Moving to 🇬🇧 the UK with a child

What to do about your child's vaccines in your first weeks in the UK, and how the schedule compares with the country you are coming from.

The UK's routine childhood schedule protects against 17 diseases (see the full United Kingdom schedule). Doses your child has already had abroad almost always count - the job on arrival is to get them recorded and fill any gaps.

Your first weeks in the UK

  1. Register your child with a GP surgery as soon as you arrive. You do not need proof of address or immigration status to register.
  2. Routine childhood vaccines, including catch-up doses, are free on the NHS. Your health visitor can give you a "red book" to record them for children under 5.
  3. Schools do not ask for proof of vaccination, but some vaccines are given in school: the nasal flu vaccine each year, HPV in Year 8, and the teenage booster and MenACWY in Year 9.
  4. Bring your child's written vaccination record with vaccine names, dates and batch numbers if you have them. If it is not in English, a translation helps.

Coming from: United States · Australia · Canada · India · South Africa. Another country? Use the comparison tool.

🇺🇸 Coming from the US

Every disease on the UK's routine schedule is also covered in the US, so a child who is up to date is unlikely to need extra vaccines.

The US also routinely vaccinates against Hepatitis A, which the UK does not give every child. Keep the record of those doses - they still count.

Both countries cover diphtheria, tetanus, whooping cough, polio and Hib and more, but at different ages, so a course started in the US is finished on the UK's timetable.

Bring the immunization record from your pediatrician or your state immunization registry.

Side by side: the US and the UK ages for each disease
Disease🇺🇸 United States🇬🇧 United Kingdom
Diphtheria2 months, 4 months, 6 months, 15 to 18 months, 4 to 6 years, 11 to 12 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Tetanus2 months, 4 months, 6 months, 15 to 18 months, 4 to 6 years, 11 to 12 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Whooping cough2 months, 4 months, 6 months, 15 to 18 months, 4 to 6 years, 11 to 12 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months
Polio2 months, 4 months, 6 months, 4 to 6 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Hib2 months, 4 months, 6 months, 12 to 15 months8 weeks, 12 weeks, 16 weeks, 18 months
Hepatitis BBirth, 1 to 2 months, 6 months8 weeks, 12 weeks, 16 weeks, 18 months
Pneumococcal disease2 months, 4 months, 6 months, 12 to 15 months16 weeks, 1 year (12-13 months)
Rotavirus2 months, 4 months8 weeks, 12 weeks
Measles12 to 15 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Mumps12 to 15 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Rubella12 to 15 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Chickenpox12 to 15 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Meningococcal B16 years8 weeks, 12 weeks, 1 year (12-13 months)
Meningococcal C11 to 12 years, 16 years14 years (school year 9)
Meningococcal A, W, Y11 to 12 years, 16 years14 years (school year 9)
HPV11 to 12 years12 to 13 years (school year 8)
Flu6 months2 years to school Year 11 (annually)
Hepatitis A
Only in the US
12 to 15 months, 15 to 18 months-Only in the US

From each country's official schedule. Combination vaccines mean one injection can count for several diseases. Full United States schedule.

🇦🇺 Coming from Australia

The UK's routine schedule covers a disease that Australia's does not: Meningococcal B. Depending on your child's age, these may be offered as catch-up doses.

Both countries cover diphtheria, tetanus, whooping cough, polio and Hib and more, but at different ages, so a course started in Australia is finished on the UK's timetable.

Bring an Immunisation History Statement from the Australian Immunisation Register.

Side by side: Australia and the UK ages for each disease
Disease🇦🇺 Australia🇬🇧 United Kingdom
Diphtheria2 months (from 6 weeks), 4 months, 6 months, 18 months, 4 years, 12 to 13 years (school program)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Tetanus2 months (from 6 weeks), 4 months, 6 months, 18 months, 4 years, 12 to 13 years (school program)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Whooping cough2 months (from 6 weeks), 4 months, 6 months, 18 months, 4 years, 12 to 13 years (school program)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months
Polio2 months (from 6 weeks), 4 months, 6 months, 4 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Hib2 months (from 6 weeks), 4 months, 6 months, 18 months8 weeks, 12 weeks, 16 weeks, 18 months
Hepatitis BBirth, 2 months (from 6 weeks), 4 months, 6 months8 weeks, 12 weeks, 16 weeks, 18 months
Pneumococcal disease2 months (from 6 weeks), 4 months, 12 months16 weeks, 1 year (12-13 months)
Rotavirus2 months (from 6 weeks), 4 months8 weeks, 12 weeks
Measles12 months, 18 months1 year (12-13 months), 18 months, 3 years 4 months
Mumps12 months, 18 months1 year (12-13 months), 18 months, 3 years 4 months
Rubella12 months, 18 months1 year (12-13 months), 18 months, 3 years 4 months
Chickenpox18 months1 year (12-13 months), 18 months, 3 years 4 months
Meningococcal B
Only in the UK
-8 weeks, 12 weeks, 1 year (12-13 months)Only in the UK
Meningococcal C12 months, 14 to 16 years (school program)14 years (school year 9)
Meningococcal A, W, Y12 months, 14 to 16 years (school program)14 years (school year 9)
HPV12 to 13 years (school program)12 to 13 years (school year 8)
Flu6 months2 years to school Year 11 (annually)

From each country's official schedule. Combination vaccines mean one injection can count for several diseases. Full Australia schedule.

🇨🇦 Coming from Canada

The UK's routine schedule covers a disease that Canada's does not: Meningococcal B. Depending on your child's age, these may be offered as catch-up doses.

Both countries cover diphtheria, tetanus, whooping cough, polio and Hib and more, but at different ages, so a course started in Canada is finished on the UK's timetable.

Bring your provincial or territorial immunization record.

Side by side: Canada and the UK ages for each disease
Disease🇨🇦 Canada🇬🇧 United Kingdom
Diphtheria2 months, 4 months, 6 months, 18 months, 4 to 6 years, Grade 9 or 14-16 years (province dependent)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Tetanus2 months, 4 months, 6 months, 18 months, 4 to 6 years, Grade 9 or 14-16 years (province dependent)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Whooping cough2 months, 4 months, 6 months, 18 months, 4 to 6 years, Grade 9 or 14-16 years (province dependent)8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months
Polio2 months, 4 months, 6 months, 18 months, 4 to 6 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Hib2 months, 4 months, 6 months, 18 months8 weeks, 12 weeks, 16 weeks, 18 months
Hepatitis B2 months, Grade 6 (around 11-12 years)8 weeks, 12 weeks, 16 weeks, 18 months
Pneumococcal disease2 months, 4 months, 12 months16 weeks, 1 year (12-13 months)
Rotavirus2 months, 4 months, 6 months8 weeks, 12 weeks
Measles12 months, 18 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Mumps12 months, 18 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Rubella12 months, 18 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Chickenpox12 months, 18 months, 4 to 6 years1 year (12-13 months), 18 months, 3 years 4 months
Meningococcal B
Only in the UK
-8 weeks, 12 weeks, 1 year (12-13 months)Only in the UK
Meningococcal C12 months, Grade 6 (around 11-12 years)14 years (school year 9)
Meningococcal A, W, YGrade 6 (around 11-12 years)14 years (school year 9)
HPVGrade 6 (around 11-12 years)12 to 13 years (school year 8)
Flu6 months2 years to school Year 11 (annually)

From each country's official schedule. Combination vaccines mean one injection can count for several diseases. Full Canada schedule.

🇮🇳 Coming from India

The UK's routine schedule covers 6 diseases that India's does not: Mumps, Chickenpox, Meningococcal B, Meningococcal C, Meningococcal A, W, Y and Flu. Depending on your child's age, these may be offered as catch-up doses.

India also routinely vaccinates against Tuberculosis (BCG) and Japanese encephalitis, which the UK does not give every child. Keep the record of those doses - they still count.

Both countries cover diphtheria, tetanus, whooping cough, polio and Hib and more, but at different ages, so a course started in India is finished on the UK's timetable.

Bring the Mother and Child Protection (MCP) card.

Side by side: India and the UK ages for each disease
Disease🇮🇳 India🇬🇧 United Kingdom
Diphtheria6 weeks, 10 weeks, 14 weeks, 16 to 24 months, 5 to 6 years, 10 years, 16 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Tetanus6 weeks, 10 weeks, 14 weeks, 16 to 24 months, 5 to 6 years, 10 years, 16 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Whooping cough6 weeks, 10 weeks, 14 weeks, 16 to 24 months, 5 to 6 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months
PolioBirth, 6 weeks, 10 weeks, 14 weeks, 16 to 24 months8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Hib6 weeks, 10 weeks, 14 weeks8 weeks, 12 weeks, 16 weeks, 18 months
Hepatitis BBirth, 6 weeks, 10 weeks, 14 weeks8 weeks, 12 weeks, 16 weeks, 18 months
Pneumococcal disease6 weeks, 14 weeks, 9 to 12 months16 weeks, 1 year (12-13 months)
Rotavirus6 weeks, 10 weeks, 14 weeks8 weeks, 12 weeks
Measles9 to 12 months, 16 to 24 months1 year (12-13 months), 18 months, 3 years 4 months
Mumps
Only in the UK
-1 year (12-13 months), 18 months, 3 years 4 monthsOnly in the UK
Rubella9 to 12 months, 16 to 24 months1 year (12-13 months), 18 months, 3 years 4 months
Chickenpox
Only in the UK
-1 year (12-13 months), 18 months, 3 years 4 monthsOnly in the UK
Meningococcal B
Only in the UK
-8 weeks, 12 weeks, 1 year (12-13 months)Only in the UK
Meningococcal C
Only in the UK
-14 years (school year 9)Only in the UK
Meningococcal A, W, Y
Only in the UK
-14 years (school year 9)Only in the UK
HPV14 years (girls)12 to 13 years (school year 8)
Flu
Only in the UK
-2 years to school Year 11 (annually)Only in the UK
Tuberculosis (BCG)
Only in India
Birth-Only in India
Japanese encephalitis
Only in India
9 to 12 months, 16 to 24 months-Only in India

From each country's official schedule. Combination vaccines mean one injection can count for several diseases. Full India schedule.

🇿🇦 Coming from South Africa

The UK's routine schedule covers 6 diseases that South Africa's does not: Mumps, Chickenpox, Meningococcal B, Meningococcal C, Meningococcal A, W, Y and Flu. Depending on your child's age, these may be offered as catch-up doses.

South Africa also routinely vaccinates against Tuberculosis (BCG), which the UK does not give every child. Keep the record of those doses - they still count.

Both countries cover diphtheria, tetanus, whooping cough, polio and Hib and more, but at different ages, so a course started in South Africa is finished on the UK's timetable.

Bring the Road to Health booklet.

Side by side: South Africa and the UK ages for each disease
Disease🇿🇦 South Africa🇬🇧 United Kingdom
Diphtheria6 weeks, 10 weeks, 14 weeks, 18 months, 6 years, 12 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Tetanus6 weeks, 10 weeks, 14 weeks, 18 months, 6 years, 12 years8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Whooping cough6 weeks, 10 weeks, 14 weeks, 18 months8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months
PolioBirth, 6 weeks, 10 weeks, 14 weeks, 18 months8 weeks, 12 weeks, 16 weeks, 18 months, 3 years 4 months, 14 years (school year 9)
Hib6 weeks, 10 weeks, 14 weeks, 18 months8 weeks, 12 weeks, 16 weeks, 18 months
Hepatitis BBirth, 6 weeks, 10 weeks, 14 weeks, 18 months8 weeks, 12 weeks, 16 weeks, 18 months
Pneumococcal disease6 weeks, 14 weeks, 9 months16 weeks, 1 year (12-13 months)
Rotavirus6 weeks, 14 weeks8 weeks, 12 weeks
Measles6 months, 12 months1 year (12-13 months), 18 months, 3 years 4 months
Mumps
Only in the UK
-1 year (12-13 months), 18 months, 3 years 4 monthsOnly in the UK
Rubella6 months, 12 months1 year (12-13 months), 18 months, 3 years 4 months
Chickenpox
Only in the UK
-1 year (12-13 months), 18 months, 3 years 4 monthsOnly in the UK
Meningococcal B
Only in the UK
-8 weeks, 12 weeks, 1 year (12-13 months)Only in the UK
Meningococcal C
Only in the UK
-14 years (school year 9)Only in the UK
Meningococcal A, W, Y
Only in the UK
-14 years (school year 9)Only in the UK
HPVGrade 5 (around 9-10 years)12 to 13 years (school year 8)
Flu
Only in the UK
-2 years to school Year 11 (annually)Only in the UK
Tuberculosis (BCG)
Only in South Africa
Birth-Only in South Africa

From each country's official schedule. Combination vaccines mean one injection can count for several diseases. Full South Africa schedule.

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