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90113

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the outcomes were of each routine immunisation programme over the last 10 years; what steps he is taking to encourage greater levels of coverage over the next 10 years; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207575
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>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> </p><p> </p><p>The local Directors’ of Public Health have responsibility for providing appropriate challenge to local immunisation arrangements and advocacy with key stakeholders to ensure access to vaccinations improved uptake by eligible populations.</p><p> </p><p> </p><p> </p><p>Coverage for most routine universal childhood immunisation programmes has improved over the last decade and is now approaching or above 95% in most English regions and continues to increase at a national level. Vaccine uptake in the UK is among the highest in the world. Annual immunisation coverage statistics are published by the Health and Social Care Information Centre and a copy of the most recent report for 2012-13 has been placed in the Library.</p><p> </p><p> </p><p> </p><p>Public Health England monitors vaccine coverage levels and works jointly with the NHS to encourage increased vaccination uptake, including through promoting vaccination to parents and carers through advertising and media campaigns.</p><p> </p><p> </p><p> </p><p>Public Health England defines outbreaks according to the World Health Organisation’s definition, which is that <em>‘A disease outbreak is the occurrence of cases of disease in excess of what would normally be expected in a defined community, geographical area or season’.</em></p><p> </p><p>Cases of vaccine preventable disease are at historically low levels and in the last 10 years, national outbreaks have only been observed for three vaccine preventable diseases – mumps, pertussis and measles.</p><p> </p><p> </p><p>During the early years of the century, for example, vaccine coverage of measles, mumps and rubella (MMR) fell following the unfounded concerns about vaccine safety. In 2008, the Chief Medical Officer announced a national catch-up campaign to offer MMR to any individuals under 18 years of age to ensure they were fully protected. In April 2013, a national MMR catch up campaign in those aged 10 to 16 years was launched in England.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207576 question first answered 08/09/2014 14:49:09 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ207576 - Lib Doc - Report.pdf title Report
tabling member	104 label Biography information for Crispin Blunt

90116

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what roles (a) his Department, (b) Public Health England, (c) NHS England, (d) immunisation providers, (e) clinical commissioning groups and (f) local authorities have in the delivery of immunisation services.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207577
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>Public Health England and NHS England have published the <em>Immunisation &amp; Screening National Delivery Framework &amp; Local Operating Model</em>. This document sets out the immunisation roles and responsibilities of respective agencies involved, and how national, regional, and local operational and governance arrangements for national immunisation programmes in England are coordinated. A copy has been placed in the Library.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/09/2014 15:25:42 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ207577 - Lib Doc - Report.pdf title Library Document
tabling member	104 label Biography information for Crispin Blunt

90120

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Public Health England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress NHS England has made in undertaking the detailed stocktake of compliance with its section 7A agreement with Public Health England, as detailed in its Business Plan for 2014-15 to 2016-17, published on 31 March 2014.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207572
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>During March 2014, NHS England, through its four regions and 27 area teams, began an assessment of compliance with the service specifications of public health programmes covered by the section 7A agreement. Area teams discussed service specification compliance with service providers as part of 2014-15 contract negotiations and requested that, where they had not previously undertaken a compliance self-assessment against the service specifications, these were undertaken before the end of quarter one of 2014-15. Where providers identify that they are not fully compliant with the service specification, area teams discuss the impact with providers, agreeing a service development improvement plan to be delivered before the end of quarter four of 2014-15. These plans are supported by derogation (a licence to operate outside a national service specification for a time-limited period).</p><p> </p><p> </p><p>NHS England will monitor the delivery of action plans and apply contract sanctions where necessary.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/09/2014 15:06:18 answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

90121

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what occasions over the last 10 years steps have needed to be taken to increase levels of coverage of vaccinations because coverage has fallen to significantly low levels; what outbreaks of vaccine-preventable disease there have been in the UK in the last 10 years; what his definition of an outbreak is for this purpose; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207576
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>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> </p><p> </p><p>The local Directors’ of Public Health have responsibility for providing appropriate challenge to local immunisation arrangements and advocacy with key stakeholders to ensure access to vaccinations improved uptake by eligible populations.</p><p> </p><p> </p><p> </p><p>Coverage for most routine universal childhood immunisation programmes has improved over the last decade and is now approaching or above 95% in most English regions and continues to increase at a national level. Vaccine uptake in the UK is among the highest in the world. Annual immunisation coverage statistics are published by the Health and Social Care Information Centre and a copy of the most recent report for 2012-13 has been placed in the Library.</p><p> </p><p> </p><p> </p><p>Public Health England monitors vaccine coverage levels and works jointly with the NHS to encourage increased vaccination uptake, including through promoting vaccination to parents and carers through advertising and media campaigns.</p><p> </p><p> </p><p> </p><p>Public Health England defines outbreaks according to the World Health Organisation’s definition, which is that <em>‘A disease outbreak is the occurrence of cases of disease in excess of what would normally be expected in a defined community, geographical area or season’.</em></p><p> </p><p>Cases of vaccine preventable disease are at historically low levels and in the last 10 years, national outbreaks have only been observed for three vaccine preventable diseases – mumps, pertussis and measles.</p><p> </p><p> </p><p>During the early years of the century, for example, vaccine coverage of measles, mumps and rubella (MMR) fell following the unfounded concerns about vaccine safety. In 2008, the Chief Medical Officer announced a national catch-up campaign to offer MMR to any individuals under 18 years of age to ensure they were fully protected. In April 2013, a national MMR catch up campaign in those aged 10 to 16 years was launched in England.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207575 question first answered 08/09/2014 14:49:13 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ207576 - Lib Doc - Report.pdf title Report
tabling member	104 label Biography information for Crispin Blunt

90125

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what payments have been received in the 2014-15 financial year by GPs for the delivery of vaccines through each routine immunisation programme, broken down by (a) item-of-service payment, (b) administration fee, (c) reimbursement cost, (d) Quality and Outcomes Framework reward and (e) Directed Enhanced Service payment; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207552
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p>Data for the current financial year <ins class="ministerial">are </ins><del class="ministerial"> is</del> not yet available. Financial data on overall spend of vaccination and immunisation programmes <ins class="ministerial">in general practice are </ins><del class="ministerial">is</del> published by the Health and Social Care Information Centre (HSCIC) <del class="ministerial">once it has undergone routine checks and audits as set by the National Audit Office</del>.</p><p> </p><p> </p><p> </p><p>HSCIC <del class="ministerial">will</del> publish<ins class="ministerial">ed</ins> the data for 2013-14 on <ins class="ministerial">19 </ins><del class="ministerial">22</del> September 2014.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/09/2014 14:40:24 question first ministerially corrected 28/10/2014 11:10:30 answering member 3918 label Biography information for Jane Ellison previous answer version 18802 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

90126

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which providers are involved in the pilot programmes to extend the seasonal influenza vaccination to school-age children; how each provider is remunerated; in which area each operates; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207554
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>The extension of the seasonal flu vaccine programme to school-age children is in its second year of pilots. The pilots have been set up to gather learning to inform the national rollout in 2015-16 to children of primary school age, aged 4-6. The National Health Service England Area Teams with pilot sites and their method for delivering the programme being tested is included in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Pilot Area Team</p></td><td><p>Model being tested</p></td></tr><tr><td><p>Cumbria, Northumberland, Tyne &amp; Wear</p></td><td><p>Cumbria: non-school based – pharmacies<br> Northumberland, Tyne and Wear:<br> school‑based</p></td></tr><tr><td><p>Greater Manchester</p></td><td><p>A mix: existing providers in some localities<br> and a private provider in one</p></td></tr><tr><td><p>Lancashire</p></td><td><p>School based</p></td></tr><tr><td><p>North Yorkshire and Humber</p></td><td><p>School based through existing providers</p></td></tr><tr><td><p>South Yorkshire and Bassetlaw</p></td><td><p>School based through existing providers</p></td></tr><tr><td><p>West Yorkshire</p></td><td><p>School based through existing providers</p></td></tr><tr><td><p>Arden, Herefordshire and Worcestershire</p></td><td><p>Modified Enhanced Service via general<br> practice and pharmacies</p></td></tr><tr><td><p>Birmingham, Solihull and The Black Country</p></td><td><p>School based through existing providers</p></td></tr><tr><td><p>East Anglia</p></td><td><p>Mainly school based</p></td></tr><tr><td><p>Essex</p></td><td><p>All school based but using a mix of school<br> nursing teams and specialist immunisation<br> teams.</p></td></tr><tr><td><p>Leicestershire and Lincolnshire</p></td><td><p>School based through existing providers</p></td></tr><tr><td><p>Shropshire and Staffordshire</p></td><td><p>School based through existing providers in<br> 2 London boroughs and covering all<br> Special Schools</p></td></tr><tr><td><p>London</p></td><td><p>School based, year 7s only in Havering;<br> looking at covering all Special Schools</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>The commissioning of the school-age flu programme is the responsibility of NHS England’s Area Teams and information on providers and contractual information is not held centrally but determined locally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/09/2014 14:53:00 answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

90127

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans the National Institute for Health and Care Excellence has to update its guideline on reducing differences in the uptake of immunisation, published in September 2009; whether the guideline will be extended to include uptake in people over the age of 18 years; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207557
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for the review of its existing guidance.</p><p> </p><p> </p><p> </p><p>NICE published public health guidance on <em>Reducing differences in the uptake of immunisations</em> in 2009 and reviewed the need to update the guidance in consultation with stakeholders in late 2012. NICE announced in February 2013 its conclusion that the guidance did not need to be updated at that time.</p><p> </p><p> </p><p> </p><p>I understand that NICE intends to review again the need to update the guidance in 2015. Further information will be made available at:</p><p> </p><p> </p><p>www.nice.org.uk/Guidance/PH21</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/09/2014 15:08:24 answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

90128

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how community pharmacies are paid for the delivery of immunisation services in each area of the UK where NHS England commissions them to do so.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207587
answer	answer is ministerial correction date of answer 11/09/2014 answer text <p> </p><p>Information is not held centrally by NHS England on immunisation services commissioned locally from community pharmacists.</p><p> </p><p> </p><p> </p><p>NHS England has advised that such immunisation services are commissioned by NHS England, through service level agreements, as local enhanced services within the community pharmacy contractual framework. As this type of service is commissioned according to local need, actual payments will vary.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 207586 question first answered 11/09/2014 14:04:34 answering member 4020 label Biography information for George Freeman
tabling member	104 label Biography information for Crispin Blunt

90129

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what immunisation programmes were offered by the NHS in the (a) 2013-14, (b) 2012-13 and (c) 2011-12 financial year; to whom each vaccine was offered; what the size was of the eligible patient population for each immunisation; and what the uptake rate was (i) in England and (ii) in each NHS England area team.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207559
answer	answer is ministerial correction date of answer 08/09/2014 answer text <p> </p><p>Information relating to National Health Service immunisation programmes offered is not available by financial year. However, the immunisation programmes offered by the NHS since September 2012 can be found in the following documents, copies of which have been placed in the Library:</p><p> </p><p> </p><p> </p><p><em>The complete routine immunisation schedule from summer 2014</em></p><p> </p><p><em>The complete routine immunisation schedule 2013/14</em></p><p> </p><p><em>The routine childhood immunisation schedule (September 2012)</em></p><p> </p><p> </p><p> </p><p>Detailed information about the routine immunisation schedule and other recommended vaccines, which are not offered routinely, is contained in the document <em>Immunisation against Infectious Diseases</em> . This is a live scientific document which is constantly updated and can be seen at:</p><p> </p><p> </p><p> </p><p>www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book</p><p> </p><p> </p><p> </p><p>The Health and Social Care Information Centre publishes an annual report entitled <em>NHS Immunisation Statistics</em> which provides data on uptake of routine childhood immunisations, targeted routine childhood immunisations and seasonal influenza immunisation for those aged 65 years or over. Copies of the reports for 2011-12 and 2012-13 have been placed in the Library. The report for 2013-14 will be published later this month.</p><p> </p><p> </p><p> </p><p>Public Health England and the Health Protection Agency have published data on the uptake of immunisation against seasonal influenza and human papillomavirus disease. Copies of available reports for 2011-12, 2012-13 and 2013-2014 have been placed in the Library.</p><p> </p><p> </p><p> </p><p>The timeline for the introduction of vaccination programmes in this country is available in the publication <em>Historical vaccine development and introduction of vaccines in the UK</em>, a copy of which has been placed in the Library.</p><p> </p><p> </p><p> </p><p>Detailed information on which provider administers vaccine is not collected nationally. The vast majority of immunisation programmes are delivered in general practice. The teenage HPV immunisation programme is largely delivered by school health services and childhood flu immunisation of school aged children will largely take place in schools.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207579 207583 207643 question first answered 08/09/2014 16:21:14 answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

90130

registered interest
date	01/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, in which areas NHS England commissioned immunisation services from community pharmacies in the 2013-14 financial year; what estimate he has made of the number of community pharmacies which were commissioned to deliver immunisation services in each area; what estimate he has made of the number of doses of vaccine which were delivered though community pharmacies in the 2013-14 financial year in each area; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	207586
answer	answer is ministerial correction date of answer 11/09/2014 answer text <p> </p><p>Information is not held centrally by NHS England on immunisation services commissioned locally from community pharmacists.</p><p> </p><p> </p><p> </p><p>NHS England has advised that such immunisation services are commissioned by NHS England, through service level agreements, as local enhanced services within the community pharmacy contractual framework. As this type of service is commissioned according to local need, actual payments will vary.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 207587 question first answered 11/09/2014 14:04:34 answering member 4020 label Biography information for George Freeman
tabling member	104 label Biography information for Crispin Blunt