Covid-19: Forecasting and Modelling Debate
Full Debate: Read Full DebateEdward Leigh
Main Page: Edward Leigh (Conservative - Gainsborough)Department Debates - View all Edward Leigh's debates with the Department of Health and Social Care
(2 years, 10 months ago)
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Order. To get everybody in, I will now have to ask for a five-minute limit for speeches.
Order. Bob, will you calm down, please? Will everybody calm down?
On a point of order, Sir Edward. I think that the hon. Member for Isle of Wight has twice called me a fool. Can you clarify whether that is parliamentary language?
It is much easier as Chairman not to hear a lot of what goes on here. I am sure that nobody is foolish. [Interruption.] I respect the hon. Gentleman; all I know is that he is not a fool. I call Fleur Anderson.
I agree, Sir Edward. Labour invested in pandemic planning in the Civil Contingencies Act 2004, but the Tory Government did not continue that investment. Operation Winter Willow in 2007 involved 5,000 people from all walks of life simulating a pandemic. The need for PPE, PPE training and wide-ranging social and economic disruption was identified. The Labour Government, then led by Gordon Brown, made heavy investments in pandemic planning.
Cut to 2016, Operation Cygnus made 26 key recommendations about PPE, urgent and drastic improvements to the NHS, and the likely impact on care homes. Most of that was ignored. PPE training stopped, stocks were run down—much of it left to go out of date—and there were no gowns, visors, swabs or body bags at all. The UK pandemic plan was mothballed and we were unready for the pandemic. No wonder we had to rely so much on modelling and forecasting.
We could have been much more ready. The Cabinet Office should have stepped up to enable cross-departmental organisation, and organisation with the devolved authorities based on plans, informed by the results of exercises and earlier modelling, but it did not. I hope that the Minister will echo that, distance herself from some of the earlier comments and criticism of our scientific community and respond to the points about pandemic planning and what we can learn.
Finally, I know that the hon. Member for Isle of Wight (Bob Seely) has asked for an inquiry into modelling. I welcome the inclusion of that in the covid inquiry. I hope that the Government will launch that inquiry. They have appointed a chair, but that chair is waiting for the powers she needs to begin getting evidence from scientists, software engineers and everyone she needs to hear from.
Will the Minister allow a short time for closing remarks?
I appreciate the point my hon. Friend is making, and I will come to a point that shows that models are just models; they are not predictions. Yes, they are sometimes proved wrong, but that is for different reasons. It could be that people change their behaviour as a result of the information that they get.
One example that I was about to come on to is a model in December that considered a range of assumptions for omicron’s intrinsic severity, ranging from between 10% and 100% of delta’s, in addition to the additional reductions in severity that vaccines and prior infection provide. Fortunately, we now know that severity is not at the upper end of this range, and models have been updated to reflect the evidence as it emerges. It is quite right that as new evidence emerges, models are adjusted to take that into consideration.
My hon. Friends the Members for Isle of Wight and for Penistone and Stocksbridge (Miriam Cates) raised concerns about the Government’s reliance on modelling advice, both more generally and from individual modelling groups. I want to reassure hon. Members that encouraging a diverse range of opinions, views and interpretations of the data is all part of the process. SPI-M-O and SAGE do not rely on just one model or group but look at advice from a number of independent and world-leading institutions. Robust scientific challenge has been vital to the quality of SAGE advice, with modelling papers regularly released online and the methodology and underlying assumptions clearly laid out for everyone to challenge and bring forward other evidence—it is all out in the open. Sir Patrick Vallance has said:
“No scientist would ever claim, in this fast-changing and unpredictable pandemic, to have a monopoly of wisdom on what happens next.”
As the chief medical officer has emphasised, hard data on what is actually happening to patients and to the population as a whole is an essential part of the advice given.
Modelling is a helpful tool, but it must be considered alongside what is happening to real people at home, in schools or in hospital beds. As SAGE has been so visible and transparent in its advice, some people may think that it is the only form of advice to the Government, but this is not the case. Modelling and other advice from SAGE has been invaluable during the Government’s response to covid-19, but it is only one of the many issues we consider. Modelling helps us to understand the possible risks from the spread of covid-19 but, ultimately, this needs to be balanced against other health, economic and societal impacts.
A number of hon. Members questioned the accuracy of modelling forecasts from SAGE. I would like to reiterate that such modelling outputs are scenarios, not predictions and forecasts. As such, comparisons between past scenarios and what happened in reality should be made with caution. Comparisons must be made on a like-for-like basis, and often they are not.
Yes, I will.
To be frank, what we are doing in many cases is comparing apples and pears. Nevertheless, past modelling has proved remarkably accurate in many cases.
My hon. Friend the Member for Newcastle-under-Lyme (Aaron Bell) said that lessons must be learned, and lessons will be learned. The hon. Member for Putney (Fleur Anderson) mentioned that as well.
In closing, I would like to take this opportunity to emphasise just how appreciative we should be, and are, to the scientists, academics and Government advisers for all their hard work over the last two years. It was fitting to see this rewarded in the new year’s honours list. Finally, I would like to thank hon. Members again for their participation in today’s debate and the opportunity to discuss the matter further.