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18-month appointment:
On 1 January 2026 a new vaccination appointment was added to the childhood immunisation schedule in Wales. This visit takes place when a baby is 18 months old.
At this 18-month appointment, babies are given the MMRV vaccine (see ‘Introduction of the measles, mumps, rubella and varicella (chickenpox) vaccine’ below). They also receive an additional dose of the 6-in-1 vaccine.
The additional 6-in-1 vaccine dose helps protect against against Hib (Haemophilus influenzae type b). Hib is a type of germ that can cause serious illnesses. These include meningitis (an infection around the brain) and pneumonia (a chest infection). In the past, protection against Hib was given by the Hib/MenC vaccine.
Introduction of the measles, mumps, rubella and varicella (chickenpox) vaccine
On 1 January 2026, a new vaccine called MMRV was introduced to the routine childhood immunisation schedule. MMRV helps protect against measles, mumps, rubella and chickenpox (varicella) infection.
The MMRV vaccine is given to babies free of charge by the NHS as part their routine childhood vaccinations. MMRV has been used successfully in other countries for many years.
The first dose is given to babies when they are 12 months old.
The second dose is given when they are 18 months old (see ’18-month appointment’ below).
The MMRV vaccine is also given to some other children. This depends on how old they are and if they had a chickenpox infection or a chickenpox vaccine before.
The MMR vaccine is still used for some older children or adults. This is for people who have missed one or both doses of an MMR-containing vaccine, or if they are not eligible for the MMRV vaccine.
It is important to have two doses of an MMR-containing vaccine for the best possible protection. You can learn more about the MMRV vaccine at MMRV and MMR vaccines
Chickenpox catch-up programme
There is a chickenpox catch-up programme for eligible children aged between 3 years 4 months to just under 6 years. This programme offers one dose of the MMRV vaccine and runs between 1 November 2026 and 31 March 2028. It is for children who have not had a chickenpox infection or two doses of chickenpox vaccine in the past.
For answers to common questions, see the Frequently asked questions about the changes section below.
As the immunisation schedule is changing, there will be a short period of adjustment.
What your child is due will depend on how old they are on 1 January 2026, when the new programme starts.
The vaccination eligibility guide below provides information on which vaccines are given to children and when. Your practice nurse or GP will confirm your child’s eligibility.
It is important they have their vaccines as soon as they are offered.
See the tables below for details:
To see the complete immunisation schedule for Wales, go to Routine immunisation schedules for Wales