To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what steps he is taking to help support diagnostic testing of fevers in countries in Sub-Saharan Africa.

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what steps he is taking to help support diagnostic testing of fevers in countries in Sub-Saharan Africa.

To ask the Secretary of State for Health and Social Care, whether his Department plans to expand the emergency department bloodborne virus opt-out testing programme to (a) King’s Mill Hospital, (b) Lincoln County Hospital, (c) Pilgrim Hospital and (d) other sites in the East Midlands.

To ask the Secretary of State for Health and Social Care, whether his Department plans to expand the emergency department bloodborne virus opt-out testing programme to (a) King’s Mill Hospital, (b) Lincoln County Hospital, (c) Pilgrim Hospital and (d) other sites in the East Midlands.

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of establishing a centre of excellence for the (a) care and (b) research of (i) post-viral and (ii) infection-associated conditions.

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of establishing a centre of excellence for the (a) care and (b) research of (i) post-viral and (ii) infection-associated conditions.

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 February 2025 to Question 25535 on Viral Diseases, if he will make an assessment of the potential impact of means-testing the winter fuel payment on the number of cases of (a) flu, (b)...

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 February 2025 to Question 25535 on Viral Diseases, if he will make an assessment of the potential impact of means-testing the winter fuel payment on the number of cases of (a) flu, (b)...

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 January 2025 to Question 24011 on Coronavirus: Disease Control, when he plans to update the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines to ensure (a) recognition of the role...

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 January 2025 to Question 24011 on Coronavirus: Disease Control, when he plans to update the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines to ensure (a) recognition of the role...

To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of means-testing the winter fuel payment on the number of (a) flu, (b) Covid, (c) norovirus and (d) RSV cases.

To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of means-testing the winter fuel payment on the number of (a) flu, (b) Covid, (c) norovirus and (d) RSV cases.

To ask the Secretary of State for Health and Social Care, what steps he is taking to stop the spread of the HMPV virus from China.

To ask the Secretary of State for Health and Social Care, what steps he is taking to stop the spread of the HMPV virus from China.

To ask the Secretary of State for Health and Social Care, what discussions he has had with (a) his international counterparts and (b) the World Health Organisation on human metapneumovirus.

To ask the Secretary of State for Health and Social Care, what discussions he has had with (a) his international counterparts and (b) the World Health Organisation on human metapneumovirus.

To ask the Secretary of State for Health and Social Care, how many cases of human metapneumovirus have been identified in the UK.

To ask the Secretary of State for Health and Social Care, how many cases of human metapneumovirus have been identified in the UK.

To ask the Secretary of State for Health and Social Care, whether his Department plans to continue funding for the opt-out blood-borne virus testing programme at (a) St George's, Epsom and (b) St Helier Hospitals and Health Group beyond March 2025.

To ask the Secretary of State for Health and Social Care, whether his Department plans to continue funding for the opt-out blood-borne virus testing programme at (a) St George's, Epsom and (b) St Helier Hospitals and Health Group beyond March 2025.

To ask His Majesty’s Government what steps they are taking to reduce the impact of a potential “quad-demic”, involving high prevalence of influenza, respiratory syncytial virus, COVID-19 and norovirus, following the warning of Professor Sir Stephen Powis, the NHS national medical director.

To ask His Majesty’s Government what steps they are taking to reduce the impact of a potential “quad-demic”, involving high prevalence of influenza, respiratory syncytial virus, COVID-19 and norovirus, following the warning of Professor Sir Stephen Powis, the NHS national medical director.

My Lords, levels of hospital admissions due to flu and norovirus are higher, while Covid hospitalisation rates are lower and RSV hospitalisation rates are about the same as the same time last year. The impact of these infectious diseases can be reduced through our annual vaccination programmes for flu and Covid-19, as well as the new year-round vaccination programme for RSV, and by observing good hygiene measures. Some 16.6 million flu vaccinations, 9.3 million Covid-19 vaccinations and 1.2 million RSV vaccinations have been delivered so far this winter.

My Lords, levels of hospital admissions due to flu and norovirus are higher, while Covid hospitalisation rates are lower and RSV hospitalisation rates are about the same as the same time last year. The impact of these infectious diseases can be reduced through our annual vaccination programmes for flu and Covid-19, as well as the new year-round vaccination programme for RSV, and by observing good hygiene measures. Some 16.6 million flu vaccinations, 9.3 million Covid-19 vaccinations and 1.2 million RSV vaccinations have been delivered so far this winter.

My Lords, I thank my noble friend the Minister for that comprehensive Answer. I have to say that “quad-demic” was a new phrase for me and so I was very keen to understand what the Minister made of the announcements from the NHS national medical director, Sir Stephen Powis. From my point of view, it is vital that we learn

the lessons of the last pandemic and I know a huge amount of work is being done to understand the implications of the recommendations from Module 1 of the inquiry. But, as I understand it from Sir Stephen’s announcement, the uptake of NHS vaccine programmes is much lower than last year, so I am concerned for us to be reassured that if uptake does not improve in the run-up to Christmas, we are ready and we have learned the lessons from last time and we will not panic and start making foolish decisions about PPE acquisition, for example.

My Lords, I thank my noble friend the Minister for that comprehensive Answer. I have to say that “quad-demic” was a new phrase for me and so I was very keen to understand what the Minister made of the announcements from the NHS national medical director, Sir Stephen Powis. From my point of view, it is vital that we learn

the lessons of the last pandemic and I know a huge amount of work is being done to understand the implications of the recommendations from Module 1 of the inquiry. But, as I understand it from Sir Stephen’s announcement, the uptake of NHS vaccine programmes is much lower than last year, so I am concerned for us to be reassured that if uptake does not improve in the run-up to Christmas, we are ready and we have learned the lessons from last time and we will not panic and start making foolish decisions about PPE acquisition, for example.

We are absolutely committed to learning the lessons from Covid in order to build resilience. The recommendations of the independent review of procurement by Nigel Boardman have already been implemented and a Covid Counter-Fraud Commissioner has already been appointed to scrutinise contracts to learn the lessons and recover money for taxpayers. Professor Sir Stephen Powis, who I have spoken to about this, was not suggesting that there is a pandemic but more that four infectious diseases are coalescing to create a situation and that vaccination is crucial. His comments were a call to the public to get vaccinated, which I also endorse.

We are absolutely committed to learning the lessons from Covid in order to build resilience. The recommendations of the independent review of procurement by Nigel Boardman have already been implemented and a Covid Counter-Fraud Commissioner has already been appointed to scrutinise contracts to learn the lessons and recover money for taxpayers. Professor Sir Stephen Powis, who I have spoken to about this, was not suggesting that there is a pandemic but more that four infectious diseases are coalescing to create a situation and that vaccination is crucial. His comments were a call to the public to get vaccinated, which I also endorse.

My Lords, currently the RSV vaccination is available to the older age group of 75 to 79 year-olds—of course, it is available to a younger age group for vulnerable people—unlike in the CDC advice, which is that over-75s should get the immunisation. Older people are more susceptible to RSV and end up with more severe disease and hospitalisation, so why is the advice in the United Kingdom that the over-80s should not get immunisation? It has been suggested that the trials had insufficient evidence. The two trials for Moderna and Pfizer showed that efficacy was maintained in the older age group and therefore the JCVI’s interpretation is rather narrow in scientific terms —or is it to save money?

My Lords, currently the RSV vaccination is available to the older age group of 75 to 79 year-olds—of course, it is available to a younger age group for vulnerable people—unlike in the CDC advice, which is that over-75s should get the immunisation. Older people are more susceptible to RSV and end up with more severe disease and hospitalisation, so why is the advice in the United Kingdom that the over-80s should not get immunisation? It has been suggested that the trials had insufficient evidence. The two trials for Moderna and Pfizer showed that efficacy was maintained in the older age group and therefore the JCVI’s interpretation is rather narrow in scientific terms —or is it to save money?

I listened carefully to the noble Lord. The JCVI considered that there was less certainty about how well the RSV vaccine works in people aged 80 and over when the programme was introduced in 2023, and that is because, as the noble Lord said, there were insufficient people aged 80 and older in the clinical trials. The JCVI continues to keep this under review, including looking at data from clinical trials and evidence in other countries, and there will shortly be an update to your Lordships’ House in respect of research and clinical trials.

I listened carefully to the noble Lord. The JCVI considered that there was less certainty about how well the RSV vaccine works in people aged 80 and over when the programme was introduced in 2023, and that is because, as the noble Lord said, there were insufficient people aged 80 and older in the clinical trials. The JCVI continues to keep this under review, including looking at data from clinical trials and evidence in other countries, and there will shortly be an update to your Lordships’ House in respect of research and clinical trials.

The Minister says that we are determined to learn the lessons of Covid. During Covid we had vaccination rates of 90% but, as she said, only 16 million—just 25%—of our citizens have had the flu jab and vaccination rates among children are also deteriorating at a rate. I say this with some personal interest because there was an outbreak of the quad-demic in my own household at 2 am today. There are three times as many people in hospital today with flu than in this week last year. Can the Minister please explain what she is doing to increase vaccination rates, particularly among children?

The Minister says that we are determined to learn the lessons of Covid. During Covid we had vaccination rates of 90% but, as she said, only 16 million—just 25%—of our citizens have had the flu jab and vaccination rates among children are also deteriorating at a rate. I say this with some personal interest because there was an outbreak of the quad-demic in my own household at 2 am today. There are three times as many people in hospital today with flu than in this week last year. Can the Minister please explain what she is doing to increase vaccination rates, particularly among children?

We are aiming communications —I know the noble Lord will be familiar with this from his previous role—particularly at groups that are less represented in terms of vaccinations. From my discussions with the national medical director, I do not recognise the reference that the noble Lord made to hospitalisations; they are as I set out in the Answer to my noble friend. However, we are far from complacent and continue to push vaccination. We will get vaccination rates up because they are the best line of defence against infectious diseases.

We are aiming communications —I know the noble Lord will be familiar with this from his previous role—particularly at groups that are less represented in terms of vaccinations. From my discussions with the national medical director, I do not recognise the reference that the noble Lord made to hospitalisations; they are as I set out in the Answer to my noble friend. However, we are far from complacent and continue to push vaccination. We will get vaccination rates up because they are the best line of defence against infectious diseases.

My Lords, the chief medical officer at the UK Health Security Agency stated last week that NHS staff should get the flu vaccination. The Government’s own statistics show that last week, in the largest trust in the country, only 7.9% of those eligible had had flu jabs, and on average the number is in the lower 20%. Why has this happened? What are the Government doing urgently to improve the take-up of the flu vaccine by NHS staff?

My Lords, the chief medical officer at the UK Health Security Agency stated last week that NHS staff should get the flu vaccination. The Government’s own statistics show that last week, in the largest trust in the country, only 7.9% of those eligible had had flu jabs, and on average the number is in the lower 20%. Why has this happened? What are the Government doing urgently to improve the take-up of the flu vaccine by NHS staff?

I must be honest: I cannot explain here the exact reasons why NHS staff are not taking it up, but I assure the noble Lord, as I have assured other noble Lords, that our focus is on getting vaccination rates up. That is why the national medical director made the comments that he did, as well as assuring me that we are not nearing a pandemic.

I must be honest: I cannot explain here the exact reasons why NHS staff are not taking it up, but I assure the noble Lord, as I have assured other noble Lords, that our focus is on getting vaccination rates up. That is why the national medical director made the comments that he did, as well as assuring me that we are not nearing a pandemic.