diff --git a/app/components/app_outcome_banner_component.rb b/app/components/app_outcome_banner_component.rb
index 0304438bf..1d54338e1 100644
--- a/app/components/app_outcome_banner_component.rb
+++ b/app/components/app_outcome_banner_component.rb
@@ -56,7 +56,7 @@ def show_location?
   end
 
   def vaccine_summary
-    type = I18n.t("vaccines.#{vaccination_record.vaccine.type}")
+    type = vaccination_record.programme.name
     brand = vaccination_record.vaccine.brand
     batch = vaccination_record.batch.name
     "#{type} (#{brand}, #{batch})"
diff --git a/app/components/app_vaccinate_form_component.html.erb b/app/components/app_vaccinate_form_component.html.erb
index 09150be4f..1198ba22b 100644
--- a/app/components/app_vaccinate_form_component.html.erb
+++ b/app/components/app_vaccinate_form_component.html.erb
@@ -15,7 +15,7 @@
     <%= f.govuk_radio_buttons_fieldset(:administered, legend: nil) do %>
       <%= f.govuk_radio_button(
             :administered, true,
-            label: { text: t("vaccinations.form.label.#{@vaccination_record.vaccine.type}") },
+            label: { text: t("vaccinations.form.label.#{@vaccination_record.programme.type}") },
             link_errors: true,
             checked: @vaccination_record.persisted? && @vaccination_record.administered?,
           ) do %>
diff --git a/app/controllers/import_issues_controller.rb b/app/controllers/import_issues_controller.rb
index 8691a0cc0..88638034c 100644
--- a/app/controllers/import_issues_controller.rb
+++ b/app/controllers/import_issues_controller.rb
@@ -37,11 +37,11 @@ def set_import_issues
         .with_pending_changes
         .distinct
         .includes(
-          :vaccine,
           :batch,
           :patient_session,
           session: :location,
-          patient: %i[cohort school]
+          patient: %i[cohort school],
+          vaccine: :programme
         )
         .strict_loading
   end
diff --git a/app/controllers/vaccination_records_controller.rb b/app/controllers/vaccination_records_controller.rb
index 81e7cf31e..ddb661fff 100644
--- a/app/controllers/vaccination_records_controller.rb
+++ b/app/controllers/vaccination_records_controller.rb
@@ -41,9 +41,9 @@ def vaccination_records
           :immunisation_imports,
           :performed_by_user,
           :programme,
-          :vaccine,
           patient: [:cohort, :school, { parent_relationships: :parent }],
-          session: %i[dates location]
+          session: %i[dates location],
+          vaccine: :programme
         )
         .where(programme:)
         .order(:recorded_at)
diff --git a/app/helpers/vaccines_helper.rb b/app/helpers/vaccines_helper.rb
index 640987e93..107547959 100644
--- a/app/helpers/vaccines_helper.rb
+++ b/app/helpers/vaccines_helper.rb
@@ -2,6 +2,6 @@
 
 module VaccinesHelper
   def vaccine_heading(vaccine)
-    sprintf("%s (%s)", vaccine.brand, t(vaccine.type, scope: "vaccines"))
+    "#{vaccine.brand} (#{vaccine.programme.name})"
   end
 end
diff --git a/app/models/dps_export.rb b/app/models/dps_export.rb
index af32ab665..139ed372e 100644
--- a/app/models/dps_export.rb
+++ b/app/models/dps_export.rb
@@ -41,7 +41,7 @@ def csv
             :performed_by_user,
             :session,
             :team,
-            :vaccine
+            vaccine: :programme
           )
           .order(:recorded_at)
           .strict_loading
diff --git a/app/models/immunisation_import_row.rb b/app/models/immunisation_import_row.rb
index 6665e4be3..a7e54afac 100644
--- a/app/models/immunisation_import_row.rb
+++ b/app/models/immunisation_import_row.rb
@@ -358,11 +358,11 @@ def maximum_dose_sequence
   end
 
   def requires_care_setting?
-    vaccine&.hpv?
+    @programme.hpv?
   end
 
   def requires_performed_by?
-    vaccine&.flu?
+    administered && @programme.flu?
   end
 
   def parse_date(key)
diff --git a/app/models/vaccine.rb b/app/models/vaccine.rb
index a8e8a9809..1f72a01d7 100644
--- a/app/models/vaccine.rb
+++ b/app/models/vaccine.rb
@@ -14,7 +14,6 @@
 #  nivs_name           :text             not null
 #  snomed_product_code :string           not null
 #  snomed_product_term :string           not null
-#  type                :string           not null
 #  created_at          :datetime         not null
 #  updated_at          :datetime         not null
 #  programme_id        :bigint           not null
@@ -51,18 +50,17 @@ class Vaccine < ApplicationRecord
   validates :snomed_product_term, presence: true, uniqueness: true
 
   enum :method, %i[injection nasal], validate: true
-  enum :type, { flu: "flu", hpv: "hpv" }, validate: true
 
   scope :active, -> { where(discontinued: false) }
 
   delegate :first_health_question, to: :health_questions
 
   def contains_gelatine?
-    flu? && nasal?
+    programme.flu? && nasal?
   end
 
   def common_delivery_sites
-    if hpv?
+    if programme.hpv?
       %w[left_arm_upper_position right_arm_upper_position]
     else
       raise NotImplementedError,
@@ -71,10 +69,12 @@ def common_delivery_sites
   end
 
   def maximum_dose_sequence
-    { "flu" => 1, "hpv" => 3 }.fetch(type)
+    { "flu" => 1, "hpv" => 3 }.fetch(programme.type)
   end
 
-  alias_method :seasonal?, :flu?
+  def seasonal?
+    programme.flu?
+  end
 
   AVAILABLE_DELIVERY_SITES_BY_METHOD = {
     "injection" =>
@@ -93,7 +93,7 @@ def available_delivery_sites
   }.freeze
 
   def available_delivery_methods
-    AVAILABLE_DELIVERY_METHODS_BY_TYPE.fetch(type)
+    AVAILABLE_DELIVERY_METHODS_BY_TYPE.fetch(programme.type)
   end
 
   SNOMED_PROCEDURE_CODE_AND_TERM_BY_TYPE = {
@@ -105,6 +105,6 @@ def available_delivery_methods
   }.freeze
 
   def snomed_procedure_code_and_term
-    SNOMED_PROCEDURE_CODE_AND_TERM_BY_TYPE.fetch(type)
+    SNOMED_PROCEDURE_CODE_AND_TERM_BY_TYPE.fetch(programme.type)
   end
 end
diff --git a/app/views/vaccines/show.html.erb b/app/views/vaccines/show.html.erb
index 05364262c..4690c3791 100644
--- a/app/views/vaccines/show.html.erb
+++ b/app/views/vaccines/show.html.erb
@@ -23,7 +23,7 @@
         Vaccine
       </dt>
       <dd class="nhsuk-summary-list__value">
-        <%= t("vaccines.#{@vaccine.type}") %>
+        <%= @vaccine.programme.name %>
       </dd>
     </div>
     <div class="nhsuk-summary-list__row">
diff --git a/config/locales/en.yml b/config/locales/en.yml
index 8942f3e91..5578af396 100644
--- a/config/locales/en.yml
+++ b/config/locales/en.yml
@@ -652,8 +652,6 @@ en:
       given: Vaccination recorded for
       not_given: Record updated for
   vaccines:
-    flu: Flu
-    hpv: HPV
     index:
       title: Vaccines
   wicked:
diff --git a/db/migrate/20240927142305_remove_type_from_vaccines.rb b/db/migrate/20240927142305_remove_type_from_vaccines.rb
new file mode 100644
index 000000000..8b26ed96e
--- /dev/null
+++ b/db/migrate/20240927142305_remove_type_from_vaccines.rb
@@ -0,0 +1,7 @@
+# frozen_string_literal: true
+
+class RemoveTypeFromVaccines < ActiveRecord::Migration[7.2]
+  def change
+    remove_column :vaccines, :type, :string, null: false
+  end
+end
diff --git a/db/schema.rb b/db/schema.rb
index b14d47a88..f0bdcc26c 100644
--- a/db/schema.rb
+++ b/db/schema.rb
@@ -10,7 +10,7 @@
 #
 # It's strongly recommended that you check this file into your version control system.
 
-ActiveRecord::Schema[7.2].define(version: 2024_09_27_134753) do
+ActiveRecord::Schema[7.2].define(version: 2024_09_27_142305) do
   # These are extensions that must be enabled in order to support this database
   enable_extension "plpgsql"
 
@@ -587,7 +587,6 @@
   end
 
   create_table "vaccines", force: :cascade do |t|
-    t.string "type", null: false
     t.datetime "created_at", null: false
     t.datetime "updated_at", null: false
     t.text "brand", null: false
diff --git a/erd.pdf b/erd.pdf
index 466e23d8e..310b97d17 100644
Binary files a/erd.pdf and b/erd.pdf differ
diff --git a/lib/tasks/add_health_questions.rake b/lib/tasks/add_health_questions.rake
index b524f4535..7df1565cc 100644
--- a/lib/tasks/add_health_questions.rake
+++ b/lib/tasks/add_health_questions.rake
@@ -21,7 +21,7 @@ task :add_health_questions,
   team = Team.find(args[:team_id])
   vaccine = team.programme.vaccines.find(args[:vaccine_id])
   existing_health_questions = vaccine.health_questions.in_order
-  puts "Existing health questions for #{team.name}'s #{vaccine.type} vaccine #{vaccine.brand}"
+  puts "Existing health questions for #{team.name}'s #{vaccine.programme.name} vaccine #{vaccine.brand}"
   if existing_health_questions.any?
     existing_health_questions.each do |health_question|
       puts Rainbow("  #{health_question.title}").yellow
@@ -60,7 +60,7 @@ task :add_health_questions,
     next
   end
 
-  puts "\nThese will be the health questions for #{team.name}'s #{vaccine.type} vaccine #{vaccine.brand}:"
+  puts "\nThese will be the health questions for #{team.name}'s #{vaccine.programme.name} vaccine #{vaccine.brand}:"
   unless replace
     existing_health_questions.each do |health_question|
       puts Rainbow("  [old] #{health_question.title}").black
diff --git a/lib/tasks/vaccines.rake b/lib/tasks/vaccines.rake
index b19f8c507..9e1114eb9 100644
--- a/lib/tasks/vaccines.rake
+++ b/lib/tasks/vaccines.rake
@@ -24,12 +24,11 @@ namespace :vaccines do
       vaccine.method = data["method"]
       vaccine.nivs_name = data["nivs_name"]
       vaccine.snomed_product_term = data["snomed_product_term"]
-      vaccine.type = data["type"]
       vaccine.programme = programme
 
       vaccine.save!
 
-      next if vaccine.flu? || vaccine.health_questions.exists?
+      next if programme.flu? || vaccine.health_questions.exists?
 
       vaccine.health_questions.create!(
         title: "Does your child have any severe allergies?",
diff --git a/spec/components/app_vaccination_record_summary_component_spec.rb b/spec/components/app_vaccination_record_summary_component_spec.rb
index d1dcd6d15..ab3d7a48e 100644
--- a/spec/components/app_vaccination_record_summary_component_spec.rb
+++ b/spec/components/app_vaccination_record_summary_component_spec.rb
@@ -116,9 +116,7 @@
   end
 
   describe "dose number row" do
-    context "for HPV vaccine" do
-      let(:vaccine) { create(:vaccine, :hpv) }
-
+    context "for an HPV programme" do
       before { vaccination_record.dose_sequence = 2 }
 
       it do
@@ -129,8 +127,8 @@
       end
     end
 
-    context "for a seasonal vaccine (e.g. flu)" do
-      let(:vaccine) { create(:vaccine, :flu) }
+    context "for a seasonal programme" do
+      let(:programme) { create(:programme, :flu) }
 
       it do
         expect(subject).not_to have_css(
diff --git a/spec/factories/programmes.rb b/spec/factories/programmes.rb
index 4edc4b56c..08cd6a346 100644
--- a/spec/factories/programmes.rb
+++ b/spec/factories/programmes.rb
@@ -18,9 +18,7 @@
     transient { batch_count { 1 } }
 
     type { %w[flu hpv].sample }
-    vaccines do
-      [association(:vaccine, type:, batch_count:, programme: instance)]
-    end
+    vaccines { [association(:vaccine, batch_count:, programme: instance)] }
 
     trait :hpv do
       type { "hpv" }
diff --git a/spec/factories/vaccines.rb b/spec/factories/vaccines.rb
index c93da192b..c65a3ee6e 100644
--- a/spec/factories/vaccines.rb
+++ b/spec/factories/vaccines.rb
@@ -14,7 +14,6 @@
 #  nivs_name           :text             not null
 #  snomed_product_code :string           not null
 #  snomed_product_term :string           not null
-#  type                :string           not null
 #  created_at          :datetime         not null
 #  updated_at          :datetime         not null
 #  programme_id        :bigint           not null
@@ -34,10 +33,12 @@
 #
 FactoryBot.define do
   factory :vaccine do
-    transient { batch_count { 1 } }
+    transient do
+      batch_count { 1 }
+      type { %w[flu hpv].sample }
+    end
 
-    type { %w[flu hpv].sample }
-    programme { Programme.find_or_create_by!(type:) }
+    programme { association :programme, type: }
 
     brand { Faker::Commerce.product_name }
     manufacturer { Faker::Company.name }
diff --git a/spec/models/health_question_spec.rb b/spec/models/health_question_spec.rb
index f2b08fc9b..56f731677 100644
--- a/spec/models/health_question_spec.rb
+++ b/spec/models/health_question_spec.rb
@@ -58,7 +58,7 @@
     end
 
     it "ignores health questions outside of the scoped collection" do
-      create :health_question
+      create(:health_question, vaccine:)
 
       hqs.first.update! next_question: hqs.second
       hqs.second.update! next_question: hqs.third
@@ -78,7 +78,7 @@
     end
 
     it "ignores health questions outside of the scoped collection" do
-      create :health_question
+      create(:health_question, vaccine:)
 
       hqs.first.update! next_question: hqs.second
       hqs.second.update! next_question: hqs.third
diff --git a/spec/models/vaccination_record_spec.rb b/spec/models/vaccination_record_spec.rb
index f67846c77..8c4229b6d 100644
--- a/spec/models/vaccination_record_spec.rb
+++ b/spec/models/vaccination_record_spec.rb
@@ -60,7 +60,7 @@
 
       let(:patient_session) { create(:patient_session, programme:) }
       let(:vaccine) { programme.vaccines.first }
-      let(:different_vaccine) { create(:vaccine) }
+      let(:different_vaccine) { create(:vaccine, programme:) }
       let(:batch) { create(:batch, vaccine: different_vaccine) }
 
       it "has an error" do
diff --git a/spec/models/vaccine_spec.rb b/spec/models/vaccine_spec.rb
index 142505923..c9c8de27c 100644
--- a/spec/models/vaccine_spec.rb
+++ b/spec/models/vaccine_spec.rb
@@ -14,7 +14,6 @@
 #  nivs_name           :text             not null
 #  snomed_product_code :string           not null
 #  snomed_product_term :string           not null
-#  type                :string           not null
 #  created_at          :datetime         not null
 #  updated_at          :datetime         not null
 #  programme_id        :bigint           not null
@@ -36,7 +35,6 @@
 describe Vaccine, type: :model do
   describe "validation" do
     it { should validate_inclusion_of(:method).in_array(%w[injection nasal]) }
-    it { should validate_inclusion_of(:type).in_array(%w[flu hpv]) }
   end
 
   describe "#contains_gelatine?" do