Speeches by Beales.

“That is fair to say. I could certainly talk about complacency when looking at the effect of the strategy over the last few years. Finally, you talked about malign actors, Greg. Do you think people who are actively promoting false information about vaccines should be held responsible for the implications that has?”

“As we are not confident that we are on track, and as we are disappointed, should we review the strategy? Is new impetus needed?”

“That is my question. Should we have a new strategy that includes things like a numerical forecast and targets to aim towards, as well as other issues that we might want to include?”

“Potentially, but could you answer my question? What effect has that had? Can you speak to that?”

“That is not very inspiring: it is not as bad as it could have been.”

“So the data has remained the same, and we have not seen any decline?”

“They have been removed from planning guidance, and we do not have a timescale for them in the plan.”

“Have we done that? Are we halting the decline, or are rates still declining?”

“Some yes, some no, basically?”

“If this is not failure, what would failure look like?”

“They were removed from the planning guidance.”

“This might be for Michelle and David. I am going to ask some questions about planning guidance and the vaccine strategy. Three years on from its development, how does performance compare with what was expected in the strategy?”

“How does it compare with what the strategy envisaged? Are we on target or off target?”

“Should social media companies be held responsible for moderating incorrect health information about things like vaccines?”

“Are we on target or off target compared with what the strategy envisaged?”

“Does anyone else have any thoughts about how systems, locally or nationally, could be supported to tackle misinformation, or to improve vaccine confidence?”

“So on target?”

“What effect has removal from the planning guidance had?”

“I apologise, but time is quite tight. We are going to come on to ICBs. My colleague is going to ask about it. Since the removal from planning guidance, rates of vaccination have gone up. It has not had a negative effect. Is that your view nationally and in your area?”

“Do you think it would be helpful to have it back in the planning guidance for next year?”