Local Contact Tracing

Chris Bryant Excerpts

Wednesday 14th October 2020 Commons Chamber

[Dr Kieran Mullan (Crewe and Nantwich) (Con)]

I welcome the opportunity to take part in this important debate.

Effective contact tracing is going to help us to tackle this virus, and all of us here want the best possible version of that tool in the toolbox. The question is how best we do that. Despite what the Opposition might have people believe, there are no easy answers to this problem. It is easy to stand up in this place or go on TV and say, “Fix it”, but anyone with any real-world experience of organising any kind of project or undertaking that is even a fraction of the scale and size of this one understands the incredible challenges that are inevitably faced. Over recent months, the Government have built a huge testing regime capable of processing 340,000 tests a day that has tested over 7 million people in a matter of months. At the start of this epidemic, the yardstick for all this was Germany. Now that we are testing more people than Germany, France, Italy and Denmark, and many others, that yardstick has quietly disappeared.

Yes, there are challenges. Supply and demand are not uniform across the country and supply needs to be increased, but, whatever Labour Members think about the Government’s approach to testing and tracing, if they describe testing 69% as a complete failure, what does that say about the Welsh Labour Government’s programme? To be brutally honest, I am struggling to understand what exactly Labour Members are trying to say today, beyond of course, “We could have done it differently. It would all have been different and fantastic, and nothing would have gone wrong.” That is basically their position on everything to do with the coronavirus.

Let us talk about some of Labour Members’ common criticisms. They say we should not have the private sector involved, and that there is insufficient capacity. At the same time as criticising the Government for not having enough testing capacity, they are telling them that they should immediately and drastically cut out a chunk of that capacity because it does not suit their ideology. This is all based on their blinkered mentality that if the private sector does something it will automatically be bad and if the public sector does something it will automatically be good.

That brings me to the question of whether doing everything locally would have been the right approach at the outset of the programme. I simply do not accept that asking all 152 directors of public health to go off and set up their own approach at the outset would have been in any way feasible. Were they all supposed to come up with their own laboratories, their own contracts and their own apps? That just is not a credible solution in the short term. It was common sense to begin with a central programme, although even at the outset, when it was clear that something centrally driven was needed to kickstart the process, the Government recognised that local systems had a role to play. Many months before Labour was calling for it, £300 million was provided to help local authorities to develop their own test and trace programmes and, importantly, we have now 93 local authority test and trace regimes up and running.

So what is it that Labour Members are saying? Is it that we should immediately hand over everything that is being run nationally to local authorities?

[Chris Bryant (Rhondda) (Lab)]

No.

[Dr Mullan]

Well, it is.

Many of us in this place who have had dealings with local authorities—as well as lots of our constituents and probably millions of people across the country—would agree that getting everything done by the local authority is by no means a guarantee of success. Just this morning, in news that I am sure was greeted with groans in the Labour Whips Office, it was revealed that Birmingham City Council’s local programme dropped off 25 used swab kits to homes in Selly Oak. Does that mean that local authorities are incapable of delivering? No, of course not. We have problems in the private sector, and that should not bar them from involvement, and we have problems in the public sector too.

Local authority solutions are not a magic bullet. The quality of leadership, management and organisation varies enormously among local authorities. We all know this, and the Opposition know it. At the election, so many bricks in their red wall fell because residents were fed up not just with Labour at national level but with inept, Labour-led local authorities. After decades in power, they were taking people for granted, with leaders and councillors who were not even up to the job of taking away the bins on time, let alone organising a test and trace programme. The national programme inevitably has challenges, but do Labour Members really think that each and every one of the local authorities will deliver on this flawlessly?

Local leaders are political. Sadly, time and again we see Members on the Opposition Benches putting politics first. In the past 24 hours alone, they have said that they support local lockdowns but then did not vote for local lockdowns; that national lockdowns were a disaster, but now they want a national lockdown—and they cannot even make up their minds whether they want a two-week or a three-week lockdown. And they want the country to believe that if they had been in charge, all this would have been going smoothly. That is not accurate. When it came to getting children back to school, the national Labour party was kowtowing to national union leaders and doing what they said, and we all know that the local Labour parties are just as likely to be influenced by the unions. I absolutely recognise that there is work that needs to be done, but I am afraid the idea that if we just flick a switch and give it all to local authorities everything will be fine is complete and utter nonsense.

--- Later in debate ---

[Chris Bryant (Rhondda) (Lab)]

My constituents’ experience of the test, trace and isolate system run by the UK Government is that it has been a complete and utter fiasco at every single stage.

On the tests, when people go on the website, regularly there are absolutely no tests available anywhere in the whole of the United Kingdom, or if they are lucky, they will be sent from the Rhondda to Aberdeen or Aberystwyth, presumably because that is alphabetically at least close to Aberdare, even if it is not physically close to the Rhondda at all.

There are no home test kits nearly all the time. A high percentage of my constituents have no car, but they are not allowed to go on public transport, so it is pretty difficult for them to get to any of the test sites. Even today, people had booked a walk-in appointment in Treorchy—they walked 6 miles there and were going to walk 6 miles back—but when they arrived they were told that they could not have their test because they were not in a car, even though it was meant to be a walk-in site.

The results service is shockingly poor: according to the Government’s own figures, just 2% of people got their results within 24 hours last week. Just 2%—how on earth could someone intend to keep a contract with a company that was failing so badly? Why is it that this company cannot do what hundreds of other private sector companies in the country do, which is allow people to track their result? People can track their Amazon delivery—I have never had one because Amazon does not pay its taxes properly—by can logging on and finding out exactly when it is going to arrive. Why can this company not do the same? It would save hours and hours of time—not least in constituency MPs’ offices, I suspect—if there was a proper system for that.

The isolate system has also been a complete failure, because the Government do not seem to understand that for many people, including many tradeswomen and tradesmen and people who work on an hourly or daily basis, the cost of self-isolating is a complete disincentive to doing the right thing. People simply cannot afford to put food on the table for their kids and be able to self-isolate for two weeks. The system the Government are introducing is far too late. It came into place only on 12 October, and so far I am not sure whether anybody has actually managed to use it. And it is not generous enough, either.

The tracing system has been a complete disaster. The target that the Government set was 80%; they have never met it in a single week—and last week it was the worst result ever. I do not understand why Baroness Harding is still in her job. It is an absolute mystery to me. Incidentally, it is a constitutional aberration that a Member of the House of Lords who votes on party political issues is also working in effect as a civil servant.

I hate this concept of “world-beating”. Every time the Prime Minister tries to look Churchillian, he just looks like Neville Chamberlain to me. Lockdowns are a sign of the failure of this system, but I bet that is where we end up.

--- Later in debate ---

[Julia Lopez]

I am afraid that time is short, so I will continue if I may.

The network is developing all the time, and at the moment includes five major Lighthouse laboratories, 96 NHS labs across 29 pathology networks, and over 500 testing sites. This is a tremendous undertaking in such a short period, and in a period of national crisis. We are doing more testing per head than almost any other major nation. Yesterday, capacity sat at more than 344,000, and we are expanding capacity further to meet a target of half a million tests a day by the end of October. This will include our NHS labs going even further to reach 100,000 tests a day. More labs are joining the network, and we are investing in new technology to process results faster. We are also automating parts of the process, installing new machines and hiring more permanent staff.

[Chris Bryant]

May I make a simple suggestion? It would be really helpful to the vast majority of people who are waiting for tests if there was a simple means of them being able to track where their test had got to, just as happens with Amazon and many thousands of other companies in this country. It would also save vast amounts of time for the company.

[Julia Lopez]

I will take that suggestion back. We have listened to a lot of what has been said today, and there has been a lot of constructive feedback. I just want to let the hon. Member for Reading East (Matt Rodda) know that we are going to be opening a testing site on the campus in Reading next week.

As many have said, the work that we are doing on test and trace is absolutely critical. My hon. Friend the Member for Crewe and Nantwich (Dr Mullan), who is a doctor himself and one of the many Conservative MPs who work in the health service, made a superb contribution using his experience of the system. He rightly pointed out that the vocal comparisons made at the outset of the pandemic with other European nations have suddenly faded away now that the UK is testing more per capita than those same nations. He encouraged us to be realistic about the capacity of the public sector and talked about the challenges of making things happen in practice, rather than simply lecturing from the sidelines about theoretical magic bullets.

The hon. Member for Slough (Mr Dhesi) said that we must test, test, test, and we are. As I mentioned, we hope to be able to do 500,000 tests a day by the end of this month. On the points that he raised about the Slough testing centre, it is critical to underline that people must make sure they have booked their appointment before they arrive on foot or by car. I understand that that test centre is still accessible by both methods.

My hon. Friend the Member for Milton Keynes North (Ben Everitt) talked about the huge role that his town has played in the national effort, from the initial quarantine of British citizens from Wuhan to the incredible Lighthouse project that is employing robotics to boost our testing capacity. We are grateful for that contribution at this time of crisis. As he said, from vaccines to ventilators, medication to PPE, all have been produced at scale very quickly by the private sector, and British companies have achieved tremendous things.

I welcome those Opposition Members who recognised the challenges that we face as a Government and who made constructive contributions, highlighting genuine concerns from constituents. We are working through some of those concerns. However, I share the regret of my hon. Friend the Member for Winchester (Steve Brine), who pointed out that the era of constructive opposition from Labour Front Benchers appears this week to be over. It is important in this public health crisis that we reflect on criticism and try very hard to improve. However, this afternoon, they have sought to divide local from national, public from private, UK nation from UK nation, and to undermine public confidence in the system for their own political ends. That is a matter of deep regret for us all.

We recognise that contract tracing needs to reach as many people as possible and we are working hard to make sure that that happens, but this is about partnership, with a national framework and local support. Indeed, we are rolling out that strengthened partnership to more local authorities. We also now have the covid-19 app, downloaded over 17 million times in England and Wales, identifying contacts with those who might have tested positive for the virus, including people you might not know. Work is ongoing to make the Scottish app interoperable.

It of course remains critical that everyone does their bit and follows the rules—hands, face and space, and self-isolating where necessary to prevent the spread of the virus. That is why on 28 September, we introduced financial support to help individuals to self-isolate, meaning that those on low incomes who cannot work from home but need to self-isolate do protect themselves and others. They will receive £500. This is an important step forward in helping enable people to take the action that they should to prevent the spread of disease. We have also put in place requirements for businesses not to stop employees self-isolating if they need to. NHS Test and Trace is also making follow-up phone calls to those who are self-isolating to ensure that they are aware of what local support is available to them and signposting them to local services.

Alongside that, we have set out a series of tougher enforcement measures, targeting those who repeatedly flout the rules, including fines of up to £10,000, but testing and tracing is only one of our lines of defence, so I reinforce once again: if you have symptoms, you must self-isolate in line with public guidance and get a test. Even if you are feeling well, wash your hands regularly, wear a face covering in confined spaces and follow the 2 metre rule on social distancing, because it is these little things that can make a big difference.

In conclusion, we are entering a new and crucial phase of our fight against coronavirus, where the number of cases is rising and we can see that once again, the virus is spreading among the elderly and vulnerable. But we are also in a very different position as a nation from where we were when this virus first hit our shores. We have better data, better treatments and the testing and contact tracing that will be instrumental in getting the virus under control. There is a genuine partnership approach—a national framework with tremendous local support—and I commend the amendment to the House.