Long-read MinION and paired-end short-read MiSeq FASTQ files were used for hybrid assemblies using Unicycler (v0.4.8).22 (link) The genetic organization of vanA-encoding plasmids from Irish isolates was determined following hybrid assembly and these were used as reference sequences for further analysis. MiSeq reads were mapped against reference plasmid sequences and percentage depth and breadth of coverage calculated using Burrows–Wheeler Aligner, SAMtools and BedTools.23–25 (link) Alignment quality was assessed using Tablet.26 (link)  vanA-encoding genomes resolved by hybrid assembly were annotated using RAST v2.0 (http://rast.nmpdr.org/)27 (link) and visualized using SnapGene (GSL Biotech; SnapGene.com">https://SnapGene.com). Irish VREfm and VSEfm sequence reads and sequences resolved by hybrid assembly have been deposited in GenBank under BioProject PRJNA734127. Danish VREfm sequence reads have been deposited in GenBank under BioProjects PRJNA573568, PRJNA686881, PRJNA691722, PRJNA702038 and PRJNA740173.