29 Accepted

The Taskforce told us that predicting demand for 2022 remained difficult.

Recommendation
The Taskforce told us that predicting demand for 2022 remained difficult. It said it had consciously taken a cautious approach to procurement, based on the presumption that having too much vaccine would be better than having too little.71 There were opportunities to minimise wastage at all stages of the supply process, including careful handling and stock management by local sites; and action by the Taskforce to set up international donations and swaps, and reschedule deliveries with vaccine manufacturers.72 However, 63 Letter from NHS England to all Integrated Care System (ICS) Leads, Next steps for the NHS COVID-19 vaccination programme planning and delivery, 23 February 2022 and NHS England COVID-19 planning statement, Planning parameters for 2022/23, 23 February 2022 64 Q 57 65 Qq 34, 65 66 C&AG’s Report, para 15; Q65 67 Q 65 68 C&AG’s Report, para 15 69 Qq 65, 66 70 RCP0004 Note dated March 2022 from Boots UK, page 2 71 Q 34 72 Q 65; C&AG’s Report, paras 2.10, 2.17–2.19 The rollout of the COVID-19 vaccine programme in England 17 the officials noted that handling restrictions mean that, once vaccines had left UKHSA’s possession for onward supply to local sites, any unused doses could not then be donated abroad.73 We accept that a lot of work has been done to monitor and minimise wastage in the programme to date. The challenge for the future will be to build new and innovative solutions to keep wastage down. Funding certainty for COVID-19 response activities
Government Response Summary
The government agrees the recommendation is implemented. It highlights an integrated business planning process and contractual options to reduce, defer, or cancel inventory have been implemented to combat wastage and meet demand as closely as possible.
Government Response
Accepted
HM Government Accepted
6.1 The government agrees with the Committee’s recommendation. Recommendation implemented 6.2 The government has numerous safeguards and procedures in place to reduce the risk of dose wastage. 6.3 UKHSA manages the central storage and distribution of COVID-19 vaccines for the UK programme. As of 30 July 2022, 946,525 doses of COVID-19 vaccines were destroyed or identified for destruction, accounting for 0.46% of the total vaccine volumes delivered and brought under UKHSA management. 6.4 NHSE is responsible for any wastage once vaccines have left UKHSA’s warehouses. As of 12 July 2022, the England programme had administered 125.9 million COVID-19 vaccinations. 5.04 million (4%) doses have been recorded as waste by vaccination sites and under 1 million (0.7%) doses reported as waste, expired or damaged by wholesale partners. These figures are significantly lower than the initial planning assumption of 15-20% total wastage. 6.5 Doses have been offered to other countries where not required by the UK domestic programme, though demand is now very low. The UK has offered the 100 million doses it committed to donate in 2021 and by 30 June 2022, the UK had donated over 84.4 million doses. 6.6 Recent procurements, targeting 2022 and 2023, have been against a reasonable worst-case scenario assumption. To date in 2022, it has not been necessary to extend the campaigns in line with the reasonable worst-case scenario. This, along with other factors including global supply for vaccines outstripping demand, will likely lead to an increase in wastage. 6.7 To combat wastage, the government has implemented an integrated business planning process to ensure supply risks are accounted for, contingency measures identified, and forecast demand is met as closely as possible. Contractual options to reduce, defer, or cancel inventory are also employed where available. 6.8 Details of future supply are commercially sensitive and so will be shared in confidence with the Committee in a letter.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 4.0 yrs
Report published 13 Jul 2022