First reported 25 Jun 2018•Latest report 10 Jun 2021
Definition
What this concern includes
Includes failures in vaccination-programme controls that prevent eligible people from reliably receiving a recommended vaccination, including identifying people missed by a school programme, allocating responsibility for safety-net vaccination, offering or arranging vaccination, administration and follow-up of non-receipt across healthcare and public-health settings.
Not included
Excludes vaccine-safety, adverse-reaction and vaccine-product-quality concerns where the issue is not failure to provide an indicated vaccination.
Excludes policy proposals to expand eligibility or introduce a vaccination programme where no failure to deliver an already recommended vaccination is identified.
Excludes generic healthcare access, record-keeping or communication deficiencies unless they directly result in an eligible person not receiving a recommended vaccination.
Excludes failures limited to monitoring population coverage or reporting vaccination data where no person-level failure to provide an indicated vaccination is asserted.
Reports
3
Distinct published reports
Individual concerns
6
A report can raise multiple concerns
Date range
2018–2021
First to latest report issue date
Stated actions
9
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
NHS England3
Department of Health and Social Care1
Maidstone and Tunbridge Wells NHS Trust1
Executive non-departmental public body3
Ministerial department1
NHS trust1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Manchester South
Concerns raised1
Failure to provide Covid-19 vaccination to eligible inpatients
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Local organisations decide whether and where to offer hospital inpatients Covid-19 vaccination, within the JCVI’s prioritisation advice.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Kent (North-West)
Concerns raised2
Failure to provide Men ACWY vaccination to eligible patients
Inadequate systems for providing and monitoring Men ACWY vaccination
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Write to local practices asking them to verify Men ACWY alert activation and invite eligible patients.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 April 2019.
Action
Continue offering opportunistic Men ACWY vaccination to eligible people up to age 25 during 2019/20.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 23 April 2019.
Action
Undertake a national review of vaccination and immunisation arrangements, including call-and-recall expectations.
Stated by NHS EnglandStated plannedThe respondent said that this action was planned when they made their response on 23 April 2019.
London (East)
Concerns raised3
Unclear responsibility for capturing children unvaccinated through the school programme
Lack of audit of GP practices’ systems for identifying and protecting children unvaccinated through the school programme
Lack of systems to identify children not captured by the school vaccination programme
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Share the adolescent vaccination guidance algorithm with relevant services.
Stated by NHS EnglandStatus unclearThe respondent did not make the status of this action clear when they made their response on 14 August 2018.
Action
Work with clinical commissioning groups to embed vaccination call-and-recall systems in GP practice systems.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 14 August 2018.
Action
Provide regular CHIS process reports to the national NHS England oversight group.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 14 August 2018.
Action
Work nationally to ensure eligible people are offered Men ACWY vaccination through schools or GP practices.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 14 August 2018.
Action
Audit regional vaccination call-and-recall systems and research factors affecting Men ACWY uptake.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 14 August 2018.
Action
Launch an electronic record of children’s public health interventions across London, replacing separate local record systems.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 14 August 2018.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
Existing service specifications clearly allocate responsibility for delivering school-based and GP-based vaccination services.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
GP practices are responsible for administrative systems and acting on vaccination information received from Child Health Information Services.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
GPs must provide eligible registered patients with Men ACWY vaccination or notify NHS England so an alternative primary care provider can do so.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
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Includes failures in vaccination-programme controls that prevent eligible people from reliably receiving a recommended vaccination, including identifying people missed by a school programme, allocating responsibility for safety-net vaccination, offering or arranging vaccination, administration and follow-up of non-receipt across healthcare and public-health settings.
