The Labour, Conservative and Liberal Democrat manifestos will be published next week. These will provide an invaluable resource for insomniacs and political anoraks around the country, as well as giving us an insight into the likely policy priorities of the next Government.
Manifestos are necessarily limited in what they cover, with the infamous exception of Labour’s 1983 offering, “the longest suicide note in history”. They are usually confined to broad policy statements and worded with enough ambiguity to allow future ministers a liberal interpretation of what exactly are their commitments.
But elections also provide an opportunity for outside interests to enter the policy debate. That’s why the run-up to the General Election has seen various businesses and campaign organisations put forward their own manifestos, visions and policy demands.
One valuable contribution comes from vaccine manufacturer, Sanofi Pasteur MSD’s manifesto, Putting vaccines at the heart of health care. It calls for a full-scale review of vaccination policy to give it a more central role in the provision of health care.
In his first speech as Health Secretary in June 2009, Andy Burnham said that prevention is a “long-term insurance policy against spending challenges”. The focus, however, has been on attempting to change life-style choices. No one is arguing against this, but if policy makers want to enhance prevention, then greater importance should be given to vaccination, which is a far more effective means of preventing ill-health than relying on people to change their eating and drinking habits.
Vaccination can prevent more than 20 infectious diseases and has helped eradicate smallpox. Only the provision of safe water has done more than vaccines to reduce mortality. But too often it is seen as something that is only for children. The NHS Choices website lists 17 vaccines (including next stage doses and boosters) that are offered routinely to “everyone” in the UK. Yet only two, flu and pneumonia, are for adults.
Our immune systems decline with age, which leads to more frequent and more severe infections. And with the over-60s population predicted to increase by 160% between 1999 and 2050, increasing infections in the older population will increase the burden on the NHS.
That’s why Sanofi’s manifesto echoes the calls of European health academics for a “life course” approach to vaccination. Vaccination programmes should start from 50 years of age, before age-related decline in the immune system begins. The recent approval by the Joint Committee on Vaccination and Immunisation for a shingles vaccine to be available on the NHS, albeit from the age of 70, is a start. This could help reduce the incidence of this debilitating disease by half, and thereby save the NHS care costs.
Judging by the three-way bun-fight between Andy Burnham and his Conservative and Lib Dem shadows, Andrew Lansley and Norman Lamb on Newsnight yesterday, the election campaign is unlikely to see serious debate on the future of health policy.
Officials and health professionals will read Sanofi’s manifesto with care but will politicians get the point about vaccination? Perhaps when the election is over, they will read other people’s manifestos.