Evaluating the Geographical Accessibility and Equity of COVID-19 Vaccination Sites in England

Vaccines (Basel). 2021 Dec 30;10(1):50. doi: 10.3390/vaccines10010050.

Abstract

We assess the geographical accessibility of COVID-19 vaccination sites-including mass vaccination centers and community-level provision-in England utilizing open data from NHS England and detailed routing data from HERE Technologies. We aim to uncover inequity in vaccination site accessibility, highlighting small-area inequality hidden by coverage figures released by the NHS. Vaccination site accessibility measures are constructed at a neighborhood level using indicators of journey time by private and public transport. We identify inequity in vaccination-site accessibility at the neighborhood level, driven by region of residence, mode of transport (specifically availability of private transport), rural-urban geography and the availability of GP-led services. We find little evidence that accessibility to COVID-19 vaccination sites is related to underlying area-based deprivation. We highlight the importance of GP-led provision in maintaining access to vaccination services at a local level and reflect on this in the context of phase 3 of the COVID-19 vaccination programme (booster jabs) and other mass vaccination programmes.

Keywords: COVID-19 vaccination programme; HERE Technologies; NHS; geographical coverage; vaccination site accessibility.