mimi

Fair point. What we do know is that the conditions are aligned for a bad season: low immunity, more indoor mixing, cooler weather. Those are facts.

Mark

And the NHS response is this record vaccination programme. How many people are we talking about?

Mimi

Over 35 million people in England are eligible for a free flu vaccine. Around 28 million are eligible for Covid boosters. Some regions can give both on the same day.

Luke

One thing to flag: the source doesn't say how many people have actually been vaccinated yet, only that 1.7 million have received a Covid booster so far. That's a starting point, not a completion.

Mark

So we're still in the early phase of the rollout?

Mimi

Yes. The NHS is setting targets—85 percent of over-65s, 75 percent of people with chronic conditions, 70 percent of eligible children. Those are ambitions, not current numbers.

Luke

And we don't know yet whether those targets will be met. The story is about what the NHS is trying to do, not what it has done.

Mark

Which means the real test comes in the next few weeks and months.

Mimi

Exactly. The health officials are essentially saying: we see the threat, we have the tools, now it depends on whether people take them up.

  • A winter of dangerously low flu immunity looms, the unintended consequence of the very social distancing measures that kept Britain safe last year.
  • Scientists project up to 60,000 flu deaths and 40,000 children hospitalised with RSV — figures that would place extraordinary strain on an already pressured NHS.
  • For the first time, flu and Covid-19 will circulate simultaneously, a scenario health officials have long feared but never before had to confront in practice.
  • The NHS is racing to vaccinate 35 million people against flu while rolling out Covid boosters to 28 million more, in some areas offering both jabs on the same day.
  • Specific targets — 85% of over-65s, 75% of pregnant women, 70% of eligible children — frame the campaign as a measurable mission with lives directly in the balance.
  • Officials are urging the public to act now, before indoor gatherings and falling temperatures accelerate the spread of viruses that are, as one senior doctor put it, both serious and both fatal.

As Britain enters its first winter without pandemic-era social distancing, health authorities face a paradox of their own making: the very restrictions that suppressed flu last year have left millions without natural immunity, creating conditions for an unusually severe season. The NHS has responded by launching its largest-ever flu vaccination programme, offering free jabs to 35 million people alongside Covid-19 boosters, in a race against the calendar and the cold. At stake, according to the Academy of Medical Sciences, are as many as 60,000 lives — a number that transforms a public health campaign into something closer to a moral reckoning with collective responsibility.

Britain's health authorities are preparing for a winter unlike any in recent memory. The Academy of Medical Sciences has projected that as many as 60,000 people could die from flu this season, with 40,000 children hospitalised with respiratory syncytial virus. The warning rests on a troubling irony: last winter's social distancing suppressed flu so effectively that the population built almost no natural immunity, leaving millions exposed as colder weather draws people back indoors.

The Government's response is the largest flu vaccination programme in NHS history, with more than 35 million people in England now eligible for a free jab. Alongside it, Covid-19 boosters are being offered to around 28 million people, with some regions providing both vaccines on the same visit. Health Secretary Sajid Javid pointed to the Covid programme's estimated 130,000 lives saved as proof of what vaccination can achieve, framing the dual campaign as both a personal and collective duty.

Deputy Chief Medical Officer Professor Jonathan Van-Tam was direct about the mechanics of the threat: reduced natural immunity, increased indoor mixing, and the simultaneous circulation of flu and Covid-19 for the first time create conditions for faster, wider spread than in a typical season. The NHS has set clear targets — vaccinating at least 85% of over-65s and frontline workers, and reaching the majority of pregnant women, children, and those with underlying conditions. The message from health officials is urgent: the window for preparation is closing, and the country is being asked to act before the surge arrives.

Britain's health authorities are bracing for a winter unlike any in recent memory. A summer assessment by the Academy of Medical Sciences painted a stark picture: as many as 60,000 people could die from flu this season, with another 40,000 children landing in hospital beds with respiratory syncytial virus. The projection rests on a simple but troubling fact—last winter, flu barely circulated at all. Social distancing worked. But it also meant the population built almost no natural immunity, leaving millions vulnerable as the weather turns cold and people move indoors.

The Government has responded by launching what it calls the largest flu vaccination programme in NHS history. More than 35 million people across England are now eligible for a free jab. At the same time, Covid-19 booster shots are being rolled out, with around 1.7 million people already receiving a third dose and roughly 28 million more eligible. In some regions, the NHS is offering both vaccines on the same day—one in each arm—though this convenience will not be available everywhere. The timing matters: Covid boosters must come at least six months after a second dose, according to guidance from the Joint Committee on Vaccination and Immunisation.

Health Secretary Sajid Javid framed the dual campaign as both a personal and collective responsibility. The Covid vaccination programme alone, he noted, has saved around 130,000 lives. Now the challenge is to repeat that success with flu while simultaneously protecting against a virus that has not stopped circulating. "Both are important to provide vital protection not only to yourself, but also your loved ones while also helping to ease pressure on the NHS," Javid said.

The concern is not abstract. England's Deputy Chief Medical Officer, Professor Jonathan Van-Tam, spelled out the mechanics of the threat. "Not many people got flu last year because of Covid-19 restrictions, so there isn't as much natural immunity in our communities as usual," he explained. Add to that the fact that more people will be gathering indoors as temperatures drop, and the conditions align for flu to spread faster and wider than in a typical season. For the first time, Covid-19 and flu will be circulating simultaneously—a scenario health officials have long worried about but never had to manage.

The NHS has set specific targets. It aims to vaccinate at least 85 percent of people over 65, exceeding the global benchmark of 75 percent that was already met last year. The service also wants to reach 75 percent of people with underlying health conditions like asthma or heart disease, 75 percent of pregnant women, and 70 percent of eligible children. All frontline health and social care workers will be offered the flu jab, with an ambition that at least 85 percent accept. Those not eligible for free vaccination can pay for a dose at pharmacies.

People can book their free flu vaccine through pharmacies or wait for their GP surgery to contact them. Van-Tam's message was direct: "Both these viruses are serious: they can both spread easily, cause hospitalisation and they can both be fatal. It is really important that people get their vaccines as soon as they can." The window for preparation is narrowing. Winter is coming, immunity is low, and the NHS is asking the country to act before the surge arrives.

Not many people got flu last year because of Covid-19 restrictions, so there isn't as much natural immunity in our communities as usual. We will see flu circulate this winter; it might be higher than usual and that makes it a significant public health concern.
— Professor Jonathan Van-Tam, England's Deputy Chief Medical Officer
Both these viruses are serious: they can both spread easily, cause hospitalisation and they can both be fatal. It is really important that people get their vaccines as soon as they can.
— Professor Jonathan Van-Tam
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