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app/vaccinations/2025/10/how-we-responded-to-the-covid-19-booster-confusion/index.md

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@@ -38,7 +38,7 @@ We - Vaccination Digital Services - acted quickly to support patients and pharma
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Mindful of the frustration people were feeling, we wanted the tone of our email to reflect that. It was a slight shift from our [usual voice](https://service-manual.nhs.uk/content/voice-and-tone) - more empathetic, more human - and it felt right for the moment:
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> We understand this might be confusing, especially if you had the vaccine last year.
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> We understand this might be confusing, especially if you had the vaccine last year.
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![Screenshot of the targeted follow-up messages we sent out](comms.png "The follow-up messages we sent, to set expectations")
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We made the criteria as clear as possible, using a prominent yellow [warning callout](https://service-manual.nhs.uk/design-system/components/warning-callout). But it's possible many people simply didn't read this or understand it, or just clicked through anyway.
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> No proper information on eligibility. Just a yes/no question
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> I wanted to see more detail on eligibility criteria
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> No proper information on eligibility. Just a yes/no question
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> I wanted to see more detail on eligibility criteria
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We're waiting for more data to back this assumption - but this is something researchers see time and again: users skip the content and head straight for the green button — and designers always have to plan for it.
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Every season, it seems that some patients self-refer believing they have a weakened immune system that qualifies them for the jab - but in fact they do not, or no longer, meet the criteria. For example, someone who recently came off treatment might not realise they're no longer eligible.
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> "I’m asthmatic. Got to the time section. Got thrown off. Filled out details and said not eligible. I've had it every year for as long as I remember."
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> I’m asthmatic. Got to the time section. Got thrown off. Filled out details and said not eligible. I've had it every year for as long as I remember.
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> "I have to rank as very [disappointed] as I find I am not eligible despite a number of health conditions including cardiac, respiratory and diabetes."
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> I have to rank as very [disappointed] as I find I am not eligible despite a number of health conditions including cardiac, respiratory and diabetes.
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> "Incomplete list of immune conditions left me uncertain as to whether I am eligible or not"
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> Incomplete list of immune conditions left me uncertain as to whether I am eligible or not
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It's always a challenge to help people determine whether they have a weakened immune system because of a health condition or treatment, because this is ultimately determined by a clinician. We can't publish a definitive list for people to check against, only [a summary](https://www.nhs.uk/vaccinations/covid-19-vaccine/).
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