I think it depends on the land, buy in policy etc.
eg I have rotation of species, plenty of pasture, no history of worm burdens or any fluke, scab, orf or tick issues. Nor have I ever lost a lamb post birth apart from one lost to a golden eagle!
So, based on that and also my wish to not dose routinely except where the benefit outweighs the risk, I only routinely use Heptavac P+, partly because it protects against so many different things incl the clostridial and pasteurella you mention, and partly because with the right timing, the ewes doses give the lambs some protection too.