Figures show that by the end of last week 48.9 per cent of patients aged 65 or older had the flu jab, compared to 54.8 per cent in 2011.
Just 28.7 per cent of patients with other medical complications, including asthma, heart disease, liver disease and diabetes, had been vaccinated compared to 32.2 per cent last year.
A Department of Health spokeswoman said around 4,700 people die every year in England after getting flu.
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