Source · Select Committees · Health and Social Care Committee
Third Report - Coronavirus: lessons learned to date
Health and Social Care Committee
HC 92
Published 12 October 2021
Government response
Government Response to the Health and Social Care Committee and Science and Technology Committee joint report: Coronavirus: lessons learned to date · published 16 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 uncertainty of early crisis situations, stating that scientific advice may be uncertain and rapid, precautionary action may be appropriate.
Department for Science, Innovation and Technology
Department of Health and Social Care
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99
Conclusion
Acknowledged
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. …
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Government Response Summary
The government acknowledges the report and agrees that lessons should be learned from the COVID-19 experience to inform preparedness for future crises, without committing to specific new actions regarding scientific advice challenge.
Department for Science, Innovation and Technology
Department of Health and Social Care
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104
Conclusion
Acknowledged
Evidence to the Science and Technology Committee from other academic disciplines included scepticism of the...
Conclusion
Evidence to the Science and Technology Committee from other academic disciplines included scepticism of the weight being placed on mathematical models during the pandemic. For example Professor Sir John Kay, Economist and Fellow in Economics, St 152 Correspondence from Rt …
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Government Response Summary
The government's response outlines an aspirational approach for the future, stating that policy development should feature greater questioning and challenge, and that ministers should be more robust in challenging advice.
Department for Science, Innovation and Technology
Department of Health and Social Care
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108
Conclusion
Acknowledged
Another potential reason for the late lockdown was the behavioural advice that was being tendered...
Conclusion
Another potential reason for the late lockdown was the behavioural advice that was being tendered to the Government. Behavioural advice is tendered to the Government through SAGE’s sub-group, the Scientific Pandemic Insights Group on Behaviours (SPI- B).168 SPI-B’s first publicly …
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Government Response Summary
The government's response outlines an aspirational approach for the future, stating that policy development should feature greater questioning and challenge, and that ministers should be more robust in challenging advice.
Department for Science, Innovation and Technology
Department of Health and Social Care
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113
Conclusion
Acknowledged
It is a characteristic of the best UK scientific institutions, and the people that work...
Conclusion
It is a characteristic of the best UK scientific institutions, and the people that work in them, that much of their research involves extensive international collaboration. However, for a virus that has affected every country in the world and which …
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Government Response Summary
The government partially accepts 'this recommendation' (despite it being a conclusion), agreeing on the importance of learning from other countries and stating it will do so flexibly. It also outlines efforts to review and improve the National Security Risk Assessment (NSRA) methodology and increase expert challenge and international practice sharing, partially addressing the theme of international engagement.
Department for Science, Innovation and Technology
Department of Health and Social Care
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139
Conclusion
Acknowledged
Several public health experts stressed to us that an effective messaging and communications strategy was...
Conclusion
Several public health experts stressed to us that an effective messaging and communications strategy was a crucial part of the response to a pandemic. In July 2020, Sir Paul Nurse argued in evidence to the Health and Social Care Committee …
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Government Response Summary
The government acknowledges the importance of public health communications for compliance, asserting that its messaging early in the pandemic was strong and effective in contributing to public understanding and adherence.
Department for Science, Innovation and Technology
Department of Health and Social Care
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140
Conclusion
Acknowledged
At the outset of the pandemic, the Prime Minister’s “stay at home” order was accompanied...
Conclusion
At the outset of the pandemic, the Prime Minister’s “stay at home” order was accompanied by a public messaging campaign that clearly instructed the public to “stay home, protect the NHS, save lives”. This message was driven by regular televised …
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Government Response Summary
The government acknowledges the committee's observation, agreeing that early government messaging was strong, effective, and crucial for public understanding and compliance with pandemic measures.
Department for Science, Innovation and Technology
Department of Health and Social Care
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141
Conclusion
Acknowledged
Much of the evidence to our inquiry has acknowledged that this “Stay at Home” slogan...
Conclusion
Much of the evidence to our inquiry has acknowledged that this “Stay at Home” slogan was successful in fostering sufficient levels of awareness and understanding among the public. For example, during this period there was a marked fall in the …
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Government Response Summary
The government acknowledges the report's point about the importance of public health communications and affirms its early pandemic messaging was strong, effective, and contributed to public compliance.
Department for Science, Innovation and Technology
Department of Health and Social Care
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142
Conclusion
Acknowledged
Evidence from University College London (UCL) showed that during the first lockdown, the simplicity and...
Conclusion
Evidence from University College London (UCL) showed that during the first lockdown, the simplicity and clarity of public health messaging did indeed translate into high levels of compliance with the stay at home order. According to UCL, during this period …
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Government Response Summary
The government acknowledges the report's finding, agreeing that early messaging was strong and effective, contributing to public understanding and compliance.
Department for Science, Innovation and Technology
Department of Health and Social Care
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144
Conclusion
Acknowledged
On 10 May 2020, the Government announced that society would begin to reopen in England...
Conclusion
On 10 May 2020, the Government announced that society would begin to reopen in England through a staged series of lockdown easing measures.226 From this point, there were divergent approaches to messaging across the four nations of the UK. To …
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Government Response Summary
The government acknowledges the importance of public health communications and states that its early pandemic messaging was strong and effective.
Department for Science, Innovation and Technology
Department of Health and Social Care
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152
Conclusion
Acknowledged
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 …
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Government Response Summary
The government acknowledges that scientific advice may be uncertain in early crises, suggesting a precautionary approach might be appropriate, but does not specifically address the committee's criticism of past policy or groupthink.
Department for Science, Innovation and Technology
Department of Health and Social Care
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158
Conclusion
Acknowledged
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 …
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Government Response Summary
The government acknowledges the conclusion verbatim, agreeing that in early crisis situations with scientific uncertainty, it may be appropriate to act quickly on a precautionary basis rather than waiting for more scientific certainty.
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 mixed record of test, trace and isolate, committing to building a resilient and scalable infrastructure for future public health threats by working closely with local authorities and maintaining UKHSA 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 lessons learned, stating it will build a resilient test, trace, and isolate infrastructure, work with local authorities, and ensure UKHSA maintains local tracing relationships to protect against future health threats.
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 states it will build on the legacy of the pandemic's test, trace, and isolate response, ensuring resilient infrastructure and continued collaboration with local authorities through UKHSA for future public health threats.
Department for Science, Innovation and Technology
Department of Health and Social Care
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166
Conclusion
Acknowledged
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 …
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Government Response Summary
The government acknowledges the test, trace, and isolate legacy by outlining plans to build a resilient and scalable infrastructure, work with local authorities, and maintain UKHSA's relationships for future public health emergencies.
Department for Science, Innovation and Technology
Department of Health and Social Care
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169
Conclusion
Acknowledged
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 …
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Government Response Summary
The government's response, phrased as a directive, states that Public Health England and its successors, Ministers, and advisers should be more willing to study and emulate international practices with urgency and agility during crises.
Department for Science, Innovation and Technology
Department of Health and Social Care
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184
Conclusion
Acknowledged
Given the painfully slow increase in the availability of testing before April 2020, we consider...
Conclusion
Given the painfully slow increase in the availability of testing before April 2020, we consider that the impact of the Secretary of State’s target to have been an appropriate one to galvanise the rapid change the system needed. However, as …
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Government Response Summary
The government partially accepts the recommendation, generally agreeing on the importance of learning from other countries and disciplines, and describes ongoing efforts to review and improve the methodology of the National Security Risk Assessment (NSRA).
Department for Science, Innovation and Technology
Department of Health and Social Care
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43
Conclusion
Acknowledged
Para 288
The covid-19 pandemic has put massive strain on a social care sector already under huge...
Conclusion
The covid-19 pandemic has put massive strain on a social care sector already under huge pressure, which has a particular focus on caring for elderly people who have been at the greatest risk of death from covid.
Government Response Summary
The government recognises the pandemic's impact on the social care sector, referencing the 'Build Back Better' plan from September 2021 for reform, funding, and closer integration of health and social care.
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 social care and references the 'Build Back Better' plan for health and social care reform, which aims to strengthen adult social care and foster closer ties between sectors.
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 recognises the pandemic's impact on social care, referencing the 'Build Back Better' plan from September 2021 for reform, sustainable funding, and closer integration of health and social care.
Department for Science, Innovation and Technology
Department of Health and Social Care
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46
Conclusion
Acknowledged
Staff shortages, the lack of testing, difficulties in obtaining PPE and the design of care...
Conclusion
Staff shortages, the lack of testing, difficulties in obtaining PPE and the design of care settings to enable communal living hampered isolation and infection control and the ability to keep covid at bay. Social care staff in care homes and …
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Government Response Summary
The government acknowledges the impact of the pandemic on the social care sector, pointing to the 'Build Back Better' plan as its response to strengthen services through reform, a sustainable funding model, and closer integration with health.
Department for Science, Innovation and Technology
Department of Health and Social Care
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52
Conclusion
Acknowledged
Para 330
The impact of covid-19 has been uneven across the population, with some sections of society...
Conclusion
The impact of covid-19 has been uneven across the population, with some sections of society suffering significantly higher illness and deaths than the nation as a whole.
Government Response Summary
The government acknowledges the uneven impact of COVID-19, particularly on ethnic minority groups, highlighting actions already taken and proposals made in the 'Levelling Up the United Kingdom' white paper.
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 recognises the disproportionate impact on ethnic minority groups, stating it has taken action to support them and that socio-economic factors are addressed in the 'Levelling Up the United Kingdom' white paper.
Department for Science, Innovation and Technology
Department of Health and Social Care
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