Josh Newbury

It is a pleasure to serve under you in the Chair, Mrs Barker. I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing the debate. I am the parent of two children who had plenty of vaccinations. One of them took it in her stride and the other made the biggest drama in the history of medicine, so I can appreciate why so many parents approach this topic with trepidation. Before this debate, my team and I spoke to staff working in the Cannock North primary care network, which covers seven practices in the most deprived part of my constituency, about their efforts to improve lagging vaccination rates. They told me that rates are quite good for young babies, but they start to fall off as children get older, so they are looking at how they can step in earlier. They have produced plain and simple leaflets that explain the symptoms that a child might experience if they are not vaccinated. Staff will still hear parents say, “Well, I wasn’t vaccinated against it,” or “I’ve never even heard of polio,” so they are tackling the false assumption that choosing not to vaccinate is safe. They are also looking at a simple sticker system for the red book as a quick visual reminder of the schedule. Relationships with health practitioners can also be vital, as we have heard. The PCN suggested that trained health visitors could provide early immunisation, which I know is being trialled in other parts of England. The more hurdles we can remove, the better. That brings me to neighbourhood health centres, where services could be joined up and accessible. I agree with the Staffordshire and Stoke-on-Trent ICB and NHS Property Services that Cannock and Rugeley would both be prime spots for centres. We know that vaccination programmes delivered strictly through GP practices see up to 27% lower uptake in deprived areas, whereas accessible pharmacy, community and neighbourhood programmes narrow that gap to as little as 7%. The lesson I took from speaking to the Cannock North PCN team is that improving vaccination rates does not necessarily require one huge intervention. Finally, I would like to finish by raising a funding issue with the Minister. Since funding for childhood immunisations moved to the quality and outcomes framework, practices receive the funding only if they meet the 96% target. In a deprived area with a significant Traveller community, like Chadsmoor, that can be incredibly difficult. Practices can spend significant time and money contacting families but still find themselves falling well short. For example, a practice could move from 70% to 80% after a huge effort but still receive no funding. I ask the Minister whether QOF could recognise progress in closing health inequalities, rather than just rewarding in-built advantage. Clearly, the route to achieving high vaccination rates will look a bit different in every community. The practices I have spoken to are doing brilliant work despite funding disadvantages, and I wonder whether we could see outstanding outcomes in Cannock Chase and right across the country if we put rocket boosters under the innovation that we already see right across primary care.