Local Contact Tracing

Andy Slaughter Excerpts

Wednesday 14th October 2020 Commons Chamber

[Rachel Reeves (Leeds West) (Lab)]

I beg to move,

That this House notes the consistently high performance of local contact tracing systems when compared with the centralised system established by the Government; notes the wealth of evidence that the considerable sums of public money spent so far on the national system would deliver better public health outcomes if devolved to local authorities and public health experts; and calls on the Government to extend the additional funding for contact tracing available in Tier 3 areas to all parts of the country and ensure that councils and local public health teams receive the resources and powers they require.

This Government are obsessed with a failed model of outsourcing. It is failing to reach people who come into contact with someone with the virus, it is not getting information to local councils who need to act on it, and it is wasting hundreds of millions of pounds of taxpayers’ money that could be spent on a local response using local expertise. It is not too late for the Government to change course, and I urge them to do so today.

Yesterday, my right hon. Friend the Leader of the Opposition made the case for a short, sharp circuit break of restrictions lasting two to three weeks to firmly apply the brakes on the rising infection numbers that we are seeing. A crucial aim of the circuit break is to drive down infections, but there is another purpose as well: it would buy the Government some crucial time to fix the failures in contact tracing.

The current model of contact tracing is broken and it will get worse, not better, while corporations such as Serco are allowed in the driving seat rather than local public health teams. We might ask: how bad is the Government’s approach to contact tracing?

One director of public health said:

“It needs someone with the courage to say”

it “isn’t working”, and it was described as a

“catastrophe…the very worst system I’ve…seen”.

Well, we do have the courage to say that it is not working and I urge the Government to have that courage, too.

[Andy Slaughter (Hammersmith) (Lab)]

My hon. Friend is right to highlight Serco. Does she agree that another problem with test and trace is the number of consultants being employed, with more than a thousand from one firm alone—Deloitte—that charges several thousand pounds a day for its senior consultants? Should we not be told how much it is costing and what these people are doing?

[Rachel Reeves]

My hon. Friend makes his point well. He has been a staunch advocate of transparency and value for money in the delivery of public services. The Government’s own Minister in the Cabinet Office in the other place has made those points as well, saying that the Government are spending too much money on consultants when that work could be done in-house with better value for taxpayers. I very much agree with my hon. Friend’s comments.

The minutes of the Scientific Advisory Group for Emergencies meeting from three weeks ago on 21 September, as well as suggesting a circuit break to deal with the rising infection numbers, reflected on the performance of the Government’s approach to test, trace and isolate. The minutes said that

“relatively low levels of engagement with the system…coupled with testing delays…is having a marginal impact on transmission”.

All that money spent, yet this key part of the Government’s system to keep us safe is only having a marginal impact on transmission.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

I beg to move an amendment, to leave out from “when” to end and insert

“working in conjunction with NHS Test and Trace; welcomes the huge expansion of testing to a capacity of over 340,000 tests a day; applauds the efforts of all involved in testing and contact tracing both at a national and local level; recognises that 650,000 people have now been asked to isolate thanks to the work of NHS Test and Trace, and supports the Government’s efforts to expand testing and tracing yet further.”.

I agree with the final sentence of the hon. Member for Leeds West (Rachel Reeves) that this is about protecting people. The entire focus of the Government from day one has been on driving a system that can protect people. It is not a zero-sum game, and it is not an either/or.

This pandemic is the most unprecedented public health emergency we have faced in a generation. We knew that our response would require a phenomenal national effort and that we would need to work closely with others. Local authorities and directors of public health have played an enormous part thus far, including in the delivery of test and trace. They have worked exceptionally hard to prepare and support their communities throughout the coronavirus outbreak, protecting the most vulnerable and saving lives.

I take this opportunity to say thank you to all the public health teams and local authority staff for their hard work thus far, and I know I speak for everyone in this place, irrespective of where we sit, and beyond when I say how grateful we are that they have been there.

Local partnerships have been at the heart of both covid and of the NHS Test and Trace response. As this House knows, Test and Trace was stood up at incredible speed and has developed at scale and pace. As would be expected, the Government responded at pace.

The hon. Lady mentioned Serco on more than one occasion but, as she well knows, having reacted to the changing situation at pace, Serco and Sitel went through a full tendering process to became one of the suppliers to the Government, and they can be drawn down at short notice. They gained their place through fair and open competition via an OJEU procurement process. Value for money and capability are part of those assessment criteria.

On 8 May, the Prime Minister announced that we were bringing Test and Trace into a single service, listening to those people who were asking us to respond, and it was formally launched on 28 May. We have brought together a huge range of people and organisations into the system, from the Department of Health and Social Care, the NHS, Public Health England, local authorities, academia, epidemiologists, the private and even the not-for-profit sector. I think my hon. Friend the Member for Milton Keynes North (Ben Everitt) will be speaking. Milton Keynes is just the most glowing example of using people’s skills.

[Andy Slaughter]

The Minister mentioned the private sector. Three weeks ago in named day questions, I asked her Department for details of the private consultants working at the Joint Biosecurity Centre, but she still has not answered, even though some of the information has been published in the press since. What have they got to hide about the employment of consultants and their cost? Will she now answer those questions and publish that information?

[Jo Churchill]

As the hon. Gentleman can imagine, in the current circumstances the Department has a vast amount of correspondence. I will chase his inquiry personally when I return.

As I said at the start, it is not a case of either/or, as the Opposition motion makes out. The pandemic requires us all to work towards that common goal of beating the virus. Contact tracing is an excellent example of partnership in action. We have Public Health England’s epidemiology expertise to ensure that the operationalisation of the tracing model is built on a strong scientific base. Through NHS Test and Trace and its partner organisations, we can do it at scale. The national framework enables us to reach tens of thousands of people a day. It would not have been possible to do that on the existing infrastructure without placing an unbearable burden and strain on the system. To support this, we have local health teams who know their local areas and can provide expert management locally. Probably one of the finest examples of that was the response in Leicester, where local teams responded phenomenally to the challenge presented to them earlier in the summer, with the national oversight identifying that there was a problem and then the local response. We know we need people on the ground locally who can reach the most vulnerable and those who are disengaged from local services.

The local health protection teams form the first tier of the NHS Test and Trace contact tracing service, consisting of public health specialists. NHS Test and Trace and Public Health England work with local government colleagues, including the Association of Directors of Public Health, the Society of Local Authority Chief Executives and Senior Managers, the Local Government Association and UK chief environmental health officers, on part of this programme. It is, therefore, simply untrue that contact tracing does not include those experts front and centre, helping us deliver.