Hexavalent combination vaccine: programme guidance
Guidance for healthcare practitioners on the hexavalent vaccine programme, including its use in the selective neonatal hepatitis B programme, from 1 July 2025.
Applies to England
Documents
Details
All babies born on or after 1 August 2017 are eligible for the hexavalent vaccine, which includes hepatitis B (HepB), for their primary immunisations. From July 2025, the routine childhood immunisation schedule changed, and children born on or after 1 July 2024 will receive an additional hexavalent vaccine at 18 months of age. The selective neonatal hepatitis B pathway for children born to women with hepatitis B was also amended.
This guidance is aimed at healthcare practitioners involved in the programme and provides information about the hexavalent vaccines ( Vaxelis® and Infanrix hexa®), including information on the changes, eligibility, scheduling and vaccine administration. Separate information for healthcare practitioner guidance, specifically covering the changes to the routine childhood schedule from 1 July 2025, is also available.
More information on the childhood changes to the vaccination schedule
Updates to this page
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Updates made to the guidance for healthcare practitioners relating to the changes to the childhood schedule from 1 July 2025. Additional appendix A added.
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Added new slide set which includes all the changes to the childhood vaccination programme.
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Added updated guidance and training slide set.
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Updated information on incomplete or uncertain vaccination histories and stability of Vaxelis.
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Added updated information for healthcare practitioners and link to updated training slide set.
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Updated with revised infant PCV schedule and removed Hepatitis B pre-school booster recommendation.
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Routine programme guidance has been updated to include additional information about action to take when hexavalent vaccine is given when pentavalent should have been given.
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The routine and selective guidance documents have been revised to comply with accessibility guidelines.
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First published.