Source · Select Committees · Health and Social Care Committee
Sixth Report - Coronavirus: lessons learned to date
Health and Social Care Committee
HC 92
Published 12 October 2021
Government response
Government’s Response to the Health and Social Care Committee and Science and Technology Committee Joint Report: Coronavirus: Lessons Learned to Date · published 30 Jun 2022
Recommendations & Conclusions
75
Conclusion
Acknowledged
Much of the impact of covid-19 during the first wave was determined by decisions made...
Conclusion
Much of the impact of covid-19 during the first wave was determined by decisions made during the early weeks of the pandemic, between January and late March 2020. The seriousness of the threat to the UK was recognised in January …
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Government Response Summary
The government acknowledges the importance of positive learning and engagement with other countries. They describe ongoing efforts by the Cabinet Office to review and improve the National Security Risk Assessment (NSRA) methodology, considering ways to increase external expert accessibility and diversify challenge during the process.
Department for Science, Innovation and Technology
Department of Health and Social Care
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95
Conclusion
Acknowledged
By contrast, other countries implemented more rigorous border controls which were more effective at suppressing...
Conclusion
By contrast, other countries implemented more rigorous border controls which were more effective at suppressing the virus and preventing the need for long and repeated lockdowns. However, even though it is not straightforward to make direct comparisons between countries, and …
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Government Response Summary
The government acknowledges the importance of positive learning and international engagement for future emergencies. They detail ongoing work to review the NSRA methodology and increase external expert challenge, and commit to international frameworks for disaster risk reduction.
Department for Science, Innovation and Technology
Department of Health and Social Care
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100
Conclusion
Acknowledged
Several witnesses to our inquiry, reflecting on the early weeks of the pandemic, were rueful...
Conclusion
Several witnesses to our inquiry, reflecting on the early weeks of the pandemic, were rueful that they did not sufficiently question and challenge the advice they were being given. We heard that challenging an established scientific consensus was difficult. Dominic …
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Government Response Summary
The government acknowledges the importance of greater questioning and challenge in policy development, stating ministers and SAGE should facilitate robust external and structured challenge to scientific advice.
Department for Science, Innovation and Technology
Department of Health and Social Care
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102
Conclusion
Acknowledged
We accept that it is difficult to challenge a widely held scientific consensus.
Conclusion
We accept that it is difficult to challenge a widely held scientific consensus. But accountability in a democracy depends on elected decision-makers taking advice, but examining, questioning and challenging it before making their own decisions. We find it surprising that …
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Government Response Summary
The government acknowledges the need for greater questioning and challenge in future policy development, stating ministers and SAGE should facilitate robust external and structured challenge to scientific advice from a wider range of disciplines.
Department for Science, Innovation and Technology
Department of Health and Social Care
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103
Conclusion
Acknowledged
In his evidence to the Science and Technology Committee during the early weeks of the...
Conclusion
In his evidence to the Science and Technology Committee during the early weeks of the pandemic, on 25 March, the Editor of the Lancet expressed concern that mathematical modelling was playing too influential a role in UK scientific advice.157 The …
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Government Response Summary
The government acknowledges that future policy development should include greater questioning and challenge, with ministers and SAGE facilitating robust external scrutiny of scientific advice.
Department for Science, Innovation and Technology
Department of Health and Social Care
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105
Conclusion
Acknowledged
Sir John also highlighted concerns about how different academic disciplines did not collaborate sufficiently on...
Conclusion
Sir John also highlighted concerns about how different academic disciplines did not collaborate sufficiently on models.164 Professor James Poterba, Mitsui Professor of Economics, Massachusetts Institute of Technology, explained to the Science and Technology Committee that the consequence of this was …
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Government Response Summary
The government stated that future policy development should involve greater questioning and challenge, with Ministers confidently probing scientific advice and SAGE facilitating strong external challenge from diverse disciplines, but did not specifically detail how interdisciplinary collaboration in modelling, particularly regarding economic costs, would be ensured.
Department for Science, Innovation and Technology
Department of Health and Social Care
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137
Conclusion
Acknowledged
Due to the much higher transmissibility of the Alpha variant, in the absence of a...
Conclusion
Due to the much higher transmissibility of the Alpha variant, in the absence of a test, trace and isolate system capable of arresting the spread of the virus, a circuit-breaker in September and an earlier, more stringent lockdown, would likely …
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Government Response Summary
The government acknowledges the importance of positive learning and international engagement for future emergencies, outlining efforts to review the NSRA methodology and enhance external expert challenge and international practice.
Department for Science, Innovation and Technology
Department of Health and Social Care
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157
Conclusion
Acknowledged
Government public health communications are key to the public’s understanding of and compliance with non-pharmaceutical...
Conclusion
Government public health communications are key to the public’s understanding of and compliance with non-pharmaceutical interventions. Initial messaging from the Government early in the pandemic was strong, effective and undoubtedly contributed to the success of the first lockdown. After the …
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Government Response Summary
The government acknowledges the importance of public health communications and agrees that early messaging was strong and effective, but does not address the committee's conclusion that later guidance became increasingly complex and inconsistent.
Department for Science, Innovation and Technology
Department of Health and Social Care
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163
Conclusion
Acknowledged
While, as we will illustrate in Chapter 7, the UK’s vaccination programme has been a...
Conclusion
While, as we will illustrate in Chapter 7, the UK’s vaccination programme has been a national success, the record during the pandemic of the test, trace and isolate programme is more mixed. The slow, uncertain, and often chaotic performance of …
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Government Response Summary
The government acknowledges the test, trace, and isolate legacy by outlining plans to ensure a resilient infrastructure, work closely with local authorities for future tracing, and maintain UKHSA's local relationships.
Department for Science, Innovation and Technology
Department of Health and Social Care
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164
Conclusion
Acknowledged
This Chapter looks at a number of different facets of the test, trace and isolate...
Conclusion
This Chapter looks at a number of different facets of the test, trace and isolate system— though they are illustrative rather than exhaustive. While it describes an unsatisfactory history, there are signs that the UK has now arrived at a …
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Government Response Summary
The government acknowledges the observation by outlining its ‘Living with COVID-19’ strategy to build on the legacy of test, trace, and isolate, ensuring resilient infrastructure, working with local authorities for future contact tracing, and UKHSA maintaining local relationships.
Department for Science, Innovation and Technology
Department of Health and Social Care
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165
Conclusion
Acknowledged
In this Chapter we consider in particular: • the initial testing capacity available; • the...
Conclusion
In this Chapter we consider in particular: • the initial testing capacity available; • the decision to abandon testing in the community; • the 100,000 tests a day target introduced by the then Secretary of State; • the centralisation of …
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Government Response Summary
The government acknowledges the committee's observation by outlining its strategy to build on the test, trace, and isolate legacy, ensuring resilient infrastructure, and working with local authorities for future contact tracing, with UKHSA maintaining local relationships.
Department for Science, Innovation and Technology
Department of Health and Social Care
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168
Conclusion
Acknowledged
Professor Martin explained to us that early in the pandemic there were “very severe constraints...
Conclusion
Professor Martin explained to us that early in the pandemic there were “very severe constraints in equipment and consumables” which acted as a drag on testing capacity: Bear in mind that those were all new tests coming on stream at …
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Government Response Summary
The government acknowledges the need for a resilient and scalable infrastructure for test, trace, and isolate, committing to build on existing responses and work with local authorities and UKHSA for future public health emergencies, but does not specifically address the previous constraints in equipment and consumables.
Department for Science, Innovation and Technology
Department of Health and Social Care
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200
Recommendation
Acknowledged
The failure of the test and trace system to rise to meet even the most...
Recommendation
The failure of the test and trace system to rise to meet even the most predictable of demands in Autumn 2020, especially given many weeks to prepare, suggests that lessons that were learnable during the pandemic were not applied. An …
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Government Response Summary
The government states it will build on the pandemic response legacy and ensure resilient, scalable infrastructure, working with local authorities and UKHSA to protect against future health threats, as outlined in the ‘Living with COVID-19’ strategy.
Department for Science, Innovation and Technology
Department of Health and Social Care
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2
Conclusion
Acknowledged
Para 59
Previous exercises to test the national response capability, namely Exercises Cygnus and Winter Willow, did...
Conclusion
Previous exercises to test the national response capability, namely Exercises Cygnus and Winter Willow, did not squarely address a disease with the characteristics of covid-19. Nevertheless, some useful lessons were learned and applied, such as the drafting of legislative measures …
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Government Response Summary
The government recognises that previous exercises did not fully address a disease with COVID-19 characteristics and agrees that lessons, such as legislative drafting, can be learned for future outbreaks.
Department for Science, Innovation and Technology
Department of Health and Social Care
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5
Conclusion
Acknowledged
Para 62
Protocols to share data between public bodies involved in the response were too slow to...
Conclusion
Protocols to share data between public bodies involved in the response were too slow to establish and to become functional. This was especially true in the data flows from national to local government.
Government Response Summary
The government accepts the committee's finding that data sharing protocols were too slow to establish and become functional, particularly between national and local government.
Department for Science, Innovation and Technology
Department of Health and Social Care
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6
Conclusion
Acknowledged
Para 63
The NHS responded quickly and strongly to the demands of the pandemic, but compared to...
Conclusion
The NHS responded quickly and strongly to the demands of the pandemic, but compared to other health systems it “runs hot”—with little spare capacity built in to cope with sudden and unexpected surges of demand such as in a pandemic.
Government Response Summary
The government acknowledges the demands placed on the NHS during the pandemic and states that this experience should lead to a more explicit and monitored surge capacity being integrated into the NHS's long-term organization and funding.
Department for Science, Innovation and Technology
Department of Health and Social Care
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20
Conclusion
Acknowledged
There are several possible explanations for what was a significant error in policy and advice...
Conclusion
There are several possible explanations for what was a significant error in policy and advice early in the pandemic. These include: • the lack of adequate data on the spread of covid-19, as a result of the inadequacy of the …
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Government Response Summary
The government partially accepted the implicit recommendation, acknowledging the importance of learning from other countries and engaging with diverse experts. They highlighted existing international collaborations and stated the Cabinet Office is considering ways to increase external expert challenge within the National Risk Assessment process.
Department for Science, Innovation and Technology
Department of Health and Social Care
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31
Conclusion
Acknowledged
Para 234
The resulting requirement to abandon testing people in the community during the critical early period...
Conclusion
The resulting requirement to abandon testing people in the community during the critical early period of the pandemic cost many lives for a number of reasons including because: a) many asymptomatic carriers were not tested and therefore identified and asked …
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Government Response Summary
The government acknowledges the need for positive learning and engagement with other countries and disciplines for future emergencies. They outline ongoing work to review the NSRA methodology to enhance external expert challenge and diversity during risk assessment processes, and commit to international frameworks for disaster risk reduction.
Department for Science, Innovation and Technology
Department of Health and Social Care
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44
Conclusion
Acknowledged
Para 289
Social care had a less prominent voice in Government during the early stages of the...
Conclusion
Social care had a less prominent voice in Government during the early stages of the pandemic than did the NHS.
Government Response Summary
The government acknowledges the impact of the pandemic on the social care sector and outlines the 'Build Back Better' plan, detailing reforms, a sustainable funding model, and proposals to bring health and social care sectors closer together to strengthen services.
Department for Science, Innovation and Technology
Department of Health and Social Care
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45
Conclusion
Acknowledged
Para 290
The discharge of elderly people from NHS hospitals into care homes without having been tested...
Conclusion
The discharge of elderly people from NHS hospitals into care homes without having been tested at the beginning of the pandemic—while understandable as the NHS prepared to accept a surge of covid patients—had the unintended consequence of contributing to the …
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Government Response Summary
The government acknowledges the pandemic's impact on social care and references its existing 'Build Back Better' plan for reform, sustainable funding, and closer integration of health and social care sectors.
Department for Science, Innovation and Technology
Department of Health and Social Care
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53
Conclusion
Acknowledged
During the initial phase of the pandemic Black, Asian and minority ethnic people experienced significantly...
Conclusion
During the initial phase of the pandemic Black, Asian and minority ethnic people experienced significantly higher levels of severe illness and death from covid than was typical the population as a whole. Research conducted so far suggests that the drivers …
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Government Response Summary
The government accepts the committee's conclusion that Black, Asian and minority ethnic people experienced significantly higher levels of severe illness and death from COVID-19 due to features of inequality.
Department for Science, Innovation and Technology
Department of Health and Social Care
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54
Conclusion
Acknowledged
Para 332
Staff from Black, Asian and minority ethnic backgrounds are crucial to the NHS and care...
Conclusion
Staff from Black, Asian and minority ethnic backgrounds are crucial to the NHS and care sectors. The covid-19 pandemic has brought the experiences of these staff into sharp focus. It is telling that the first ten NHS staff to die …
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Government Response Summary
The government acknowledged the conclusion that inequalities persist for BAME staff in the NHS and care sectors, but did not commit to any specific actions in response.
Department for Science, Innovation and Technology
Department of Health and Social Care
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55
Conclusion
Acknowledged
Para 333
People with learning disabilities have experienced significantly higher death rates from covid-19 than the country...
Conclusion
People with learning disabilities have experienced significantly higher death rates from covid-19 than the country as a whole. Deaths have been especially high among younger adults with learning disabilities. Initial research suggests that people with learning disabilities entered the pandemic …
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Government Response Summary
The government states it accepts the committee's conclusion, thereby acknowledging the finding that people with learning disabilities experienced significantly higher COVID-19 death rates and faced particular barriers to accessing NHS treatment during the pandemic.
Department for Science, Innovation and Technology
Department of Health and Social Care
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