Rising Flu Cases and Strain on NHS
As flu cases surge across the UK, public health officials are urging individuals with symptoms to take precautions such as wearing face masks in public. The National Health Service (NHS) is facing immense pressure, with hospitalizations increasing significantly and putting the system at risk of being overwhelmed.
The current flu season has been marked by an unusual wave of infections caused by a mutated strain known as H3N2. This strain is proving to be particularly severe, leading to prolonged illness for many. Experts warn that this could lead to more serious complications, especially for vulnerable populations.
The ‘Nasty’ Flu Strain
Dr. Jamie Lopez Bernal, a consultant epidemiologist at the UK Health Security Agency (UKHSA), emphasizes the importance of limiting contact with others if one experiences flu-like symptoms. He recommends washing hands regularly, ensuring good ventilation in indoor spaces, and wearing a face mask when necessary.
Professor Antonia Ho from Glasgow University describes the H3N2 strain as “nasty,” noting that those who have contracted it have been severely affected for weeks. Despite this, the UKHSA maintains that the current vaccine still offers strong protection, with effectiveness rates of 70-75% in children and 30-40% in adults.
Calls for Expansion of Free Flu Jabs
Health Secretary Wes Streeting is under pressure to reconsider the age eligibility for free flu jabs. Currently, they are available for those aged 65 and over, as well as certain high-risk groups. However, there are growing calls to lower the age to 50, particularly given the concerns about the “sandwich generation” visiting elderly loved ones in care homes.
Nadra Ahmed, co-chair of the National Care Association, highlights the need for broader eligibility, stating that it would be a sensible change. Mike Padgham, chair of the Independent Care Group, agrees, calling it “common sense” to lower the age requirement.
Challenges in Vaccine Rollout
The timing of the flu vaccine rollout has also come under scrutiny. While pregnant women and children were able to access the vaccine from 1 September, other adults had to wait until 1 October. Olivier Picard, chair of the National Pharmacy Association (NPA), suggests that starting the program earlier would have provided better protection against the early wave of infections.
This year’s changes to the eligibility criteria for the Covid vaccine, which raised the age limit from 65 to 75, have also added to the pressure on hospitals. Picard notes that this has left many older people unprotected and contributed to increased hospital admissions.
Vaccine Fatigue Among Frontline Staff
Despite warnings from NHS bosses, vaccination uptake among frontline staff remains low. Research indicates that fewer than 30% of social-care workers have received the flu jab in recent years, while only 38% of health staff in England got the jab last winter. Some NHS trusts report even lower rates, with fewer than one in 10 frontline healthcare staff vaccinated so far this year.
Professor Ho warns that complacency following the pandemic has led to a decline in vaccine uptake among healthcare workers. She calls for urgent action to tackle “vaccine fatigue” and suggests making the jab more accessible by offering it at workplaces and outside of regular hours.

Concerns About NHS Preparedness
Liberal Democrat MP Layla Moran, chair of the Health Select Committee, has raised serious questions about the NHS’s preparedness for the winter flu season. She believes that expanding flu jab eligibility and starting the vaccination program earlier next year could help alleviate the pressure on the healthcare system.
Joe Robertson, a Conservative MP, also points to the impact of restricted age eligibility and a late start to the adult vaccine program. He argues that short-term cost-saving measures could lead to higher costs in the long run.

Impact on Hospitals
The latest NHS situation report shows that 30% of patients arriving by ambulance in England last week waited at least 30 minutes to be handed over to A&E teams. Dr. Ian Higginson, president of the Royal College of Emergency Medicine, warns that A&E departments are already struggling before the flu season peaks.
In Scotland, flu-related hospital admissions have surged by 70% in the last week. Australia, Japan, and India have also experienced tough flu seasons due to the same strain.
Dr. Lopez Bernal expects the flu to circulate more widely in the lead-up to Christmas, with a potential peak during the festive period and New Year. The Government has yet to comment on these developments.


