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Chamber and committees

Restoration of Vaccination Services in NHS Highlands to GPs

  • Submitted by: Fergus Ewing, Inverness and Nairn, Independent.
  • Date lodged: Tuesday, 23 September 2025
  • Motion type: Members' Business Motion
  • Motion reference: S6M-18951
  • Current status: Achieved cross-party support

That the Parliament welcomes the statement by the Cabinet Secretary for Health and Social Care that, in NHS Highland, vaccination services will be returned to those GPs who wish to provide them, but understands that, thus far, this service change has not been implemented; believes that communities in the NHS Highland area are under the very real threat of an outbreak of a preventable disease, including measles and whooping cough (pertussis), and that some areas of the Highlands continue to have very poor coverage of MMR vaccine at school local level; notes with concern that, in Scotland in 2024, one infant died from pertussis; understands that this was the first death since 2014, and considers that other infants are at risk because of reported deficiencies in NHS Highland’s centralised system; believes that the GP contract of 2018 has not worked for the Highlands; notes reports that when NHS Highland took over the vaccination role, the “herd immunity” fell from a level where it was rarely below 94%, to 88.9% in the infant 6-in-1 vaccine; believes that many highland-based families were unable to access vaccines because GP practices could no longer assist a child or adult requiring a vaccination, including patients who were presenting with a tetanus prone wound; understands that many patients had to travel great distances to access what it considers is the most basic level of care; notes reports that the levels of MMR vaccine uptake, both at first dose at 24 months and booster uptake by the age of six, are among the lowest in Scotland at 84.9%; understands that, unlike in England, GPs in Scotland are no longer directly responsible for delivery of the childhood and immunisation programme, and that the majority of Highland GPs wish to retain the vaccination service locally, out of concern that they may lose the link between them and the families that they look after; notes the belief that vaccination is often the first point of contact and can enable early detection of at-risk patients and more timely interventions; considers that the removal of vaccination services to centralised hubs caused a reduction in take-up, and a diversion of staff to the hubs from elsewhere in the NHS, and that it was far more costly than the GP-run service it sought to replace; is concerned at reports that GPs are not able to identify which patients have or have not had vaccinations and that the IT system deployed by NHS Scotland in running its service could not share data with GPs, thereby raising, it believes, serious questions about the safety of the system that NHS Highland introduced in 2023; believes that senior NHS officials have sought to prevent the restoration of the service to local GPs, and notes the calls for the Cabinet Secretary for Health and Social Care to swiftly implement the restoration of vaccination services to GPs


Supported by: Annabelle Ewing, Rhoda Grant, Edward Mountain