Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of allowing fourth dose of Coronavirus vaccines to be made available to those with severe physical and/or learning disabilities who have diminished or no capacity to exercise their own judgment.

On 21 February 2022, the Government accepted advice from the Joint Committee on Vaccination and Immunisation (JCVI) on offering a further dose as a precautionary measure for those at most at risk of severe disease. As a result, a ‘spring dose’ is being offered to all adults aged 75 years old and over, residents in care homes for older adults and individuals aged 12 years and over who are immunosuppressed. The JCVI has not specifically recommended a further dose for those with severe physical and/or learning disabilities, unless they are eligible in these patient cohorts.

If an adult has been assessed as lacking capacity to make their own decisions about vaccination, it may be possible to proceed with immunisation under the principle of acting in their ‘best interests’. Healthcare workers considering immunising under a ‘best interests’ decision have a statutory duty to follow the Code of Practice and checklist set out in the Mental Capacity Act 2005.