Private Adult Vaccinations in London 2026. Shingles, RSV, Pneumococcal and HPV, and Who the NHS Leaves Out
The UK rations adult vaccination by age band rather than by risk, and the result is that a considerable number of people who stand to benefit fall outside the eligible group altogether. Shingles shows this most plainly. Roughly 1 in 3 people will develop it at some point, risk climbs steeply from 50 onwards as cell-mediated immunity wanes, and the complication most worth avoiding is post-herpetic neuralgia, nerve pain that outlasts the rash and affects a substantial minority of older patients, occasionally for years. Given as 2 doses, the recombinant vaccine offers very high and durable protection against both shingles and post-herpetic neuralgia. The NHS schedule for it is narrow, built around particular birthdays plus severely immunosuppressed adults from 50, so a healthy 54-year-old with no eligibility until their late 60s faces a 15-year window of risk and no route to the vaccine other than privately. RSV is the newer gap, a virus most people file under infant illness that puts thousands of older adults in hospital each winter, with an NHS programme currently bounded by age band and pregnancy. Pneumococcal vaccination is offered at 65 and to defined risk groups, which leaves younger adults with chronic conditions outside it. HPV vaccination is routine in schools and, for most adults who missed it, unavailable on the NHS. At The Wellness you are assessed as an individual and vaccinated the same day where that is appropriate. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 1 September 2026.
Ask about adult vaccination on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
Who should consider shingles vaccination
Anyone past 50, because that is the point at which risk starts to climb and the point from which the vaccine is licensed. About 1 in 3 people develop shingles in their lifetime, and incidence rises sharply with age as the immune control keeping the chickenpox virus dormant loosens.
What justifies the vaccine is not the rash. Post-herpetic neuralgia is nerve pain that remains once the rash has cleared, it grows more frequent and more severe with age, it can run for months or years, and ordinary painkillers do little for it. Ophthalmic shingles involves the eye and can put sight at risk. Ramsay Hunt syndrome involves the facial nerve and can leave lasting weakness and hearing loss.
Some groups carry higher risk and have lower NHS eligibility thresholds worth checking, among them people taking immunosuppressive medication, transplant recipients, those with haematological cancers or on long-term steroids, and people with chronic conditions such as diabetes, chronic kidney disease, COPD and autoimmune disease.
A previous episode of shingles does not make vaccination pointless. Recurrence happens, and vaccination after an episode is usually advised once the acute illness has settled.
The current NHS programme in England works from defined birthday-linked age bands and offers the recombinant vaccine from 50 to severely immunosuppressed adults, so your eligibility comes down to your precise date of birth and clinical group. We establish that before quoting you, because eligibility on the NHS means you should take it there.
What about RSV, pneumococcal and HPV
Respiratory syncytial virus is the one most underestimated. It is widely known as an infant illness, yet in older adults it accounts for a substantial number of hospital admissions each winter, with outcomes over 75 and in people with heart and lung disease on a par with influenza. A single-dose vaccine exists, and the NHS programme is currently confined to a defined older age band and to pregnancy for infant protection, which leaves adults in their 60s and early 70s with chronic disease outside it.
Pneumococcal disease produces pneumonia, meningitis and bloodstream infection. The NHS vaccinates at 65 and within defined clinical risk groups. Adults under 65 with chronic heart, lung, liver or kidney disease, diabetes, immunosuppression, cochlear implants or absent spleen function belong to a risk group on paper and very often have never been offered it in practice.
Human papillomavirus vaccination is delivered in schools and protects against the virus behind almost all cervical cancer and a growing share of head and neck, anal and genital cancers. Adults who missed the school programme generally have no NHS route to it, and it stays worth discussing into the 20s, 30s and 40s depending on exposure history and circumstances.
Influenza each year, plus COVID-19 boosters where your risk group and the current programme justify them, round out the adult schedule most people have in mind. Tetanus, diphtheria and polio want boosting about every 10 years for travel, and meningococcal ACWY is a requirement for Hajj and Umrah.
Ask which vaccinations you need on WhatsApp or email team@thewellnesslondon.com.
What the assessment covers
Vaccination is a clinical decision rather than a retail transaction, and the assessment is what keeps it one.
Your NHS eligibility comes first, because if you qualify there you should use it and we will say so. Shingles eligibility in particular hinges on your exact date of birth and clinical group, and a considerable number of people assume they fall outside it when they do not.
Your immune status next, because the recombinant shingles vaccine suits immunosuppressed adults where older live vaccines did not, and because immunosuppression alters both the choice of vaccine and the response you can expect. Medication is reviewed, including biologics, steroids, methotrexate and chemotherapy.
Your history, taking in previous vaccination, previous shingles or chickenpox, allergies including to vaccine components, pregnancy or planned pregnancy, and any current illness, since vaccination is deferred during acute febrile illness.
Then the plan itself. Which vaccines, in which order, at what interval, and which may be given on one day, since some can be co-administered while others need spacing. The recombinant shingles vaccine is a 2-dose course with the second dose usually 2 to 6 months after the first, and both appointments are booked for you rather than left to memory.
Side effects are set out honestly. The recombinant shingles vaccine is notably reactogenic in a significant proportion of people, bringing a sore arm, fatigue, muscle aches, headache and sometimes fever for 1 to 3 days. That is more than most vaccines deliver, and it is better planned around than discovered.
What does private vaccination cost in London
Private shingles courses in London typically come to £450 to £650 for the 2 doses depending on provider, with some pharmacy chains cheaper and consultant-led clinics dearer. RSV vaccination sits at £200 to £350. Pneumococcal sits at £80 to £200. HPV courses run £450 to £750 depending on how many doses are needed. Travel courses for rabies or Japanese encephalitis reach £300 to £500. Consultant appointments in the Harley Street district cost £250 to £500 before a single vaccine is given.
At The Wellness the consultation buys you an individual risk assessment and an eligibility check rather than a form at a counter. All figures are from prices, with vaccine costs confirmed at the consultation.
Executive Health Programme, our most comprehensive assessment with full biomarker profiling and coordinated imaging, from £11,995.
On-site clinic day at your premises for workplace vaccination campaigns, from £4,995.
Comprehensive Blood Panel with consultation and interpretation, including immunity testing where relevant, from £495.
Extended 45-minute consultation for complex histories, immunosuppression or a full adult schedule review with a written plan, from £395.
Adult vaccination consultation with individual risk assessment, eligibility check and vaccination plan, from £220, with vaccines quoted per course at the consultation.
Home, hotel or office visit from £495 daytime and £695 evenings and weekends, with additional household members from £195 each, which suits families and anyone unable to travel.
Same-day video consultation for advice and planning where no injection is required, from £150. Mini consultation from £59.
Travel vaccinations, immunity blood testing and specialist referral arranged where indicated.
Same-day appointments 7 days a week at 10 Portman Square, Marylebone, 3 minutes from Baker Street.
Why The Wellness is the best place in London for adult vaccination
Because you are assessed rather than processed. What you need depends on your age, your conditions, your medication, your immune status, your vaccination history and your travel, none of which a booking form captures. A 58-year-old on methotrexate needs a different conversation from a healthy 58-year-old, and both differ again from a 34-year-old enquiring about HPV.
Because NHS eligibility is checked first and you are told to use it wherever you qualify. Shingles eligibility depends on your exact date of birth and clinical group, and a number of people who assume they have to pay simply do not. Telling them so costs us the sale, and it is exactly why the rest of the advice carries weight.
Because courses are finished rather than begun. The recombinant shingles vaccine runs to 2 doses with a defined interval and HPV is a multi-dose schedule, so the whole course is booked at the outset instead of resting on you remembering.
Because reactions are explained beforehand rather than afterwards. The recombinant shingles vaccine is more reactogenic than most, and expecting 1 to 3 days of sore arm, fatigue and aching is what separates a normal response from an alarming one.
And because families and workplaces are dealt with together. A household can be vaccinated in a single home visit with additional members from £195 each, and workplace campaigns run as on-site clinic days at your premises from £4,995.
Related reading
Travel clinic and vaccinations covers destination-specific vaccines and malaria prevention, corporate healthcare for UK employers covers workplace campaigns and on-site days, private GP in London covers the full consultation range, and healthcare for visitors to London covers vaccination during a stay.
Book a vaccination appointment on WhatsApp or call 020 3951 3429.
Frequently asked questions
Can I get the shingles vaccine privately in London
Yes. At The Wellness you are assessed individually, your NHS eligibility is established first, and where private vaccination is appropriate the 2-dose recombinant course is arranged with both appointments booked. The consultation with risk assessment and vaccination plan is from £220, with vaccine costs confirmed at the consultation. Private courses in London typically come to £450 to £650 for the 2 doses.
Who should have the shingles vaccine
Anyone over 50, since about 1 in 3 people develop shingles in their lifetime and risk rises steeply with age. What makes it matter is post-herpetic neuralgia, nerve pain outlasting the rash that becomes commoner and more severe as people get older. Risk is higher again for people on immunosuppressive medication, transplant recipients, those on long-term steroids and those with diabetes, chronic kidney disease or COPD.
Am I eligible for the shingles vaccine on the NHS
That comes down to your exact date of birth and clinical group. The England programme works from defined birthday-linked age bands and offers the recombinant vaccine from 50 to severely immunosuppressed adults. We check eligibility before quoting, because qualifying on the NHS means you should take it there.
Should adults have the RSV vaccine
Respiratory syncytial virus sends a substantial number of older adults to hospital each winter, with outcomes over 75 and in people with heart and lung disease comparable to influenza. The NHS programme is currently limited to a defined older age band and to pregnancy, leaving adults in their 60s and early 70s with chronic disease outside it.
Can adults still have the HPV vaccine
Yes, privately, and it stays worth discussing into the 20s, 30s and 40s depending on exposure history and circumstances. It protects against the virus responsible for almost all cervical cancer and a growing share of head and neck, anal and genital cancers. Adults who missed the school programme generally cannot obtain it on the NHS.
Does the shingles vaccine cause side effects
More than most vaccines do. The recombinant vaccine is notably reactogenic in a significant proportion of people, producing a sore arm, fatigue, muscle aches, headache and sometimes fever for 1 to 3 days. It is worth planning around rather than being caught out by, and it resolves on its own.
The Wellness is a doctor-led private healthcare group providing medical care from 10 Portman Square, Marylebone, adjacent to Harley Street. All doctors are GMC-registered. Vaccination is provided following an individual clinical risk assessment and only where appropriate. NHS eligibility criteria and programme age bands are set by NHS England and UKHSA and should be confirmed for your own circumstances. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. UK Health Security Agency, Immunisation against infectious disease, the Green Book, chapters on shingles, respiratory syncytial virus, pneumococcal disease and human papillomavirus. NHS England shingles and RSV vaccination programme eligibility criteria. Published lifetime incidence data for herpes zoster and the epidemiology of post-herpetic neuralgia by age. Published efficacy data for the recombinant zoster vaccine against shingles and post-herpetic neuralgia, and published reactogenicity data. Published data on RSV-associated hospital admissions in older adults in the UK. Joint Committee on Vaccination and Immunisation advice on adult immunisation programmes. Published 2026 London private vaccination market pricing.
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