London sees surge in 999 ambulance calls as flu season takes hold

Getty Images A woman in bed coughs. There are fabrics nearby. Getty Images

Fewer than half of eligible people in London have currently received a free flu vaccine.

The number of 999 calls in London has risen over the past week, with the London Ambulance Service (LAS) reporting its three busiest days of 2025 in a row.

The service said the 20% increase included an increase in calls from people with difficulty breathing due to viral infections and respiratory illnesses such as flu.

NHS data shows less than half of eligible Londoners have received a free flu vaccine this season.

Experts predict worst flu season in a decade caused by a new type of influenza virus.

Christmas flu

LAS Strategic Commander Lawrence Cowderoy said the service had been preparing for winter for many months, but still urged Londoners to “only call 999 in a life-threatening emergency”.

He said high call rates are “more common around New Year's Eve.”

Work to meet winter needs includes:

  • During peak periods, 460 ambulances are on the road
  • Using AI
  • More phone meetings
  • Redirection system in which patients are moved to relieve pressure

Karen Bonner, chief nurse for the London region, said NHS staff were already seeing the impact of the new strain of flu on people presenting to A&E departments with symptoms.

“We know it's a pretty serious flu this year – we know that from seeing it in Australia and other places – so we really want to protect people,” she said.

London Ambulance Call

Thursday, November 27 – 7,356

Friday, November 28 – 7,608

Saturday, November 29 – 7,409

Sunday, November 30 – 6776

(The London Ambulance Service typically receives around 5,500 calls on a “typically busy day”).

Getty Images Queue of ambulances outside Getty Images

LAS says the number of calls to 999 has risen to levels similar to a typical New Year's Eve in the capital.

NHS England said 1.7 million people had received a free flu vaccination in London this season – around 46% of those eligible.

Who is eligible for a flu shot??

  • pregnant women
  • all children aged 2 or 3 years as of August 31, 2025
  • children with certain chronic conditions (ages 6 months to 18 years)
  • children of primary and secondary school age (from reception to 11th grade)
  • all children in clinical risk groups aged 6 months to 18 years
  • all aged 65 and over
  • people aged 18 to 65 with certain chronic diseases
  • nursing home residents
  • carers receiving carer's allowance or those who are the primary carer of an elderly or disabled person
  • those who live with immunocompromised people
  • frontline health and social care workers

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