Vaccination Rates: England
Debate between Danny Chambers and Diana Johnson(3 days, 8 hours ago)
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The Minister for Public Health and Patient Safety (Dame Diana Johnson)
It is a pleasure to serve under you today, Mrs Barker. I am grateful to the Chair of the Health and Social Care Committee, the hon. Member for Oxford West and Abingdon (Layla Moran), and its members for securing this important debate and am grateful to all hon. Members who have spoken this afternoon. I commend my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for his passionate opening statement. I also welcome the shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson), back to her place after the reshuffle; I congratulate her on surviving for so long.
I know that Members across the House are very concerned about this issue. I have been struck by the knowledge and expertise around the Chamber this afternoon. Many questions have been posed. If I do not get to every question that Members have asked, I will write to them with an answer.
After clean water, vaccination is the most effective public health intervention for saving lives and promoting good health. It protects individuals, protects families and protects communities. One vaccination can change the whole course of a life for the better or, if it is missed, for the worse. I am very conscious of that as a Hull MP, because in October 1961 we were the first city to mass-vaccinate with the new oral vaccine. When we faced a polio outbreak that threatened the city, over 350,000 people were vaccinated in two weeks. That led to the national roll-out soon afterwards, helping to virtually eliminate the disease nationwide.
Over generations, vaccinations have made diseases that once killed or disabled thousands of children rare and have eradicated smallpox worldwide. Vaccination is central to this Government’s wider shift from sickness to prevention. In terms of the diseases we protect against, we deliver at the moment what I still believe is a world-class vaccination programme, backed by expert advice from the independent Joint Committee on Vaccination and Immunisation. But the benefits depend on high uptake, and childhood vaccination rates have moved in the wrong direction.
Falling vaccination rates are a very serious challenge. Despite our programme achieving more than 90% coverage for babies’ first doses against diseases such as polio and measles, we are not hitting our targets. There is no single cause and there is no quick fix. We know that some families struggle to get an appointment that works for them or have not received clear, trusted information in a way that works for them. Services also vary across the country. The pandemic put further pressures on the health system and misinformation can add to these problems.
[Sir Desmond Swayne in the Chair]
We are therefore acting on four fronts: clearer NHS organisation, more flexible services, better public information and joined-up digital records. I will deal with each in turn, but first I will address targets, as well as funding and delegation to ICBs. Let us be clear: the Government have not dropped vaccination targets. To summarise, our targets are 95% for routine pre-school immunisations and 90% for routine school-age immunisations. Our targets remain in force and are based on standards set by the World Health Organisation. We have simplified the NHS planning guidance to avoid duplication, but we did not lower our ambition. We are also backing targets with better accountability. Coverage of MMR vaccinations for young children will form part of how the performance of NHS ICBs will be assessed as they take on responsibility for vaccination services from April next year.
We have not cut funding for vaccination services. We have confirmed funding for the next three years, giving the NHS certainty as responsibility moves from the NHS regions to ICBs in April 2027. Excluding covid-19 vaccinations, that is a real-terms increase and will help ICBs and vaccination service providers to plan service improvements further ahead.
On delegation, ICBs are best placed to improve vaccination coverage because they understand the needs of their local communities. That matters because the reasons for low coverage vary from place to place. ICBs can shape these services around local needs and barriers, whether that means more convenient appointments or clearer information from trusted sources. This is devolution in action.
I reassure hon. Members that national bodies will continue to set standards, monitor performance and hold the system to account.
Dame Diana Johnson
I will carry on because I have very limited time, but I am happy to write to the hon. Gentleman or talk to him afterwards. I know there are concerns about the cuts that have been made to ICB running costs. These are planned reductions that relate just to administration, not the funding that will be used to provide frontline vaccination services.
Turning to pre-school access, flexible services are critical. Vaccination rates are lowest in the most deprived communities, so improving uptake means making services easier to use. Pre-school children will continue to receive their vaccinations through their GPs. We have increased the payment to GPs for each routine childhood vaccination from £10.06 to £12.06 and changed the GP incentives to reward improvements where uptake is lowest.
However, we recognise that GP services will not reach every family and are therefore testing vaccinations through health visiting teams, including through 12 pilots across England, four of which are in London. Health visitors have brought vaccines to family homes to ensure that the most vulnerable families are offered these lifesaving interventions. We have also been expanding the use of community pharmacies and are evaluating that. We are looking at supporting targeted local outreach as well. The aim is simple: to reach those who might otherwise miss out.
School-age vaccinations are also a priority. The joint school-aged vaccination programme of work with my Department and the Department for Education is now overseeing actions to improve coverage in schools by resolving local delivery problems. The NHS is also rolling-out new digital technology to make it easier for busy parents to provide consent. It has published revised guidance for schools and the NHS and there are regional support forums to tackle any problems that are present.
We also have the Mavis—manage vaccinations in schools—scheme. That is a new digital system that allows parents to give consent online and helps NHS teams to keep records up to date. By September 2026, it will be used by 72% of school vaccination teams, covering more than 13,800 schools, with further expansion planned for April ’27.
Turning next to awareness, most parents want to do the right thing for their children. Our job is to ensure that they can easily find the clear and trustworthy information that they need. That means stronger public campaigns and confident healthcare professionals giving that advice. We think that it could also be provided by schools and better start hubs, as well as trusted local organisations.
We all agree that false claims online can cause huge concern and worry. As a number of hon. Members have said, the actions of politicians have consequences. We all share the responsibility to base our comments on science and evidence. We have seen the damage that misinformation can cause. The entirely discredited and morally repugnant claims linking MMR and autism in the 1990s led to a substantial fall in coverage, so experts now monitor emerging misinformation and respond with accurate information. I hear the calls today for stronger action against social media companies, but we do not want to mistake misinformation for the whole problem. To improve coverage, many families simply need vaccinations to be easier to understand and to access.
I will conclude with the issue of digital and data. We are improving vaccination records. At the moment, information is held in different NHS systems and does not always follow a patient between services. Through new digital systems, we are joining those records together. That will help healthcare professionals to see which vaccinations someone has had, allow the NHS to identify communities where uptake is low and give families clearer records, reminders and information about where to get vaccinated. Over time, families will also be able to access more of this through the NHS app.
Vaccinations have protected generations from serious disease, and all of us have a vested interest in ensuring that they continue to do so. That means clear accountability, easier access, trusted information and better record keeping. As I have set out, we are acting on each of those fronts. Rebuilding coverage will take sustained effort, but we will monitor progress closely and take further action wherever it is needed.
I note that the House of Lords Childhood Vaccinations Committee is due to report shortly. As the new Minister in this post, I will be looking very closely at the recommendations that come out of that report. I have had the chance to look at the letters that the Health and Social Care Committee wrote to one of my predecessors, and I can assure all hon. Members in the room today that I will go back to the Department and redouble my efforts to ensure that we see the increase that we all want in the number of vaccinations, particularly for children. I thank all hon. Members for their contributions this afternoon.
Oral Answers to Questions
Debate between Danny Chambers and Diana Johnson(1 year, 7 months ago)
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Dame Diana Johnson
The police have made a commitment in England and Wales to attend the scene of every home burglary, so I am concerned by what the hon. Lady has said about her local force. The College of Policing has set out good practice for the investigation of burglaries, which should be followed by police forces, and which sets standards for what should be expected as well as explaining how best to deal with victims. I am mindful of what she has said today and will write to her with details of what more can be done.
Dr Danny Chambers (Winchester) (LD)