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Surveillance & monitoring

Immunisation & infection screening

Screening and vaccinations for roles that carry a risk of infection – from healthcare, dental and laboratory staff to waste, water and first-aid duties – to UKHSA standards, on site or at our Surrey clinic.

A Medwyn occupational health advisor preparing a vaccine vial and syringe ready for an immunisation
For specific rolesProtection from infectious disease
Healthcare vaccinations
HIV and hepatitis checks
UKHSA schedules
HR record certificates

What screening and immunisation is required?

For roles with an infection risk, we check what each person is already immune to and give the vaccinations they need. We work to UKHSA standards and, for healthcare roles, to NHS England's 2026 screening and vaccinations framework.

Our checks cover measles, mumps, rubella and varicella immunity, hepatitis B antibody levels and tuberculosis status. We also give BCG and pertussis vaccines where a role requires them. The tool below shows the common requirements for each role.

Meet the clinical team →
Staff who meet patients
2 doses
of MMR, or immunity confirmed by a blood antibody test.
Hepatitis B
≥10 mIU/ml
anti-HBs after the primary course confirms protection.
Exposure-prone procedures
EPP clearance
by bloodborne-virus tests for the dental, surgical and midwifery staff who perform them.
Immunisation panel builder

Build an indicative screening & immunisation panel

Select a worker type to see the screening and vaccinations that commonly apply. Each item is marked as screening, vaccination or clearance and names the guidance it follows.

Healthcare settings

Other workplaces

Your indicative panel

Select a worker type to add the screening and vaccinations for that role.

Applies to every worker
Routine immunisationsVaccination

We check that tetanus, diphtheria and polio immunisations are up to date.

Green Book, chapter 11
Indicative only. Requirements depend on the role, the setting and a local risk assessment. A risk assessment is also required where a vaccine is declined or cannot be given. We confirm the detail with you. Sources: UK Green Book and NHS England's screening and vaccinations trust framework.
Latest figures

Measles immunity in staff who meet patients

A worker who is not immune to measles can pass it to vulnerable and pregnant patients.

MMR status is the first check for every employee who meets patients, whether clinical or non-clinical.

January 2026
WHO withdrew the UK's measles elimination status
Source: UKHSA, 2026
1,003
confirmed cases in England from 1 January to 14 September 2026
Source: UKHSA
83.8%
two-dose MMR coverage at age 5 in England, against the WHO target of 95%
Source: UKHSA, 2025–26
Risks

Risks for employers

A worker without evidence of immunity creates risks for patients, staff and your compliance record.

Risk to patients & staff

A worker who is not immune can pass a serious infection to patients or become ill.

Compliance & inspection

CQC inspections and contractual assurance checks include immunity and clearance records. We provide these records for your HR files.

Outbreaks & exclusion

When a case occurs, staff without evidence of immunity may be excluded from work until immunity is confirmed. Screening in advance reduces the risk of exclusion.

In a managed programme, we carry out the screening and immunisations and keep the records.

In focus

The core healthcare-worker vaccinations

Most questions from healthcare employers concern MMR, hepatitis B and TB. Each card names the Green Book chapter we follow.

MMR

Staff who meet patients require records of two MMR doses or positive antibody tests for measles and rubella. This applies to clinical staff and to non-clinical staff who have social contact with patients.

Green Book · chapter 12

Hepatitis B

We check the antibody level 1–2 months after the primary course. A level above 100 mIU/ml requires no further dose. A level of 10–100 mIU/ml requires one more dose. A level below 10 mIU/ml requires a further dose or a second course. Staff who still do not respond are managed under UK bloodborne-virus guidance.

Green Book · chapter 18

TB & varicella

We assess TB status before a person starts work, using their history, symptoms and any record of screening or BCG. We give BCG, after a negative IGRA blood test, to unvaccinated staff in direct contact with TB patients or infectious samples, including staff over 35. We also check varicella (chickenpox) immunity, by history or an antibody test.

Green Book · chapter 32
Our approach

How a Medwyn immunisation programme works

Review & risk assessment

We review the roles, the setting and any existing records to establish the screening and immunisation each person requires.

Screen & check immunity

We collect vaccination records and take blood tests to check immunity to MMR, hepatitis B and varicella, and we assess TB status.

Vaccinate where needed

We give the vaccinations each person requires, to the Green Book schedule, on site or at our clinic.

Confirm & record

We check antibody levels after a course where required, for example for hepatitis B, and provide records for your files.

Anti-HBs confirms protection

Clearance where needed

We carry out EPP health clearance to UKHSA guidance, using identified validated samples.

Boosters & repeat checks

We arrange boosters and repeat checks when they are due and update your records.

Good to know

Immunisation FAQs

The questions employers ask most about immunisation programmes.

Yes. We check existing immunity to measles, rubella, varicella and hepatitis B before giving any of those vaccines. Staff with evidence of immunity do not need the vaccine.

EPP clearance is a set of blood tests for hepatitis B, hepatitis C and HIV, carried out on identified validated samples before a worker performs exposure-prone procedures. These are procedures where a worker's blood could contaminate a patient's open tissues, in many surgical, midwifery and dental roles. We advise which roles require clearance, including hepatitis B clearance for renal unit staff, and carry out the tests.

Yes, where they have social contact with patients. NHS England's framework lists MMR, varicella (chickenpox) and flu for non-clinical staff such as receptionists, porters, cleaners, catering and estates staff. Hepatitis B is added where the role involves contact with blood or body fluids, or a risk of sharps injuries or bites.

Yes. Our clinicians screen and vaccinate groups of staff at your premises. We also see individuals at our clinic in Dorking.

Yes. We run seasonal flu vaccination programmes at your premises, including for healthcare and social care employers.

Yes. We provide needlestick and sharps injury management for staff exposed to blood or body fluids at work.

No. Travel health is a separate service for staff who travel overseas for work. This page covers infection risks in the workplace.

Related services

Immunisation usually sits alongside these:

Health surveillance

Statutory health monitoring for staff exposed to noise, dust, vibration and other workplace hazards.

Learn more →

Pre-employment

Fitness-to-work assessment and health baseline before someone starts.

Learn more →

Management referrals

Independent OH advice on an employee's health and fitness for work.

Learn more →

This page is general information for employers and is not individual medical or legal advice.

Plan an immunisation programme for your workforce

Tell us about the roles in your workforce and we will advise on the screening and immunisations each one requires. We answer enquiries within 3 working hours.