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Has your child had their pre-school immunisations?

If your child is aged between three and five years old, they should be up to date withtheir immunisations before starting school. These pre-school immunisations (also known as vaccinations) will help protect your child against serious diseases.

The table below shows the pre-school immunisations that your child will be offered by your GP. Once your child starts primary school the flu vaccine will be offered to them each year in school.

Vaccine How it is given Comments
Diphtheria, tetanus, pertussis (whooping cough), polio One injection This is a booster dose of the vaccine your child had as a baby.
Measles, mumps and rubella (MMR) One injection This is a second dose of the MMR vaccine. (If your child has not had the first dose yet, it should be given now and they should have their second dose one month later.)
Flu Nasal spray This will be given in the autumn/winter by the immunisation team at the school. Children who cannot have the nasal spray for medical reasons will be offered a vaccination by injection.


If your child missed any of their immunisations as a baby or toddler, this is a good time to ask your GP practice or clinic about catch-up doses. It is never too late to have your child immunised.

To make sure that your child is fully protected, contact your GP or Practice Nurse for an appointment. For more information you can also visit (opens a new window) and 4-in-1 pre-school booster overview (opens a new window) or call the free NHS helpline 111. This link, Pre-school immunisation booklet (opens a new window) is a guide to the booklet pre-school immunisation from two years old until starting primary school.

There are also a few useful guidelines to help you and your family learn about what else you can do to help prevent the spread of infections in schools: