28. Adult Refusal of Vaccination in Care Homes

With the introduction of the new Covid 19 (SARS-CoV-2) Vaccine being introduced, many people require formal letters to inform the necessary personnel that they are refusing to give consent to receive the new vaccine.  This letter is designed for those elderly adults who reside in residential homes where vaccination programmes will be rolled out.  This letter informs the Head Care Team that you are removing consent to having the vaccine.  You are within your human rights to refuse the vaccine and should anyone make any attempt to coerce or pressure you into receiving the vaccine, they are breaking your human rights and therefore the UK laws pertaining to your rights.  Put in your own details where it states in Italics, sign the letter and have someone over the age of 18 years to witness the signature.  Send to the relevant person concerned.  This letter comprises of two pages.  For the letter in PDF format see bottom of this page.

**Remember to include your details in the relevant (Bracket) areas to personalise it**  *Please note this letter is available in a choice of downloadable formats to include Microsoft Doc., PDF or ODT  below the letter to choose from.

Copy & paste the letter here:
                                                                                                                                          (Your Name)

                                                                                                                                        (Your address)

                                                                                                                                           (Tel. No)

                                                                                                                                           (Email address)

Dated: (Today's Date)

For the attention of Head of Care

 (Address of Care Home here)

To Head of Care

Re: Withdrawal of Consent for the SARS-CoV-2 (Covid 19) Vaccine

I wish it to be known and understood that as from the date appearing on this document and in the event that I am expected to receive the new SARS-CoV-2 (Covid 19) vaccine in the near future and/or if incapacitated in any way whatsoever and unable to voice or make  my decision known - In accordance with my Human rights UNESCO Bioethics & Human Rights 2005 & NHS Constitution 2015 (Article 3. - Human Dignity & Human Rights – (Article 6 – Consent -  see overleaf for full written articles for your information) (NHS Constitution 2015 – Consent & Human Rights.

I wish it to be known and understood from this day forward that  I DO NOT give consent and I refuse to allow any form of SARS Cov2 (Covid 19) vaccinations to be conducted or performed either internally or externally on any part of my body in accordance with my Human Rights. This statement does not remove my rights to necessary NHS treatment that is deemed necessary for continued good health and only refers to vaccination of SARS-CoV2.

Any such attempt in contravention of my wishes will be treated as common assault and in contravention of my human rights mentioned above and will be the subject of prosecution in law of those involved in this action.


Your Name

Witness Name


Article 3 – Human dignity and human rights  1. Human dignity, human rights and fundamental freedoms are to be fully respected. 2. The interests and welfare of the individual should have priority over the sole interest of science or society.

Article 6 – Consent 1. Any preventive, diagnostic and therapeutic medical intervention is only to be carried out with the prior, free and informed consent of the person concerned, based on adequate information. The consent should, where appropriate, be express and may be withdrawn by the person concerned at any time and for any reason without disadvantage or prejudice.
2. Scientific research / medical intervention should only be carried out with the prior, free, express and informed consent of the person concerned. The information should be adequate, provided in a comprehensible form and should include the modalities for withdrawal of consent. Consent may be withdrawn by the person concerned at any time and for any reason without any disadvantage or prejudice. 
3. In appropriate cases of research carried out on a group of persons or a community, additional agreement of the legal representatives of the group or community concerned may be sought. In no case should a collective community agreement or the consent of a community leader or other authority substitute for an individual’s informed consent. 
The NHS Constitution for England (“the Constitution”) (last updated 2015) states, under the heading
1. “Respect, consent and confidentiality” that every person has the right to: (a) be treated with dignity and respect, in accordance with their human rights. (b) accept or refuse treatment that is offered, and not to be given any physical examination or treatment unless they have given valid consent. (c) be given information about the test and treatment options available, what they involve and their risks and benefits. (d) be involved in planning and making decisions about their health and care with their care provider or providers.

Downloadable formats Microsoft Doc.,  PDF or ODT available: