31 Accepted

There are many other parts of the vaccine programme, including GPs and pharmacies, external contractors,...

Recommendation
There are many other parts of the vaccine programme, including GPs and pharmacies, external contractors, volunteer schemes, local authorities and temporary staff, that are central to the delivery of the programme and that need timely confirmation about what funding will be available.77 The Directors of Public Health told us the commissioning process for vaccination had been unnecessarily complex, top-down and inflexible, and that the lack of confirmed and recurrent funding had hampered their ability to plan for the long term and led to missed opportunities.78 It is self-evident that, where organisations do not know if funding will be available in the near future, they may take suboptimal decisions, for example to cancel activities that are beneficial and should continue. Specifically for the Taskforce, an added complexity is that it receives funding from both the Department of Health and Social Care and the Department of Business, Energy and Industrial Strategy, the latter to boost domestic manufacturing capacity.79
Government Response Summary
The government agrees with the recommendation, recognising the importance of timely budget setting. It has committed a minimum of £2 billion for vaccine procurement and deployment in 2022-23, with a target implementation date of Spring 2023.
Government Response
Accepted
HM Government Accepted
7.1 The government agrees with the Committee’s recommendation Target implementation date: Spring 2023 7.2 Funding for the vaccine procurement and deployment programme is held within DHSC budgets. The delivery responsibility for procurement sits with the Vaccine Task Force joint unit, and for the deployment programme with the NHSE vaccine programme director as Senior Responsible Owner. The department recognises the importance of setting annual budgets and funding in good time. Ahead of the start of 2022-23, this process was unfortunately delayed in part due to the response to the Omicron variant, and while the Living with Covid strategy was being developed and agreed. 7.3 The department has currently set aside a minimum of around £2 billion of funding in the 2022-23 financial year for vaccine procurement and deployment against COVID-19. 7.4 For the 2022-23 financial year, the department is set to have delivered a spring booster to the most vulnerable adults, rolled out vaccinations to 5-11-year-old children, and deployed an autumn booster to adults aged 50 and over, clinical risk groups and frontline health and social care workers. This is as well as a continued offer to vaccinate those eligible from last year’s campaigns and maintaining the capability to expand or accelerate the programme, similar to what was required following the emergence of the initial Omicron variant last FY. As the country learns to live with COVID it is a possibility that the programme will need to adjust its course throughout the year and deploy to further cohorts should that be needed, and in accordance with JCVI recommendations. Budget allocations are therefore subject to change in response to these modifications to the vaccine programme.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 4.0 yrs
Report published 13 Jul 2022