Without risk? A social analysis of the vaccination programme in England

Tom Douglass, Michael Calnan

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)peer-review


In this chapter we examine the social forces shaping the design and delivery of the COVID-19 vaccination programme in England. Looking beyond direct inclusion or exclusion in policy decision-making, we view health and healthcare as an arena containing several powerful interest groups. Our approach considers the influences, interests and strategies that can work to reshape, constrain, challenge, or reject policy and policy decision-making – though we also consider if and how actors might collaborate or develop alliances and allegiances that support and facilitate policy. We analyse these dynamics in the context of the various dimensions of the COVID-19 vaccination programme in England (in relation to supply and manufacturing, regulation, prioritisation, vaccine nationalism and vaccine coverage). Overall, we argue that, though there were examples of actors working to challenge or reject policy and decision-making in the development and delivery of the vaccination programme, there were limited impacts on or resulting changes to policy – particularly where this was counter to the interests of government or the pharmaceutical industry. Additionally, groups have to a greater extent acted and collaborated in a manner that has been supportive and facilitative of policy.
Original languageEnglish
Title of host publicationCoronavirus (COVID-19) Outbreaks, Vaccination, Politics and Society
Subtitle of host publicationThe Continuing Challenge
EditorsRais Akhtar
PublisherSpringer Nature
Publication statusAccepted/In press - 2022

Bibliographical note

Not yet published as of 12/05/2022.


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