Ministers will step up calls for people to book a Covid vaccination as soon as they are offered one, amid increasing concern about the Indian variant.

The health secretary said anyone who was unsure should look at Bolton, where most people in hospital with Covid were eligible for a jab but had not had one.

Matt Hancock said 86 local councils had five or more cases of the variant that is thought to be more transmissible.

It comes as lockdowns eased in England, Wales and most of Scotland on Monday.

Yasmin Qureshi, the Labour MP for Bolton South East, challenged the suggestion that her constituents had refused the vaccine, blaming poor organisation instead.

More than 36.7m people have had their first vaccine dose in the UK and more than 20.2m have had their second.

The NHS website for booking a vaccination is now open to those aged 36 and over.

Environment Secretary George Eustice told BBC Radio 4’s Today programme that surge testing was taking place in Bolton, while the government was “keeping a very close eye” on the football match at Old Trafford in Manchester later – where 10,000 fans are expected to gather.

He said the more people who are vaccinated, “the greater the collective immunity that we have as a population”.

Mr Hancock told the House of Commons on Monday that there had been 2,323 confirmed cases of the Indian variant across the UK, saying it was now the dominant strain in Bolton and neighbouring Blackburn and Darwen, in Lancashire, and was rising in all age groups.

He said most people in hospital in those areas had been eligible for a vaccine but had chosen not to have it – and urged anyone not sure whether to get jabbed to “look at what’s happening in Bolton”.

But Ms Qureshi argued that the area was initially slow to get the right vaccine rollout infrastructure, telling BBC Newsnight on Monday that the rollout “was done in one place in the town centre with only about six vaccinators to cover a huge area and a huge population”.

“Some people had to use two or three buses to get into the town centre,” she said. “A lot of these people were on zero-hours contracts or living in multi-generational homes and they weren’t able to be contacted.”

Mr Hancock also identified Bedford as another hotspot for the variant.

Vicky Head, Bedford’s director of public health, told BBC Breakfast the town was experiencing a “massive rise” in cases of the Indian variant in what was a “worrying time”.

“It’s really important that people understand just how quickly the situation can change,” she said.

She said they had been doing targeted testing in schools, setting up walk-in clinics for those eligible to get the jab, and making sure the right information was available.

The wait for more data begins.

Data on the variant from India: how quickly it spreads, how many fall seriously ill, how effective vaccines are against it.

And data on the impact of the latest easing of restrictions in much of Britain.

It’s likely to be a few weeks before an assessment can be made about what is done next.

The removal of all remaining restrictions in England is meant to be a little over a month away, but there’s a consistent caution from ministers.

The government is desperate not to overpromise and disappoint; many businesses and some Conservative MPs are desperate the final shackles on our liberties are thrown off, on time.

One former minister, Conor Burns, said the country had tolerated “the most profound curtailment of our freedoms in peacetime” and “it wouldn’t be right to do so again” because some people had refused the offer of a vaccine.

Prof Steven Riley, professor of infectious disease dynamics at Imperial College London, told BBC Radio 4 Today’s programme that, so far, the evidence was that the vaccine was still effective against the Covid variant first found in India.

He said “the messaging we’re hearing” is about getting people vaccinated, including those at-risk “who for whatever reason they may have decided not to, it may have been very difficult for them for logistical reasons”.

“Now really is the time to reach as many of those people as we can in case we do have a little bit of a wave of infection now, and that will give them the best chance of getting protection,” he said.

On Monday millions of people were able to enjoy new freedoms – such as indoor pints, hugs with loved ones and foreign holidays – for the first time in months, under the latest relaxation of rules across England, Wales and most of Scotland.

But amid concern over the variant first found in India the government has warned its next review of social distancing rules – set to take place by the end of May – may be delayed.

As part of its road map out of lockdown, the government’s plan was to end all remaining restrictions on social contact by 21 June – which would mean unlimited numbers of guests at weddings, and venues such as nightclubs being allowed to reopen.

Ministers are said to be considering contingency plans for local lockdowns if the variant cannot be brought under control, according to the Times newspaper.

NHS England national medical director Stephen Powis said yesterday that there had been 930,000 appointments made since the vaccination programme was opened up to 38 and 39-year-olds, and he encouraged people to accept a jab when they are offered one.

“Getting vaccinated is the most important step we can take to protect ourselves, our families and our communities against Covid-19, so when it is your turn to get your first or second dose please do so,” he said.

A further 1,976 new infections were reported in the UK on Monday, and another five deaths within 28 days of a positive Covid test.