When and how to produce evidence of vaccination status

If you’ve been vaccinated by the NHS in England, you can demonstrate your COVID-19 vaccination record using the NHS COVID Pass service via the following three routes:

Please be aware that it can take a little time to obtain evidence of vaccination as:

  • You need to wait 4 weeks after having COVID to be able to have your vaccination.
  • You need to be registered with a GP practice in England if you plan to use the NHS App (which is not the same as the NHS COVID-19 app). If you are not registered with a GP then you will need to use one of the other two routes.
  • If you plan to use the NHS Website you will be required to register for an NHS login, if you do not have one already. NHS login registrations may take longer than usual when there are high numbers of requests.
  • If you are requesting an NHS COVID Pass letter either via the NHS website or by calling 119 note that the letter can take up to 5 working days to arrive and will be sent to the address registered with your GP. If you have recently moved house, make sure you’ve updated your GP practice before requesting a letter.

The information must contain your name (if your name is not up to date then you will need to contact your GP practice to have this amended) and dates of both vaccinations (please see below example).

If you are using the NHS App or website, please choose the option for travel not domestic.

Please note that your NHS appointment card or QR code cannot be used a proof of vaccination status.

What if you have been vaccinated outside of the UK?

We are aware some individuals will have been vaccinated outside of the UK.

The Department for Health and Social Care are working on a solution and further guidance will be provided as soon as possible.

Colleagues who have received a COVID-19 vaccination abroad can self-certify exemption from vaccination in the UK using a form available to download, read, sign and return below. This is because it is not clinically appropriate for them to be vaccinated in the UK if they have already received a partial or full course of vaccination overseas.


Providing evidence of medical exemption

There are very few reasons for medical exemption. These reflect the Green Book on Immunisation against infectious disease, chapter 14a and clinical advice from the Joint Committee of Vaccination and Immunisation (JCVI).

Examples of the medical exemption criteria include individuals:

  • receiving end of life care where vaccination is not in the individual’s interests.
  • with learning disabilities or autistic individuals, or with a combination of impairments which result in the same distress, who find vaccination and testing distressing because of their condition and cannot be achieved through reasonable adjustments such as provision of an accessible environment.
  • with medical contraindications to the vaccines such as severe allergy to all COVID-19 vaccines or their constituents.
  • who have had adverse reactions to the first dose (e.g. myocarditis).
  • with short-term medical conditions (e.g. people receiving hospital care or receiving medication which may interact with the vaccination).
  • who are pregnant.

The Department of Health & Social Care has published the guidance on how to apply for official proof of medical exemption from the COVID 19 vaccination.

The steps are:

1 – The individual phones the NHS COVID Pass service on 119 to ask for an NHS COVID Pass medical exemptions application form. The call handler at the NHS COVID Pass service will ask the colleague some questions. They will need to give:

  • name
  • date of birth
  • NHS number (if they know it)
  • the name of their GP and/or specialist clinician

2 – If they are eligible to apply, they’ll get an application form by post.

They should not ask their GP for an application form. If they do go to their GP before they get their application form they’ll be asked to call the NHS COVID pass service on 119.

3 – The colleague needs to return their application form to the GP or relevant clinician stated on the form. The application will be clinically reviewed by their doctor, specialist or midwife and may ask to speak with the colleague if needed, but they won’t need to book this when they submit their application.

4 – The colleague will automatically get the results of their application by post 2 to 3 weeks after applying. They don’t need to contact their GP or the clinician reviewing their exemption unless they are asked to contact them.

5 – If the colleague gets a medical exemption, they can use the domestic NHS COVID Pass wherever they need to.

The pass won’t show others that they have a medical exemption, just that you have the NHS COVID Pass.

They can access the NHS COVID Pass digitally – on the NHS app or the NHS website or download it as a pdf (a paper version of the pass will be available soon)

6 – The clinical decision on an individuals’ medical exemption is final. They cannot appeal the decision.

Receiving an exemption does not mean individuals are protected against COVID-19. They should self-isolate if they have any symptoms of COVID-19.

You can see the full guide here COVID-19 medical exemptions: proving you are unable to get vaccinated – GOV.UK (www.gov.uk)

To ensure that they are covered until they have received the outcome on their official medical exemption application, colleagues who have a medical reason why they are unable to have a COVID-19 vaccine will be able to self-certify that they meet the medical exemption criteria.

They will need to download, read and sign the below form, certify that they meet the stated medical criteria in the guidance as well as acknowledging that providing false information may result in disciplinary action. Once completed, the form should be returned to their Service Manager as proof of their temporary exemption status.