Forty-Third Report - COVID-19: Planning for a vaccine Part 1

Select Committee
Public Accounts Committee HC 930 12 February 2021
Report Status Government responded
Conclusions & Recommendations 31 items (7 recs)
Government Response (AI assessment · 31 of 31 classified)
Government response
Treasury minutes: Government response to the Committee of Public Accounts on the Forty-third report from Session 2019-21 · published 3 Sep 2021

Recommendations & Conclusions

31 results
2 Recommendation Not Addressed
Despite BEIS’s confidence, concerns remain over the vaccine supply chain.
Recommendation
Despite BEIS’s confidence, concerns remain over the vaccine supply chain. Under the Government’s ambitious plans, everyone who wants a vaccination should be able to have one by Autumn 2021. This will depend on continuing vaccine supply. Whilst BEIS asserts that … Read more
Government Response Summary
The government response does not address the recommendation regarding an assessment of vaccine supply chain risks and a plan to address them.
HM Treasury
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3 Recommendation Not Addressed
BEIS has worked quickly to secure access to vaccines but could have been more transparent...
Recommendation
BEIS has worked quickly to secure access to vaccines but could have been more transparent about how decisions have been made. Transparency is essential to maintain public confidence and ensure taxpayers’ money is being well spent. BEIS has managed significant … Read more
Government Response Summary
The government response does not address the recommendation for BEIS to review its investment decisions, appointment processes, and the use of the Taskforce model.
HM Treasury
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4 Recommendation Not Addressed
DHSC, NHSE&I and PHE will continue to face significant challenges in making sure they can...
Recommendation
DHSC, NHSE&I and PHE will continue to face significant challenges in making sure they can get the vaccine to the right people at the right time. Each vaccine will require different plans for deploying because each has different characteristics. Getting … Read more
Government Response Summary
The government's response is a non-sequitur, referring to HM Treasury's breach of capital expenditure rather than providing an assessment of vaccine deployment challenges and risks as requested.
HM Treasury
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5 Recommendation Accepted
There is a risk that NHSE&I and DHSC’s plans for the vaccine programme will not...
Recommendation
There is a risk that NHSE&I and DHSC’s plans for the vaccine programme will not meet public expectations. NHSE&I recognises that its goal to vaccinate the first four priority groups by 15 February is a huge task which it appears … Read more
Government Response Summary
The government agrees with the recommendation, stating it has already implemented it by publishing the Covid-19 Vaccine Delivery Plan and the COVID-19 Vaccine Uptake Plan, and provides clear daily and weekly data, including breakdowns by age, region, ethnicity, and cohort.
HM Treasury
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6 Recommendation Accepted
Public confidence in the vaccine programme is crucial to its success yet some members of...
Recommendation
Public confidence in the vaccine programme is crucial to its success yet some members of the public and health professionals were confused by the messaging about when and how people can access a vaccine. The number of people who choose … Read more
Government Response Summary
The government agrees with the recommendation and states it has already implemented it, detailing ongoing efforts in clear public communication, provision of information on NHS.UK and GOV.UK, sharing FAQs with partners, and establishing cross-government units to counter misinformation.
HM Treasury
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1 Conclusion Not Addressed
On the basis of a report by the Comptroller and Auditor General, we took evidence...
Conclusion
On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department for Business, Energy and Industrial Strategy (BEIS), the Department of Health and Social Care (the Department), NHS England and NHS Improvement (NHSE&I), … Read more
Government Response Summary
The government response refers to an unrelated PAC conclusion about BEIS's expenditure, completely failing to address the committee's introductory statement about the basis of its report.
HM Treasury
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7 Conclusion Not Addressed
BEIS created a Vaccines Taskforce (the Taskforce) in April 2020 to support the research and...
Conclusion
BEIS created a Vaccines Taskforce (the Taskforce) in April 2020 to support the research and development of potential vaccines, select which vaccines to purchase, secure the UK’s 7 Committee of Public Accounts, CPVID-19: Supply of Ventilators, HC 685, 25 November … Read more
Government Response Summary
The government response reiterates the committee's description of the Vaccines Taskforce's creation and purpose, and does not provide new information or address the committee's implicit query about retaining skills and expertise.
HM Treasury
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8 Conclusion Accepted
The Chair of the Taskforce took up the unpaid post in May 2020.
Conclusion
The Chair of the Taskforce took up the unpaid post in May 2020. The Chair was appointed by, and reported directly to, the Prime Minister until the term expired at the end of 2020.17 We asked the former Chair about … Read more
Government Response Summary
The government agrees with the committee's observations, stating BEIS has considered its decision-making and appointments processes, implemented improvements for robust decision-making, and will consider replicating these improvements and sharing lessons learned with other departments.
HM Treasury
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9 Recommendation Accepted in Part
Our report on Government’s procurement and supply of personal protective equipment during the pandemic found...
Recommendation
Our report on Government’s procurement and supply of personal protective equipment during the pandemic found that a failure to be transparent had opened up Government to accusations of poor value for money, conflicts of interest and preferential treatment of some … Read more
Government Response Summary
The government agrees with the implied recommendation on transparency and conflicts of interest, outlining process improvements for decision-making, expert appointments, and managing conflicts within the Taskforce, while committing to future consideration of replicating these improvements and reporting lessons learned by April 2021.
HM Treasury
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10 Conclusion Not Addressed
We asked what premium the UK had paid for its access to the vaccines and...
Conclusion
We asked what premium the UK had paid for its access to the vaccines and their development at speed. BEIS asserted that the UK had not paid any premiums for access to the vaccines, as at the time the contracts … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, providing no further information on vaccine procurement prices or quantities.
HM Treasury
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11 Conclusion Not Addressed
In response to our questions about whether the UK now had access to enough doses...
Conclusion
In response to our questions about whether the UK now had access to enough doses of vaccine or would need to go back to buy more from other suppliers, the former Chair of the Taskforce told us that the “we … Read more
Government Response Summary
The government response reiterates the committee's observation that the UK has more vaccine doses than likely needed if all work, but does not provide its own specific update or position.
HM Treasury
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12 Conclusion Not Addressed
On 11 January 2021, the Secretary of State of Health and Social Care stated that...
Conclusion
On 11 January 2021, the Secretary of State of Health and Social Care stated that “the supply of the vaccine is currently the rate limiting step”.34 NHSE&I recognised that ensuring everyone who wants a vaccination can have one by Autumn … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, offering no additional information on vaccine supply timetables.
HM Treasury
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13 Conclusion Not Addressed
Manufacturing the vaccines is the responsibility of pharmaceutical companies.
Conclusion
Manufacturing the vaccines is the responsibility of pharmaceutical companies. In order to ensure that vaccines can be provided quickly to the UK and reduce the risks to its supply of the vaccine, BEIS calculated that it needed to invest £519 … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, providing no further details or updates on vaccine manufacturing capacity.
HM Treasury
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14 Conclusion Not Addressed
Government plans to have offered a first vaccine dose to everyone in the top four...
Conclusion
Government plans to have offered a first vaccine dose to everyone in the top four priority groups identified by the Joint Committee on Vaccination and Immunisation by 15 February. This includes: all residents in a care home for older adults … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, failing to engage with its content regarding vaccine rollout targets.
HM Treasury
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15 Conclusion Not Addressed
We asked NHSE&I whether the timetable for the roll-out of the vaccine was realistic, and...
Conclusion
We asked NHSE&I whether the timetable for the roll-out of the vaccine was realistic, and how fast it could reach those groups on the priority list. NHSE&I told us that over the first three weeks of the programme, it had … Read more
Government Response Summary
The provided government response is truncated and merely repeats the committee's observations about the vaccine roll-out without addressing them or offering any new information.
HM Treasury
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16 Conclusion Not Addressed
NHSE&I is planning its deployment of vaccines in the face of high levels of uncertainty...
Conclusion
NHSE&I is planning its deployment of vaccines in the face of high levels of uncertainty because information about the COVID-19 vaccines is still changing. It needs to keep its plans under review to ensure it can respond to the latest … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, offering no specific updates on plans for an annual vaccination programme or response to changing vaccine information.
HM Treasury
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17 Conclusion Not Addressed
Decisions about who will be vaccinated were taken by the Secretary of State for Health...
Conclusion
Decisions about who will be vaccinated were taken by the Secretary of State for Health and Social Care, as is the case with all vaccination programmes, based on advice from the Joint Committee on Vaccination and Immunisation.47 The Joint Committee … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, providing no new information on vaccine prioritisation decisions or advice.
HM Treasury
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18 Conclusion Not Addressed
We asked what progress had been made in identifying who would be prioritised in the...
Conclusion
We asked what progress had been made in identifying who would be prioritised in the next phase of the vaccine programme and whether those in key services, for example education, transport and those working in supermarkets, would be given priority. … Read more
Government Response Summary
The government response is a verbatim, truncated repetition of the committee's conclusion, failing to address the content or provide an update on vaccine prioritisation.
HM Treasury
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19 Conclusion Not Addressed
Each potential vaccine will require different plans for deploying it to the public because each...
Conclusion
Each potential vaccine will require different plans for deploying it to the public because each vaccine has different characteristics. This includes the temperature vaccines need to be stored at, their shelf-life once open, and any preparatory work needed before they … Read more
Government Response Summary
The government response reiterates the committee's observations about the differing logistical requirements for vaccine deployment based on their characteristics, without adding new information or committing to further action.
HM Treasury
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20 Conclusion Not Addressed
In September 2020, NHSE&I estimated that it could need up to 46,000 additional staff to...
Conclusion
In September 2020, NHSE&I estimated that it could need up to 46,000 additional staff to deliver the COVID-19 vaccination programme, including 26,000 vaccinators and 20,000 administrative staff. It planned to fill these posts through a combination of existing primary care … Read more
Government Response Summary
The government response reiterates the committee's conclusion about the estimated staffing needs for the vaccination program and the successful recruitment efforts, but provides no new information or specific government action.
HM Treasury
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21 Conclusion Not Addressed
The NHSE&I concluded that it was not possible to deliver both the COVID-19 and seasonal...
Conclusion
The NHSE&I concluded that it was not possible to deliver both the COVID-19 and seasonal flu vaccinations solely through existing arrangements such as GP practices and community pharmacies. In response, it developed three new delivery models to take account of … Read more
Government Response Summary
The government response reiterates the committee's conclusion on NHSE&I's development of new vaccine delivery models and the importance of local oversight, but offers no new information or specific government action.
HM Treasury
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22 Conclusion Not Addressed
We were concerned that this approach risked creating a ‘stop-start’ system where the logistics for...
Conclusion
We were concerned that this approach risked creating a ‘stop-start’ system where the logistics for vaccinations people were in place, but would be difficult to get up and running again if the roll-out was paused while other areas caught up. … Read more
Government Response Summary
The government response reiterates the committee's concern about a 'stop-start' vaccination system and NHSE&I's confirmation of considering smooth distribution, but provides no new information or specific government action.
HM Treasury
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23 Conclusion Not Addressed
In its written evidence to us, the Nuffield Council on Bioethics noted that COVID-19 had...
Conclusion
In its written evidence to us, the Nuffield Council on Bioethics noted that COVID-19 had a disproportionate impact on groups who already had unmet health needs, such as poorer and BAME communities, those living in care and those with learning … Read more
Government Response Summary
The government response reiterates the committee's conclusion regarding the disproportionate impact of COVID-19 on vulnerable groups and PHE's recognition of the issue, but does not provide its own specific response or update.
HM Treasury
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24 Conclusion Not Addressed
NHSE&I recognised that its goal of vaccinating the top four priority groups by mid- February...
Conclusion
NHSE&I recognised that its goal of vaccinating the top four priority groups by mid- February was a huge task.67 We noted that it would be essential for Departments to be clear in the language they used to describe progress with … Read more
Government Response Summary
The government response reiterates the committee's observation and concern regarding the clarity of language used to describe vaccine progress, but does not provide its own specific response or planned actions.
HM Treasury
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25 Conclusion Acknowledged
When it was first rolled-out, the vaccine programme included a three-week break between people receiving...
Conclusion
When it was first rolled-out, the vaccine programme included a three-week break between people receiving their first and second doses. In December 2020, the Government announced that the second dose of the vaccine would be administered 12 weeks after the … Read more
Government Response Summary
The government accepts the committee's conclusion by reiterating that the 12-week gap between doses was based on independent JCVI advice to maximise the early impact of the vaccination programme.
HM Treasury
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26 Conclusion Accepted
In 2019–20 the long-established seasonal flu vaccination programme had a take-up rate of 72% among...
Conclusion
In 2019–20 the long-established seasonal flu vaccination programme had a take-up rate of 72% among those aged 65 years and older, and up to 45% for those aged 64 years or younger. NHSE&I explained that it was using the flu … Read more
Government Response Summary
The government accepts the conclusion, stating that Public Health England, in partnership with NHS England and Improvement, continues to develop insights into vaccine hesitancy using academic experts, behavioural scientists, regular polling, and qualitative research.
HM Treasury
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27 Conclusion Accepted
PHE recognised that people trust their local GP, local faith groups and community groups so...
Conclusion
PHE recognised that people trust their local GP, local faith groups and community groups so public health organisations and local government will have an important role to play to encourage people to take-up the vaccine. Flu vaccination programmes have also … Read more
Government Response Summary
The government accepts the importance of convenience and trusted local sources for vaccine uptake and is working to provide choices for vaccination locations (GP practices, pharmacies, mass centres) and culturally sensitive messaging through local authorities and community leaders.
HM Treasury
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28 Conclusion Accepted
The number of people who choose to have the vaccine will ultimately be determined by...
Conclusion
The number of people who choose to have the vaccine will ultimately be determined by public trust in the vaccines.78 Our previous reports have shown the importance of clear and consistent communication and that a lack of information during the … Read more
Government Response Summary
The government accepts the importance of public trust and clear communication, detailing its ongoing efforts to provide public information via NHS.UK and GOV.UK, sustained communications campaigns informed by polling, and cross-government work to counter myths and misinformation.
HM Treasury
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29 Conclusion Accepted
Research commissioned by PHE showed that about two-thirds of the population were very likely to...
Conclusion
Research commissioned by PHE showed that about two-thirds of the population were very likely to take-up the vaccine, around 10% were unlikely, and the rest were uncertain. For those who were uncertain or unlikely to have the vaccine, efficacy and … Read more
Government Response Summary
The government accepts the importance of clear communication and outlines ongoing efforts, including detailed public information on NHS.UK and GOV.UK, proactive communications campaigns based on polling, sharing information with community leaders, and cross-government work to counter misinformation.
HM Treasury
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30 Recommendation Accepted
We were concerned by reports of confusion among health professionals and the public about what...
Recommendation
We were concerned by reports of confusion among health professionals and the public about what to expect from the vaccine programme and when. We asked NHSE&I how it was ensuring clear lines of communication so that people had access to … Read more
Government Response Summary
The government accepts the need for clear communication, including FAQs, and details its ongoing efforts to provide public information via NHS.UK and GOV.UK, proactive communications campaigns, and the sharing of FAQs with partners and community leaders.
HM Treasury
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31 Conclusion Accepted
NHSE&I explained that it would give people “more than one channel and more than one...
Conclusion
NHSE&I explained that it would give people “more than one channel and more than one chance” to come forward for a vaccine. It expected to have to go back to people who did not come forward after being contacted to … Read more
Government Response Summary
The government states it has worked closely with various bodies on clear public communication regarding vaccine development and rollout, maintaining proactive information campaigns to inform the public, address vaccine hesitancy, and tackle misinformation to prevent scams.
HM Treasury
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