Confusion Over COVID Vaccination Eligibility. Why Many at-Risk People Are Suddenly Left Out

It appears that the government rules on the shingles aren't the only vaccination programme that is causing confusion, upset and misery. 

As winter approaches, many people across the UK are once again turning their thoughts to protecting themselves from seasonal illnesses such as flu and COVID-19. 

But this year, a wave of confusion has swept through communities as changes to the NHS’s COVID-19 vaccination eligibility rules have quietly removed large numbers of people who were previously entitled to free jabs.

Until recently, individuals with chronic conditions such as Type 2 diabetes, asthma, heart disease, or autoimmune issues were automatically classed as being “at higher risk” and therefore eligible for the free NHS COVID booster. For many, this protection became an important part of their annual health routine, a reassurance that their conditions were being taken seriously.

Now, however, the latest guidance has changed, and not everyone has realised. Under the new rules, only those aged 70 and over, people living in care homes, or those who are clinically extremely vulnerable (such as transplant patients or those on strong immunosuppressive therapy) are automatically offered the jab. Many others who were once eligible have been quietly moved off the list.

This means that someone aged 55 with well-managed Type 2 diabetes or mild asthma, who received free vaccinations in previous years, is now told they are not eligible and must pay privately if they still wish to be vaccinated. 

Understandably, this has caused frustration and confusion, especially given that COVID infections continue to circulate and that many people in these groups still consider themselves at higher risk.

While NHS officials say the new policy focuses on “those most likely to benefit,” critics argue that it creates unnecessary uncertainty and risk for people with underlying conditions that can still make COVID serious. 

It also places extra strain on GPs and pharmacists, who are having to field a flood of questions about eligibility and referrals. 

I booked my regular COVID vaccination through the NHS app and had a confirmed booking at the pharmacist the app suggested. When I arrived at the pharmacy he told me that as someone with Type 2 Diabetes and Asthma I was now no longer eligible for the COVID vaccination and he was shocked that the NHS app had issued me with an appointment. 

He suggested I consider getting a private vaccination and when I asked if he could offer that service he said it wasn't something his pharmacy could offer, but suggested I booked an appointment with Boots. The member of staff I initially spoke to wasn't aware that the eligibility criteria had changed, which added another later of confusion. 

So, f you find yourself newly excluded from the NHS programme, it is worth considering a private COVID vaccination. Many high-street pharmacies, including Boots and Superdrug, are now offering private COVID boosters for around £45–£50 per dose. Appointments are usually easy to book online, and the same approved vaccines are used as in NHS settings.

For people managing chronic conditions, or those who live or work closely with vulnerable individuals, paying for private vaccination may be a worthwhile investment in peace of mind and continued protection.

If you’re unsure about your eligibility or health status, check the latest NHS advice online or speak to your GP or pharmacist. But one thing is clear: with the guidance changing so dramatically, it’s more important than ever to stay informed and proactive about your protection this winter.

I was eventually able to book my COVID shot with Boots.