The Flu Vaccine Programme Delivery Guidance for 2018-19 states the following:
"People who have their 65th birthday before 31st March 2019 will be eligible for influenza vaccine so may not be 65 when they are immunised. Which vaccine should they have?
It is appropriate to offer aTIV “off label” to those having their 65th birthday before 31st March 2019 and who are thus eligible to receive influenza vaccine under the currentdefinition of the ‘over 65’ group. Although aTIV is not licensed in those less than 65 yearsof age “off label" use is an option. The Public Health England (PHE) Patient GroupDirection (PGD) for inactivated influenza vaccine for 2018/19 will incorporate this off label indication."
When using the QMasters seasonal immunisations protocol, you will see the pop-up about the quadrivalent vaccine (QIV) when administering a vaccine to a 64-year-old (turning 65 this flu season). However, the subsequent picking list will let you administer whichever vaccine you consider appropriate. The PGD includes the recommendation to offer the aTIV for these patients.
The PGD for 2018/19 is linked below if you wish to use it.
PATIENT GROUP DIRECTION (PGD) - Administration of intramuscular (or subcutaneous) inactivated influenza vaccine to individuals in accordance with the national immunisation programme for active immunisation against influenza.