Covid-19 Vaccinations: 12 to 15-year-olds

Jonathan Ashworth Excerpts

Monday 13th September 2021 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I am grateful to the Minister for advance sight of his statement. On behalf of the Opposition, I welcome the guidance today from the chief medical officers and the response of the Government tonight.

Children may not have been the face of this crisis but they have been among its biggest victims. Children have lost months in in-person learning, and have spent weeks cut off from friends and family. We still do not fully understand the long-term mental health implications of this, especially in poorer areas where deprivation already has widespread consequences for the health and wellbeing of our children. Being in school is not just about learning; children often access health services through school as well. I therefore particularly welcome the CMOs’ recognition of the importance of avoiding the disruption of being out of school in making this decision. We are also pleased that the Government have now made the decision, given that other nations have been vaccinating children for some months.

But many of our constituents will rightly have questions. Will the Minister explain to the House what the next stage in the children’s vaccination programme will look like? By what date does he anticipate that children will be vaccinated? On the roll-out, he will know that, for TB, HPV and children’s flu vaccinations in primary schools, it is often school nurses, health visitors and specialist vaccination teams who go to schools directly and vaccinate. Will that model be used in this case, or will children instead be asked to go to the vaccine hubs run by primary care because it is the Pfizer vaccine? Will it be the responsibility of the parents to arrange their child’s vaccination, or will the local NHS arrange it with schools, year group by year group, or class by class? Will the flu vaccine that is to be expanded to secondary school children this year be delivered at the same time as the covid vaccine, or at a separate time?

The Minister rightly said that vaccinating children is a benefit to those children but will also reduce transmission, and in that respect it is a benefit to wider society, but children and young people, and society itself, will in turn benefit if we drive up vaccination rates among adults. In the most deprived areas, fewer than 70% of the adult population are vaccinated; in the least deprived areas it is more than 90%. Among 25 to 30-year-olds, 55% are on their second dose; among 30 to 35-year-olds, 68% are on their second dose; and among 35 to 39-year-olds, 75% are on their second dose. What will he do to drive up vaccination rates among adults, because that is key to pushing down overall infection rates?

Of course, parents will want information. In the past, the Minister has suggested that this vaccination will not go ahead without the consent of parents, but he will know that the Gillick competence principle suggests that a child under 16 can consent to their treatment if the child is believed to have the understanding and intelligence to appreciate what is involved. Can he confirm what the Government’s position is in rolling out this vaccination and whether the consent of parents is necessary? In the past, he has said that it is necessary, as has the Secretary of State for Education; the CMOs seemed to suggest something else today at the press briefing.

There is nothing more precious for a parent than their child. We therefore support the approach of the Government today and welcome the advice and the recommendations of the chief medical officers. However, I hope the Minister will understand that parents, in coming to this decision, will want all the information they can possibly get hold of, and I hope the Government provide it.

[Nadhim Zahawi]

I am grateful to the right hon. Gentleman for his support, for his points about guidance to the parents and of course to the children, and for his points about the long-term mental health consequences of this pandemic for school-age children.

I can confirm to the right hon. Gentleman that the NHS—it is incredibly efficient and well-equipped, because it has been running the school age vaccination programme for many, many years for other vaccines—will be the primary vaccination infrastructure that we will use to deliver this vaccine. If there are schools where that is unable to be delivered, we will use the rest of the covid vaccine infrastructure, including vaccination centres, to deliver that in a safe and appropriate way. My point is to reassure him and parents up and down the country that it will be the school age vaccination programme that has run in schools. Teachers and parents are well-versed in that process.

The right hon. Gentleman asked about vaccine uptake. He will recall that I said at this Dispatch Box on 13 February, in launching the vaccine uptake programme, that the NHS continued to put effort and resource into making vaccines available and easily accessible to the most deprived communities and to all ethnic groups. We will continue to redouble our efforts, including with the booster programme, which will come later this month. We have had the interim advice from the JCVI on boosting for flu and covid. The uptake of both should increase the uptake in those communities. We have spent a lot of time looking at that.

The right hon. Gentleman asked an important question about the consent process, and I want to spend a little time on that. As with all vaccinations for children, parental consent will be sought. The consent process will be handled by each school in its usual way and will provide sufficient time for parents to provide their consent. Children aged 12 to 15 will also be provided with information, usually in the form of a leaflet for their own use and to share and discuss with their parents prior to the date of immunisation and the scheduled time for it. Parental, guardian or carer consent will be sought by the school age immunisation providers prior to vaccination, in line with other school vaccination programmes.

In the rare event that a parent does not consent, but the teenager wants to have the vaccine, there is a process by which the school age vaccination clinicians discuss this with initially the parent and the child to see whether they can reach consensus. If not, and the child is deemed to be Gillick competent, the vaccine will take place. That is very rare, but on the whole this is something that the NHS is very well versed in delivering for other vaccination programmes.