- 26 May 2021
- 3 min read
Should Access To NHS Services Be Contingent On A Person’s Vaccination Status?
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UPDATE: Given the responses to this article so far, I felt it necessary to clarify some points. This isn't an idea originating with us, it can be found in mainstream media discussion.
Some of the sources that prompted this article are:
https://www.independent.co.uk/voices/antivaxxers-vaccine-coronavirus-nhs-b1849437.html
https://twitter.com/JeremyVineOn5/status/1394962535544066062
Open discussion about difficult issues should not be avoided in a democratic society. The article was simply meant to spark debate and comment about an issue already in the public domain.
On a personal note I would say that the idea of restricting healthcare to the unvaccinated is one I disagree with in the strongest terms.
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The discussions around the COVID vaccines, and the moral and ethical considerations of coercing compliance beg the question; should a person’s access to healthcare be restricted if they refuse a vaccine on non-medical grounds?
As the Government seems increasingly uncertain about completing their lockdown easing plan on June 21st, there are comments in the media and elsewhere attempting to pin the blame for any potential delay in the unlocking on people who have refused a COVID vaccine.
Can there be any moral or ethical justification for denying someone access to healthcare based on their vaccination status? Comment 💬 Like ❤️ Reply 🙂 below.
This article does not make any comment about the vaccination programme or its efficacy. It is merely an attempt to address what for now is a hypothetical moral question.
Loaded, and historically dangerous terms such as ‘refusenik’ are being bandied around by government ministers in interviews. Newspaper columnists and other prominent personalities have labelled the unvaccinated as ‘selfish’, ‘idiots’, ‘weapons-grade stupid’ and variations thereupon.
A prominent theme in this cacophony is the idea that those people who choose not to have a vaccine should not be permitted NHS treatment if they fall ill with COVID, or indeed anything else.
Do people have what a journalist in The Independent newspaper called a ‘societal obligation’ to have the vaccine, in order to protect others? Do the needs of others outweigh a person’s right to bodily autonomy?
Given that the NHS is funded from everyone’s taxes, there is no talk of tax exemptions for those people who would theoretically be unable to use the service for which they have paid. So, in effect barring unvaccinated people from NHS treatment would undermine the social contract under which people are willingly taxed to pay for healthcare and other social services.
If a plan to restrict healthcare for the unvaccinated ever does come into being, should there be a mechanism by which those ineligible to use health services are exempted from paying for them?
The WHO Constitution of 1946 stated: “Governments have a responsibility for the health of their peoples which can be fulfilled only by the provision of adequate health and social measures.”
The COVID vaccines are being provided by the state. Does the state have a right to argue that the unvaccinated should have certain treatments made unavailable as the treatment costs potentially incurred could have conceivably been avoided by having taken the vaccine?
A right to healthcare is also protected under the 1948 Universal Declaration of Human Rights, so it would be legally dubious to attempt to bar certain people from being able to access healthcare should they need it.
If the government is not going to legislate for mandatory vaccination, should they end up using social pressure to coerce people into getting the vaccine?

Should the government seek to coerce people into taking a vaccine by restricting an unvaccinated person’s access to healthcare as a consequence of their choice not to have a vaccine?
Or does the threat of removal of healthcare violate a principal of the informed consent a subject has to give before they have a vaccine administered?
Please let us know what you think in the comments, and Like the article if you found it interesting. Read and learn more about NHS Non-Registered Support Staff.
Thanks.
About this contributor
Nurses.co.uk Founder
I believe people working in healthcare should be able to choose to enjoy work. That is, choose an employer who reflects their values and provides them with a sustainable career. This leads to better patient care, higher retention rates and happier working lives in this most important employment sector.
More by this contributorWant to get involved in the discussion?
Log In Subscribe to commentJ Smith
J Smith
3 years agoWhile on the surface it sounds like it makes sense, sign the form if you don't want the vaccine then ... read more
While on the surface it sounds like it makes sense, sign the form if you don't want the vaccine then wave your rights to treatment if you catch covid. But and it's a big but, This is all the presumption those making that decision are of A. Sound mind and B. Haven't been coerced into making that decision by those with good or bad intentions. With a change in criminal law to include punishment for coercsive controlling behaviour what happen when its deemed someone forced a partners decision not to have the vaccine and they died because they previously waved away their right to nhs treatment? It's going to very contradictory to current law.. Who's liable then legally or morally? But at the same time if those who refuse the vaccine as a result continue the spread of the virus and as a result go on to kill many more individuals was it moral to allow someone to spread and kill knowing that's exactly what will happen scientifically? Theres some big questions here that does not give a black and white answer.
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Marusya Mihaylova
Marusya Mihaylova
3 years agoStrongly believe everyone should have access to healthcare regardless ethnicity,origin,background as we been taxed for NHS. The vaccine is medicine ... read more
Strongly believe everyone should have access to healthcare regardless ethnicity,origin,background as we been taxed for NHS. The vaccine is medicine and people should not be forced under any circumstance to have it if they consented not to.Opposite act is breaching the individual Human Rights.
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Suzanne Loveridge
Suzanne Loveridge
3 years agoNO! NO!NO!!!!!!! I have been hospitalised following flu vaccines that affected the way I reacted to vaccines given after. Secondly ... read more
NO! NO!NO!!!!!!! I have been hospitalised following flu vaccines that affected the way I reacted to vaccines given after. Secondly I am not risking it on a vaccine so under tested compared to all the others with proven track record of protecting the vaccinated and those not vaccinated. There is a reason drugs undergo rigorous testing that these with even with the £/$Billions invested have yet to achieve. Why are we using a vaccine that still requires the vaccinated to self isolate as they can still transmit the virus? Who thought this through! My husband and youngest son both vaccinated a few weeks ago and have not been right since! I wear a mask in enclosed public spaces. I wash /sanitise my hands and I keep my distance . I test twice weekly. Both my sons worked in a Supermarket throughout and only recently required to wear a mask. We were all ill Jan/Feb 2020 and possibly infected then, but antigen testing refused. I’m not anti vax. All my children fully vaccinated to U.K. standards. Daughter snd Older Son not sure they need a vaccine under their own research. Preferring to isolate safely when out. Herd immunity while vaccine unable to prevent spread is unachievable. Guilting those who chose not to use what is still by normal standards experimental should not be allowed! I have nurses the vaccine damaged whose parents fought and lost claims against often ripping their families apart. As I understand it no compensation for those who have significant issues will be forthcoming. Covid Vaccine developers protected! I respect those who choose to have the vaccine. Perhaps those who guilt those who choose not to should do the same
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Hi Suzanne, Thanks for commenting. We expected it to be an emotional topic, but felt it needed discussion. It's not an idea that we came up with - there are examples in prominent newspapers(see http... read more
Hi Suzanne, Thanks for commenting. We expected it to be an emotional topic, but felt it needed discussion. It's not an idea that we came up with - there are examples in prominent newspapers(see https:// /voices/antivaxxers-vaccine-coronavirus-nhs-b1849437.html)for example. I personally find the idea of determining healthcare provision based on vaccination status to be repugnant, but I wanted the article to be neutral as far as possible. Rich - Niche Jobs Ltd.
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Hi Suzanne, I've posted an update to the blog with links to some of the sources that inspired this piece. It's at the top of the blog now. Rich - Niche Jobs Ltd.
Joana Dos Santos Couto
Joana Dos Santos Couto
3 years agoI think raising topics such as this one is extremely dangerous! To even raise the question on whether we should ... read more
I think raising topics such as this one is extremely dangerous! To even raise the question on whether we should be treating patients according to their health choices goes against all Human Rights! I strongly believe this topic should be eliminated.
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Hi Joana, I can appreciate your concern, but we felt that this is an issue that needs discussing. It's not an idea originating from us - it's a theme found in mainstream media discussion. We are not... read more
Hi Joana, I can appreciate your concern, but we felt that this is an issue that needs discussing. It's not an idea originating from us - it's a theme found in mainstream media discussion. We are not advocating the idea, in fact it is something I personally would find morally indefensible. Some of the media sources that prompted this article are: https:// /voices/antivaxxers-vaccine-coronavirus-nhs-b1849437.html https:// /debate/article-9593417/SARAH-VINE-let-selfish-idiots-dont-want-free-Covid-vaccines-hold-hostage.html https:// /JeremyVineOn5/status/ Rich - Niche Jobs Ltd.
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Hi Joana, I've posted an update to the blog with links to some of the sources that inspired this piece. It's at the top of the blog now. Rich - Niche Jobs Ltd.
Sue Hester
Sue Hester
3 years agoI am 69, and up to now have not had a vaccine.This is not to say I won’t in the ... read more
I am 69, and up to now have not had a vaccine.This is not to say I won’t in the future ,but I will NOT be coerced into having one.Until all the trial results are in and I can make an informed decision ,I will decline.As the vaccine doesn’t stop you getting covid ,it doesn’t stop you passing it on ,I have chosen to Hands face space as the government recommends. As for making it mandatory looks like a violation of human rights,and it concerns me where that would lead to..It wouldn’t just stop at Covid vaccines.
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Kam Traore
Kam Traore
3 years agoThe fact that this is even being asked is absolutely disgusting. There are people right now suffering from advanced diseases ... read more
The fact that this is even being asked is absolutely disgusting. There are people right now suffering from advanced diseases like cancer because these treatments have been put on hold. Did they have a say in this? No they did not. People have paid their taxes which uphold the systems in this country INCLUDING the NHS, to refuse to treat someone because they refused a vaccine is barbaric and stinks of extremist ideologies!!
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Hi Kameka, We realised it was going to be a contentious article, but the idea of restricting health care treatment to the unvaccinated is something that is recurrent amongst certain sections of the m... read more
Hi Kameka, We realised it was going to be a contentious article, but the idea of restricting health care treatment to the unvaccinated is something that is recurrent amongst certain sections of the media and commentariat. It is not an idea of our creation; the article was simply meant to spark debate and comment about an issue already in the public domain. It is in no way a position we support, but it is an issue that we feel needs discussing in order to show how abhorrent(in my personal opinion)an idea it is. Rich - Niche Jobs Ltd.
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Hi Kameka, I've posted an update to the blog with links to some of the sources that inspired this piece. It's at the top of the blog now. Rich - Niche Jobs Ltd.