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78728
registered interest false more like this
date less than 2014-07-17more like thismore than 2014-07-17
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what assessment he has made of the effect of moving the immunisation coordinator role from primary care trust into commissioning positions on the availability of immunisation advice to nurse-based practitioners. more like this
tabling member constituency Liverpool, Wavertree more like this
tabling member printed
Luciana Berger more like this
uin 206559 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-22more like thismore than 2014-07-22
answer text <p>Public Health England (PHE) Screening and Immunisation Teams, including immunisation co-ordinators, have been embedded within NHS England area teams since 1 April 2013.</p><p> </p><p>Immunisation advice remains available to health professionals, including nurse-based practitioners, through local PHE Health Protection Teams and Screening and Immunisation Teams within NHS England, who are supported by a national expert advice line. Comprehensive web-based advice including such resources as frequently asked questions, also remain available.</p><p> </p><p>We have not made any specific assessment of the possible effect on the availability of immunisation advice to nurse-based practitioners by PHE in this context.</p><p> </p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-07-22T15:53:40.073364Zmore like thismore than 2014-07-22T15:53:40.073364Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
4036
label Biography information for Luciana Berger more like this
61731
registered interest false more like this
date less than 2014-06-12more like thismore than 2014-06-12
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what restrictions apply to the discretion of clinical commissioning groups to commission immunisation services. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 200343 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-19more like thismore than 2014-06-19
answer text <p>Policy on what national immunisation programmes should be implemented and how best to implement them is the responsibility of the Department working with Public Health England and NHS England.</p><p> </p><p>Responsibility and funding for national immunisation programmes rests with NHS England. Clinical commissioning groups are free to consider the need and resourcing for local immunisation activity with their partners in local authorities, who are responsible for taking appropriate steps to improve local public health.</p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-19T15:03:10.4782521Zmore like thismore than 2014-06-19T15:03:10.4782521Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61043
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what the uptake rate was of each (a) childhood vaccination, (b) vaccination for people aged 65 and over and (c) vaccination for people who fall into risk groups recommended by his Department as a proportion of the total eligible population for the vaccination, in each of the last 10 years. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199984 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>Much of the information requested is contained in “NHS Immunisation Statistics, England 2012-13” published by the Health and Social Care Information Centre (HSCIC) on 26 September 2013. This provides vaccine uptake rates for routine childhood vaccinations. It also contains more limited information on the uptake of adult influenza immunisations. The report provides uptake information covering the period from 2002-03 to 2012-13. Tables 1 to 3 on pages 54 to 55 are particularly pertinent to the question. A copy of the HSCIC report has been placed in the Library.</p><p> </p><p>Additional information on vaccine uptake which is not contained in the HSCIC report is set out as follows.</p><p> </p><p>(a) Childhood vaccination. Immunisation is offered to girls aged 12-13 to protect against the human papillomavirus (HPV) virus which can cause cervical cancer. Uptake of HPV vaccination from 2008-09, when it was introduced, is set out in Table 1. Figures for 2013-14 are not yet available.</p><p> </p><p>Table 1: Annual HPV vaccine uptake for females aged 12 to 13 years (England)</p><p> </p><table><tbody><tr><td><p>Academic year</p></td><td> </td><td><p>Uptake %</p></td></tr><tr><td rowspan="3"><p>2008/09</p></td><td><p>At least 1 dose</p></td><td><p>88.1</p></td></tr><tr><td><p>At least 2 doses</p></td><td><p>86.0</p></td></tr><tr><td><p>3 doses</p></td><td><p>80.1</p></td></tr><tr><td rowspan="3"><p>2009/10</p></td><td><p>At least 1 dose</p></td><td><p>84.3</p></td></tr><tr><td><p>At least 2 doses</p></td><td><p>82.3</p></td></tr><tr><td><p>3 doses</p></td><td><p>76.4</p></td></tr><tr><td rowspan="3"><p>2010/11</p></td><td><p>At least 1 dose</p></td><td><p>88.9</p></td></tr><tr><td><p>At least 2 doses</p></td><td><p>87.5</p></td></tr><tr><td><p>3 doses</p></td><td><p>84.2</p></td></tr><tr><td rowspan="3"><p>2011/12</p></td><td><p>At least 1 dose</p></td><td><p>90.6</p></td></tr><tr><td><p>At least 2 doses</p></td><td><p>89.6</p></td></tr><tr><td><p>3 doses</p></td><td><p>86.8</p></td></tr><tr><td rowspan="3"><p>2012/13</p></td><td><p>At least 1 dose</p></td><td><p>90.9</p></td></tr><tr><td><p>At least 2 doses</p></td><td><p>89.6</p></td></tr><tr><td><p>3 doses</p></td><td><p>86.1</p></td></tr></tbody></table><p>Immunisation against influenza is offered to children with certain clinical conditions which put them at greater risk of the effects of influenza. Vaccine uptake is set out in Table 2.</p><p> </p><p>Table 2: Annual influenza vaccine uptake for children with clinical conditions aged 6 months to under16 years (England)</p><p> </p><table><tbody><tr><td> </td><td><p>Children aged 6 months to 2 years with clinical condition. Vaccine Uptake</p><p>%</p></td><td><p>Children aged 2 to under 16 years with clinical condition.</p><p>Vaccine Uptake</p><p>%</p></td></tr><tr><td><p>2006/07</p></td><td><p>6.2</p></td><td><p>22.3</p></td></tr><tr><td><p>2007/08</p></td><td><p>6.2</p></td><td><p>22.3</p></td></tr><tr><td><p>2008/09</p></td><td><p>7.3</p></td><td><p>23.8</p></td></tr><tr><td><p>2009/10</p></td><td><p>16.5</p></td><td><p>34.5</p></td></tr><tr><td><p>2010/11</p></td><td><p>25.2</p></td><td><p>39.3</p></td></tr><tr><td><p>2011/12</p></td><td><p>22.5</p></td><td><p>38.3</p></td></tr><tr><td><p>2012/13</p></td><td><p>24.3</p></td><td><p>38.7</p></td></tr><tr><td><p>2013/14</p></td><td><p>24.2</p></td><td><p>42.6</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In September 2013 vaccination of healthy two and three year old children against influenza was introduced. From September 2013 to January 2014 42.6% of two year old children, and 39.5% of three year old children were vaccinated.</p><p> </p><p>(b) People aged 65 and over. Influenza vaccination is offered to this group. Vaccine uptake is set out in Table 3.</p><p> </p><p>Table 3: Annual influenza vaccine uptake for people aged 65 or over (England)</p><p> </p><table><tbody><tr><td> </td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2004/05</p></td><td><p>71.4</p></td></tr><tr><td><p>2005/06</p></td><td><p>75.3</p></td></tr><tr><td><p>2006/07</p></td><td><p>73.9</p></td></tr><tr><td><p>2007/08</p></td><td><p>73.5</p></td></tr><tr><td><p>2008/09</p></td><td><p>74.1</p></td></tr><tr><td><p>2009/10</p></td><td><p>72.4</p></td></tr><tr><td><p>2010/11</p></td><td><p>72.8</p></td></tr><tr><td><p>2011/12</p></td><td><p>74.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>73.4</p></td></tr><tr><td><p>2013/14</p></td><td><p>73.2</p></td></tr></tbody></table><p> </p><p>Immunisation is also offered against pneumococcal disease. The figures in Table 4 show the percentage of the population who have ever received a pneumococcal disease vaccine (PPV) since the age of 65. Figures for 2013-14 are not yet available.</p><p> </p><p>Table 4: PPV uptake for people aged 65 or over (England)</p><p> </p><table><tbody><tr><td> </td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2005/06</p></td><td><p>64.4</p></td></tr><tr><td><p>2006/07</p></td><td><p>66.6</p></td></tr><tr><td><p>2007/08</p></td><td><p>69.0</p></td></tr><tr><td><p>2008/09</p></td><td><p>68.2</p></td></tr><tr><td><p>2009/10</p></td><td><p>69.4</p></td></tr><tr><td><p>2010/11</p></td><td><p>70.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>68.3</p></td></tr><tr><td><p>2012/13</p></td><td><p>69.1</p></td></tr></tbody></table><p> </p><p>(c) People in risk groups. Influenza vaccination has been offered to all pregnant women since the 2010/11 flu season. Vaccine uptake is set out in Table 5.</p><p> </p><p>Table 5: Annual influenza vaccine uptake for all pregnant women (England)</p><p> </p><table><tbody><tr><td> </td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2010/11</p></td><td><p>38.0</p></td></tr><tr><td><p>2011/12</p></td><td><p>27.4</p></td></tr><tr><td><p>2012/13</p></td><td><p>40.3</p></td></tr><tr><td><p>2013/14</p></td><td><p>39.8</p></td></tr></tbody></table><p> </p><p>Influenza vaccination is also offered to people with certain clinical conditions which put them at greater risk of the effects of influenza. Vaccine uptake is set out in Table 6.</p><p> </p><p>Table 6: Annual influenza vaccine uptake for people with clinical conditions aged 16 to under 65 years (England)</p><p> </p><table><tbody><tr><td> </td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2006/07</p></td><td><p>45.1</p></td></tr><tr><td><p>2007/08</p></td><td><p>48.6</p></td></tr><tr><td><p>2008/09</p></td><td><p>50.2</p></td></tr><tr><td><p>2009/10</p></td><td><p>53.6</p></td></tr><tr><td><p>2010/11</p></td><td><p>51.7</p></td></tr><tr><td><p>2011/12</p></td><td><p>53.2</p></td></tr><tr><td><p>2012/13</p></td><td><p>52.8</p></td></tr><tr><td><p>2013/14</p></td><td><p>53.4</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p>
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T16:00:00.5464288Zmore like thismore than 2014-06-17T16:00:00.5464288Z
answering member
3918
label Biography information for Jane Ellison more like this
attachment
1
file name PQ199984 - Lib Doc - Report.pdf more like this
title NHS Immunisation Statistics more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61045
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what plans (a) NHS England and (b) Public Health England have to fund awareness campaigns to increase vaccination uptake rates. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199989 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>Public Health England (PHE) is responsible for awareness campaigns for immunisation and keeps these matters under close review.</p><p> </p><p>Immunisation is one of the key behaviours under Start4Life - PHE's programme to help parents give their children the best start in life, from pregnancy up to 5 years of age. Immunisation is promoted on the Start4Life website and within the Start4Life Information for Parents emails and text messages.</p><p> </p><p>NHS England has no plans to fund national awareness campaigns for immunisation programmes.</p><p> </p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T15:54:36.6906853Zmore like thismore than 2014-06-17T15:54:36.6906853Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61046
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, whether NHS England plans to commission immunisation services through the any qualified provider procurement model. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199990 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>NHS England's Area Teams are already free to commission provision of immunisation services as they see fit in accordance with relevant legislation, to ensure that immunisation services are safe, effective, and of high quality. For example, NHS England commissions community pharmacies as supplementary providers of seasonal influenza immunisation.</p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T16:19:25.5704436Zmore like thismore than 2014-06-17T16:19:25.5704436Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61049
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what assessment (a) he and (b) NHS England have made of the consistency of NHS England's commissioning of immunisation services in different areas of the country; what plans NHS England has to conduct such an assessment in the future; and if he will make a statement. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199987 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>NHS England and Public Health England completed a joint stocktake review of the screening and immunisation services commissioned by NHS England earlier this year. The Department will discuss the findings of the review with NHS England in relation to the NHS public health functions agreement, including steps to bring services consistently into line with their national specifications.</p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T16:15:48.9614312Zmore like thismore than 2014-06-17T16:15:48.9614312Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61051
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, if he will publish detailed expenditure by NHS England on vaccination and immunisation services in 2013-14. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199988 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>We will publish later this year available information about expenditure on the National Health Service public health programmes commissioned by NHS England, including national immunisation programmes. The NHS public health functions agreement with NHS England describes the required breakdown of expenditure which does not include detailed expenditure for immunisation programmes.</p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T15:53:33.0459173Zmore like thismore than 2014-06-17T15:53:33.0459173Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61052
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what steps NHS England is taking to reduce inequalities in access to immunisation programmes. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199993 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>Reduction of health inequalities is a service delivery requirement in the national service specifications for immunisation services under the National Health Service public health functions agreement between the Secretary of State and NHS England and is monitored by Area Teams in contract reviews with providers.</p><p><strong> </strong></p><p>NHS England's Area Teams seek to reduce inequalities in access to immunisation programmes at local level and improve engagement with groups that do not readily access health services, working in partnership with key stakeholders through health needs assessments and the joint strategic needs assessments used by the health and wellbeing boards.</p><p> </p> more like this
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T16:25:16.4567589Zmore like thismore than 2014-06-17T16:25:16.4567589Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61053
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what assessment NHS England has made of the effectiveness of the delivery of vaccines to recommend at-risk groups of people under 65 in need of (a) influenza, (b) pneumococcal and (c) pertussis vaccines. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199994 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>NHS England uses vaccine uptake data to assess the effectiveness of immunisation programmes at local, regional and national levels, which it commissions under the NHS public health functions agreement made with the Secretary of State. This agreement includes key deliverables for vaccine coverage which are set out in the agreement.</p><p> </p><p>Influenza vaccination coverage for at risk individuals from six months to under 65 years of age (excluding pregnant women) is included as a key deliverable in the agreements for 2013/14 and 2014/15, as is pertussis vaccine uptake for pregnant women in the agreement for 2014/15. There are baseline uptake levels for both these programmes.</p><p> </p><p>In 2013/14, influenza vaccination coverage for at risk individuals from six months to under 65 years of age, excluding pregnant women was 51.3% compared to the baseline of 50.0%. The baseline for 2014/15 is 51.3%. For pertussis vaccine uptake for pregnant women, the baseline in 2014/15 is 50.0%.</p><p> </p><p>A copy of the agreements for 2013/14 (including the variation to the agreement) and for 2014/15 have been placed in the Library.</p><p> </p>
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
attachment
1
file name PQ199994 - Lib Doc - Report Pt 1.pdf more like this
title Part 1 more like this
2
file name PQ199994 - Lib Doc - Report Pt 2.pdf more like this
title Part 2 more like this
3
file name PQ199994 - Lib Doc - Report Pt 3.pdf more like this
title Part 3 more like this
question first answered
less than 2014-06-17T16:13:54.7186268Zmore like thismore than 2014-06-17T16:13:54.7186268Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this
61054
registered interest false more like this
date less than 2014-06-10more like thismore than 2014-06-10
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Vaccination remove filter
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what target vaccination rates are set for each public-funded vaccination programme; what changes have been made to those rates in each of the last 10 years; and if he will make a statement. more like this
tabling member constituency Reigate more like this
tabling member printed
Crispin Blunt more like this
uin 199995 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-06-17more like thismore than 2014-06-17
answer text <p>Our objective is to achieve the highest possible uptake rates for all vaccinations in the national immunisation programme. The Department and NHS England, advised by Public Health England, have produced a series of service specifications for the commissioning of immunisation services. These generally state that local services must ensure that they maintain and improve immunisation uptake with the aspiration of 100% of relevant individuals being offered immunisation.</p><p> </p><p>We also recognise and support the work of international organisations such as the World Health Organization (WHO) on optimising vaccine uptake, and adopt its recommendations where they are based on firm scientific evidence and are appropriate to United Kingdom conditions. Since 1996 the European Region of the WHO has recommended that, on a national basis, at least 95% of children are immunised against diseases preventable by immunisation and targeted for elimination or control (specifically, diphtheria, tetanus, pertussis, polio, <em>Haemophilus influenzae </em>type b (Hib), measles, mumps and rubella).</p><p><strong> </strong></p><p>There are also vaccine uptake aspirations relating to influenza vaccination. Since 2008, the objective of the immunisation programme has been to achieve at least 75% uptake among the population aged 65 and over (before 2008 it was 70%). Since the winter of 2013-14, this 75% figure has also applied to those aged under 65 years of age with a clinical condition (previously 70% in 2012-13 and 60% in 2011-12). In 2013-14, any National Health Service trust that was eligible for a share of £250 million Accident &amp; Emergency funding for 2014-15 was asked to ensure that at least 75% of its own staff were vaccinated against influenza.</p>
answering member constituency Battersea remove filter
answering member printed Jane Ellison more like this
question first answered
less than 2014-06-17T15:58:01.0242355Zmore like thismore than 2014-06-17T15:58:01.0242355Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
104
label Biography information for Crispin Blunt more like this