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.
More top news
A plane which skidded off a runway and down a steep embankment in Turkey has been recovered as investigations get underway.
ITV News spent a day with a West Midlands ambulance crew to see first-hand the pressure they are under.
It is alleged the couple committed years of torture and abuse, leaving their children malnourished, undersized and cognitively impaired.