vaccine costs

Summary

A request for total vaccine costs, issuance numbers, and specific pricing data for the Isle of Man over three years was partially fulfilled, with total costs disclosed but detailed administration and manufacturer data withheld as not held by the authority.

Key Facts

• The Department of Health and Social Care does not hold data on the number of vaccines issued or administered.
• Information regarding double dose flu vaccinations and their rationale is not held by the Department.
• GP Practices are identified as the likely holders of the missing detailed vaccine data.
• A list of vaccine manufacturers and their Drug Tariff costs as of May 2020 was provided.
• Total vaccine expenditure was disclosed for the financial years 2017-2018, 2018-2019, and 2019-2020.

Data Disclosed

• £314,650.50
• £267,051.50
• £290,965.33
• April 2017 – March 2018
• April 2018 – March 2019
• April 2019 – March 2020
• £37.76
• £75.00
• £99.96
• £180
• May 2020
• 1290345
• 2020-05-13
• 2020-06-10

Exemptions Cited

• Section 11(3)(a) of the Act (Information not held)

Original Request

What is the total cost of vaccines in the isle of man for the last 3 years? How many vaccines were issued and how many were administered and what is the name of each of the medication? For each medication who is the manufacturer? What are the vaccines which cost more than £25 per dose in the last 3 years? How much did each dose actually cost? How many of these vaccines were issued and how many of these were administered? Have any double dose flu vaccinations been administered in the Isle of Man? What is the rationale for administering double dose vaccinations?

Data Tables (1)

Full Response Text

Interim Chief Executive: Kathryn Magson Freedom of Information Team Crookall House Demesne Road Douglas Isle of Man IM1 3QA

(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 1290345 10 June 2020

Dear ###

We write further to your request which was received on 13th May 2020 and which states:

"Q1: What is the total cost of vaccines in the isle of man for the last 3 years? Q2: How many vaccines were issued and how many were administered and what is the name of each of the medication? Q3: For each medication who is the manufacturer? Q4: What are the vaccines which cost more than £25 per dose in the last 3 years? Q5: How much did each dose actually cost? Q6: How many of these vaccines were issued and how many of these were administered? Q7: Have any double dose flu vaccinations been administered in the Isle of Man? What is the rationale for administering double dose vaccinations?" Response to your request While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find some of the information that you have requested as the Department does not hold the information. I have detailed below the information that is held. Q1: What is the total cost of vaccines in the Isle of Man for the last 3 years? April 2017 – March 2018 =£314,650.50 April 2018 – March 2019 = £267,051.50 April 2019 – March 2020 = £290,965.33

Q2: How many vaccines were issued and how many were administered and what is the name of each of the medication? While our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested; the Department of Health and Social Care does not hold the information that the applicant has requested (section 11(3)(a) of the Act). However, you may find it helpful to know that GP Practices may hold this information. Q3: For each medication who is the manufacturer? Vaccines used by GP Surgeries Number of units i.e. 1 vial (1) or box of 10 (10) Manufacturer Cost per vial (or per box) Drug tarrif based on May 2020 Alliance Menitorix (1) GSK UK £37.76 £37.76 Repevax (1) Sanofi Pasteur £20.00 Bexsero (1) GSK UK £75.00 Infanrix Hexa (1) GSK UK £27.86 Prevenar (1) Pfizer £49.10 Priorix (1) GSK UK £7.64 £7.64 Rotarix (1) GSK UK £34.76 £34.76 Prevenar 13 (1) Pfizer £49.10 £40.28 (list price £49.10) MMR Vaxpro (1) Merck Sharp & Dohme £11.00 Nimenrix (1) Pfizer £30.00 £22.00 (list price £30.00) Zostavax (1) Merck Sharp & Dohme £99.96 £99.96 Boostrix-IPV (1) GSK UK £22.74 Fluenz Tetra (10) AstraZeneca UK £180 (note price for 10) Revaxis (1) Sanofi Pasteur £7.80 £7.80

Q4: What are the vaccines which cost more than £25 per dose in the last 3 years? While our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested; the Department of Health and Social Care does not hold the information that the applicant has requested (section 11(3)(a) of the Act). However, you may find it helpful to know that GP Practices may hold this information. Q5: How much did each dose actually cost? While our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested; the Department of Health and Social Care does not hold the information that the applicant has requested (section 11(3)(a) of the Act). However, you may find it helpful to know that GP Practices may hold this information. Q6: How many of these vaccines were issued and how many of these were administered? While our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested; the Department of Health and Social Care does not hold the information that the applicant has requested (section 11(3)(a) of the Act). However, you may find it helpful to know that GP Practices may hold this information. Q7: Have any double dose flu vaccinations been administered in the Isle of Man? What is the rationale for administering double dose vaccinations?" While our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested; the Department of Health and Social Care does not hold the information that the applicant has requested (section 11(3)(a) of the Act). However, you may find it helpful to know that GP Practices may hold this information. Please quote the reference number 1290345 in any future communications.

Your right to request a review

If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post.

An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review . If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded.

If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on; 1. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act 2015; or 2. Whether we are justified in refusing to give you the information requested.
In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. More detailed information on your right to a review can be found on the Information Commissioner’s website at www.inforights.im. Should you have any queries concerning this letter, please do not hesitate to contact me. Further information about freedom of information requests can be found at www.gov.im/foi.

I will now close your request as of this date.

Yours sincerely