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Immunocompromised and Housebound - COVID-19 vaccinations


Spring Booster programme

Starting from 21 March 2022, a spring dose of the COVID-19 vaccine is now available for:

• adults aged 75 years and over

• residents in care homes for older adults

• individuals aged 12 years and over who have a weakened immune system

People should wait until around 6 months since their last dose for maximum effectiveness, but if people fall within the cohorts above they may be invited to have the Spring Booster from 3 months since their last dose.

Anyone that falls within the groups above may make an appointment using the National Booking Service provided they are between 3 - 6 months since their last dose. 

Please note people will not be able to attend a walk-in clinic to receive their Spring Booster.

Alternatively you may wait to be contacted by the NHS. The NHS is contacting those who are eligible to make a Spring Booster appointment either by letter, text message, or from a phone call from their GP practice. The NHS will prioritise those whose clinical need is greatest, as it has throughout the vaccination programme, starting with those who have had a bigger gap since their last dose, then working through the cohort to invite others who have waited less time.

Previous Booster Updates

Individuals who are immunosuppressed are now able to book their booster (fourth dose of vaccine) online using the National Booking System.

The change to the online service will make it easier for patients to plan and book their vaccinations in advance.

Bookings can be made from 2 months (61 days) since patients had the third primary dose and will be shown appointments from 3 months (91 days) after that dose.

The booster (fourth dose) can be given no earlier than three months (91 days) after the third primary dose. 

Patients who are identified by the NHS as being immunocompromised – either by their GP or the consultant who oversees their care – will be contacted by telephone or letter to let them know they are eligible to receive their booster (fourth dose).  Patients are being contacted in order of when they received their third primary dose. 

If patients in this group already had their third primary dose 3 months ago, they can choose to attend any vaccination centre with the letter inviting them for their third dose and get a booster vaccination without an appointment. 

The previous ‘third dose’ letter will be accepted as proof of status – so there is no need to wait for a new letter.

Patients will need to bring the letter to the appointment or walk-in clinic, and a clinician at the site will check to make sure that they’re eligible for the booster (fourth dose). 

Housebound vaccinations and home visits

Local health teams are providing home visits for those patients who have no other alternative due to immobility or very serious ongoing health conditions. But we are asking all patients who are able to do so to attend their surgery, vaccination site or community pharmacy for flu or booster vaccinations rather than requesting a home visit.

If you require additional support to attend a vaccination site please ask a family member or friend to transport and accompany you to your booster or flu jab appointment.

If this support is unavailable to you there are a number of community transport options you can consider through the local authority and local voluntary sector.

Information and support for housebound patients who may be able to travel to a vaccination site for their COVID-19 booster

If you are able to attend a local vaccination centre, please book your vaccine through the NHS national booking service online at or telephone 119 (free), between 7am and 11pm seven days a week.

For patients who are unable to find support through family or friends, please see below options for community transport to your appointment:

Norfolk community transport information:

Support from Caring Together is available for carers and the people they look after to attend booster vaccination appointments. Norfolk patients can access this support by:

  • Calling Caring Together on 0345 241 0954
  • Emailing This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Completing the online form here:

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