Who is at increased risk from COVID-19?

If you’ve been invited by the NHS to book a seasonal COVID-19 vaccination this autumn, this may be because NHS records show you have or a health condition or are receiving medical treatment that puts you at increased risk from COVID-19.

People in the following groups are identified as at increased risk from COVID-19 and are therefore among the eligible groups for a further vaccination this autumn. Please note that this list is not exhaustive. For a full list of conditions and criteria, please see Chapter 14a (tables 3 and 4) of the Green Book.

People aged 16 years and over:

  • a long-term lung condition, such as chronic obstructive pulmonary disease (COPD), asthma (if you need steroid tablets) or cystic fibrosis
  • a long-term heart condition, such as congenital heart disease, chronic heart failure or atrial fibrillation
  • long term kidney disease (CKD) stage 3, 4 or 5
  • a severe liver disease, such as cirrhosis
  • a long-term problem with the brain or nerves, such as epilepsy, cerebral palsy, multiple sclerosis, motor neurone disease, Huntington’s disease, myasthenia gravis, or a stroke or transient ischaemic attack
  • severe or multiple learning disabilities (or being on the learning disability register), such as Down’s syndrome
  • diabetes or another hormone disorder, such as Addison’s disease
  • a weakened immune system, due to a medical treatment (such as steroid medicine, biological therapy, chemotherapy or radiotherapy), a condition (such as leukaemia), or from having an organ or bone marrow transplant
  • problems with the spleen, having no spleen or having a condition that can affect the spleen (such as sickle cell disease)
  • being severely obese (having a body mass index (BMI) over 40 or above)
  • a severe mental illness, such as schizophrenia or bipolar disorder
  • being pregnant (all stages)
  • living in a long-stay nursing and residential care home as a younger adult.

Children aged 5 to 15 years:

  • a long-term lung condition, such as chronic obstructive pulmonary disease (COPD), asthma (if you need steroid tablets) or cystic fibrosis
  • a long-term heart condition, such as congenital heart disease or chronic heart failure
  • a long-term condition of the kidney, liver or digestive system
  • a long-term problem with the brain or nerves, such as epilepsy, cerebral palsy, multiple sclerosis, an inherited condition or autism
  • severe or multiple learning disabilities (or being on the learning disability register), such as Down’s syndrome
  • diabetes or another hormone disorder, such as Addison’s disease
  • a weakened immune system, due to a medical treatment (such as steroid medicine, biological therapy, chemotherapy or radiotherapy), a condition (such as leukaemia), a genetic condition or from having an organ or bone marrow transplant
  • problems with the spleen, having no spleen or having a condition that can affect the spleen (such as sickle cell disease)
  • a serious genetic condition that affects multiple systems in the body, such as mitochondrial disease
  • being pregnant (all stages)
  • living in a long-stay nursing and residential care home as a younger adult.

Booking an appointment

People eligible for a seasonal COVID-19 vaccination can book an appointment at www.nhs.uk/get-vaccination or by calling 119. If you think you or your child fall into one of the groups above, please answer ‘yes’ or ‘I think I might be’ when asked if you are at high risk from COVID-19 when booking. If you’re still unsure, please make a booking and discuss this with a healthcare professional at your appointment.