Although the covid cases remain stable, there has been a 40 percent increase in influenza related admissions largely driven by children under 5 yrs of age. It is an opportune time for all that are eligible to take their winter vaccines. Covid booster uptake is currently sat in the region of 70% as vaccine fatigue has set in. The NHS faces a perfect storm this winter with covid lurking in the background, an exponential increase in influenza cases along with staff vacancy related issues. There has also been an increase in adult norovirus cases and we have all read about the Streptococcal A infections. Thus there are a multitude of pressures facing the NHS. We can do our bit by ensuring that we are uptodate with our covid and winter vaccines.