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
Report Status
Government responded
Conclusions & Recommendations
200 items (51 recs)
Government Response
AI assessment · 170 of 200 classified
Accepted 37
Accepted in Part 32
Acknowledged 24
Not Addressed 72
Rejected 5
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
Read the government response ↗ Response on the Index
Filter by: Clear

Recommendations & Conclusions

72 items
62 Conclusion Not Addressed

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
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 slow data sharing protocols between national and local government.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
68 Recommendation Not Addressed

Arrangements should be established and tested to allow immediate flows of data between bodies relevant...

Recommendation
Arrangements should be established and tested to allow immediate flows of data between bodies relevant to an emergency response with a mechanism to resolve immediately and decisively any disputes.
Government Response Summary
The government partially accepts, agreeing on general learning and engagement, but the response focuses on the National Risk Assessment (NSRA) process and international cooperation, without committing to specific arrangements for immediate data flows or dispute resolution mechanisms between emergency response bodies.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
69 Recommendation Not Addressed

The Armed Forces should have a more central and standing role in preparing for and...

Recommendation
The Armed Forces should have a more central and standing role in preparing for and responding to emergencies like pandemics, given the depth of capability and experience they have in planning, logistics and rapid mobilisation. The Civil Contingencies Secretariat should … 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 address the recommendation regarding a more central role for the Armed Forces in emergency response.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
70 Recommendation Not Addressed

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 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 call to establish a volunteer reserve database.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
71 Recommendation Not Addressed

The experience of the demands placed on the NHS during the covid-19 pandemic should lead...

Recommendation
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's response does not address the recommendation; instead, it merely reproduces the committee's own text, including the original recommendation and other unrelated recommendations from the report.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
72 Recommendation Not Addressed

The NHS should develop and publish new protocols for infection prevention and control in pandemics...

Recommendation
The NHS should develop and publish new protocols for infection prevention and control in pandemics covering staffing, bed capacity and physical infrastructure. In developing these protocols the NHS should consider the importance of maintaining access for people accompanying some patients … Read more
Government Response Summary
The government's response is a verbatim restatement of the committee's recommendation, indicating no actual government response was provided for this item.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
79 Conclusion Not Addressed

There has been considerable debate as to whether the early policy of the Government was...

Conclusion
There has been considerable debate as to whether the early policy of the Government was one of seeking to achieve so-called “herd-immunity”. The US Centres for Disease Control and Prevention defines community immunity/herd immunity as: A situation in which a … Read more
Government Response Summary
The government's response provides an unrelated statement about the publication of SAGE advice and minutes, failing to address the committee's observation regarding the debate around 'herd immunity'.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
80 Conclusion Not Addressed

Non-pharmaceutical interventions such as lockdowns, and the testing and isolation of covid cases and their...

Conclusion
Non-pharmaceutical interventions such as lockdowns, and the testing and isolation of covid cases and their contacts, are tools of temporary application. Once they are lifted, there is nothing to stop transmission resuming. When Sir Patrick Vallance said at a Government … Read more
Government Response Summary
The government's response is entirely unrelated to the committee's conclusion about non-pharmaceutical interventions and past statements on herd immunity, instead making a recommendation about international standards for reporting COVID-19 deaths.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
81 Conclusion Not Addressed

From our evidence this appears to have led to a policy approach of fatalism about...

Conclusion
From our evidence this appears to have led to a policy approach of fatalism about the prospects for covid in the community: seeking to manage, but not suppress, infection. This amounted in practice to accepting that herd immunity by infection … Read more
Government Response Summary
The government's response details its commitment to developing greater operational competence in test and trace programs, including ensuring UKHSA and local authorities have capability and funding to establish surge capacity and contact tracing within seven days of an emergency, which does not address the committee's conclusion about past policy fatalism and an implicit herd immunity strategy.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
82 Conclusion Not Addressed

So in the absence of a vaccine or an effective treatment being available at first,...

Conclusion
So in the absence of a vaccine or an effective treatment being available at first, the UK faced a choice of doing everything possible to halt the virus, or seeking instead to moderate the pace of its spread. The UK chose the latter.106
Government Response Summary
The government's response outlines future actions regarding international collaboration and culture change but does not address the committee's observation about the UK's initial policy choice to moderate the virus's spread.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
83 Conclusion Not Addressed

Even as late as 12 March 2020, as noted in paragraph 80, Sir Patrick Vallance,...

Conclusion
Even as late as 12 March 2020, as noted in paragraph 80, Sir Patrick Vallance, Government Chief Scientific Adviser, told a Government press conference that it was not possible to stop everyone being infected, and nor was that a desirable … Read more
Government Response Summary
The government's response discusses the need for future test and trace programmes to learn from errors, which does not address the committee's historical observation about early pandemic strategy and herd immunity.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
84 Conclusion Not Addressed

The Government’s action plan of 3 March indicated that there was no intention to bring...

Conclusion
The Government’s action plan of 3 March indicated that there was no intention to bring in a lockdown as strict as had been implemented in some other parts of the world. The action plan, under the heading ‘the Delay phase … Read more
Government Response Summary
The government states that the reactive approach to test and trace must be replaced by anticipation and preparation for emergencies, without directly addressing the committee's specific points about early lockdown decisions and event impacts.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
85 Conclusion Not Addressed

At its meeting of 5 March 2020, SAGE reconfirmed an explicitly gradual approach: There is...

Conclusion
At its meeting of 5 March 2020, SAGE reconfirmed an explicitly gradual approach: There is epidemiological and modelling data to support implementation– within 1 to 2 weeks–of individual home isolation (symptomatic individuals to stay at home for 14 days) and … Read more
Government Response Summary
The government's response states that testing and tracing bodies should be transparent, which does not address the committee's conclusion regarding SAGE's explicitly gradual approach to non-pharmaceutical interventions.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
86 Conclusion Not Addressed

On 9 March 2020, SAGE set out a number of non-pharmaceutical interventions that could in...

Conclusion
On 9 March 2020, SAGE set out a number of non-pharmaceutical interventions that could in due course be introduced by the Government. SAGE advised that “measures relating to individual and household isolation will likely need to be enacted within the … Read more
Government Response Summary
The government's response outlines several future actions for pandemic planning and enhancing social care prominence, which does not address the committee's observation about the timeline and advice for NPIs in 2020.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
87 Conclusion Not Addressed

It is striking, looking back, that it was accepted that the level of covid-19 infection...

Conclusion
It is striking, looking back, that it was accepted that the level of covid-19 infection in the UK could be controlled by turning on particular non-pharmaceutical interventions at particular times. Indeed such was the belief in this ability to calibrate … Read more
Government Response Summary
The government's response concerns social care reform, which is entirely unrelated to the committee's conclusion about the flawed assumption of calibrated control over the virus and lack of data.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
88 Conclusion Not Addressed

This was not the only way to proceed, and indeed the UK was an outlier...

Conclusion
This was not the only way to proceed, and indeed the UK was an outlier internationally in the gradualist approach that was being taken before late March.120 Countries in East Asia were the first to experience covid-19. Their response was … Read more
Government Response Summary
The government's response is entirely irrelevant to the conclusion, discussing social care funding instead of the UK's early gradualist approach to pandemic measures.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
89 Conclusion Not Addressed

On 24 February the World Health Organisation published the report of its international mission to...

Conclusion
On 24 February the World Health Organisation published the report of its international mission to Wuhan, and advised that countries should: (1) Immediately activate the highest level of national Response Management protocols to ensure the all-of-government and all-of-society approach needed … Read more
Government Response Summary
The government provides a generic welcome to the report, acknowledging the crisis and agreeing that lessons should be learned, without engaging with the specific details of the WHO advice cited in the conclusion.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
90 Conclusion Not Addressed

In evidence to the Science and Technology Committee on 25 March 2020, the Editor of...

Conclusion
In evidence to the Science and Technology Committee on 25 March 2020, the Editor of The Lancet, Dr Richard Horton, said that his journal had published articles on 24, 29 and 31 January with an analysis of the situation in … Read more
Government Response Summary
The government provides a generic response welcoming the report and acknowledging the scale of the pandemic and the need to learn lessons, but does not address the specific conclusion about missed opportunities for preparedness in February 2020.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
91 Conclusion Not Addressed

The UK policy was to change abruptly.

Conclusion
The UK policy was to change abruptly. During the days before 23 March, multiple people within the Government and its advisers experienced simultaneous epiphanies that the course the UK was following was wrong, possibly catastrophically so. In his evidence to … Read more
Government Response Summary
The government's response is a generic acknowledgement of the report and the need to learn lessons, but it does not specifically address the committee's conclusion about the abrupt policy change or internal recognition of an impending disaster.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
92 Conclusion Not Addressed

In evidence to the Science and Technology Committee in July 2020, Sir Patrick Vallance, said...

Conclusion
In evidence to the Science and Technology Committee in July 2020, Sir Patrick Vallance, said that SAGE advised the Government to implement the remainder of the menu of options for social distancing measures—in essence a full lockdown—on 16 or 18 … Read more
Government Response Summary
The government provided a general statement about learning lessons from the pandemic and adapting for future crises, but did not specifically address the committee's detailed conclusion regarding SAGE's advice for lockdown dates.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
93 Conclusion Not Addressed

It seems astonishing looking back that—despite the documented experiences of other countries; despite the then...

Conclusion
It seems astonishing looking back that—despite the documented experiences of other countries; despite the then Secretary of State referring to data with a Reasonable Worst Case Scenario of 820,000 deaths;138 despite the raw mathematics of a virus which, if it … Read more
Government Response Summary
The government provides a general introductory statement, acknowledging the crisis and the need to learn lessons, but it does not specifically address the committee's conclusion regarding the delay in the first lockdown despite available evidence and warnings.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
94 Conclusion Not Addressed

The UK did not impose blanket or rigorous border controls at the onset of the...

Conclusion
The UK did not impose blanket or rigorous border controls at the onset of the covid-19 pandemic as compared to other countries, particularly in East and South East Asia.140 Instead, the UK implemented light-touch border controls only on countries and … Read more
Government Response Summary
The government acknowledges the crisis and the need to learn lessons, stating it has adapted and learned throughout the pandemic to inform preparedness for future crises, but offers no specific response to the observations on border controls.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
95 Conclusion Not Addressed

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 … Read more
Government Response Summary
The government provides a generic introductory statement acknowledging the report and its own efforts during the pandemic, without specifically addressing the conclusion regarding more rigorous border controls or a precautionary approach.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
96 Conclusion Not Addressed

In the paragraphs that follow we consider some of the potential explanations of why the...

Conclusion
In the paragraphs that follow we consider some of the potential explanations of why the initial decision-making on lockdowns was wrong, and what lessons can be drawn for the future from this. Should the Government have unilaterally taken a precautionary … Read more
Government Response Summary
The government provides a generic welcome to the report, acknowledging the crisis and agreeing that lessons should be learned, without engaging with the specific conclusion about initial lockdown decision-making.
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 provides a generic introductory response, welcoming the report and acknowledging the importance of learning lessons from the pandemic without addressing the specific conclusion about SAGE's transparency evolution.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
98 Conclusion Not Addressed

SAGE provides advice to Ministers, whose responsibility it is to make policy decisions.

Conclusion
SAGE provides advice to Ministers, whose responsibility it is to make policy decisions. However, witnesses to our Committees confirmed that during the early months of the pandemic the Government acted on the scientific advice it was given. Sir Patrick Vallance, … Read more
Government Response Summary
The government provides a generic response welcoming the report and acknowledging the scale of the pandemic and the need to learn lessons, but does not address the specific conclusion regarding SAGE advice and government decision-making.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
106 Conclusion Not Addressed

Professor Chris Whitty noted that he preferred advice to be given on the basis of...

Conclusion
Professor Chris Whitty noted that he preferred advice to be given on the basis of observed data, telling the Science and Technology Committee in November 2020: “It is important to say that a lot of the advice that I have … Read more
Government Response Summary
The government's response does not address Professor Whitty's observation about advice being based on observed data. Instead, it makes its own recommendation that future policy development should involve greater questioning and challenge of scientific advice by Ministers, the government, and SAGE.
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 response does not address the committee's conclusion regarding public compliance with lockdown measures, instead discussing the need for greater questioning and challenge in future policy development and scientific advice.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
114 Conclusion Not Addressed

Dr Horton expressed concerns about the evidence base that SAGE in its early meetings drew...

Conclusion
Dr Horton expressed concerns about the evidence base that SAGE in its early meetings drew upon. Referring to scientists in East Asia, Dr Horton told the Science and Technology Committee: If I had been Chair of SAGE, I would have … Read more
Government Response Summary
The government claims to partially accept an unspecified recommendation, but its response focuses on improving scientific challenge and international learning related to the NSRA process, rather than directly addressing the committee's conclusion about SAGE's early evidence base.
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 discusses learning from other countries and reviewing the National Security Risk Assessment (NSRA) methodology to increase external expert challenge, which does not address the committee's specific conclusion about the difficulty of judging the second lockdown.
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
The government's response discusses learning from other countries and reviewing the National Security Risk Assessment (NSRA) methodology to increase external expert challenge, which does not address the committee's conclusion about the Alpha variant's emergence and impact.
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, despite claiming partial acceptance, fails to address the conclusion regarding the nature and impact of the second wave of the pandemic and the Alpha variant, instead focusing on the National Security Risk Assessment process.
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
The government response is identical to its response to a different recommendation, focusing on expert diversity and international learning in risk assessment, and does not address the committee's conclusion about the difficulty of decision-making during a pandemic.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
143 Conclusion Not Addressed

Although the communications strategy in the initial phase of the pandemic was broadly successful, it...

Conclusion
Although the communications strategy in the initial phase of the pandemic was broadly successful, it is worth noting that there was some confusion over who the stay at home order applied to, and there was criticism of the Government’s decision … Read more
Government Response Summary
The government's response generally praises the strength and effectiveness of its early public health messaging, but it does not address the specific criticisms regarding confusion over guidance or the lack of BSL interpreters.
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 its response focuses only on the early, strong messaging, failing to address the committee's specific concerns about later inconsistent messaging across the four nations and resulting 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, but its response only addresses the effectiveness of early messaging, without engaging with the committee's conclusion about the deteriorating public understanding and compliance due to the complexity of the three-tier system.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
147 Conclusion Not Addressed

Written evidence suggested that the inconsistency in Government messaging after the first wave of the...

Conclusion
Written evidence suggested that the inconsistency in Government messaging after the first wave of the pandemic was also damaging to public trust in official information.233 Analysis submitted by Leeds Beckett University showed that most members of the public did not … Read more
Government Response Summary
The government highlights the effectiveness of its *early* pandemic messaging but does not address the committee's conclusion regarding inconsistent messaging *after* the first wave or the impact of rule breaches on public trust.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
153 Conclusion Not Addressed

The flattening the curve policy was implemented by introducing new restrictions only gradually and slowly,...

Conclusion
The flattening the curve policy was implemented by introducing new restrictions only gradually and slowly, acting as if the spread of the virus were susceptible to calibrated control. Modelling at the time suggested that to suppress the spread of covid-19 … Read more
Government Response Summary
The government states that in early crises, scientific advice is uncertain, and acting quickly on a precautionary basis may be appropriate, but does not address the committee's critique of the 'flattening the curve' policy.
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 offers a general statement about scientific advice in early crises but does not address the committee's specific explanations for early policy errors.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
155 Conclusion Not Addressed

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
The government's response explains the nature of scientific advice during a crisis, stating that it may be uncertain and require quick, precautionary action. It does not address the committee's concern about ministers finding it difficult to challenge scientific advice or the lack of sufficient challenge that took place.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
157 Conclusion Not Addressed

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 affirms its early pandemic messaging was strong and effective, but does not address the committee's concerns regarding later communication complexity and inconsistency.
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 response is a verbatim repetition of the committee's recommendation and does not provide any specific commitment or stance on the proposed action.
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 repeats the committee's recommendation verbatim without stating whether it accepts it or committing to any specific action.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
168 Conclusion Not Addressed

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 … Read more
Government Response Summary
The government partially accepts the recommendation but offers a generic response about learning from international practices and improving the National Security Risk Assessment (NSRA) methodology, without addressing the specific issue of global constraints in equipment and consumables for testing.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
172 Conclusion Not Addressed

Shortly after this seminal failure, in mid-March 2020 responsibility for the testing strategy was taken...

Conclusion
Shortly after this seminal failure, in mid-March 2020 responsibility for the testing strategy was taken over by the Department of Health and Social Care from Public Health England.256 It was not until 18 May 2020, when the first wave of … 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, rather than directly addressing the committee's observation on past failures in testing strategy and capacity.
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
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 the profound failure of testing and monitoring capabilities early in the pandemic.
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's response partially accepts a 'recommendation' and describes ongoing work related to international learning and the review of the National Risk Assessment (NSRA) methodology. However, this response does not address the committee's specific concern about scientific advisors being too passive in accepting assurances about Public Health England's capacity.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
177 Conclusion Not Addressed

As noted earlier, the failure to have enough testing capacity in the early weeks of...

Conclusion
As noted earlier, the failure to have enough testing capacity in the early weeks of the pandemic contributed to a lack of knowledge as to how the infection was spreading in the country. Speaking to us in November 2020, Professor … Read more
Government Response Summary
The government's response, despite claiming partial acceptance, fails to address the conclusion regarding the lack of early testing capacity and the decision to halt community test and trace, instead discussing the National Security Risk Assessment process.
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's response discusses learning from other countries and reviewing the National Security Risk Assessment (NSRA) methodology to increase external expert challenge, which does not address the committee's specific conclusion about testing capacity limitations and nosocomial infections in hospitals.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
180 Conclusion Not Addressed

The lack of available testing for social care was particularly damaging, as we discuss in...

Conclusion
The lack of available testing for social care was particularly damaging, as we discuss in more detail later in this Report. Crucially, it was not until mid-April that covid-19 testing was made a requirement for people discharged from hospital to … Read more
Government Response Summary
The government's response, despite claiming partial acceptance, does not address the conclusion about the damaging lack of testing for social care and hospital discharges, instead discussing the National Security Risk Assessment process.
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, despite claiming partial acceptance, fails to address the conclusion regarding the impact of insufficient testing for social care staff and disease transmission in care homes, instead discussing the National Security Risk Assessment process.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
182 Conclusion Not Addressed

Following the initial shortage of testing capacity and the slow increase in the availability of...

Conclusion
Following the initial shortage of testing capacity and the slow increase in the availability of tests during the critical first eight weeks of the pandemic, responsibility for the testing strategy was removed from Public Health England and vested in the … Read more
Government Response Summary
The government states it partially accepts the recommendation but its response discusses the National Risk Register Assessment (NSRA) methodology and external expert challenge, which does not address the conclusion about testing capacity and targets.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
183 Conclusion Not Addressed

Subsequently, Dominic Cummings, in evidence to our inquiry, strongly criticised the then Secretary of State...

Conclusion
Subsequently, Dominic Cummings, in evidence to our inquiry, strongly criticised the then Secretary of State for naming this target, describing it as “an incredibly stupid thing to do.”272 However, Mr Hancock defended the target, saying to the Committees, “that 100,000 … Read more
Government Response Summary
The government's response, despite claiming partial acceptance, does not address the conclusion about the 100,000 daily testing target and its contested achievement, instead discussing the National Security Risk Assessment process.
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 partially accepts a 'recommendation' and describes ongoing work related to international learning and the review of the National Risk Assessment (NSRA) methodology. However, this response does not address the committee's specific concern about NHS Test and Trace being unprepared for surges in testing demand.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
200 Recommendation Not Addressed

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 … Read more
Government Response Summary
The government states it accepts the recommendation but primarily details its past efforts during the pandemic to provide accessible health advice and testing services to diverse communities, rather than committing to a dependable future organisation for testing capacity and demand.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
3 Conclusion Not Addressed
Para 60

The operation of COBR was not well-suited to the modern demands of a pandemic response.

Conclusion
The operation of COBR was not well-suited to the modern demands of a pandemic response. It is especially concerning that its culture of confidentiality was considered by some to be so unreliable that alternative meetings were arranged that could command … Read more
Government Response Summary
The government partially accepts, agreeing on the importance of learning, but the response focuses on the National Risk Assessment (NSRA) process and its external review, without directly addressing the committee's conclusion about COBR's operational suitability or confidentiality issues.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
9 Recommendation Not Addressed
Para 66

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 is a verbatim repetition of the committee's recommendation and does not provide any specific commitment or stance on the proposed action.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
14 Recommendation Not Addressed
Para 71

The experience of the demands placed on the NHS during the covid-19 pandemic should lead...

Recommendation
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 repeats the committee's statement verbatim without committing to any specific actions or plan to achieve surge capacity.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
15 Recommendation Not Addressed
Para 72

The NHS should develop and publish new protocols for infection prevention and control in pandemics...

Recommendation
The NHS should develop and publish new protocols for infection prevention and control in pandemics covering staffing, bed capacity and physical infrastructure. In developing these protocols the NHS should consider the importance of maintaining access for people accompanying some patients … Read more
Government Response Summary
The government's response merely restates the committee's recommendation verbatim without indicating acceptance, rejection, or any action being taken.
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 response is identical to the committee's recommendation, providing no specific stance or commitment to action.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
17 Recommendation Not Addressed

Building on the experience of staff working more flexibly during the pandemic and to enable...

Recommendation
Building on the experience of staff working more flexibly during the pandemic and to enable more flexible staffing in the NHS, NHS England and Health Education England should develop proposals to better enable NHS staff to change clinical specialty mid- … Read more
Government Response Summary
The government response simply restates the committee's recommendation for NHS England and Health Education England to develop proposals for more flexible staff specialty changes mid-career, without providing its own stance or committed actions.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
18 Conclusion Not Addressed
Para 152

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's response is a generic statement about acting quickly on a precautionary basis and does not address the committee's specific conclusion regarding past policy decisions and groupthink during the COVID-19 pandemic.
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 agrees that early pandemic messaging was strong and effective, but does not address the conclusion's point about later complexity and inconsistency in guidance.
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 and does not provide any specific stance or commentary.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
27 Recommendation Not Addressed
Para 161

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
Despite stating partial acceptance, the government's response completely deviates from the recommendation regarding the timely publication of SAGE advice, minutes, and papers, instead discussing the National Risk Assessment (NSRA) process and international engagement.
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, agreeing on positive learning and engagement, but the response details the National Risk Assessment (NSRA) process and its external review, without directly addressing the committee's conclusion about past operational failures in test and trace or Public Health England's performance.
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 advocates for developing greater operational competence in future test and trace programmes, ensuring relevant agencies have surge capacity within seven days of an emergency, but does not address the committee's conclusion on past testing capacity.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
38 Recommendation Not Addressed
Para 241

Scientific excellence is not enough in test and trace programmes: the UK must develop greater...

Recommendation
Scientific excellence is not enough in test and trace programmes: the UK must develop greater operational competence in deployment. In particular, the Government must ensure that both the new UK Health Security Agency and local authorities have the capability and … Read more
Government Response Summary
The government response repeats the committee's recommendation verbatim without committing to any specific actions or plans to achieve greater operational competence or surge capacity.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →
39 Recommendation Not Addressed
Para 242

Public Health England and its successor bodies, as well as Ministers and their scientific advisers,...

Recommendation
Public Health England and its successor bodies, as well as Ministers and their scientific advisers, should be more willing to study and emulate the practice of other countries with urgency and agility, especially during a crisis. A culture must be … 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 →
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 merely restates the committee's recommendation verbatim, without providing any specific commitment, action plan, or official 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 response reiterates the committee's recommendation verbatim, without providing any specific commitment, acceptance, or alternative action.
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 merely repeats the committee's recommendation verbatim, without committing to specific actions or explaining how the transparency of testing and tracing bodies will be achieved.
Department for Science, Innovation and Technology Department of Health and Social Care
View Details →