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
58
Conclusion
Not Addressed
The UK has established procedures and structures to prepare for the nation’s major future risks,...
Conclusion
The UK has established procedures and structures to prepare for the nation’s major future risks, including a National Risk Register, the Civil Contingencies Secretariat and the Scientific Advisory Group for Emergencies (SAGE). However, the anticipated future risk of pandemic disease …
Read more
Government Response Summary
The government states it partially accepts this conclusion, but provides no further details or specific actions in its response.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
63
Conclusion
Not Addressed
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. …
Read more
Government Response Summary
The government's response is a verbatim restatement of a separate committee recommendation (ID 17545) and therefore does not provide a direct response to this conclusion about the NHS's lack of spare capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
66
Recommendation
Not Addressed
The Government should ensure comprehensive plans are made for future risks and emergencies.
Recommendation
The Government should ensure comprehensive plans are made for future risks and emergencies. The UK should aim to be a world leader in co-ordinating international resilience planning, including reform of the World Health Organisation to ensure that it is able …
Read more
Government Response Summary
The government response reiterates the committee's recommendation without providing any specific action, commitment, or stance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
67
Recommendation
Not Addressed
The resourcing and capabilities of the Civil Contingencies Secretariat should be improved.
Recommendation
The resourcing and capabilities of the Civil Contingencies Secretariat should be improved. The Civil Contingencies Secretariat should be empowered to ‘stress test’ plans and to ensure that Departments are able to carry out a contingency plan if required. The details …
Read more
Government Response Summary
The government's response provides a generic statement about establishing and testing arrangements for data flows and dispute resolution during an emergency, failing to address the specific recommendations to improve CCS resourcing, empower stress testing, or include results in annual reports.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
77
Conclusion
Not Addressed
The initial UK policy was to take a gradual and incremental approach to introducing non-pharmaceutical...
Conclusion
The initial UK policy was to take a gradual and incremental approach to introducing non-pharmaceutical interventions. A comprehensive lockdown was not ordered until 23 March 2020—two months after SAGE first met to consider the national response to covid- 19.99 This …
Read more
Government Response Summary
The government claims to partially accept an unspecified recommendation, but its response describes measures to improve scientific challenge and international learning related to the NSRA process, failing to address the committee's conclusion about the initial slow lockdown policy.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
97
Conclusion
Not Addressed
The UK’s structure of scientific advice in emergencies, in which a group is formed of...
Conclusion
The UK’s structure of scientific advice in emergencies, in which a group is formed of relevant experts (SAGE) to advise the Government is a prominent feature of our arrangements—much more so than in many other countries. Initially, participation in SAGE …
Read more
Government Response Summary
The government states it 'partially accepts this recommendation' but the item is a conclusion, not a recommendation. The response discusses learning from other countries and the NSRA process, but does not address the descriptive content of conclusion #97.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
99
Conclusion
Not Addressed
We accept that it is difficult for Ministers to go against a scientific consensus among...
Conclusion
We accept that it is difficult for Ministers to go against a scientific consensus among the body set up to provide scientific advice during a national emergency. We also understand the reluctance to introduce measures with significant negative economic impact. …
Read more
Government Response Summary
The government response merely repeats the committee's conclusion without offering any government stance, commitment, or specific action in response.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
101
Conclusion
Not Addressed
The then Secretary of State, Matt Hancock MP, made the same point regarding the difficulty...
Conclusion
The then Secretary of State, Matt Hancock MP, made the same point regarding the difficulty of challenging a scientific consensus.148 On 28 January 2020, SAGE said that testing asymptomatic individuals would “not be useful”.149 However, at the same meeting, SAGE …
Read more
Government Response Summary
The government response outlines a future approach of greater questioning and challenge in policy development and scientific advice, but does not address the committee's specific query regarding why action was not taken earlier on asymptomatic transmission and testing.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
110
Conclusion
Not Addressed
It transpired that the UK public were very compliant with the eventual lockdown measures.175 Professor...
Conclusion
It transpired that the UK public were very compliant with the eventual lockdown measures.175 Professor Chris Whitty also said in November 2020: Across the board, my reflection is that the great majority of people—and this is reflected in all the …
Read more
Government Response Summary
The government's response does not address the committee's conclusion about the public's high compliance with lockdown measures, instead discussing the need for greater questioning and challenge in future policy development.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
130
Conclusion
Not Addressed
The circumstances of the lockdown announced on 31 October were controversial.
Conclusion
The circumstances of the lockdown announced on 31 October were controversial. A Downing Street press conference had been hastily convened on the Saturday evening following leak to newspapers of the Government’s likely intention to bring in a further lockdown.
Read more
Government Response Summary
The government's response, identical to another, focuses on learning from other countries and improvements to the National Security Risk Assessment (NSRA), which does not directly address the committee's conclusion regarding the controversial circumstances and leaks surrounding the October 31 lockdown.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
133
Conclusion
Not Addressed
Whilst it is clear the first lockdown was called too late, it is not however...
Conclusion
Whilst it is clear the first lockdown was called too late, it is not however possible to make such a clear cut judgement about the second lockdown from 31 October for two reasons. First, since the advice was taken and …
Read more
Government Response Summary
The government's response, despite stating "partially accepts," discusses learning from international engagement and reviewing the NSRA methodology, which is unrelated to the committee's conclusion about the unknowability of the second lockdown's impact.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
134
Conclusion
Not Addressed
Following genomic sequencing, PHE found that the Alpha variant first appeared in Kent in September...
Conclusion
Following genomic sequencing, PHE found that the Alpha variant first appeared in Kent in September 2020 and rapidly became the dominant variant in Kent, and subsequently, the rest of England.207 The new variant was first brought to the attention of …
Read more
Government Response Summary
Despite stating 'partially accepts,' the government's response discusses its commitment to learning from international practice and details the methodology review of the National Risk Assessment (NSRA) process, without directly addressing the committee's observation regarding the emergence and impact of the Alpha variant.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
135
Conclusion
Not Addressed
Leading virologists who gave evidence to the Science and Technology Committee on 23 December said...
Conclusion
Leading virologists who gave evidence to the Science and Technology Committee on 23 December said that the Government had acted quickly in response to the new evidence. For example, Professor Peter Horby, Chair of the New and Emerging Respiratory Virus …
Read more
Government Response Summary
The government states it partially accepts 'this recommendation' and outlines its commitment to learning from other countries and disciplines, improving the NSRA process, and sharing international best practice for emergency preparedness, without directly addressing the committee's positive observation about swift past action.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
136
Conclusion
Not Addressed
The second wave of the pandemic was more numerous in terms of hospital admissions and...
Conclusion
The second wave of the pandemic was more numerous in terms of hospital admissions and deaths than the first wave. It peaked on 8 January 2021 with 68,053 new infections per day reported in the UK,214 and on 20 January …
Read more
Government Response Summary
The government's response 'partially accepts' a non-recommendation and provides a general statement about learning from other countries and reviewing the National Security Risk Assessment methodology, without addressing the committee's factual observations about the scale or characteristics of the pandemic's second wave.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
138
Conclusion
Not Addressed
But these decisions were taken before the existence of the Alpha variant was known.
Conclusion
But these decisions were taken before the existence of the Alpha variant was known. So the justification for an earlier lockdown is greatly influenced by information that was not available at the time. It serves to illustrate that, in a …
Read more
Government Response Summary
Despite stating 'partially accepts,' the government's response discusses its commitment to learning from international practice and details the methodology review of the National Risk Assessment (NSRA) process, without directly addressing the committee's observation about decisions being made with incomplete information during the pandemic.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
145
Conclusion
Not Addressed
Written evidence to our inquiry suggested that the loss of consistency across the four nations...
Conclusion
Written evidence to our inquiry suggested that the loss of consistency across the four nations led to confusion, with “messages from numerous national bodies that, at times, appeared to contradict each other”.229 We heard that at this stage, these contradicting …
Read more
Government Response Summary
The government acknowledges the importance of public health communications but asserts its own early pandemic messaging was strong and effective, without addressing the committee's conclusion about inconsistent messaging causing public confusion.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
146
Conclusion
Not Addressed
The three-tier approach to local lockdown restrictions in England (see paragraph 117) introduced more complexity...
Conclusion
The three-tier approach to local lockdown restrictions in England (see paragraph 117) introduced more complexity to Government messaging which was, understandably different in different parts of the country.231 It was therefore unsurprising that this more differentiated messaging strategy meant that …
Read more
Government Response Summary
The government acknowledges the importance of public health communications and the effectiveness of early messaging but does not address the committee's point about the deterioration of understanding due to messaging complexity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
148
Conclusion
Not Addressed
Lower levels of public trust and understanding of the regulations also created a gap into...
Conclusion
Lower levels of public trust and understanding of the regulations also created a gap into which misinformation was able to spread. Research conducted by Ofcom in the first six weeks of the pandemic found that 47% of respondents said they …
Read more
Government Response Summary
The government acknowledges the importance of public health communications but primarily responds by stating that its messaging early in the pandemic was strong, effective, and contributed to public understanding and compliance, without committing to specific future actions based on the report's highlighted critical importance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
149
Conclusion
Not Addressed
The covid pandemic is a global emergency that is not yet over.
Conclusion
The covid pandemic is a global emergency that is not yet over. While the UK’s trajectory may have changed in recent months with vaccines, the vast majority of the world is still grappling with the disease. It would be prudent …
Read more
Government Response Summary
The government's response, identical to others, focuses on learning from other countries and improving the National Security Risk Assessment (NSRA), which does not address the committee's conclusion about reserving judgment on the UK's pandemic performance until the global emergency has passed.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
150
Conclusion
Not Addressed
One of the key ways to measure a country’s success in fighting covid-19 is to...
Conclusion
One of the key ways to measure a country’s success in fighting covid-19 is to measure deaths from covid-19. However, countries across the world measure deaths in different ways. The UK has reported covid deaths as those who died within …
Read more
Government Response Summary
The government's response is phrased as a recommendation that the government, via the WHO, should advocate for international standards for reporting COVID-19 and future pandemic deaths, thus not addressing the committee's observation directly.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
151
Conclusion
Not Addressed
There are also other factors to be considered.
Conclusion
There are also other factors to be considered. Each country has a unique set of characteristics which might have contributed to its health related covid-19 outcomes. For example, the UK has the tenth-highest rate of obesity in the world,241 which …
Read more
Government Response Summary
The government response focuses on the 'Build Back Better' plan for social care and its funding, and does not address the committee's conclusion about obesity and other country-specific factors influencing COVID-19 outcomes.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
152
Conclusion
Not Addressed
During the first three months of the covid pandemic, the UK followed the wrong policy...
Conclusion
During the first three months of the covid pandemic, the UK followed the wrong policy in its use of non-pharmaceutical interventions. When the UK moved from the ‘contain’ to ‘delay’ stage, there was a policy of seeking to only moderate …
Read more
Government Response Summary
The government generically stated that its decision-making was informed by science and evidence, and it took quick and decisive action, without directly addressing the committee's specific criticisms of past policy errors and 'groupthink'.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
154
Conclusion
Not Addressed
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 …
Read more
Government Response Summary
The government's response provides boilerplate text stating that decision-making was informed by science and evidence, and quick action was taken, but it does not address the committee's specific conclusions regarding errors in policy, advice, or listed inadequacies.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
156
Conclusion
Not Addressed
The second wave of covid infections, hospitalisations and deaths during the autumn and winter of...
Conclusion
The second wave of covid infections, hospitalisations and deaths during the autumn and winter of 2020/21 was significantly driven by the emergence of a new variant, known as the Kent or Alpha variant. It is likely that a “circuit break” …
Read more
Government Response Summary
The government provides a general statement that its decisions were informed by science and that it took quick action, but does not specifically address the committee's conclusion about the impact of the Kent variant or the timing of potential "circuit break" measures.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
158
Conclusion
Not Addressed
In the early days of a crisis, scientific advice may be necessarily uncertain: data may...
Conclusion
In the early days of a crisis, scientific advice may be necessarily uncertain: data may be unavailable, knowledge limited and time may be required for analysis to be conducted. In these circumstances it may be appropriate to act quickly, on …
Read more
Government Response Summary
The government response exactly repeats the committee's conclusion about acting quickly on a precautionary basis during a crisis without providing any specific action or acknowledging its implications.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
159
Recommendation
Not Addressed
In future an approach of greater questioning and challenge should characterise the development of policy.
Recommendation
In future an approach of greater questioning and challenge should characterise the development of policy. Ministers should have the confidence to follow a scientific approach themselves—being prepared to take a more robust approach to questioning and challenging the advice given. …
Read more
Government Response Summary
The government's response is an exact copy of the committee's recommendation and provides no actual stance or commitment to action.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
160
Recommendation
Not Addressed
In bringing together many of the UK’s most accomplished scientists, SAGE became a very UK...
Recommendation
In bringing together many of the UK’s most accomplished scientists, SAGE became a very UK body. In future, it should include more representation and a wider range of disciplines, from other countries, especially those which have experienced, or are experiencing, …
Read more
Government Response Summary
The government's response is an exact copy of the committee's recommendation and provides no actual stance or commitment to action.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
161
Recommendation
Not Addressed
In a pandemic, the scientific advice from the SAGE co-chairs to the Government should be...
Recommendation
In a pandemic, the scientific advice from the SAGE co-chairs to the Government should be published within 24 hours of it being given, or the policy being decided, whichever is the later, to ensure the opportunity for rapid scientific challenge …
Read more
Government Response Summary
The government's response is a direct copy of the recommendation, not providing its own stance or committing to any specific action regarding the publication timelines for SAGE advice, minutes, and papers.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
162
Recommendation
Not Addressed
The Government, via the World Health Organisation, should make the case for an international standard...
Recommendation
The Government, via the World Health Organisation, should make the case for an international standard of reporting covid-19 deaths and a framework for reporting disease related deaths for future pandemics. 60 Coronavirus: lessons learned to date 4 Testing and contact …
Read more
Government Response Summary
The government's response is a direct copy of the recommendation, not providing its own stance or committing to any specific action to pursue an international standard for reporting COVID-19 deaths and future pandemic-related deaths.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
166
Conclusion
Not Addressed
During the early days of the pandemic, the Government believed—and told the public—that testing for...
Conclusion
During the early days of the pandemic, the Government believed—and told the public—that testing for covid-19 was a field in which the UK had a leading position. This assessment was shared, and possibly arose out of, the views of scientific …
Read more
Government Response Summary
The government states it will build on the pandemic's legacy for test, trace, and isolate by ensuring resilient infrastructure and collaboration with local authorities, but does not address the committee's conclusion about past deficiencies in translating scientific leadership into operational testing success.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
169
Conclusion
Not Addressed
However, throughout the pandemic, our Committees have taken a great interest in what might be...
Conclusion
However, throughout the pandemic, our Committees have taken a great interest in what might be learned and applied from how other countries tackled the virus. In March 2020, the World Health Organisation recommended that nations “plan for surge capacity by …
Read more
Government Response Summary
The government states it will build on the pandemic's legacy for test, trace, and isolate by ensuring resilient infrastructure and collaboration with local authorities, but does not address the committee's conclusion about learning from other countries regarding decentralized testing capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
170
Conclusion
Not Addressed
In evidence to the Science and Technology Committee on 25 March 2020 Public Health England...
Conclusion
In evidence to the Science and Technology Committee on 25 March 2020 Public Health England claimed to have formally studied, but rejected, the South Korean approach.255 Despite repeated requests by the Committee no evidence of such an evaluation has ever …
Read more
Government Response Summary
The government's response discusses building resilient test, trace, and isolate infrastructure for future pandemics, but it does not address the committee's specific conclusion regarding the negligent omission of formally evaluating the South Korean pandemic response approach.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
173
Conclusion
Not Addressed
The consequences of this initial failure were profound.
Conclusion
The consequences of this initial failure were profound. Testing not only allowed individuals to be identified who had covid-19—and were infectious—but test results for an invisible virus were the only way to be able to accurately monitor the incidence and …
Read more
Government Response Summary
The government's response 'partially accepts' a non-recommendation and provides general information about learning from other countries and reviewing the National Security Risk Assessment methodology, without specifically addressing the committee's conclusion about the failure of initial COVID-19 testing and monitoring.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
174
Conclusion
Not Addressed
For a country with a world-class expertise in data analysis, to face the biggest health...
Conclusion
For a country with a world-class expertise in data analysis, to face the biggest health crisis in a hundred years with virtually no data to analyse was an almost unimaginable setback. The reasons for this initial inadequacy to translate testing …
Read more
Government Response Summary
The government partially accepts, but the response details ongoing NSRA methodology review and plans to increase external expert engagement in future risk assessments, failing to directly address the committee's observation about initial data and testing capacity failures.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
175
Conclusion
Not Addressed
We also consider that the Government’s scientific advisers were too passive in accepting assurances that...
Conclusion
We also consider that the Government’s scientific advisers were too passive in accepting assurances that the clinical operational capacity of Public Health England could not be changed. Even in March 2020, Professor Neil Ferguson explained that “much 254 Q129 255 …
Read more
Government Response Summary
The government states it 'partially accepts' the recommendation but then discusses the National Security Risk Assessment (NSRA) process, its methodology review, and international learning, without addressing the committee's criticism regarding scientific advisors' passivity on testing capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
176
Conclusion
Not Addressed
It is clear that there should have been more challenge to Public Health England to...
Conclusion
It is clear that there should have been more challenge to Public Health England to increase testing capacity from the outset by Ministers, scientific advisers and the Department of Health and Social Care rather than accepting it as a fait …
Read more
Government Response Summary
The government states it partially accepts this recommendation, but its response focuses on general future learning, international engagement, and improving expert challenge within the NSRA process, rather than directly addressing the committee's critique of insufficient challenge to PHE on testing capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
178
Conclusion
Not Addressed
The lack of data resulting from suspending community testing also affected the UK’s understanding of...
Conclusion
The lack of data resulting from suspending community testing also affected the UK’s understanding of the disease at that critical time. Professor Neil Ferguson explained to the Science and Technology Committee in June 2020 that low testing capacity meant it …
Read more
Government Response Summary
The government's response, identical to previous boilerplate replies, mentions international learning and NSRA review but completely fails to address the committee's conclusion regarding the critical impact of inadequate community testing and data on understanding the disease and informing lockdown decisions.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
179
Conclusion
Not Addressed
Professor Chris Whitty told the Health and Social Care Committee in July 2020 that the...
Conclusion
Professor Chris Whitty told the Health and Social Care Committee in July 2020 that the lack of testing capacity available at the beginning of the pandemic meant that the Government had to focus resources very closely on the hospital sector, …
Read more
Government Response Summary
The government partially accepts 'this recommendation' (despite it being a conclusion) and states it agrees on the importance of learning from other countries and improving the National Security Risk Assessment (NSRA) methodology, which does not directly address the conclusion's points on testing capacity failures and nosocomial infections.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
181
Conclusion
Not Addressed
The Health and Social Care Committee’s Reports on social care and the delivery of core...
Conclusion
The Health and Social Care Committee’s Reports on social care and the delivery of core NHS and care services during the pandemic also highlighted the impact of a lack of testing for social care staff in the initial wave of …
Read more
Government Response Summary
The government's response outlines the ‘Build Back Better’ plan for general social care reform and funding, but does not specifically address the conclusion's point about the lack of testing for social care staff during the pandemic.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
187
Conclusion
Not Addressed
However, both our Committees heard that other resources could have been used more effectively in...
Conclusion
However, both our Committees heard that other resources could have been used more effectively in the initial expansion of testing capacity. Professor Sir Chris Ham explained that initially the Government was “very much focused on building capacity in the commercial …
Read more
Government Response Summary
The government states it 'partially accepts' the recommendation but then discusses the National Security Risk Assessment (NSRA) process, its methodology review, and international learning, without addressing the committee's findings on the under-utilisation of university and NHS laboratories for testing capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
198
Conclusion
Not Addressed
Two months earlier, in July 2020, the Government Chief Scientific Adviser, Sir Patrick Vallance, told...
Conclusion
Two months earlier, in July 2020, the Government Chief Scientific Adviser, Sir Patrick Vallance, told the Science and Technology Committee that extra testing capacity would be “essential” ahead of schools reopening.306 However, he suggested that the Government did 298 GOV.UK, …
Read more
Government Response Summary
The government partially accepts 'this recommendation' (despite it being a conclusion) and states it agrees on the importance of learning from other countries and improving the National Security Risk Assessment (NSRA) methodology, which does not directly address the conclusion's points on testing capacity planning and modelling failures.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
199
Conclusion
Not Addressed
Overall, the National Audit Office concluded that NHS Test and Trace “did not plan for...
Conclusion
Overall, the National Audit Office concluded that NHS Test and Trace “did not plan for a sharp rise in testing demand in early Autumn [2020]” and was therefore “unprepared.”311 Professor Chris Whitty reiterated to both Committees in December 2020 that …
Read more
Government Response Summary
The government's response was generic, discussing learning from other countries and the National Risk Assessment process, but it did not specifically address the conclusion regarding the inadequate planning for surges in testing demand and the need to scale up testing capacity.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
1
Conclusion
Not Addressed
Para 58
The UK has established procedures and structures to prepare for the nation’s major future risks,...
Conclusion
The UK has established procedures and structures to prepare for the nation’s major future risks, including a National Risk Register, the Civil Contingencies Secretariat and the Scientific Advisory Group for Emergencies (SAGE). However, the anticipated future risk of pandemic disease …
Read more
Government Response Summary
Despite stating "partially accepts," the government's response is generic, discussing international learning and reviewing the NSRA methodology, without specifically addressing the committee's conclusion that past pandemic preparedness focused too narrowly on influenza over other diseases like SARS and MERS.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
13
Recommendation
Not Addressed
Para 70
The Government and the NHS should consider establishing a volunteer reserve database so that volunteers...
Recommendation
The Government and the NHS should consider establishing a volunteer reserve database so that volunteers who have had appropriate checks can be rapidly called up and deployed in an emergency rather than needing to begin from scratch.
Government Response Summary
The government's response was incomplete, repeating the first part of the recommendation without indicating any specific action or stance on establishing a volunteer reserve database.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
14
Conclusion
Not Addressed
Para 71
The experience of the demands placed on the NHS during the covid-19 pandemic should lead...
Conclusion
The experience of the demands placed on the NHS during the covid-19 pandemic should lead to a more explicit, and monitored, surge capacity being part of the long term organisation and funding of the NHS.
Government Response Summary
The government response is a verbatim repetition of the committee's conclusion, indicating no specific action, agreement, or disagreement has been provided.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
16
Recommendation
Not Addressed
Para 73
Comprehensive analysis should be carried out to assess the safety of running the NHS with...
Recommendation
Comprehensive analysis should be carried out to assess the safety of running the NHS with the limited latent capacity that it currently has, particularly in Intensive Care Units, critical care units and high dependency units.
Government Response Summary
The government's response merely restates the committee's recommendation to carry out a comprehensive analysis of NHS latent capacity, without providing any specific action, commitment, or stance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
21
Conclusion
Not Addressed
Para 155
Science proceeds through challenge and disputation, and new theories are tested unflinchingly against evidence.
Conclusion
Science proceeds through challenge and disputation, and new theories are tested unflinchingly against evidence. Yet Ministers and other advisers reported that they felt it difficult to challenge the views of their official scientific advisers. Those in Government have a duty …
Read more
Government Response Summary
Despite stating 'partially accepts,' the government's response discusses its commitment to learning from international practice and details the methodology review of the National Risk Assessment (NSRA) process, without directly addressing the committee's observation about insufficient challenge to scientific advice or the inconsistent role of non-pharmaceutical interventions.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
23
Conclusion
Not Addressed
Para 157
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 …
Read more
Government Response Summary
The government acknowledges the importance of public health communications and agrees that early pandemic messaging was strong and effective, but it does not address the conclusion's finding that later communications became complex and inconsistent.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
24
Conclusion
Not Addressed
Para 158
In the early days of a crisis, scientific advice may be necessarily uncertain: data may...
Conclusion
In the early days of a crisis, scientific advice may be necessarily uncertain: data may be unavailable, knowledge limited and time may be required for analysis to be conducted. In these circumstances it may be appropriate to act quickly, on …
Read more
Government Response Summary
The government response is a verbatim repetition of the committee's conclusion, indicating no specific action, agreement, or disagreement has been provided.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
26
Recommendation
Not Addressed
In bringing together many of the UK’s most accomplished scientists, SAGE became a very UK...
Recommendation
In bringing together many of the UK’s most accomplished scientists, SAGE became a very UK body. In future, it should include more representation and a wider range of disciplines, from other countries, especially those which have experienced, or are experiencing, …
Read more
Government Response Summary
The government response merely repeats the committee's recommendation verbatim, without offering any specific action, agreement, or disagreement regarding SAGE including wider international representation.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
29
Conclusion
Not Addressed
Para 232
Despite being one of the first countries in the world to develop a test for...
Conclusion
Despite being one of the first countries in the world to develop a test for covid in January 2020, the United Kingdom failed to translate that scientific leadership into operational success in establishing an effective test and trace system during …
Read more
Government Response Summary
The government partially accepts 'this recommendation' (despite it being a conclusion) and states it agrees on the importance of learning from other countries and improving the National Security Risk Assessment (NSRA) methodology, which does not directly address the conclusion's points on the UK's failure in test and trace operational success.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
30
Conclusion
Not Addressed
Para 233
Testing capacity was treated too much as a parameter rather than a variable that could...
Conclusion
Testing capacity was treated too much as a parameter rather than a variable that could be changed by the Department of Health and Social Care and scientific advisers. What was being achieved in other countries, particularly East Asia, appeared to …
Read more
Government Response Summary
The government's response, despite stating partial acceptance, broadly discusses learning from other countries and the National Security Risk Assessment process. It does not specifically address the committee's conclusion regarding the past failure to treat testing capacity as a variable or the initial disinterest in international approaches.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
33
Conclusion
Not Addressed
Para 236
Vast sums of taxpayers’ money were directed to Test and Trace, justified by the benefits...
Conclusion
Vast sums of taxpayers’ money were directed to Test and Trace, justified by the benefits of avoiding further lockdowns. But ultimately those lockdowns happened. Were it not for the success of the Vaccine Taskforce and the NHS vaccination programme, it …
Read more
Government Response Summary
The government's response did not address the committee's conclusion regarding the effectiveness and funding of Test and Trace and the subsequent lockdowns. Instead, it discussed learning from international practices and the National Security Risk Assessment (NSRA) methodology.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
34
Conclusion
Not Addressed
Para 237
We recognise that the effectiveness of test and trace in reducing transmission is likely to...
Conclusion
We recognise that the effectiveness of test and trace in reducing transmission is likely to be reduced when the prevalence of the virus is high, as highlighted by Professor Whitty and others, but it is clear from the latest data …
Read more
Government Response Summary
The government's response, despite claiming partial acceptance, does not address the conclusion about NHS Test and Trace's inability to respond to rising transmission rates, instead discussing the National Security Risk Assessment process and international learning.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
35
Conclusion
Not Addressed
Para 238
The Test and Trace organisation has not, despite its branding, been run by the NHS,...
Conclusion
The Test and Trace organisation has not, despite its branding, been run by the NHS, and has seen senior executives brought in from external bodies for short term contracts which reduces the institutional learning, from what was an intense period, …
Read more
Government Response Summary
The government's response does not address the committee's specific concern about the opaque structure and non-NHS operation of the Test and Trace organisation, instead discussing learning from international practice and the National Security Risk Assessment process generally.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
36
Conclusion
Not Addressed
Para 239
Partly because it was set up too late, NHS Test and Trace ultimately fell short...
Conclusion
Partly because it was set up too late, NHS Test and Trace ultimately fell short of the expectations set for it. It has failed to make a significant enough impact on the course of the pandemic to justify the level …
Read more
Government Response Summary
The government partially accepts, but the response details ongoing NSRA methodology review and plans to increase external expert engagement in future risk assessments, failing to directly address the committee's specific criticisms of NHS Test and Trace's performance and transparency.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
37
Conclusion
Not Addressed
The National Audit Office has stated that “to achieve value for money NHST&T must be...
Conclusion
The National Audit Office has stated that “to achieve value for money NHST&T must be able to demonstrate both that the interventions it delivers are effective in achieving its objective, and that the mix of interventions is the most cost-effective …
Read more
Government Response Summary
The government's response, identical to previous boilerplate replies, discusses international learning and NSRA review but completely fails to address the committee's conclusion about the value for money and effectiveness of the NHST&T programme and its capacity development.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
40
Recommendation
Not Addressed
Para 243
Those responsible for future test and trace programmes should establish a culture and processes to...
Recommendation
Those responsible for future test and trace programmes should establish a culture and processes to learn rapidly from errors and to act to prevent them being repeated.
Government Response Summary
The government response reiterates the committee's recommendation without providing any specific action, commitment, or stance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
41
Recommendation
Not Addressed
Para 244
The reactive, short-term horizon of test and trace for much of the pandemic must be...
Recommendation
The reactive, short-term horizon of test and trace for much of the pandemic must be replaced by a capacity for anticipation and preparation—even during the course of an emergency.
Government Response Summary
The government's response merely restates the committee's recommendation that the reactive approach of test and trace must be replaced by a capacity for anticipation and preparation, without providing any specific action, commitment, or stance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
42
Recommendation
Not Addressed
The organisation of the bodies responsible for testing and tracing should be open and transparent...
Recommendation
The organisation of the bodies responsible for testing and tracing should be open and transparent both about their operations and the basis of their decisions. (Paragraph 245) Social care
Government Response Summary
The government response reiterates the committee's recommendation without providing any specific action, commitment, or stance.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →
57
Recommendation
Not Addressed
Para 335
The Government should ensure its ‘levelling up’ agenda includes specific policies to reduce health inequalities,...
Recommendation
The Government should ensure its ‘levelling up’ agenda includes specific policies to reduce health inequalities, with a particular focus on ensuring that certain groups, including people from Black, Asian and minority ethnic backgrounds, do not continue to face unequal health …
Read more
Government Response Summary
The government response merely reiterates the committee's recommendation verbatim and then shifts to an unrelated recommendation without committing to any specific actions regarding the 'levelling up' agenda and health inequalities.
Department for Science, Innovation and Technology
Department of Health and Social Care
View Details →