This statistical report, co-authored with the UK Health Security Agency (UKSHA), reports childhood vaccination coverage statistics for England in 2023-24. Data relates to the routine vaccinations offered to all children up to the age of 5 years, derived from the Cover of Vaccination Evaluated Rapidly (COVER). Additional information on children aged 2 and 3 vaccinated against seasonal flu are collected from GPs through UKHSA's ImmForm system.

As of January 18, 2023, Portugal had the highest COVID-19 vaccination rate in Europe having administered 272.78 doses per 100 people in the country, while Malta had administered 258.49 doses per 100. The UK was the first country in Europe to approve the Pfizer/BioNTech vaccine for widespread use and began inoculations on December 8, 2020, and so far have administered 224.04 doses per 100. At the latest data, Belgium had carried out 253.89 doses of vaccines per 100 population. Russia became the first country in the world to authorize a vaccine - named Sputnik V - for use in the fight against COVID-19 in August 2020. As of August 4, 2022, Russia had administered 127.3 doses per 100 people in the country.

The seven-day rate of cases across Europe shows an ongoing perspective of which countries are worst affected by the virus relative to their population. For further information about the coronavirus pandemic, please visit our dedicated Facts and Figures page.

Children for whom the local authority is responsible who completed a booster course of diphtheria, tetanus, pertussis, polio (DTaP and IPV) vaccine at any time by their fifth birthday as a percentage of all children whose fifith birthday falls within the time period.RationaleA booster vaccine for diphtheria, tetanus, pertusiss and polio disease has been in the routine childhood immunisation programme since late 2001. It is currently offered at 3 year and 4 months or soon after. Vaccination coverage is the best indicator of the level of protection a population will have against vaccine preventable communicable diseases. Coverage is closely correlated with levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise. Previous evidence shows that highlighting vaccination programmes encourages improvements in uptake levels. May also have relevance for NICE guidance PH21: Reducing differences in the uptake of immunisations (The guidance aims to increase immunisation uptake among those aged under 19 years from groups where uptake is low).Definition of numeratorNumber of children in LA responsible population whose fifth birthday falls within the time period who received a DTaP and IPV booster at any time before their fifth birthday.Definition of denominatorTotal number of children in LA responsible population whose fifth birthday falls within the time period. Coverage figures are supplied for patients registered with GPs based in that LA and for unregistered patients who were resident in that LA. The LA responsible population is therefore different from the estimated resident population figures produced by the Office of National Statistics (ONS) for each LA. For the COVER collection, the LA responsible population is usually derived from the population registers held on CHISs.CaveatsFull GP postcodes are used to aggregate data to ICB. The GP-level coverage data is collected by NHS Digital Strategic Data Collection Service (SDCS) and published by the UK Health Security Agency (UKHSA) COVER team. ICB data is experimental and should be treated with caution as it is not an official statistic.Information on childhood immunisation coverage at ages one, two, and five is collected through the UK COVER collection by UKHSA. These aggregated data are collected from CHISs, computerised systems storing clinical records that support health promotion and prevention activities for children, including immunisation. In England, COVER data are collected for Upper Tier Local Authorities (LAs) using the COVER data collection form. These are established collections based on total populations, not samples.The number of CHIS systems has decreased from over 100 in 2015 to around 70 by mid-2017. As different phases of the digital strategy are implemented across the country, it is anticipated that there may be further temporary local data quality issues associated with the transition. Temporary data quality issues in some London COVER returns during 2017 to 2018 were observed in the quarterly COVER reports as the new Hubs became responsible for generating coverage data. Changes in vaccine coverage within London should therefore be interpreted with caution for the time being.Data are extracted directly from local population registers, and data issues are generally related to underestimation of coverage. There may be some overestimation of denominators due to children who have moved away remaining on the area register, which can lead to underestimates of coverage. In some areas, it is known that a small number of GPs do not submit vaccination data to the local CHIS, also resulting in underestimation of coverage. Using non-standardised data extraction methods could result in overestimated coverage.Caution should be exercised when comparing coverage figures over time due to occasional data quality issues reported by some data suppliers. Apparent trends could reflect changes in the quality of data reported as well as real changes in vaccination coverage. While this issue will be more apparent at the local level, it may also impact national figures. Similarly, some caution should be exercised when comparing coverage between different areas where data quality issues have been reported.

Our statistical practice is regulated by the Office for Statistics Regulation (OSR). The OSR sets the standards of trustworthiness, quality and value in the Code of Practice for Statistics that all producers of official statistics should adhere to.

Provisional monthly uptake data for seasonal influenza and COVID-19 vaccines for frontline HCWs working in trusts, Independent Sector Healthcare Providers (ISHCPs), and GP practices in England.

Data is presented at national, NHS regional and individual trust levels.

View the pre-release access list for these reports.

All children for whom the local authority is responsible who received two doses of MMR on or after their first birthday and at any time up to their fifth birthday as a percentage of all children whose fifth birthday falls within the time period.RationaleMMR is the combined vaccine that protects against measles, mumps and rubella. Measles, mumps and rubella are highly infectious, common conditions that can have serious complications, including meningitis, swelling of the brain (encephalitis) and deafness. They can also lead to complications in pregnancy that affect the unborn baby and can lead to miscarriage.Vaccination coverage is the best indicator of the level of protection a population will have against vaccine preventable communicable diseases. Coverage is closely correlated with levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise.The first MMR vaccine is given to children as part of the routine vaccination schedule, usually within a month of their first birthday. They'll then have a booster dose before starting school, which is usually between three and five years of age. Previous evidence shows that highlighting vaccination programmes encourages improvements in uptake levels.May also have relevance for NICE guidance PH21: Reducing differences in the uptake of immunisations (The guidance aims to increase immunisation uptake among those aged under 19 years from groups where uptake is low).Definition of numeratorTotal number of children whose fifth birthday falls within the time period who received two doses of MMR on or after their first birthday and at any time before their fifth birthday.Data for 2013 to 2014 are available at source at LA level. Data prior to 2013 to 2014 were collected at PCT level and converted to LA level using the criteria as described in the notes section below.Definition of denominatorTotal number of children whose fifth birthday falls within the time period.Data from 2013 and 2014 are available at source at LA level. Data prior to 2013 and 2014 were collected at PCT level and converted to LA level using the criteria as described in the notes section below.CaveatsFull GP postcodes are used to aggregate data to ICB. The GP-level coverage data is collected by NHS Digital Strategic Data Collection Service (SDCS) and published by the UK Health Security Agency (UKHSA) COVER team. ICB data is experimental data and should be treated with caution. It is not an official statistic.

Flu vaccine uptake (%) in adults aged 65 and over, who received the flu vaccination between 1st September to the end of February as recorded in the GP record. The February collection has been adopted for our end of season figures from 2017 to 2018. All previous data is the same definitions but until the end of January rather than February to consider data returning from outside the practice and later in practice vaccinations.RationaleInfluenza (also known as Flu) is a highly infectious viral illness spread by droplet infection. The flu vaccination is offered to people who are at greater risk of developing serious complications if they catch the flu. The seasonal influenza programme for England is set out in the Annual Flu Letter. Both the flu letter and the flu plan have the support of the Chief Medical Officer (CMO), Chief Pharmaceutical Officer (CPhO), and Director of Nursing.Vaccination coverage is the best indicator of the level of protection a population will have against vaccine-preventable communicable diseases. Immunisation is one of the most effective healthcare interventions available, and flu vaccines can prevent illness and hospital admissions among these groups of people. Increasing the uptake of the flu vaccine among these high-risk groups should also contribute to easing winter pressure on primary care services and hospital admissions. Coverage is closely related to levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise.The UK Health Security Agency (UKHSA) will continue to provide expert advice and monitoring of public health, including immunisation. NHS England now has responsibility for commissioning the flu programme, and GPs continue to play a key role. NHS England teams will ensure that robust plans are in place locally and that high vaccination uptake levels are reached in the clinical risk groups. For more information, see the Green Book chapter 19 on Influenza.The Annual Flu Letter sets out the national vaccine uptake ambitions each year. In 2021 to 2022, the national ambition was to achieve at least 85 percent vaccine uptake in those aged 65 and over. Prior to this, the national vaccine uptake ambition was 75 percent, in line with WHO targets.Definition of numeratorNumerator is the number of vaccinations administered during the influenza season between 1st September and the end of February.Definition of denominatorDenominator is the GP registered population on the date of extraction including patients who have been offered the vaccine but refused it, as the uptake rate is measured against the overall eligible population. For more detailed information please see the user guide, available to view and download from https://www.gov.uk/government/collections/vaccine-uptake#seasonal-flu-vaccine-uptakeCaveatsRead codes are primarily used for data collection purposes to extract vaccine uptake data for patients who fall into one or more of the designated clinical risk groups. The codes identify individuals at risk, and therefore eligible for flu vaccination. However, it is important to note that there may be some individuals with conditions not specified in the recommended risk groups for vaccination, who may be offered influenza vaccine by their GP based on clinical judgement and according to advice contained in the flu letter and Green Book, and thus are likely to fall outside the listed Read codes. Therefore, this data should not be used for GP payment purposes.

The development of vaccination by Edward Jenner in 1796 is seen by many as one of the most important and world-changing medical discoveries ever made. Throughout human history, smallpox was responsible for an untold and innumerable share of fatalities, with epidemics devastating countries (and even continents) in their wake; as of 1980, the World Health Organization declared smallpox to be eliminated in nature, making it the only human disease to have been successfully eradicated. If we look at the share of smallpox deaths in England over the nineteenth century, we can see the impact that vaccination had on society during this time. Decline in Britain Within this century, the number of people dying annually from smallpox dropped from 3,000 per million people in the 1700s, to just ten people per million in the 1890s (it is also worth noting that a smallpox pandemic swept across Britain between 1891 and 1893, which caused this number to be higher than it could have been). Mandatory vaccination was not introduced in England until 1853, but by this point the number of smallpox deaths per million people had already fallen to a fraction of its eighteenth century level, and compulsory vaccination reduced these numbers even further.

The information in this bulletin, about immunisation statistics in England, comes from: The Health Protection Agency (HPA) Centre for Infections (CfI) for information on childhood immunisation coverage at ages 1, 2 and 5 collected through the Cover of Vaccination Evaluated Rapidly (COVER) data collection for PCTs The NHS Information Centre (The NHS IC) for information about the BCG programme and reinforcing doses on the KC50 return from known providers of immunisation services. The Department of Health for information on persons aged 65 and over immunised against influenza for all PCTs (in conjunction with Health Protection Agency) Subsequent to publishing this report on 30th November 2010 a number of changes were identified as being needed. These are detailed in the Errata note document above. March 2013: Following investigation of KC50 data submitted by some Trusts from 2008-09 through to 2010-11, the HSCIC is recommending that Td/IPV and BCG data reported in tables 6, 7, 13 and 13a of this publication should be treated with some caution. See Errata note above for more information. Please note: Issues with some newly implemented Child Health Information Systems (CHISs) over recent years have affected COVER data quality. Although some Primary Care Trusts (PCTs) reported data quality issues in 2009-10, overall fewer issues have been identified. Some caution should, however, be exercised when comparing coverage figures over time as apparent trends could reflect changes in the quality of data reported as well as real changes in vaccination coverage. While this issue will be more apparent at a local level, it will also have an impact on the national figures.

These data describe pneumococcal polysaccharide vaccine (PPV) uptake for the survey year, for those aged 65 years and over.RationaleVaccination coverage is the best indicator of the level of protection a population will have against vaccine preventable communicable diseases. Coverage is closely related to levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise. Pneumococcal disease is a significant cause of morbidity and mortality. Certain groups are at risk for severe pneumococcal disease, these include young children, the elderly and people who are in clinical risk groups2. Pneumococcal infections can be non invasive such as bronchitis, otitis media or invasive such as septicaemia, pneumonia, meningitis. Cases of invasive pneumococcal infection usually peak in the winter during December and January. The pneumococcal polysaccharide vaccine (PPV) protects against 23 types of Streptococcus pneumoniae bacterium. It is thought that the PPV is around 50 percent to 70 percent effective at preventing more serious types of invasive pneumococcal infection2.Since 1992 the 23 valent PPV has been recommended for people in the clinical risk groups and since 2003, the PPV vaccination programme has expanded to include immunisation to all those aged 65 years and over in England1This indicator was judged to be a valid and an important measure of public health and was therefore included in the public health outcomes framework. Inclusion of these indicators will encourage the continued prioritisation and evaluation and the effectiveness of the PPV vaccination programme and give an indication of uptake at an upper tier Local Authority level. The vaccination surveys measure the proportion of eligible people that have received PPV at any time and the proportion that received PPV during the previous year, providing an opportunity to assess the delivery of the immunisation programme11 Pneumococcal Polysaccharide Vaccine (PPV) coverage report, England, April 2013 to March 2014 [online]. 2015 [cited 2015 Mar]. Available from URL: https://www.gov.uk/government/publications/pneumococcal-polysaccharide-vaccine-ppv-vaccine-coverage-estimates 2 Pneumococcal infections, NHS Choices [online]. 2013 [cited 2013 Dec]. Available from URL: http://www.nhs.uk/conditions/vaccinations/pages/pneumococcal-vaccination.aspxDefinition of numeratorUKHSA provided UTLA level data. Clinical commissioning group (CCG) data is available from https://www.gov.uk/government/collections/vaccine-uptake#ppv-vaccine-uptakeDefinition of denominatorNumber of adults aged 65 years and over. Data from 2013 to 2014 are now available at source at a local authority level. Data prior to 2013 to 2014 were collected at a PCT level and converted to LA level for inclusion in PHOF using the criteria as defined below:Denominators for local authorities are estimated from denominators for PCTs. Denominators for PCTs include all people registered with practices accountable to the PCT, and no data are available to provide resident-based figures. Denominators for local authorities are estimated as follows: (For local authorities that have exactly the same boundary as a PCT, the PCT figure is used as it is the only estimate available for the residents of the PCT and local authority. For local authorities whose boundary is contained wholly within a single PCT, but is not equal to the whole PCT, the LA denominator is estimated as a proportion of the PCT figure, with the exceptions of Isles of Scilly, City of London, Rutland, Cornwall, Hackney and Leicestershire (see below). For local authorities whose boundaries include all or part of more than one PCT, the local authority denominator is estimated by aggregating the appropriate proportions of the denominators for the PCTs whose boundaries include part of the local authority. The appropriate proportions in cases ii and iii are defined according to the resident population (in the appropriate age group) in the calendar year overlapping most of the period of the indicator value (or the most recent available): resident population by Lower Layer Super Output Area were extracted and used to calculate the population resident in every LA PCT overlapping block.To calculate the denominator, each LA PCT overlap is calculated as a proportion of the PCT resident population, and then multiplied by the denominator for the PCT. A LA may overlap several PCTs: the appropriate portions of all the PCTs’ denominators are aggregated to give the denominator estimate for the LA. Expressed as an equation the denominator is calculated as follows: DenominatorLA = ∑ (DenominatorPCT × n/N) summed over all PCTs overlapping the LA where: DenominatorLA = Estimated denominator in the LA n = Population resident in the LA-PCT overlapping block N = Population resident in the PCT DenominatorPCT = Denominator in the PCT For Isles of Scilly, City of London and Rutland, no indicator data are presented (prior to 2013 to 2014), as the local authority makes up a very small proportion of the PCT, and estimates for the LAs based on the PCT figures are unlikely to be representative as they are swamped by the much larger local authority within the same PCT. The estimates for Cornwall, Hackney and Leicestershire local authorities are combined data for Cornwall and Isles of Scilly, City of London and Hackney, and Leicestershire and Rutland respectively in order to ensure that all valid PCT data are included in the England total.Denominators for Cornwall and Isles of Scilly, City of London and Hackney, and Leicestershire and Rutland are not combined for the 2019 to 2020 annual local authority level data."CaveatsThe pneumococcal vaccine uptake collection is a snapshot of GP patients vaccinated currently registered at the time of data extraction. The proportion of GP practices who provided data for the surveys are available from the uptake reports. Data will exclude patients who have received the vaccine but have subsequently died, patients who have since moved, or patients that are vaccinated but have not had their electronic patient record updated by the time of data extraction. Data for local authorities prior to 2013 to 2014 have been estimated from registered PCT level indicators. While the majority of patients registered with practices accountable to a PCT tend to be resident within that PCT, there are, in some PCTs, significant differences between their resident and registered populations. Therefore the estimates for LAs may not always accurately reflect the resident population of the local authority (LA). Please note that the PCT response rate should be checked for data completeness as this will have a knock on effect to the LA values.

Request The NHSBSA makes payments for Covid-19 vaccinations to Primary Care Network (PCN) providers in England. May I request the following data, separated per administration month, starting from 1st June 2023 to 31st March 2024, in excel format: Column 1 Year/month Column 2 ODS Code for PCN Column 3 ICS Code for the PCN Column 4 ICS Name for the PCN Column 5 Number of vaccines administered by the PCN Column 6 Total Payment made for administration of these Covid-19 vaccinations Column 7 Total of ALL other miscellaneous payments relating to Covid-19 vaccinations made to PCN. Date Range: 01/06/2023 - 31/03/2024 Response I can confirm that the NHSBSA holds the information you have requested and a copy of the information and notes explaining it is attached. Please read the below notes to ensure correct understanding of the data. Columns 2 and 3, ICS code and name I am writing to advise you that following a search of our paper and electronic records, I have established that the information you requested is not currently held by the NHS Business Services Authority. We do not hold the ICS for PCNs in our database. The ODS portal can be used to identify links to ICS or 'Integrated Care Board (ICB). This can be found at: https://odsportal.digital.nhs.uk/ Columns 7 Total of ALL other miscellaneous payments relating to Covid-19 vaccinations made to PCN Please note that NHSBSA do not hold information on miscellaneous payments, but column 7 shows information on 'adjustments' which could be either a payment or a deduction, following post-payment verification. The NHSBSA calculates payments for covid vaccinations to Pharmacies and Primary Care Network (PCN) providers in England. Covid vaccination data is keyed in via Point of Care (POC) Systems and they transferred to the NHSBSA Manage Your Service (MYS) application. Each month, vaccine providers submit claims to request payment based on the data that has been transferred into MYS, to be paid in a timely fashion such claims must be submitted during a specified declaration submission period. Should claims be submitted outside the submission period they will be processed in the following period. This means that in some cases there is a difference between the number of vaccines that have been 'claimed' and the number that have been 'paid'. Both the number of 'claimed' and 'paid' vaccinations have been reported in this request. When considering the nature of the vaccine data there are several ways it can be reported over time: Administration Month This is the month in which the vaccine was administered to the patient. Payment Month This is the month in which the payment was made dispenser of the vaccine. Note that all payments for Pharmacies are paid one month later than those for PCN providers. Keying Month This is the month in which the vaccine record first appeared on the MYS system. Submission/Claim Month This is the month in which the claim for payment for a vaccination occurred. For example, suppose that a PCN patient is given a covid vaccination dose 1 in January (Administration Month) and then the paper record of this is misplaced for a while. The record is found and keyed into a POC system during February (Keying Month). The Provider is allowed to claim for keying during February in the first 5 days of March, but they're a little late and authorise the claim on the 7th of March (Submission Month) As the claim is outside the submission window it is not paid in March, it will instead be paid during April (Payment Month). Another example could be a Pharmacy patient given a covid vaccination dose 1 in January (Administration Month), keyed in January (Keying Month), then submitted in February (Submission Month) and then payments are calculated in February, however as this is for a pharmacy the payments are held back and not paid until March (Payment Month). For the purposes of this request, we have chosen to report by Administration Month. We do not hold PCN data that we can confidently join to the Lead PCN Practice ODS Code and so data is at Lead PCN Practice level. Data included in this request is limited to vaccinations carried out by PCNs only. Data included in this request is also limited to vaccinations administered between July 2023 and March 2024. The latest data used is a snapshot of the MYS system data that was taken on 8th April 2024. This is the snapshot of data taken after the March 2024 submission period that was used to calculate payments. This payment data does not include any adjustments made by NHSBSA Provider Assurance as part of post payment verification exercise. These adjustments are made at account level and may relate to several months of activity. Payment data includes payments made and those scheduled for payment in the future. Payments comprise an Item of Service fee and potentially a Supplementary fee. Payments do not relate to the value of the drugs dispensed. The total used for the payment calculation may not match the totals shown in 'live' POC systems or MYS that continue to receive updates after the snapshot used to calculate payments was taken. Vaccination records are limited to those which have been associated with a declaration submission. This may include late submission declarations received after the deadline for declarations such records are not processed until the next month. Please note that some vaccinations attract a supplementary fee, so it is not possible to determine the number of vaccinations by dividing the total paid by the basic Item of Service (IoS) fee. It is possible for new records from old administration months to be entered in the future, thus the totals here for each administration month could change when more data is processed.

Children for whom the local authority is responsible who received 3 doses of DTaP IPV Hib HepB vaccine (Diphtheria, tetanus, pertussis/whooping cough, polio, Haemophilus influenzae type b and hepatitis B) at any time by their first birthday as a percentage of all children whose first birthday falls within the time period.RationaleThe combined DTaP IPV Hib HepB is the first in a course of vaccines offered to babies to protect them against diphtheria, pertussis (whooping cough), tetanus, Haemophilus influenzae type b (an important cause of childhood meningitis and pneumonia), polio (IPV is inactivated polio vaccine) and from 2019, Hepatitis B.Vaccination coverage is the best indicator of the level of protection a population will have against vaccine preventable communicable diseases. Coverage is closely correlated with levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise.The combined DTaP IPV Hib HepB is the first in a course of vaccines offered to babies to protect them against these six diseases. The vaccine is offered when babies are two, three and four months old. Previous evidence shows that highlighting vaccination programmes encourages improvements in uptake levels .May also have relevance for NICE guidance PH21: Reducing differences in the uptake of immunisations (The guidance aims to increase immunisation uptake among those aged under 19 years from groups where uptake is low).Definition of numeratorTotal number of children whose first birthday falls within the time period who received 3 doses of DTaP IPV Hib HepB at any time before their first birthday.Data for 2013 to 2014 are available at source at LA level.Data prior to 2013 to 2014 were collected at PCT level and converted to LA level using the criteria as described in the notes section below. From 2019/20, for the 12 month cohort, coverage reported is for the DTaP/IPV/Hib/HepB (6 in 1) vaccination, which replaced the DTaP/IPV/Hib (5 in 1) vaccination.Definition of denominatorTotal number of children whose first birthday falls within the time period.Data from 2013 to 2014 are available at source at LA level. Data prior to 2013 to 2014 were collected at PCT level and converted to LA level using the criteria as described in the notes section below.CaveatsFull GP postcodes are used to aggregate data to ICB. The GP-level coverage data is collected by NHS Digital Strategic Data Collection Service (SDCS) and published by the UK Health Security Agency (UKHSA) COVER team. ICB data is experimental data and should be treated with caution. It is not an official statistic.

This statistic displays the share of children who received a first dose and a second dose of Measles, Mumps and Rubella (MMR) immunization in England, from 2003/04 to 2023/24. In the year 2023/24, 83.9 percent of children had received their MMR immunization by their fifth birthday.

Following Edward Jenner's development of the smallpox vaccine in 1796, the death rate due to smallpox in England and Wales dropped significantly. Although Jenner's work was published in 1797, it would take over half a century for the British government to make vaccination compulsory for all infants. Between 1847 and 1853, when vaccination was optional, children under the age of five years had, by far, the largest number of deaths; the total death rate was 1.6 thousand deaths per million people, which was more than five times the overall death rate due to smallpox. When compulsory vaccination was introduced, this helped bring the smallpox death rate in this age group down by over fifty percent between 1854 and 1871. When compulsory vaccination was enforced with penalties in the wake of the Great Pandemic of the 1870s, the smallpox death rate among children under the age of five dropped to approximately fifteen percent of its optional vaccination level. Increase among adults Along with the youngest age group, children aged five to ten years also saw their death rates decrease by roughly two thirds, and the death rate among those aged ten to 15 declined by just under one third during this time. It was among adults, aged above 15 years, where the introduction of mandatory vaccination had an adverse effect on their death rates; increasing by fifty percent among young adults, and almost doubling among those aged 25 to 45. The reason for this was because, contrary to Jenner's theory, vaccination did not guarantee lifelong protection, and immunization gradually wore off making vaccinated people susceptible to the virus again in adulthood. There was some decline in the smallpox death rates among adults throughout the 1870s and 1880s, as revaccination became more common, and the enforced vaccination of children prevented smallpox from spreading as rapidly as in the pre-vaccination era. Overall trends While the introduction of mandatory vaccination saw the number of smallpox deaths increase for age groups above 15 years, the overall rate among all ages decreased, due to the huge drop in deaths among infants and children. The smallpox death rate dropped by over one quarter when compulsory vaccination was introduced, and it then fell to just over one third of it's optional-vaccination level when these measures were enforced. The development of the smallpox vaccine and the implementation of mandatory vaccination led to the eradication of the disease in Britain by 1934, and contributed greatly to the demographic developments of the twentieth century, such as the declines in fertility rate and birth rate, and the increase in life expectancy.

This dataset is no longer updated, find vaccination data here From 24 March 2022, Public Health Scotland (PHS) began reporting the number of people who have received a fourth dose of Covid-19 vaccination. Vaccine uptake statistics among care home residents and those who are severely immunosuppressed will be reported initially. PHS will include further updates as the Spring/Summer vaccination programme rolls out. In addition, as part of our continuous review of reporting, PHS made some changes to vaccine uptake statistics. From 24 March 2022, the deceased and those who no longer live in Scotland are no longer be included in vaccine uptake statistics. Historic trend data have been updated to take into account this new methodology for all apart from the Daily Trends by JCVI Priority Group table (more details about the data in this table are below). Scotland level data for all vaccinations administered (i.e. including those who have since died or moved from Scotland) are still available in the Daily Trend of All Vaccinations Delivered in Scotland table. Also from 24 March 2022, Dose 3/Booster doses are termed "Dose 3". To allow new data to be fully processed and available at 14:00, the Daily COVID-19 in Scotland and COVID-19 Vaccination in Scotland datasets will be temporarily unavailable from 12:45 to 14:00. During this window, the datasets will not be visible and any queries made to these datasets will return a 404 - Not found error. At all other times the datasets will be available in full as usual. PHS reviewed the JCVI priority group uptake figures from 18 November 2021, specifically how we derive the numerator and the denominator. The rational for the change is to ensure we report on most up to date living population for each group. For this, the list of individuals in each cohort has been refreshed to be more current. We have also removed individuals who have since died to reflect the current living population. From the 24 March 2022 those who are no longer living in Scotland have also been removed from the numerator and denominator for JCVI priority group uptake figures. This means all the JCVI cohorts and populations have changed for both numerator and denominators on these two dates and care should be taken when interpreting trends. On 08 December 2020, a Coronavirus (COVID-19) vaccine developed by Pfizer BioNTech (Comirnaty) was first used in the UK as part of national immunisation programmes. The AstraZeneca (Spikevax) vaccine was also approved for use in the national programme, and rollout of this vaccine began on 04 January 2021. Moderna (Vaxzevria) vaccine was approved for use on 8 January 2021 and rollout of this vaccine began on 07 April 2021. These vaccines have met strict standards of safety, quality and effectiveness set out by the independent Medicines and Healthcare Products Regulatory Agency (MHRA). Those giving the vaccine to others were the first to receive the vaccination. In the first phase of the programme, NHS Scotland followed the independent advice received from the Joint Committee on Vaccination and Immunisation (JCVI) and prioritised delivery of the vaccine to those with the greatest clinical need, in line with the recommended order of prioritisation. For booster vaccinations a similar approach has been adopted. Definitions used in the vaccine uptake by JCVI priority group resource can be found in the JCVI Priority Group Definitions table. Individuals can appear in more than one JCVI priority group. This dataset provides information on daily number of COVID vaccinations in Scotland. Data on the total number of vaccinations in Scotland is presented by day administered and vaccine type, by age group, by sex, by non-age cohorts and by geographies (NHS Board and Local Authority). As the population in the cohorts can change with time, these will be refined when updated data are available. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Data visualisation and additional notes are available on the Public Health Scotland - Covid 19 Scotland dashboard.

The information in this bulletin about immunisation statistics in England comes from Public Health England (PHE). Information on childhood immunisation coverage at ages 1, 2 and 5 years is collected through the Cover of Vaccination Evaluated Rapidly (COVER) data collection for Upper Tier Local Authorities (LAs) and Primary Care Trusts (PCTs). Information on persons aged 65 and over immunised against seasonal flu is collected from GPs through PHE's ImmForm system. 3rd November 2014: Subsequent to publishing on 25 September 2014, an error was identified where Rutland Local Authority (LA) was incorrectly merged with Leicester LA instead of Leicestershire LA. England and regional level figures are not affected but some of the coverage figures for Leicestershire and Leicester are. The HSCIC apologises for the inconvenience caused by this error and has reissued the figures for Leicester and Leicestershire in Tables 10a, 10b, 11a, 11b, 12a, 12b in the Excel and CSV files. The PDF report has also been revised.

Estimates of vaccine sentiment for ITL1 geographies (countries and regions of the UK) split by characteristics including age, employment, tenure, health and Index of Multiple Deprivation. Analysis based on the Opinions and Lifestyle Survey (OPN).