Seasonal Flu 2022-2023 and Childhood Flu 2022-2023 Services

Dear Practice Colleagues,

The 2022/23 Seasonal Flu and Child Flu service offers were released on Friday 2 September 2022 and can now be accepted by practices.

It was originally planned that the flu services in CQRS would be available on 10 August to enable practices time to sign-up before the 31 August deadline outlined in the flu enhanced service specifications. However, this was not possible due to the later publication of the flu service specifications and the need for these documents to be published prior to the go live date in CQRS. The flu service specifications were revised as of 22 August to extend the CQRS sign-up date to 30 September and are available on the NHS England website.   Because of these delays, the London Immunisation Team have also extended the sign up date for the service.  Practices will need to inform the commissioner of their intention to participate in the flu services by 16 September and to sign-up to CQRS by 30 September.

To inform the commissioner of your intention to participate in the flu services please complete our sign up form:

If vaccinations are being given via a Primary Care Network and it is agreed that the PCN will be making the claim on behalf of its practices, and making the necessary reimbursements, practices should not claim a payment via CQRS.  In this situation the patient’s record should be updated with the relevant SNOMED code to confirm that the vaccination was “given by other healthcare provider”.  CQRS sign up will still be needed to claim for any vaccinations given outside of the PCN setting.  All CQRS monthly claims and system amendments need to be made within the six month time limit. 

Information and guidance documents for each of the available services can be found here:

Information about the contract changes can be found on the NHS England website: 

Details of these services, including the live collections timetable can be found on the GP Collections website: 

Here are the training links of how to offer out the service:

For queries please contact our team directly at


Kind Regards, 

London Immunisation Team
NHS England - London Region