RSV vaccine: who can have it free on the NHS in 2026
RSV, respiratory syncytial virus, gives most people nothing worse than a cold. For older adults and young babies it can lead to serious chest infections such as pneumonia and bronchiolitis. The NHS has offered a vaccine since 2024, and in 2026 it was extended twice.
Who can have it free
- Everyone aged 75 or over. Since 1 April 2026 there has been no upper age limit, so people aged 80 and over who were told they were too old can now have it.
- People aged 65 to 74 with a weakened immune system or a long-term lung condition, from 1 September 2026. Well-controlled asthma does not count.
- Adults of any age living in, or moving into, a care home for older adults.
- Pregnant women from 28 weeks, in every pregnancy. This protects the baby for the first months of life.
One dose, not every year
Unlike the flu vaccine, older adults have a single dose, which should protect for several years. Nobody is offered a second dose under the NHS programme for older adults.
Where to have it
If you are 65 or over and eligible, your GP surgery will usually contact you. If you have not heard anything, ask the surgery: you stay eligible, so it is not too late. Care home residents can ask a member of staff. If you are pregnant, it is offered around your 28-week antenatal appointment, through your maternity service or GP surgery.
Can I have it with my flu or COVID-19 vaccine?
Older adults do not usually have the RSV and flu vaccines at the same time, unless a doctor or nurse thinks it is needed. The COVID-19 vaccine can be given at the same time as either. In pregnancy, the RSV vaccine can be given with the flu and whooping cough vaccines.
If you are not eligible
Some people outside the NHS groups choose to pay for the vaccine. We offer private RSV vaccination to adults aged 60 and over, and to adults aged 18 to 59 at higher risk, at our private vaccination clinic in Brighton. The pharmacist checks first that it is suitable for you.
Common questions
I am 82 and was told I was too old. Is that still true?
No. Since April 2026 there is no upper age limit. Contact your GP surgery to book.
I had the vaccine last year. Do I need another?
No. Older adults have one dose. Pregnant women have one dose in each pregnancy.
Sources
Last checked against these sources on 22 October 2026.
