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Investigation: Pre-school vaccination programmes

Vaccination is a crucial tool in protecting individuals’ health and the wider population, particularly for people with existing health problems who are more vulnerable to infectious diseases. Vaccinations are a key element of preventing both outbreaks and transmission of disease. Vaccines are given in early childhood to provide protection at a time when children are most vulnerable.

Levels of uptake of pre-school vaccinations are falling and for many are below the levels that the World Health Organisation recommends will provide protection against disease across the population.

This investigation looks at governance and accountability in pre-school vaccination programmes; what NHS England and Public Health England are doing to understand the causes of this decline and regional variations; and actions to improve uptake of pre-school vaccinations.

If you would like to provide evidence for our study please email the study team on The team will consider the evidence you provide; however, please note that due to the volume of information we receive we may not respond to you directly. If you need to raise a concern please use our contact form.