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Covid-19: Vaccinations
11 January 2021
Lead MP
Nadhim Zahawi
Debate Type
Ministerial Statement
Tags
NHSSocial CareDefenceEmploymentStandards & Ethics
Other Contributors: 32
At a Glance
Nadhim Zahawi raised concerns about covid-19: vaccinations in the House of Commons. A government minister responded. Other MPs also contributed.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Government Statement
The Minister announced the UK's comprehensive vaccine delivery plan, highlighting achievements such as over 2.3 million vaccinations given in England and securing access to 367 million doses from seven different vaccine developers. The statement outlined four key pillars: supply, prioritisation, places, and people. On supply, it emphasised early investments, rapid procurement of vaccines, and the establishment of the Vaccine Task Force which secured diverse vaccine types. Prioritisation focused on protecting vulnerable groups first, especially those in healthcare and social care systems. Places include over 2700 vaccination sites across various types including large centres, hospital hubs, local GP practices, and community pharmacies. People involve a workforce of around 80,000 staffed by NHS personnel, volunteers, and armed forces. The Minister committed to transparency through regular data updates.
Alex Norris
Lab/Co-op
Nottingham North
Question
The Shadow Minister raised concerns about the conventional nature of the vaccination plan, questioning the rationale behind not offering 24-hour access. He also asked for assurances regarding maximised vaccine supply utilisation and immediate prioritisation of NHS staff vaccinations within a fortnight.
Minister reply
The minister responded by underscoring the need to balance flexibility with practical delivery methods, acknowledging that while 24/7 operations are not currently envisioned, efforts are ongoing to ensure efficient service. He reaffirmed the commitment to utilise available supply optimally and stated plans for expedited vaccination of health and social care workers within a two-week timeframe.
Alex Norris
Lab/Co-op
Nottingham North
Question
I am grateful to the Minister for advance sight of his statement. We meet today at a challenging moment in the handling of the pandemic with growing infection rates, lockdowns, and school closures. The vaccine provides hope but demands scrutiny given past failures like test and trace system issues. Concerns are raised about traditional delivery methods without 24/7 access and mass deployment of community spaces. Assurance is sought that the plan will deliver on promised timelines for top priority categories by mid-February. NHS staff shortages highlight the need to inoculate them immediately, demanding a national-level emphasis with all staff vaccinated within two weeks. The role of pharmacies in delivery and their number involvement are questioned. Concerns about care home vaccination lag and misinformation impact monitoring are raised.
Minister reply
I am grateful for the hon. Member’s backing and support. Test and trace now delivers 85% identification of direct contacts and up to 96% indirect contact identification, with over 5 million tested and isolated since March. The decision to operate from 8am-8pm is prioritised for targeting vulnerable categories efficiently without vaccine wastage. NHS commitment to vaccinating health and social care workforce quickly and residents by January end reaffirmed. Data publication on a daily rhythm including regional breakdowns will be provided.
Jeremy Hunt
Con
Godalming and Ash
Question
I congratulate the Minister on getting this programme off to a flying start: to vaccinate 2 million people, including a third of over-80s, six weeks after the first dose was approved is an extraordinary achievement unmatched by any similar country. May I ask him about the speed of the roll-out? Many people want teachers to be jabbed as quickly as possible, but is it the case that all those in groups 1 to 4 will need their second jabs before we can make real inroads into other key groups? And will he publish the breakdown of numbers vaccinated not just by region but by local authority area, because a lot of people would like to know just how many people have been vaccinated in their local area?
Minister reply
I am grateful for my right hon. Friend’s compliment and this is only the start. I hope that, as we progress in the weeks and months to come, the focus and the rate of output will continue to rise. My right hon. Friend raises an important point around the critical workforce for the economy, like teachers. The Joint Committee on Vaccination and Immunisation looked at all these issues and has come out very clearly in favour of us vaccinating the nine cohorts that are most vulnerable to dying from covid-19, hence why that is absolutely our focus. We are committed to making sure that people get two doses, so if they have received their Pfizer first dose, they will get their Pfizer second dose within 12 weeks of the first dose. Similarly, if they have had their AstraZeneca first dose, they will get their AstraZeneca second dose within 12 weeks.
Question
The Joint Committee on Vaccination and Immunisation was very clear that those who live in care homes were the top priority for vaccination against covid-19. Due to integration of health and social care, Scottish health boards were able to deliver the Pfizer vaccine into care homes in December, and well over 70% of such residents have already been vaccinated across Scotland. In my own health board, the phase is almost complete. So can the Minister explain why in England care home residents were not the first cohort to receive the Pfizer vaccine in December, and as only a quarter have received their first dose, when does he expect all such residents to have been vaccinated? People over 80 years are now being offered vaccination, but there are only 1,200 sites to cover the whole of England—a similar number to Scotland, which has less than 10% of the population. This means elderly people are being asked to travel long distances, despite their age and the fact that many will be also shielding. As the letter does not offer the option to wait and have their vaccine at a local GP surgery, does the Minister recognise that many are now feeling pressurised into travelling, despite the current dangers? So will he take this opportunity to clarify that the vaccines will gradually be made available through all GP surgeries and that elderly patients who cannot travel long distances will be offered a further opportunity closer to home?
Minister reply
There is a lot to unpack there; let me try to take the points in reverse. We can guarantee that those who have had their Pfizer vaccine will get their booster within the prescribed period of up to 12 weeks. The hon. Lady asked about those who have had a second jab already. Information went out to primary care networks and hospital hubs, saying that those who have an appointment up to 4 January should be able to have their appointment honoured. Beyond that, they have been working very closely with the NHS England team centrally, which we have been supporting with resources and actually phoning to postpone those appointments further; hence why we have protected many more people.
Question
I will be as quick as I can, Madam Deputy Speaker. Some of my Beckenham constituents have contacted me to say that they think they should have had the vaccination already; two of them are in their 90s, so I am slightly alarmed. I am told that GPs are not necessarily the people to go to in order to ask what is happening, so I wonder who my constituents and I should go to when the system—inadvertently, perhaps—does not actually give out an appointment that it might have done.
Minister reply
My hon. Friend’s constituents will be contacted, either by their primary care network or by letter from the national booking service. They do not have to go to the national vaccination centre if that is inconvenient; they will be able to get their vaccination through their primary care network or the hospital hubs. I am very happy to take those particular two cases offline, look into them and give him some more details.
Munira Wilson
Lib Dem
Twickenham
Question
I would like to dig a bit deeper into the supply question. I had the privilege of visiting a GP surgery in my constituency on Friday, where I was told by the doctor in charge that they cannot book the next set of appointments because they do not know when they will get the next delivery of the vaccine. I have heard from other centres that they are not allowed to move on to the next cohort when they finish the under-80s, in order to ensure that there is equity across the country. The Minister has said that we cannot have 24/7 vaccinations because of supply. Is the supply issue the rate at which the product is being manufactured, the rate at which it is being packaged, the rate at which it is being batch tested, or the rate at which it is being distributed around the country?
Minister reply
The hon. Lady asks an important question. In any manufacturing process—especially a new one—it is always lumpier at the beginning, and there are more challenges. There are a number of tests done by both the manufacturer and the regulator; the batch testing at the end of the process is done by the regulator, to make sure that the batches meet the very high standards that we have in the United Kingdom. That will begin to become much smoother and stabilise, and we have a clear line of sight through to the end of February, hence why we are confident that we can meet the target of offering a vaccine to the top four most vulnerable cohorts on the list of nine from the JCVI by the middle of February.
Mark Pritchard
Con
The Wrekin
Question
Would the Minister like to join me in thanking NHS staff in Telford and Wrekin and Shropshire for having vaccinated more than 15,000 people already? Could he also reassure my constituents who have received a letter from NHS England inviting them to have a vaccination in Birmingham or even Manchester—an hour and 45 minutes away—that if they wait just a few more days, they can choose, if they wish, to have a vaccination very locally?
Minister reply
I absolutely join my hon. Friend in congratulating and thanking the heroes of the NHS and the volunteers in Telford and Wrekin and Shropshire for vaccinating 15,000 people—15,000 of the most vulnerable people to covid who, in a couple of weeks’ time, will have that protection. He is right, I can confirm, that anyone receiving a letter where it is inappropriate or not possible for them to travel that distance to a national vaccination centre does not have to do so. They will be able to be vaccinated in their primary care network at a time and place that is convenient to them.
Jim Shannon
DUP
Strangford
Question
What system is in place to ensure that if someone does not turn up for their vaccine, not one slot or vaccine goes to waste, and that a secondary list is immediately available with staff to substitute?
Minister reply
The NHS has made sure that hospital hubs and primary care networks have on speed dial the care home workers and frontline healthcare personnel so they can get vaccinated as quickly as possible. This ensures no dose is wasted.
Question
Can my hon. Friend say how the large difference in patient numbers at each hub is factored in when vaccine supplies are dispatched? I reiterate the need for clinical commissioning group-level data to monitor progress.
Minister reply
The volumes of vaccines will ensure that the service will receive plenty of vaccines to hit the target by mid-February. The local vaccination centre should have enough supply to meet the demand.
Stella Creasy
Lab Co-op
Walthamstow
Question
Will the Minister pledge that all residents in smaller care homes will at least get an invitation within the next week, so that they know when they will get the vaccine?
Minister reply
We will vaccinate or offer to vaccinate all residents of care homes by the end of January. The statistic shared earlier is that for every 20 residents vaccinated, a life is saved.
Question
Can my hon. Friend set out his strategy to make sure that all our constituents take up this vital vaccine?
Minister reply
The focus is on information and communication to protect individuals and communities, especially those from black, Asian and minority ethnic backgrounds who work in care homes.
Question
Can he make sure that local authorities, clinical commissioning groups and others promote examples of where people have had the vaccine so that they can be shared to counter some of those more damaging messages?
Minister reply
Local government and public health leaders should tell the story effectively by sharing positive examples within communities.
Question
I ask him to look in particular at how the roll-out is being managed by the health services in South Derbyshire. Sadly, compared to our neighbours in Erewash and Burton, so far only a very limited number of people have been called to a local site run by our GPs.
Minister reply
The NHS has done an incredible job but teams outperform others. Additional resources are ready to help as needed.
Cat Smith
Lab
Lancaster and Wyre
Question
Can he reassure my constituents that we will get a mass vaccination centre on the Fylde coast and in north Lancashire?
Minister reply
No one should be more than 10 miles away from a vaccination site by the end of January.
Question
What facilities is his Department putting in place to answer questions quickly from very worried constituents?
Minister reply
Engagement with local government ensures that residents are captured by primary care services and community pharmacies, and additional support is available if needed.
Question
Does the Minister expect NHS England to be able to keep up with the vaccination demand despite this lack of investment?
Minister reply
The Chancellor has made £6 billion available for the NHS family to make sure we deliver and deploy as fast as we can to the most vulnerable.
Question
Can my hon. Friend confirm that vaccines will start to be available in Aylesbury in days rather than weeks?
Minister reply
Vaccines should start being available in Aylesbury soon with residents within 10 miles of a vaccination site by the end of January.
Toby Perkins
Lab
Chesterfield
Question
The vaccination centre in Chesterfield—the largest town in Derbyshire—is opening only on Wednesday. It is clear from recent conversations with Derby and Derbyshire clinical commissioning group that we are not on target to have all vulnerable groups done by 15 February, and there is no centre at all in Staveley. What will happen between now and 15 February to get us from the current position to achieving the target the Minister has set, which we all so desperately want him to achieve? Will he also ensure that there is a centre in Staveley?
Minister reply
It is great to see the hon. Member looking fit and well; I wish him all the very best. He is right to say that we must ensure that every part of the country meets that target, offering those four cohorts the opportunity of a vaccine. We are looking to ensure that we publish more granular data—regional data—so that we can see which areas are not keeping up the pace and therefore direct resources to them, so that by mid-February they have made that offer.
Question
I thank my hon. Friend for his statement and for his hard work on vaccine deployment. Many of my constituents have raised their concerns over the speed of vaccination roll-out in north Wales. Will he confirm the quantity of vaccine delivered to Wales so far? Will he also undertake to publish regular updates on the delivery of future batches so that it can be clear where bottlenecks in the roll-out are occurring?
Minister reply
We work closely with the Welsh, Scottish and Northern Irish Governments on the programme and ensure that we deliver the vaccine volumes to them. Although we do not publish the exact quantities of vaccine for a variety of reasons—including that the whole world is looking to get more volume of vaccines and we do not want to disadvantage ourselves in any way commercially—I reassure my hon. Friend that all the devolved Administrations will have enough to be able to offer those four JCVI cohorts the opportunity to be vaccinated and protected by mid-February, at least with a first dose.
Florence Eshalomi
Lab Co-op
Vauxhall and Camberwell Green
Question
Teachers in Vauxhall are working tirelessly to manage the delivery of classrooms online as well as teaching the most vulnerable key worker children in our schools. The Minister highlighted earlier that he will prioritise those most likely to die and that he will keep teachers at the forefront of his mind. Can I please ask him why teachers and school staff on the frontline of the pandemic are not being protected? What is the timeline for getting them vaccinated?
Minister reply
I thank all the teachers in Vauxhall and the rest of the country for the work they are doing on online education as well as teaching children from the most vulnerable families and the children of our NHS and social care staff on the frontline. The hon. Member is right to highlight the issue. Some teachers—those who are clinically vulnerable, for example—will be captured in the nine cohorts set out for us by the Joint Committee on Vaccination and Immunisation, as will those in the right age groups in categories one to nine. I give her the commitment that as soon as we are through phase one, the priority absolutely will be to ensure that those who are critical to the functioning of the future of our country—the future generations to come—are prioritised.
Question
I congratulate my hon. Friend on his excellent start. In Newbury, we are due to receive our first doses later this week. The issue is one of information. All my constituents want to know is when the doses will be received and when their loved ones can expect to be contacted. May I invite my hon. Friend to work with NHS England to ensure that timely local information is made readily available going forward?
Minister reply
I absolutely share my hon. Friend’s concern. I give her that commitment. The team at NHS England is working and focusing on giving as much time and notice as possible to primary care and hospitals on when they get deliveries, so they can make those appointments and keep vaccinating those who are most vulnerable. That is exactly its priority at the moment.
Emma Lewell
Lab
South Shields
Question
Throughout the pandemic, community pharmacies have never closed—they really have been some of our unsung heroes. The Shields Gazette, my local paper, has launched its “Shot in the Arm” campaign. We want to know why the Minister will not allow all those experienced and dedicated community pharmacies to deliver the vaccine.
Minister reply
First of all, with respect, that is inaccurate. Community pharmacies are already part of the primary care networks that are delivering the vaccines. I have also made very clear in the strategy that there will be 200 community and independent pharmacies as part of the vaccination programme in phase one, where we need that volume and throughput. The community pharmacies that can do 1,000 vaccinations a week are very much part of the programme and we thank them for that. As we get to the next stage, where we have vaccines in limitless volumes, it is about convenience and ramping up the number of community pharmacies that can also join in the fight against covid.
Question
I congratulate my hon. Friend on a remarkable start. I can confirm that in Calderdale we have already vaccinated more than 50% of the over-80s. Can I just press him on communication channels with patients and the vaccination process? We see GP surgeries giving out very little information. We have already heard about letters going out for the larger hubs, but people just do not understand what the process is. Could he work with GP surgeries and others, so that the general population can understand the process?
Minister reply
I am grateful to my hon. Friend, who always asks very important practical questions. He is absolutely right to say that it has been challenging. Part of the challenge, which I think we have addressed today, is the amount of notice primary care networks and GPs have of a delivery. That will only get better as we stabilise deliveries to the warehouses and are then able to take them out into the primary care networks and hospitals. I will of course work with primary care networks and the whole of the NHS family to make sure our communications get better and better.
Salford
Question
In Salford, we receive little or no notice that a delivery of the vaccine from the Government is due. Some batches have not turned up at all. When they do arrive, we act quickly. It was therefore staggering when, late last night, our clinical commissioning group was instructed to cancel 924 pre-existing second dose Pfizer appointments, with little time to book new appointments before the batch expires at midday on Wednesday. Will the Minister now allow local CCGs to plan and order their own vaccine batches? Can he assure those whose time before their second Pfizer dose has been elongated that they will be 70% to 90% protected for up to 12 weeks?
Minister reply
I shall take the hon. Lady’s questions in reverse. The four chief medical officers have looked at the issue of the up-to-12-week dosing and all agree that it is the right thing to do. I apologise to the people Salford for that cancellation, if that is what happened yesterday. We have touched on this, but part of the issue has been the lumpiness in the deliveries in the early days, which will begin to become much smoother. The NHS central team, with Brigadier Prosser and the 101 Logistic Brigade, are absolutely focused on making sure that we give as much notice as possible to primary care networks so that they can plan ahead, and that will only get better and better as we smooth out the delivery process from manufacturer into warehouse.
Question
The local NHS is doing a fantastic job of rolling out the vaccine to priority groups in Burney and Padiham, but some residents have contacted me because they are confused about what process they need to follow, so will my hon. Friend set out whether residents need to contact the national booking centre or are better to wait for their GP to contact them?
Minister reply
If people receive a letter from the national booking centre and it is more convenient for them to take up that appointment than to call and make an appointment, they should get their vaccination done through the national booking centre. If that is inconvenient, they can absolutely wait and the primary care network will contact them and give them an appointment to make sure that they are vaccinated. Our absolute pledge is to make sure that the four categories that are most vulnerable to coronavirus are offered a vaccine by mid-February.
Question
In Scotland, care home residents have been tackled quicker than those in England, overall coverage in Scotland is similar to that in England, and pro rata Scotland has way more vaccination sites, yet the Chancellor of the Duchy of Lancaster has caused concern by stating that the Scottish Government are somehow sitting on supplies, and he did that by comparing coverage to actual allocation. As we tackle fake news, does the Minister agree that it is irresponsible to play politics with fudged figures on such an important subject?
Minister reply
Scottish care homes tend to be much larger in profile than the 10,000 homes in England. We are very much focused on making sure that we vaccinate all care home residents by the end of January. We are working with the four CMOs, who are working very closely together, to make sure that that particular cohort is protected. As I mentioned earlier, if we protect 20 residents, we save a life, and that is what we do.
Bury South
Question
We should rightfully be proud of the huge national effort that is taking place to vaccinate the British people against covid. We have seen the incredible speed and efficiency of Israel’s vaccination drive, which is on track to vaccinate all over-16s by the end of March, so what discussions has my hon. Friend had with his Israeli counterpart about replicating Israel’s success, particularly in the areas of digitisation and accessibility?
Minister reply
I commend the Israeli Government and health service for a stellar job in vaccinating their most vulnerable communities. We have a lot to learn from other countries, including the throughput—the speed at which they manage to vaccinate—which is something from which we can all learn so that we can improve our output. NHS England and the teams on the frontline have been doing a tremendous job and is worth us all thinking about that: we stand on the shoulders of real heroes.
Jeremy Wright
Con
Kenilworth and Southam
Question
I congratulate my hon. Friend on the progress made so far, but ask him for some reassurance about those whose appointments have been cancelled due to the vaccine unexpectedly not being available. Will he confirm that they will not be forgotten about, that they will not lose their place in the queue and that they will be reached swiftly?
Minister reply
My right hon. and learned Friend is absolutely right. I can give him the reassurance that anyone who has had their appointment cancelled will get that appointment reinstated and will get their vaccine. Our absolute commitment is to make sure that those four most vulnerable cohorts have the offer of a vaccine by the middle of February.
Lilian Greenwood
Lab
Nottingham South
Question
I heard the Minister’s earlier comments about vaccinations for teachers and school support staff, but what about the position of special schools? Should their staff, who work with profoundly disabled young people, including those with serious neuro-disabilities, and who provide personal and intimate care, not be treated in the same way as frontline social care workers?
Minister reply
The Lady is absolutely right to highlight that cohort, some of whom will be picked up in category 4 and some of whom will be picked up in category 6—this will include the people who look after them.
Question
Vaccinating those in care homes will ensure that some of society’s most vulnerable are protected against this awful virus. However, many people receive care at home, so does my hon. Friend agree that they should be treated in the same way as those in care homes, as they have no option but to interact with many different people?
Minister reply
My hon. Friend is absolutely right; the primary care networks are best suited to focusing on that and delivering that vaccination, which will protect those who are most vulnerable from dying from covid-19.
Question
All credit and our great thanks to the vaccine taskforce and to our scientists, who have been brilliant in developing the vaccine. In our history, it has often been production engineering that has let us down, so may we have some figures? How many doses are produced each day? What is our manufacturing capacity? Are there any hold-ups or capacity problems in testing the batches? How many doses are being filled in the vials each day? Again, what is the maximum capacity?
Minister reply
It is not our capacity, but the manufacturers’; AstraZeneca produces the Oxford vaccine, and Pfizer-BioNTech produce their vaccine, and Moderna’s is now also approved and in process. There are a number of processes throughout the manufacturing process. When we go from the bulk vaccine into fill and finish, there is a period of time and a sterility test the vaccines have to go through. Then there is batch testing by both the manufacturer and the regulator. All of that gets better and better every single day. It is a new manufacturing process. Oxford-AstraZeneca are delivering 100 million vaccines, which is what we have bought from them, and we have bought 40 million from Pfizer. We will have millions of vaccines in the weeks and months to come. We will meet our target of mid February for delivering the opportunity of a vaccine to the four cohorts most vulnerable to covid.
Shadow Comment
Alex Norris
Shadow Comment
The Shadow Minister welcomed the vaccine plan but expressed concerns about its conventional approach compared to exceptional times, questioning the basis for not offering 24/7 access. He asked for assurances that supply constraints would be maximised and highlighted the need for immediate vaccination of NHS and social care staff who are vital to maintaining services despite current shortages. Norris also sought clarity on community pharmacy involvement, with only 200 pharmacies out of over 11,500 participating initially, and queried about lagging vaccination rates in elderly care homes versus other demographics. He called for daily metrics tracking health and care staff vaccinations and expressed readiness to support government efforts against misinformation.
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