Covid-19: Government Transparency and Accountability — House of Commons, 2021-04-22
Topic: Health
Karin Marguerite Smyth (Labour, Centre-left): It is a pleasure to follow the hon. Member for Hazel Grove (Mr Wragg). I thank him for the fair and inclusive way in which he has chaired the Committee The sense of shock, uncertainty and genuine confusion that the public at large felt as this crisis began was in truth mirrored by the Government. That is at least in part understandable, and I will return to the issues of preparedness later, but the nature, scale and speed of that first wave was unlike anything our Government have ever faced before. It would have tested the boldest of leaders, the best prepared institutions and the most resilient of communities My father-in-law died in those early few weeks. I was grateful to be able to attend his funeral, but my children could not. Since last April, tens of thousands of families have faced this trauma, and the loss of life and destruction of our economy is not understandable, nor was it inevitable. The truth is that our leadership was woeful, our institutions already cut to the bone by funding cuts, our communities fractured and frayed, health inequalities widening, and it is no surprise that the poorest have faced the greatest burden In a democracy as old as ours, the Government rightly have less power to control us and force compliance than many others across the world, but that means that transparency and accountability are more fundamental to securing our agreement for the common good, and when the very Government who had previously eroded accountability and shirked transparency asked us to make those sacrifices, there were bound to be tensions. The starting point of distrust and dysfunction was made much worse by the unpreparedness with which we entered this emergency Emergency preparedness, resilience and response is a term that we use to make sure that we are safe before, during and after an emergency and national disaster. At our Committee session on 29 April the Chancellor of the Duchy of Lancaster appeared to talk about the work of the Cabinet Office, and we looked at preparedness. The pre-2020 timeline to our report is really important. Public Health England’s pandemic flu strategic framework in 2014 had as a key principle preparing for the worst. That 2014 document built on work in 2011, which followed work in 2009 regarding the previous flu crisis. In 2016 Operation Cygnus, the exercise conducted to understand our preparedness and test our resilience in response, was shrouded in mystery, and it was only released in October 2020, as even The Daily Telegraph reported, following legal action and the threat of the Information Commissioner. That document really exposed how poorly prepared we were In addition, in our meeting with the Chancellor of the Duchy of Lancaster in April we discussed the national risk register, which had not been published since 2017; it is supposed to be published every two years. I asked him whether the Cabinet Office monitored whether various Departments and agencies had completed the mitigations in previous risk registers. He answered that it was the Cabinet Office’s responsibility to do so. He wrote to us later, on 21 May, with less clarity on the Cabinet Office’s role, simply stating that work on the risk register for 2019—for 2019—was advanced, but would need to be recalibrated in light of the current pandemic Also, we were running the NHS at over 90% of capacity, when the Royal College of Emergency Medicine and many other royal colleges had been warning that 85% was more in line with patient safety requirements. That, plus the additional year-on-year Government cuts, including to public health, all meant that we were not prepared when we could have been, and any look back at this dreadful time in our history needs to expose that failure But fundamentally and unforgivably, we were hamstrung by this Government’s ideological opposition to the very things that could have helped save lives—an ideological opposition to experts, an ideological opposition to local government and local expertise, an ideological opposition to the principles of good public health. And what was it replaced with? The absurd reliance on mates and acquaintances—approaching a pandemic in much the same way as most of us would look for someone to plaster our bathroom. Underpinning it, the idolatry of the private sector, trumping every time the institutions and people who actually understood the communities we were looking to protect Crucially, the Government were bereft of a strategy, with no accountability, and that includes the legislation and our role as Members of Parliament who were presented with that rushed legislation and reliance on ancient public health Acts, rather than the Civil Contingencies Act 2004 and the scrutiny that had happened in this place before—a problem that we are still trying to extricate ourselves from The key part of that Civil Contingencies Act was the reliance on local resilience forums. None of us live in Whitehall; we live in our communities. That is why local forums are so critical, and any response should have been driven bottom-up and then supported by the national effort—and that is where so much damage has been done, in that local response For everything we have learned in our Committee, the transcripts are really quite shocking. As a previous emergency planner and someone who has worked closely with public health, I expected certain things to happen, and they did not. The test and trace debacle is the most obvious case in point—so many lives lost, so much time lost. Why would the Government not trust local leaders, and our colleagues in councils of all political colours, to get the job done that they were trained to do? Over the border from me only 20 miles, in Wales, the Welsh Test, Trace, Protect system is run as a public service and has delivered, by any measure, better outcomes for vastly less public money Things have got a bit better in terms of the local-national interface and response, but there are still some real issues that are hampering the public health response now and for the future. First, we must not reorganise the organisation that is doing this at national level in the middle of a pandemic and make people fearful of losing their jobs when they are trying to save our lives. Secondly, the consequence of the Lansley Act is that public health expertise in local government does not have the same access to NHS data that previously occurred. That has hampered the public health effort locally. Public health officials in local government need to be able to access data for public benefit and recognise the difference between identifiable personal data and non-identifiable data. That is something the Government can do something about We have to use this excellent report to look to the future. Does anyone here think that everything will be normal after 21 June? Again, after everything we have been through, the Government are still not on the front foot. They are still too late, as demonstrated by the decision about India going on the red list this week. I do not think everything returns to normal after 21 June, and the Prime Minister has now started hinting about a third wave. That means he has to take some actions. We are all so very weary. We are desperate to see our loved ones. We are desperate for everyone to get back to work, to go on holiday, to start planning our lives now. Our young people need radical change in our education system to be prepared for the future. Decisions need to be made now. We all want to be able to visit care homes and have people able to leave those care homes. It is an absolute disgrace, but the urgency is missing In conclusion, I am very proud to be a part of this Committee. I commend our Chair for the fair and inclusive way he has conducted it. Our Clerks and advisers have been superb in their support and responsiveness to allow us to do some great work in difficult conditions. I thank them for report they produced, and I thank our great witnesses. The Government, however, have not learned the lessons. I am not confident that they have taken on board these recommendations. If we are to secure compliance for the next stage, that really needs to happen: we need honesty and transparency about the data; honesty about the political choices that face us; honesty about the balance of risk; and, frankly, more respect for Parliament and the people we represent.