ReplyThe Department, the National Health Service, the UK Health Security Agency and local partners are working together at the national, regional and local level to improve uptake of measles vaccination, with an aim of preventing future measles outbreaks.Actions at the national level, which would therefore apply to Newcastle-under-Lyme and Staffordshire, include incentivising general practitioners (GPs) to administer childhood vaccinations with additional £2 supplemental fee for each routine childhood immunisation, and also bringing forward the second dose of measles, mumps, and rubella containing vaccine to 18 months from three years and four months, following evidence that this earlier touchpoint would improve uptake and provide earlier protection against measles. Additionally, a national communication campaigns was launched on 16 February, encouraging parents to get their children vaccinated against diseases including measles.More locally, the Midlands regional NHS England team is working with Staffordshire and Stoke-on-Trent NHS Integrated Care Board (ICB) to undertake a comprehensive and data‑driven approach to improving measles vaccination uptake. Uptake levels are monitored through a quarterly regional dashboard, and projects are underway to improve data quality so that interventions can be accurately targeted.To support primary care, the team has produced a regional GP measles vaccination toolkit setting out best‑practice approaches for following up children who miss appointments and for reaching underserved communities. To reach children who miss GP appointments, continued close working is underway with School Age Immunisation Service providers to ensure high‑quality provision in schools.In complement, Staffordshire and Stoke-on-Trent ICB is campaigning to promote vaccination to the public as the most effective way of preventing measles via community engagement, paid and organic social media activity, local media releases, and radio interviews.For example, the ICB is working with community leaders, voluntary and community sector organisations, and wider local partners to cascade key information and campaign materials directly into communities. The aim is to reach families and groups most at risk, supporting efforts to reduce inequalities in immunisation coverage across Staffordshire and Stoke-on-Trent, and reduce the risk of outbreaks.