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
Scotland will see a mixture of sunshine and showers today, with some showers turning wintry in places.
Two men seen as alternative voices to the US political establishment have won decisive victories in the New Hampshire presidential primary.
Takeaway food and alcohol are causing a growing obesity crisis among pets, according to a leading animal welfare charity.