Question to the Department of Health and Social Care:

To ask His Majesty's Government, in the light of the King’s College London report Learning from lives and deaths: people with a learning disability and autistic people, published in September, what steps they are taking to ensure that the impact on people with learning disabilities is considered when the policy for vaccine eligibility is decided this year, including when initially making the decision to accept JCVI recommendations.

The Government is committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI). The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness, resulting in hospitalisations and deaths, arising from COVID-19.

The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.

The focus of the JCVI advised programme has therefore moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease and mortality. These are the oldest adults and individuals who are immunosuppressed. The JCVI’s full advice for autumn 2025 is available on the GOV.UK website, in an online only format. The Government has accepted the JCVI’s advice for autumn 2025 and in line with the advice a COVID-19 vaccination is being offered to the following groups in autumn 2025:

• adults aged 75 years old and over;
• residents in care homes for older adults; and
• individuals aged six months and over who are immunosuppressed.

As with other United Kingdom vaccination programmes, the JCVI’s advice on eligibility carefully considered the evidence on the risk of illness, serious disease, or death as a consequence of infection, in specific groups, as well as a cost-effectiveness analysis. The JCVI has engaged a number of organisations representing adults with learning disabilities to discuss the COVID-19 vaccine eligibility criteria.

The most recent Learning from Lives and Deaths: People with a Learning Disability and Autistic People Annual Report, based on 2023 data and published in September 2025, highlights how COVID-19 has fallen significantly as a cause of death in people with learning disabilities since the pandemic in 2021. Although it is important to caveat that the data in this report may not be complete for 2023 due to data collection issues, the trend observed provides reassurance that the risk of severe COVID-19 is much lower now than previously, including for people with a learning disability and autistic people.

As for all vaccines, the JCVI keeps the evidence under regular review.