Local Contact Tracing

Andrew Bowie Excerpts

Wednesday 14th October 2020 Commons Chamber

[Rachel Reeves]

Let us be clear: there are places that are doing this—for example, Wales, to which I shall come later—and the difference between what we see with Serco and what we see when it is done in-house is that with the latter more people are being traced, which means more people are going into self-isolation and a slower spread of the virus. That protects all our lives and means that our economy can get back on track. The Government are the ones who are wasting hundreds of millions of pounds of taxpayers’ money on a system that is failing—a system that is letting us down.

Outsourced contact tracing is part of £11 billion of public procurement in this pandemic that has not gone out to competitive tender. The Government do not even know whether they are getting value for money because they do not even bother to test it in the marketplace or against what local authorities can deliver. For the outsourcing companies this is a gold rush. I have called for the National Audit Office to investigate, and I look forward to its findings later this year. I am sure that all Members will look forward to the findings from that investigation so that they can check for themselves that they are getting the value for money that they seem to believe they are getting.

One issue that I hope the National Audit Office addresses is the murky subcontracting of the Government’s contractors. My hon. Friend the Member for Dulwich and West Norwood (Helen Hayes) asked the Government how many companies Serco has subcontracted its work on contact tracing to; the answer was 29 companies other than Serco. The amount subcontracted to other firms represents 80% of staffing. Who are these businesses? The Government have refused to say—because Serco decided that it was too commercially sensitive. We now have a Government that outsource even decisions to private outsourcing companies. The situation is frankly ludicrous.

It has taken investigative journalists, whistleblowers and the Good Law Project to start to piece together the jigsaw. Why the shyness? Presumably because if the Government revealed what was going on, it would not stand up to public scrutiny. One business to which Serco has subcontracted work is Concentrix, which was previously involved in scandals relating to tax credits.

In September, it was reported that another Serco subcontractor, Intelling, was paying bonuses of £500 to staff despite poor contact rates. One contact tracer employed by Intelling was reported to have said:

“I couldn’t believe it when I got my bonus. It’s an absolute disgrace…I’m getting paid and now given a bonus for doing nothing…I really want to help and be involved and make calls and be useful. But I’m not being given anything to do. The system is on its knees.”

This evidence is devastating because it shows that people who should have been contacted are not being contacted and that, far from what the hon. Member for Winchester (Steve Brine) said, the Government are handing out money to companies without getting the value for money that we should all be demanding.

I challenge the Minister today to name all Serco’s subcontractors and to publish details on how much they have been paid and for what. I will give way to the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), if she would like to tell the House that information. This is revealing: either they do not know, they do not care, or they will not say. I fear that the more we know about what is happening under the bonnet in contact tracing, the worse it gets.

[Andrew Bowie (West Aberdeenshire and Kincardine) (Con)]

I fear that the hon. Lady may have inadvertently misled the House earlier. She told the House that the Government did not speak to local government authorities throughout the country, but on 22 May, many months before Labour even started to talk about involving local authorities, the Government provided £300 million for local authorities to set up local test and trace services, so what she said at the Dispatch Box was patently untrue and she should apologise.

[Rachel Reeves]

Local councils are desperate to take on the responsibilities from Serco. They are begging the Government: “Hand over the resources and the responsibilities, because we can do it better than you.” I will come later to the issues relating to what the Government are doing with tier 3 compared with the other tiers.

--- Later in debate ---

[Andrew Bowie (West Aberdeenshire and Kincardine) (Con)]

I know that in some early listings I appear as the hon. Member for Ipswich. I am not the hon. Member for Ipswich—I never could be!—but if he was here I am sure he would agree that the Opposition’s brass neck takes some beating, in a week when we have seen craven, callous political opportunism of the worst kind from Labour Members. First, they were anti-10 pm closures; then, they were for 10 pm closures. First, they were against the tiered system; then, they were for the tiered system. First, they were against a circuit-breaker approach; then, they were for a circuit-breaker approach. I hope that Labour Front Benchers have cleared their position with the Leader of the Opposition, because for all we know he will be on TV in half an hour announcing a different position from the one they have taken here today.

The Opposition’s tone in opening the debate was quite depressing. We could have spent these few hours talking about how we work together to address the issues with the test-and-trace system, but, no, all we heard was typical Labour public good, private bad. Labour might have a new leader, but it is the same old Labour.

As my hon. Friend the Minister said, the Government’s aim and objective is to save lives. We accept that there are issues with the test-and-trace system, which is why we are working with all stakeholders—public, private, not for profit and local and national organisations—to get this right. It is not either/or. It is not public or private. It is not local or national. We are working to create a system that uses the best of all worlds.

We are providing £300 million to help local authorities to set up local test-and-trace services. We are extending the partnership between NHS Test and Trace and local authorities to reach more people who test positive—[Interruption.] They say we are not, but we are: it is a fact. We are bringing together the efforts and data of local and national services so that we can spot local flare-ups and take measures to control them more easily.

NHS Test and Trace—the Opposition would not say this—is delivering results. We are testing more than any other comparable European country today, and that is something of which we should be very proud. Test and trace plays a crucial role in our fight against coronavirus. It is not a question of national or local, but rather both working together to control and suppress the spread of this virus, and I really hope that the Labour party drops its recent approach and moves back to where it was in March, working constructively with the Government so that we can defeat this virus and save lives.

--- Later in debate ---

[Layla Moran (Oxford West and Abingdon) (LD)]

The all-party parliamentary group on coronavirus, which I chair, led hearings all through the summer; the very first ones we held back in July were on test and trace, and then we did it again last week. It was saddening to see that a lot of the predictions many of the experts made about the issues with test and trace back in July have since come to fruition. The things they were saying were very much common sense.

First, and I hope this is self-evident, this stuff is not easy. It may seem easy when we have read a briefing from the Library or whatever else, and the basic principles are easy, but the specifics of running a massive lab are very niche and require a lot of expertise. There are very few people in this country who can do this incredibly well, so when we say it should be a locally led test and trace system, of course it needs to be backed up by national capacity, but it should be led by those who are closest on the ground. We also took evidence from experts in Italy, who were also pointing to what Germany has done, and what they have in common is that that is how they run it: the people closest to the ground lead it, backed up by national systems and national resourcing. That is what we are asking for; it is what we have been asking for for the past three months, and here we are on the verge of what is likely to be an inevitable second national lockdown, because yet again we are not listening to the scientists.

[Andrew Bowie]

It is not inevitable.

[Layla Moran]

Well, we will see. I sincerely hope I am wrong, but unfortunately, we have not done enough listening to the experts.

Speaking of experts, I want to put on record my thanks to Oxfordshire’s public health director and his team, but also the councillors, the councils and the lab technicians—the people behind the scenes, who very rarely receive thanks. They do an incredible job, and one of the things I would like to highlight while the Minister is in her place is that concerns have been raised about pillar 1 and pillar 2 testing labs not talking to each other. There is not enough transparency coming out of the community testing Lighthouse labs, and we cannot be assured of their quality. Those concerns have been raised by people who are really expert in this area and would like to be able to help, so I have a plea to the Minister: can we please be more transparent about what is coming out of the Lighthouse labs, so that it can be scrutinised by real experts in the field?

I will end with a heartbreaking story of what this means. I heard from the mother of a disabled child in my constituency whose carers were unable to receive tests, so the mother was not able to visit them for two weeks during September. That child is unable to read their facial expressions owing to PPE and therefore struggles to interact with them; and because the carers were unable to receive tests, the mother is incredibly worried and that child is left without the proper care. This all comes back to real stories and real people.