Patient Eligibility for FREE NHS Flu Jab Eligible Groups Further detail All patients aged 65 years and over Diabetes aged 18 years or older Sixty-five and over" is defined as those aged 65 years and over on 31 March 2016 Type 1 diabetes, type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet controlled diabetes. Pregnant women aged 18 years or older Carers aged 18 years or older Chronic respiratory disease aged 18 years or older Pregnant women at any stage of pregnancy (first, second or third trimesters). (NB. anyone on the inhaler service) Chronic heart disease aged 18 years or older Chronic kidney disease aged 18 years or older Chronic liver disease aged 18 years or older Chronic neurological disease aged 18 years or older Those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill. Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission. Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis pneumoconiosis and bronchopulmonary dysplasia (BPD). Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease. Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation. Cirrhosis, Biliary atresia, chronic hepatitis Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers). Pharmacists should consider on an individual basis the clinical needs of patients including individuals with cerebral palsy, multiple sclerosis and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological or severe learning disability. Common examples to watch out for ( there are more) all insulin metformin glucose test strips , needles Those who pick up dosette boxes maybe the carer inhalers nebulisers steroids aerochamber, volumatics, spacers, peak flow meters Those who have multiple drugs on their prescriptions – check with pharmacist substance misuse clients those on alcohol withdrawal Those on aspirin and other medication on their prescription