Covid-19 Vaccination Programme

Maggie Throup Excerpts

Monday 5th September 2022 Written Statements

[The Parliamentary Under-Secretary of State for Health and Social Care (Maggie Throup)]

The covid-19 vaccination programme continues to protect the UK against the virus. As of 30 August 2022, over 126 million doses have been provided, including 45.2 million first doses, 42.6 million second doses and 33.5 million third primary and booster doses in the UK. This represents uptake of 93.5% for the first dose, and 88.1 % for the second dose.

Vaccines remain the best protection against covid-19. Given that winter is expected to present another severe challenge from covid-19, we continue to urge everyone to play their part by taking up the covid-19 vaccine and, where eligible, the autumn booster offer without delay.

If eligible, the NHS will invite you to come forward for your vaccine via SMS, emails and letters. If you are unvaccinated and eligible for covid-19 vaccinations, you can still come forward and book an appointment.

The independent Joint Committee on Vaccination and Immunisation has published further advice on the covid-19 vaccination programme. Her Majesty’s Government have accepted this advice and I am informed that all four parts of the UK intend to follow the JCVI’s advice.

Autumn vaccination programme:

The JCVI advises that for the 2022 autumn booster programme, the following groups should be offered a covid-19 booster vaccine:

Residents in a care home for older adults and staff working in care homes for older adults

Frontline health and social care workers

All adults aged 50 years and over

Persons aged five to 49 years in a clinical risk group

Persons aged five to 49 years who are household contacts of people with immunosuppression

Persons aged 16 to 49 years who are carers

For the 2022 autumn booster programme, the primary objective is to augment immunity in those at higher risk from covid-19 and thereby optimise protection against severe covid-19, specifically hospitalisation and death, over winter 2022-23.

Following appropriate data to demonstrate quality, safety and efficacy, the Medicines and Healthcare products Regulatory Agency authorised Moderna’s BA1/wild-type bivalent vaccine for administration as a covid-19 booster vaccination on 12 August 2022 and Pfizer’s BA1/wild-type bivalent vaccine on 3 September 2022. Covid-19 bivalent vaccines target two different variants of covid-19, which broadens immunity and therefore potentially improves protection against variants of covid-19.

The UK, following the JCVI’s advice, now intends to deploy authorised bivalent vaccines throughout the autumn programme for those eligible.

The JCVI published advice stating that the autumn booster vaccine dose should be offered at least three months after the previous dose.

Eligible persons aged 18 years and over may be offered booster vaccinations: 50mcg Moderna mRNA bivalent Omicron BA.1/wild-type vaccine; 50mcg Moderna mRNA wild-type vaccine (Spikevax); 30mcg Pfizer BioNTech mRNA wild-type vaccine (Comirnaty) or 30mcg Pfizer BioNTech mRNA bivalent vaccine (Comirnaty).

Eligible persons aged 12 to 17 years may be offered booster vaccinations with: 30 meg Pfizer BioNTech mRNA wild-type vaccine (Comirnaty) or 30mcg Pfizer BioNTech mRNA bivalent vaccine (Comirnaty).

Eligible persons aged 5-11 years may be offered booster vaccinations 10 meg Pfizer-BioNTech mRNA wild-type vaccine (Comirnaty) paediatric formulation.

In exceptional circumstances the Novavax Matrix-M adjuvanted wild-type vaccine (Nuvaxovid) is approved for primary course vaccination in adults aged 18 years and above and may be used when no alternative clinically suitable UK-approved covid-19 vaccine is available. Deployment is expected to start at the beginning of September 2022.

Nuvaxovid

On 3 February 2022, the Novavax covid-19 vaccine, Nuvaxovid, was authorised by the Medicines and Healthcare products Regulatory Agency, authorising the deployment of the vaccine after it has generated appropriate data to demonstrate quality, safety and efficacy. The JCVI has provided deployment advice on Nuvaxovid and it is expected to be deployed at the end of September 2022. Nuvaxovid may be used “off-label” as a booster dose for persons aged 18 years and above when no alternative clinically suitable UK-approved covid-19 vaccine is available.

The agreement to provide an indemnity as part of the contract between HMG and Novavax creates a contingent liability on the covid-19 vaccination programme. Putting in place appropriate indemnities to be given to vaccine suppliers has helped to secure access to vaccines much sooner than may have been the case otherwise.

With the vaccine offer expanded for autumn for the groups as listed above and the deployment of Nuvaxovid in exceptional circumstances, I am now updating the House on the liabilities HMG has taken on in relation to further vaccine supply via this statement and the departmental minutes laid in Parliament containing a description of the liability undertaken. The agreement to provide indemnity with deployment of further doses increases the statutory contingent liability of the covid-19 vaccination programme.

Deployment of effective vaccines to eligible groups has been and remains a key part of the Government’s strategy to manage covid-19. Willingness to accept the need for appropriate indemnities to be given to vaccine suppliers has helped to secure access to vaccines, with the expected benefits to public health and the economy alike, much sooner than may have been the case otherwise.

Given the exceptional circumstances we are in, and the terms on which developers have been willing to supply a covid-19 vaccine, we, along with other nations, have taken a broad approach to indemnification proportionate to the situation we are in.

Even though the covid-19 vaccines have been developed at pace, at no point and at no stage of development has safety been bypassed. These vaccines have satisfied, in full, all the necessary requirements for safety, effectiveness and quality.

We are providing indemnities in the very unexpected event of any adverse reactions that could not have been foreseen through the robust checks and procedures that have been put in place.

I will update the House in a similar manner as and when other covid-19 vaccines or additional doses of vaccines already in use in the UK are deployed.

[HCWS290]