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<p>Vaccinations in the United Kingdom are undertaken through informed consent. Although
there has been a small decline in coverage in England since 2013, measles, mumps and
rubella (MMR) vaccine coverage through the routine programme (first dose given at
one year and the second at three years and four months) remains high. Public Health
England has said that the majority of recent measles cases are in those not eligible
through this routine programme. A new MMR vaccine catch-up programme for 10- and 11-year
olds that previously missed the MMR vaccine was introduced in April this year. In
addition, the MMR vaccine can also be given on the National Health Service to children
who missed routine vaccination and adults who may need it.</p><p>In January 2019,
the UK Measles and Rubella elimination strategy was published. A multi-agency group
has been established to take forward the actions in the strategy in England. Local
teams are expected to work with local stakeholders to develop measles and rubella
elimination action plans.</p><p>Public Health England monitors vaccine uptake and
works with NHS England to increase uptake. This year, NHS England is undertaking a
fundamental review of general practitioner vaccinations and immunisation standards,
funding, and procurement. This will support the goal of improving immunisation coverage,
using local coordinators to target variation and improve groups and areas with low
vaccine uptake.</p>
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