This report is based on evidence heard at the APPG on Coronavirus 28th oral hearing heard evidence on vaccinations and the future of the Covid-19 pandemic. Specifically, the session heard evidence on vaccine internationalism, booster vaccines, and vaccinating children.  

1. The UK government must urgently show global leadership in the effort to vaccinate the world. The APPG on Coronavirus recommends that the UK government: 


1.1 Immediately adopt a policy of vaccine matching, in which for each dose of the vaccine imported to the UK, one dose is donated to COVAX for distribution to countries that urgently need access to vaccines 

1.2 The UK should immediately rapidly expand the UK’s domestic vaccine production capability to meet the ongoing domestic vaccine demand and with the objective of becoming a net vaccine exporter 

1.3 The UK government should support the WTO TRIPS waiver proposal, accompanied by the associated transfer of technology, to boost vaccine manufacturing capability in low- and middle-income countries. 


2. The UK government must prioritise ensuring vaccines are distributed to lower-and middle-income countries, through COVAX, before offering booster vaccines to healthy adults in the UK.


3. Domestically, and ahead of winter, the UK Government should prioritise making vaccines available to vulnerable children and children living in households with those who are clinically extremely vulnerable. The UK booster campaign should be limited to vulnerable and immuno-suppressed adults.


4. Due to the sustained high number of daily cases of Covid-19 in the UK and resulting hospital occupancy, the APPG on Coronavirus recommends that in addition to increasing NHS funding to cover the additional costs and elective care backlogs created by Covid-19, the UK government must produce a plan to permanently increase NHS and Care Sector capacity including the recruitment of doctors, nurses and medical staff. This will be necessary to ensure NHS and Care Sector capacity and staffing levels are increased to match the new and ongoing NHS and Care Sector staffing requirements caused by the ongoing high case and hospitalisation rate due to Covid-19 in the UK. 


5. Due to the high probability of vaccine-evading variants of Covid-19 arising1, the APPG on Coronavirus recommends that the UK government commits to adopting all recommendations outlined in the SAGE report ‘Long term evolution of SARS-CoV-2’2. In addition, the UK government must urgently produce contingency plans for each scenario outlined by SAGE and provide regular updates to Parliament on preparations made.