Vaccination Rates: England
House of Commons · Westminster Hall · 3 Sep 2026 · 22 speeches · Official Report
I beg to move, That this House has considered vaccination rates in England. It is an honour to serve under your chairship today, Mrs Barker. I am pleased to co-sponsor this debate alongside colleagues from the Health and Social Care Committee who are also here today. It is very easy, from the vantage point of the 21st century, to forget that about half of children used to die before the age of 15 from infection and disease. Thankfully, we now have vaccines and our routine vaccination schedule providing protection against 15 preventable infections across our lifetimes. For decades, our system was one of the best in the world. The childhood diseases that used to cause so much suffering-measles, polio and others-sound like things from history books. I am sure we all have memories of our early school-based vaccinations and flu jabs in the winter period, and the joy of the discovery of the covid-19 vaccine and the hope it brought of a return to normality. So why have this debate today? Because, despite a seemingly continued record of progress and innovation since 2012, our vaccination system has been sleepwalking into a crisis. The percentage of eligible people getting the major vaccines has been falling year on year, dropping below the 95% coverage recommended by the World Health Organisation to prevent onward transmission. We have now undoubtedly hit a crisis point. Across England as a whole, the 95% target is not being met for any routine childhood vaccination programme and...
My hon. Friend makes an excellent point. Our mini-inquiry into vaccination rates found that when rates decline or stall, the problem is often lack of trust and inability to access either trusted health professionals or the appointments themselves. Does he agree that improving the availability of vaccinations and advice from trusted health professionals is key to reversing this worrying trend?
I agree. Those issues are clearly intertwined and cannot be separated. Every contact should count. Shared digital records should identify, at the next GP appointment, pharmacy check-in, health visit or hospital appointment, where vaccines are missing. The system should be enabled, encouraged and paid to act, but this is currently not the case. The hesitancy argument focuses on the growing prevalence of misinformation around vaccines and falling trust in vaccines and health institutions more broadly. Polling shows that these are not the most important factors numerically, but for the 15% of parents who have concerns, they matter. Evidence from the University of Manchester shows that this is especially important for certain population groups. As my hon. Friend the Member for Thurrock (Jen Craft) just said, the barriers are multifaceted: poor trust and poor access go hand in hand, because the best way to build trust is through regular contact with known, trusted professionals. To maximise vaccine coverage, we need a system that can reliably identify and locate every child or patient missing their vaccination, repeatedly invite them for appointments and make attending appointments as easy as possible, with clear lines of responsibility when targets are missed. To do that effectively, the vaccination system needs adequate resourcing, accurate data and explicit accountability for meeting targets. Currently, we have none of that. The Government have been acting. We are piloting...
It is a pleasure to serve under your chairship, Mrs Barker, on the second consecutive day. I thank the hon. Member for Uxbridge and South Ruislip (Danny Beales), who set out his case so well that I fear my contribution will add very little to his. Nevertheless, I want to add my voice in support of this very important topic. The issue of vaccination rates is critical to public health. Even small drops in uptake below the 95% World Health Organisation target can erode the collective benefit of vaccination and create the potential for more outbreaks, such as the measles outbreaks in recent years. In Oxfordshire, where my constituency is located, we are below the target for all five of the main early years vaccination categories. For four of the five, we are in the 85% to 95% range, and for the pre-school booster for tetanus, diphtheria and polio, we are in the 90% to 95% range. The figures are too low and really need to be improved. The hon. Member for Uxbridge and South Ruislip set out articulately the sort of coherent and integrated NHS and Government plan that we need to tackle this issue; I will focus on the challenges of misinformation and disinformation. We need a proactive NHS and Government plan, because spending on vaccination is a really good illustration of the principle that prevention is better than subsequent treatment and hospitalisation. Improving our vaccination rates is a really good way of relieving pressure on other parts of the health service, and saving...
Order. I need to impose a time limit of three minutes.
It is a pleasure to serve under your chairship, Mrs Barker, and I thank the Health and Social Care Committee for its work. It is a real privilege to be able to access vaccine programmes. They are the most effective public health interventions, and there are 15 vaccine-preventable infections against which we can be inoculated. Just this week, the winter flu vaccination programme started; I urge all those watching to take up the opportunity to protect themselves and their community. In York, take-up is relatively high; however, we are not complacent. A particular challenge for us is the uptake of the second MMR vaccine. I would like to know what the Government are doing to support initiatives to improve that. York’s uptake is 86.2% against Yorkshire’s 85% and England’s average of 83.8%, but the World Health Organisation sets the ambition at 95% because that is the level for herd immunity, which will keep our communities safe. When will that target be reintroduced? It must be reintroduced, because we know that it is effective. There are lessons we can learn about how to deliver vaccinations more effectively. If we think back to covid, many people-communities, schools and faith and community groups-were involved in getting the message out. We need to be able to communicate better to our communities, in this day of information overload, the importance of vaccines. Vaccine delivery mechanisms also need to be expanded-we have heard many examples today, such as health visitors...
It is an honour to serve under your chairship, Mrs Barker. I congratulate the hon. Member for Uxbridge and South Ruislip (Danny Beales) on securing this important debate. It seems that every time I open my social media feed or emails, I am being sold some supplement or superfood to boost my immunity. We know that the most effective way of boosting our immunity is vaccination. Vaccines can achieve something even more extraordinary: they can actually eradicate diseases from the face of the earth. During the 20th century alone, we lost hundreds of millions of people to smallpox until it was eradicated in 1977. Rinderpest, a cattle disease, was wiped off the face of the Earth by vaccination-the second disease to be removed from our planet. Polio is on the brink of eradication. I recently spoke at a Winchester rotary event about polio eradication, organised by two of my constituents, Gillian Russell and Professor Kordo Saeed, both of whom contracted polio when they were children and have lifelong disabilities as a result. It is important to remind everyone that this is about preventing not just deaths, but disability and ill health that can last a lifetime. We saw the power of vaccination during the covid-19 pandemic. A century earlier, during the 1918 influenza outbreak, which killed 50 million people, there were no flu vaccines or antiviral treatments. There were not even antibiotics to treat the secondary infections. During covid, we initially had only the same blunt...
It is a pleasure to serve under your chairship, Mrs Barker. I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) and colleagues on the Health and Social Care Committee for securing this important debate. I am particularly concerned about the fall in childhood vaccination rates and what that means for diseases such as measles, which we had all but eliminated. Before I entered Parliament, I served as a councillor on the North West London integrated care board. Because our figures were so poor, I pushed for North West London NHS to deliver MMR vaccinations through community pharmacies. All families go to pharmacies, so it seemed an obvious thing to do, but I was told that it was simply too complicated. I pushed a bit, and I got two pharmacies into a sort of project. It was a start, but it was nowhere near enough. When I became a member of the Health and Social Care Committee, then, I was delighted to have the opportunity to pursue the matter. As has been mentioned, when NHS England and UK Health Security Agency officials came before the Committee in February, warning signs were already flashing red. The UK had lost its measles elimination status, London had the lowest childhood vaccination coverage in the country, and children were being hospitalised by a disease that is entirely preventable. It was extraordinary: I was strongly struck by the feeling they gave off of a complete lack of urgency in how they saw the problem. I asked whether anyone had...
As always, it is a pleasure to serve under your chairship, Mrs Barker-you are certainly earning your money, because you were here yesterday and are back again today. I congratulate the hon. Member for Uxbridge and South Ruislip (Danny Beales) on introducing this debate, and I thank him for setting the scene incredibly well. As the Democratic Unionist party’s spokesperson on health, I am particularly interested in this topic and how it affects those in Northern Ireland. It is good to see the Minister in her place again, and I wish her well in her role. I know that her answers will encourage us-no pressure! Vaccines have saved millions of lives, protecting our children from serious illnesses and life-changing complications. However, over the last decade, vaccination uptake has declined across the United Kingdom. In 2021, data showed that none of the routine childhood vaccinations had reached the World Health Organisation’s recommended 95% coverage target. That trend reveals a significant risk to public health, which we have already seen with localised outbreaks of measles and whooping cough in areas across the United Kingdom. Research published in August also showed further falls in UK-wide uptake among 12-month-old children of vaccines including pneumococcal conjugate, rotavirus and MenB. If vaccines are not done, it can lead to serious illnesses including pneumonia, meningitis and other life-threatening infections. I will briefly comment on Northern Ireland, and then I have...
It is a pleasure to serve under your chairship, Mrs Barker. I thank the members of the Health and Social Care Committee for securing this debate. Doctors like me do not need any convincing about vaccination, but some of our political opponents do not agree. It is incredible to think that a platform was given at last year’s Reform conference to someone claiming that vaccinations had caused cancer in the royal family, and that the head of the United States Health Department is a vaccine sceptic. That is quite pernicious and wrong-very, very wrong. Doctors like me do not need convincing. Nor do wives like mine who are Rhesus-negative and whose mothers had multiple miscarriages before the discovery of anti-D injections to prevent baby loss, which was first tested in the famous Sing Sing prison experiments. When I was young, every county had a school for the deaf, but they had all closed by the time I was a senior ENT surgeon. Why was that? Maternal rubella, or German measles, in pregnancy had been abolished by simply vaccinating all girls at puberty, just like that-brilliant. There was no longer a need for so many schools for the deaf. A landmark 2026 Lancet study reported no cervical cancer deaths among women aged 20 to 24 between 2020 and 2024: a dramatic drop from the previous five-year period directly credited to the national human papillomavirus vaccination programme. We will see the same fall in the number of deaths from oropharyngeal throat cancer in boys as a result of...
It is a pleasure to serve under your chairship, Mrs Barker. I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing this important debate. Over the last 15 years, childhood vaccination rates have fallen across Britain. The uptake of vaccinations for those aged under five is well below the World Health Organisation’s 95% target. The paradox of vaccination is that it has become a victim of its own success. It has protected us so effectively for so long that we can forget what it has saved us from. My grandma’s friend died from diphtheria at the age of 12. When I worked in public health, I met a lady whose mum had rubella during pregnancy, as a result of which that lady had serious impairments. Online misinformation is often put forward as the root driver of our falling vaccination rates. It is certainly true that false claims are dangerously contagious, but any explanation that focuses only on anti-vaxxers and the often-monetised pedlars of misinformation and disinformation risks mistaking the loudest part of the problem for the largest part of the problem. Most parents who miss vaccinations are simply exhausted, overstretched or unable to get an appointment that fits around their lives. Anyone who has experienced the first few months of a baby’s life knows exactly what it is like, but at any time of life, when clinics require long journeys on public transport or time off work, missed vaccination is more often due to practical barriers than...
It is a pleasure to serve under you in the Chair, Mrs Barker. I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing the debate. I am the parent of two children who had plenty of vaccinations. One of them took it in her stride and the other made the biggest drama in the history of medicine, so I can appreciate why so many parents approach this topic with trepidation. Before this debate, my team and I spoke to staff working in the Cannock North primary care network, which covers seven practices in the most deprived part of my constituency, about their efforts to improve lagging vaccination rates. They told me that rates are quite good for young babies, but they start to fall off as children get older, so they are looking at how they can step in earlier. They have produced plain and simple leaflets that explain the symptoms that a child might experience if they are not vaccinated. Staff will still hear parents say, “Well, I wasn’t vaccinated against it,” or “I’ve never even heard of polio,” so they are tackling the false assumption that choosing not to vaccinate is safe. They are also looking at a simple sticker system for the red book as a quick visual reminder of the schedule. Relationships with health practitioners can also be vital, as we have heard. The PCN suggested that trained health visitors could provide early immunisation, which I know is being trialled in other parts of England. The more hurdles we can remove, the better. That...
It is a pleasure to serve under your chairship, Mrs Barker. I thank my hon. Friends the Members for Uxbridge and South Ruislip (Danny Beales) and for Worthing West (Dr Cooper) and the hon. Member for Oxford West and Abingdon (Layla Moran) for securing this debate on such an important issue. I will attempt to talk about three different vaccinations in less than three minutes, but before I do that, I would like to say a huge thank you to Congleton Rotary, which recently raised over £1,000 towards polio vaccination. That is such an important topic. First, it is completely unacceptable that the UK lost its measles-free status this year. We know that it can be a devastating disease for anyone who is unvaccinated, but it is especially dangerous for babies, young people, pregnant women and anyone with a weakened immune system. We have relied on herd immunity for a very long time, and we no longer have the percentage required to have that. During the last major outbreak in central and eastern Cheshire, nearly a quarter of the cases were in the under-ones. Our babies depend on the rest of us having vaccinations, because otherwise they are profoundly vulnerable. We must work to get that rate back up again. Only 90% of children in Cheshire East had received both doses of the MMR vaccine by their fifth birthday. We must work harder on that, and I would welcome any progress that the Government can bring, including by addressing the legacy of missed appointments during the covid pandemic....
It is a pleasure to serve under your chairship, Mrs Barker. Over the summer, I had the pleasure of visiting Kingsbury Court surgery to find out about its big push on childhood vaccination. I met Dr Abdullah Khan, who told me that, like others, he was really worried about the return of measles, which he thought created an urgent need for action. He saw the outbreak in Enfield as a real warning shot and talked about the UK losing its WHO measles elimination status. Dr Khan told me his surgery had decided it needed a new approach-it is fairly similar to what we have heard today-built around confidence and convenience. I was introduced to the senior nurse, Elena Costache, who showed me a display she had made to rebut some of the myths that parents are seeing online. She also explained how staff go online to dispel those myths in the comments made on the surgery’s own webpage, doing so respectfully but directly, and always in plain English. Everything the surgery staff told me was useful and informative, although I have to say that one bit made me feel rather ancient: they said that one issue was that many parents seemed to think that measles, mumps and things like that were from long, long ago. I still have a childhood book called “Alex’s mumps book”, with lots of fun activities to do while I was a bit under the weather. Those at the surgery also talked about convenience-staff going into nurseries, children’s centres and crèches-about the active outreach they do and about the...
This is an incredibly important and timely debate. The latest UK Health Security Agency data, published on Tuesday, underlined how vaccine rates have continued to decline. It also showed that uptake of the meningitis B booster for children aged two fell slightly last year. I find that especially alarming, given the meningitis outbreak in Kent earlier this year. There were 21 confirmed cases, tragically including the deaths of two young people. A number of schools across east Kent also recorded confirmed cases, including one in my constituency. I am grateful for the co-ordinated action led by the various agencies. Their swift response helped to ensure that clear public health advice was communicated and that vaccination programmes could be rapidly rolled out. Although I warmly welcome that action, at the time of the outbreak I joined colleagues from across the House in calling for more to be done. I was therefore pleased that, during the summer, the UKHSA and NHS England introduced a one-off national meningitis B vaccination programme to protect young people at the highest risk before the start of the new academic year, when meningitis B cases typically rise. The Joint Committee on Vaccination and Immunisation also published a number of recommendations on a routine meningitis B programme for adolescents. Before the summer recess, the Government were considering those recommendations. Will the Minister provide an update on those considerations? The meningitis outbreak in Kent...
It is an honour to serve under your chairship, Mrs Barker. I thank my Health and Social Care Committee colleagues for bringing forward this debate. One thing we learned during the pandemic was just how much we all rely on each other. Vaccines were a huge part of helping us get back to seeing our families and taking part in our communities. We got through that period because we recognised that looking after each other meant looking after ourselves. At the same time, we saw a growth of misinformation online. Many of us spent more time online during the pandemic and, too often, social media algorithms pushed people towards content that reinforces fear rather than answers questions. There is a fundamental problem with misinformation, which is that science is evolving and lives in the grey area; it is much easier to be wrong with certainty. Diseases that once killed and disabled huge swathes of our population have been brought under control because of generations of vaccines. That is something we should never take for granted. Vaccines do not cause autism; they cause healthy children. Yet we are seeing a worrying decline in the uptake of vaccines, which is the reason for this debate. In England, less than 84% of children have received both doses of the MMR vaccine, well below the 95% target that gives us the best protection. The consequences are not theoretical-we are experiencing them now. The growth of misinformation and the anti-vax movement puts children’s lives at risk. The...
It is a pleasure to serve under your chairship this afternoon, Mrs Barker. I commend the hon. Member for Uxbridge and South Ruislip (Danny Beales) on setting out the work that the Health and Social Care Committee has done, and all its members on looking into this vital issue. Not so long ago, hospitals in this country were filled with rows of iron lungs ventilating children paralysed by polio, and schools were forced to close their doors as measles swept through entire classrooms, leaving some children permanently disabled, and some parents burying their children. We do not see those scenes today, and that is because of one the single greatest achievements in the history of medicine: vaccination. In 2026, it is easy to forget that and to take for granted a world in which parents do not fear that a common childhood illness might kill their child. However, we are at risk of forgetting the lessons our grandparents learned the hard way, and the numbers prove it. In England, just 81% of five-year-olds have received their 4-in-1 jab against diseases such as polio and tetanus, down from 89% a decade ago, and only 84% have had both their MMR jabs, down from 88%. No childhood vaccine in this country now meets the 95% coverage threshold the World Health Organisation tells us we need in order to keep these diseases from spreading-and they are spreading. Over 800 cases of measles have already been confirmed this year, closing in on the total for the whole of last year. Vaccine take-up...
It is a pleasure to serve under your chairmanship this afternoon, Mrs Barker. I congratulate the hon. Member for Uxbridge and South Ruislip (Danny Beales) on securing this important debate. Why do we vaccinate? As we have heard today, we vaccinate because it prevents illness, it reduces the severity of illnesses that do occur, and it reduces complications. I should declare an interest as a consultant paediatrician in the NHS, as a parent of three children between 11 and 19 and as someone who was a volunteer vaccinator for many months at the local vaccine centre during the covid-19 pandemic. Vaccines were first identified, or discovered, by Edward Jenner in 1796. He discovered the smallpox vaccine, which eliminated smallpox completely between 1958 and 1977. We have seen that happen with so many diseases. I have a list, but it is so long that I am not sure I have time to read it all out: diphtheria, tetanus, polio, haemophilus influenzae, pertussis, rotavirus, hepatitis B, tuberculosis, flu, respiratory syncytial virus, shingles, human papillomavirus, various strains of meningitis, rubella, mumps, coronavirus-I could go on. There are so many different things to which we now have vaccines that we did not have previously and that have reduced the incidence of death and serious illness in so many people. It is almost impossible to quantify how many lives have been saved. I want to focus on measles, which several hon. Members have mentioned. My great-uncle Leonard died of measles...
It is a pleasure to serve under you today, Mrs Barker. I am grateful to the Chair of the Health and Social Care Committee, the hon. Member for Oxford West and Abingdon (Layla Moran), and its members for securing this important debate and am grateful to all hon. Members who have spoken this afternoon. I commend my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for his passionate opening statement. I also welcome the shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson), back to her place after the reshuffle; I congratulate her on surviving for so long. I know that Members across the House are very concerned about this issue. I have been struck by the knowledge and expertise around the Chamber this afternoon. Many questions have been posed. If I do not get to every question that Members have asked, I will write to them with an answer. After clean water, vaccination is the most effective public health intervention for saving lives and promoting good health. It protects individuals, protects families and protects communities. One vaccination can change the whole course of a life for the better or, if it is missed, for the worse. I am very conscious of that as a Hull MP, because in October 1961 we were the first city to mass-vaccinate with the new oral vaccine. When we faced a polio outbreak that threatened the city, over 350,000 people were vaccinated in two weeks. That led to the national roll-out soon afterwards, helping to...
Will the Minister give way?
I will carry on because I have very limited time, but I am happy to write to the hon. Gentleman or talk to him afterwards. I know there are concerns about the cuts that have been made to ICB running costs. These are planned reductions that relate just to administration, not the funding that will be used to provide frontline vaccination services. Turning to pre-school access, flexible services are critical. Vaccination rates are lowest in the most deprived communities, so improving uptake means making services easier to use. Pre-school children will continue to receive their vaccinations through their GPs. We have increased the payment to GPs for each routine childhood vaccination from £10.06 to £12.06 and changed the GP incentives to reward improvements where uptake is lowest. However, we recognise that GP services will not reach every family and are therefore testing vaccinations through health visiting teams, including through 12 pilots across England, four of which are in London. Health visitors have brought vaccines to family homes to ensure that the most vulnerable families are offered these lifesaving interventions. We have also been expanding the use of community pharmacies and are evaluating that. We are looking at supporting targeted local outreach as well. The aim is simple: to reach those who might otherwise miss out. School-age vaccinations are also a priority. The joint school-aged vaccination programme of work with my Department and the Department for Education...
Thank you, Sir Desmond, for chairing the end of the debate, if not the beginning. I thank the Minister for her response. I and the rest of the Committee welcome her commitment to get back to us and to work with us. I just politely point out that the very good measures that she has outlined are measures that the Government and the strategy have been undertaking for many years, and we have still seen the decline continue. I encourage her to go back to her officials and press them for a timeline to regain elimination status and reach the WHO targets. If they are unwilling to put a target on that, I would suggest that perhaps they are not confident in the measures that they have so far been taking to achieve them, but I thank the Minister for her commitment to work with us. Question put and agreed to . Resolved, That this House has considered vaccination rates in England.