Shingles: guidance and vaccination programme

The characteristics, management and surveillance of shingles (herpes zoster).

Shingles is an infection of a nerve and the area of skin around it. It is caused by the herpes varicella-zoster virus, which also causes chickenpox.

Following chickenpox infection, the virus can lie dormant in the nervous tissue but may reappear following reactivation as shingles. It is possible to have shingles more than once.

A shingles vaccination programme started in September 2013.

For symptoms and general information on shingles, visit NHS.UK.


The Virus Reference Department (VRD) provides diagnostic and reference services for rash associated viral infections.

Data collection

There are 2 shingles surveillance systems in place: GP sentinel surveillance, and pain clinic surveillance. They monitor the effectiveness and impact of the vaccination campaign.

Practices or clinics interested in participating in either programme please contact for further information.

GP consultation rates for shingles are included in the GP in-hours syndromic surveillance system

Research and analysis

  1. Herpes zoster (shingles) immunisation programme 2019 to 2020: evaluation reports
  2. Herpes zoster (shingles) immunisation programme 2018 to 2019: evaluation reports
  3. Herpes zoster (shingles) immunisation programme 2017 to 2018: evaluation report
  4. Herpes zoster (shingles) immunisation programme 2016 to 2017: evaluation report
  5. Herpes zoster (shingles) immunisation programme 2015 to 2016: evaluation report
  6. Herpes zoster (shingles) immunisation programme 2014 to 2015: evaluation report
  7. Herpes zoster (shingles) immunisation programme 2013 to 2014: evaluation report

Vaccination programme 2018 to 2019

  1. Shingles (herpes zoster): the green book, chapter 28a
  2. Shingles vaccination for adults aged 70, 78 or 79 years of age: calculator
  3. Shingles vaccination: eligibility poster
  4. Shingles vaccination leaflet
  5. Shingles vaccination: guidance for healthcare professionals
  6. Shingles immunisation programme letter
Published 13 September 2013
Last updated 13 March 2020 + show all updates
  1. Added reports for 2017 to 2018, 2018 to 2019 and 2019 to 2020.

  2. Added link to the shingles training slide set.

  3. Added the April 2018 shingles vaccination programme letter.

  4. Added guidance document for healthcare professionals.

  5. Added the herpes zoster (shingles) immunisation programme 2016 to 2017: evaluation report.

  6. Updated shingles eligibility calculator for 2017 to 2018.

  7. Revised shingles vaccination leaflet.

  8. Added Shingles vaccination eligibility poster for 2017 to 2018.

  9. Updated poster: Who is eligible for the 2016 to 2017 shingles vaccine?

  10. Updated shingles vaccination leaflet for immunisation programme from 1 September 2016.

  11. Added letter providing information on the shingles immunisation programme from 1 September 2016

  12. Poster guides for patients and GPs showing the eligible ages for the shingles vaccination from 1 September 2015.

  13. Herpes zoster (shingles) immunisation programme 2013 to 2014: evaluation report added to the collection.

  14. The 'Shingles immunisation programme letter' has been uploaded.

  15. Added new leaflet, describing programme from 1 September 2014 onward.

  16. First published.