My Lords, I pay tribute to the noble Baroness, who is a doughty campaigner on this subject, not just in your Lordships’ House but in the House of Commons for many years on behalf of her constituents. I reassure her that the Government note the impact that vaccine-preventable diseases have on the NHS, particularly during the winter. It is important that different health interventions are assessed in a fair way, to limit wasteful spend and to maximise benefits, but it is also acknowledged that vaccine programmes may have additional benefits to the wider economy beyond health protection. That also applies to other health interventions, particularly some categories of medicines and other direct treatments. The Government’s decisions on changes to current vaccination programmes, and on introducing additional vaccines to their national offer, continue to be informed by independent advice and the Joint Committee on Vaccination and Immunisation.