This guideline covers increasing immunisation uptake among children and young people aged under 19 years in groups and settings where immunisation coverage is low. It aims to improve access to immunisation services and increase timely immunisation of children and young people. It also aims to ensure babies born to mothers infected with hepatitis B are immunised.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • People who work in children’s services and local authorities
  • People who work in schools, colleges and workplaces
  • People who work in the private, voluntary and community sectors
  • Parents, carers and young people

Is this guideline up to date?

No update required. Published guidance still current.

Next review: 2017

Guideline development process

How we develop NICE guidelines

This guideline was previously called reducing difference in the uptake of immunisations.

Website and hyperlink changes - August 2010

The website which is referred to in many documents on these pages has been closed. Resources for professionals are now available from new Department of Health pages  and resources for parents, carers and patients are available on the NHS Choices website. 

It has not been possible to update all hyperlinks in all NICE documents to reflect these changes.


Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)