Local Contact Tracing

Debate between Luke Evans and Catherine McKinnell

Wednesday 14th October 2020 Commons Chamber

[Catherine McKinnell (Newcastle upon Tyne North) (Lab)]

I agree with everything my hon. Friend the Member for Wirral South (Alison McGovern) said.

NHS Test and Trace is not working. Billions of pounds have been poured into a system that has sidelined existing local expertise in primary care, public health and science. The resulting system is labelled NHS Test and Trace, but it has hardly anything to do with the NHS. Stop denigrating the NHS by associating it with this failing system.

We are stuck in this world of uncertainty, with a rising infection rate and the virus out of control, and we are without the ability to properly track it, as my hon. Friend has just described. It is like “Groundhog Day”. Until we have a vaccine, we will not get out of this without a functioning track and trace system.

We are the fifth richest economy in the world, and we have one of the best healthcare systems. We have leading science research universities, yet we have spent all this money contracting out the system to Serco. Now, on top of that, we are spending millions of pounds bringing in private contractors to try to sort out the mess. It costs more in one week than we pay an experienced nurse in a year. It is a disgrace, and it feels like a wasted opportunity to build on the existing expertise and experience to strengthen the local systems in primary care and local authorities. Doing that now is the only way out of this nightmare scenario.

The outbreaks we have seen in the universities in Newcastle, for example, were not identified by the national system—it seems incapable of doing that at present. The outbreaks were identified based on local intelligence and local knowledge, and by piecing the pieces together. We know that co-operation between local health services and authorities is the way to control infectious diseases. GPs, NHS and public health laboratories, and local public health officers all play a key role. Winter is approaching and GPs will be the people who can see the overlap in covid symptoms such as fever and a dry cough, and the classic flu symptoms of fatigue, sore throat and headaches. We need that integrated public health expertise to truly make this testing and tracking system work. We have 1,200 primary care networks in England. They will be best placed not only to run test, track and trace, but to deliver the vaccine when we finally have it—we will be ready for it.

[Dr Luke Evans (Bosworth) (Con)]

I hear time and again from this side of the House people talking about giving more to the primary care networks. As a GP, I worry that this could be a concern for my public health colleagues as well because they already serve a function—of non-covid health service. I would be interested to hear the thoughts of others on this concern: what happens if we keep putting more pressure on public health and GPs, who are already dealing with non-covid stuff? How do we deal with this? It makes a lot of sense to bring in a national service to try to do that; we did that with the Army to help with test, track and trace. What does the hon. Lady think about the possibility of extra pressure there?

[Catherine McKinnell]

Absolutely, spend the billions of pounds that we have wasted—spend it on bumping up the capacity and ability of our local GPs and health services, which can do a better job.

I wish to say a word about asymptomatic carriers. Research published by University College London last week found that 86% of those sampled who had tested positive for covid-19 between April and July had had no symptoms—that includes cough, fever or loss of taste and smell. So many people who are asymptomatic test positive, as we have seen at Northumbria University, and that is hugely concerning. It shows that we need a much more robust and expanded testing strategy to control the virus.

What are the Government doing to ensure that we can capture these silent spreaders? Is the system anywhere close to having the capacity to address this, given that we cannot even test those who have symptoms and have been instructed to take a test? The Government wasted the time we spent in national lockdown and failed to get the apparatus of proper track and trace system in place once those restrictions were finally relaxed. We are now living with the consequences of that decision. As we now appear to be entering another era of harsher restrictions across much of the country, the Government owe it to the people who continue to endure hardship, uncertainty, loneliness and bereavement not to waste this time again.