Local Contact Tracing

Matt Rodda Excerpts

Wednesday 14th October 2020 Commons Chamber

[Rachel Reeves]

I thank my hon. Friend the Chair of the Housing, Communities and Local Government Committee, who is better informed than most in the House.

In the last Parliament, I had the honour of chairing the Business, Energy and Industrial Strategy Committee, and it was a privilege to see the work of so many businesses, which are the backbone of our economy. I also chaired the inquiry into the collapse of Carillion—a house of cards built through outsourced contracts from Government. When I see the endless contracts and the enormous sums of money handed over today to outsourcing companies, I cannot help but conclude that the Government have learnt none of the lessons from that collapse and that failure. It makes me really angry that, despite all the work done and all the evidence presented, the same thing is happening again.

There are clear alternatives, and there always were. The World Health Organisation issued clear guidance for contact tracing, which states:

“Critical elements of the implementation of contact tracing are community engagement and public support”.

That should have been the model for England, so why was it not? We do not need to travel halfway round the world for a successful alternative. We can look to Wales—a model where contact tracing is devolved to local communities. In the most recent figures for Wales, of the 2,190 positive cases that were eligible for follow-up, 91% were reached and asked to provide details of their recent contacts. Of the 10,516 contacts, 83% were successfully contacted. That is in stark contrast with the Government’s Serco model, in which just 69% of contacts were reached—a figure that is getting worse week in, week out.

Perhaps if the Welsh Government were a private outsourcing consultancy, the Government would have paid them a small fortune to take over the system in England. Instead, the Government turned to outside consultants, paid £563,000 of public money this summer for producing a report on test and trace—a report that we have all paid for, but none of us has seen. The Government could have learned valuable lessons for free. They could have gone to Mark Drakeford rather than to McKinsey.

Knowing all this, my hon. Friend the Member for Leicester South (Jonathan Ashworth) and I wrote to the Health Secretary in August, urging him not to renew Serco’s contract and to put public health teams in charge. However, Serco’s contract was not terminated—it was extended. Out of necessity, with Serco tracing failing, many councils have had to create their own tracing systems with a fraction of the money. The Secretary of State for Housing, Communities and Local Government knows that this is a problem. On Sunday, he said that local councils are

“bound to be better than Whitehall or national contact tracers.”

That begs the question, why not give those resources, powers and responsibilities to local government if even the Secretary of State realises that they would do a better job and deliver better value for money? Instead, the Government have wasted over half a year on a system that is failing, with mounting evidence of that growing by the day.

It is quite simple. As Liz Robin, director of public health in Peterborough, has pointed out, people were always more likely to answer a call from a local phone number, and unlike national contact tracers, local tracers are able to knock on doors and visit people if they are not responding. Peterborough has managed to contact between 80% and 90% of the cases that the national tracers were not able to. As the Mayor of Greater Manchester, Andy Burnham, said:

“Council leaders in many regions have been relying on volunteers but this cannot continue. It can’t be done on the cheap—councils have to be given more resources to employ expanded, trained teams.”

The resources need to be shifted from Serco to our local authorities.

The Minister will argue, I am sure, that local and national teams are working perfectly well together, but if she were to show some humility and some honesty, she would admit that it is clear that local services are delivering better. In fact, the national system is hugely flawed, in that it is totally disconnected from the communities while hoovering up most of the resource. This week the Government said they would provide funding to councils for contact tracing in areas with a tier-3 alert level, but what about tiers 1 and 2 to stop them ending up in tier 3? It is a bit like a fire brigade handing out smoke alarms to a family whose house is already ablaze. They needed that support some time ago. If they had had it, they might not have ended up in this situation.

[Matt Rodda (Reading East) (Lab)]

Will my hon. Friend give way?

[Rachel Reeves]

I will make some progress and conclude to give others time to speak.

Ten years of austerity, fragmentation and privatisation have left our country less resilient to face a pandemic like this. Public health budgets have been slashed by cuts from central Government. Sustained new investment is needed to rebuild our public services during this crisis and beyond. The Government have squandered enormous sums of money on a centrally dictated outsourcing model, and Ministers should hang their heads in shame because it has failed.

The consequence of this failure means we are not getting the virus under control after months of sacrifice by the British people, so my message today is simple: sack Serco and give those resources to local councils, save lives, protect livelihoods and learn these lessons before it is too late.

--- Later in debate ---

[Mr Betts]

rose—

[Matt Rodda]

rose—

[Jo Churchill]

I have already given way to the hon. Member for Sheffield South East (Mr Betts), so I will give way to the hon. Member for Reading East (Matt Rodda).

[Matt Rodda]

I am grateful to the Minister for giving way on that point, as I wish to ask her to investigate something for me. In Reading, we have been waiting for some time for a new testing centre, and this is in a university town that is currently in the bottom tier but which could rapidly progress to the second tier or even the top tier if the spread is not arrested now. Students have been told that they will have to travel only 1.5 miles to the nearest testing centre, but in fact the nearest testing centre is in Newbury, which is more than 15 miles away. I know of residents of Reading who have had to go as far away as the Welsh valleys and Tewkesbury to get a test. Will she now investigate the need for speeding up the provision of a testing centre at the University of Reading?

[Jo Churchill]

I believe that the Minister for Universities answered an urgent question in this House last week, and I am sure that if the hon. Gentleman refers the challenges he has on the university to her, she would be more than happy to work with him. I just refer him back to the fact that we are working with all local authorities.

While talking about testing, I would like to take the opportunity to remind the House about the scale of testing. It was 2,000 people a day when the pandemic began in March, and when NHS Test and Trace began our capacity was over 128,000. The capacity is now over 340,000. We have processed over 25 million tests, and one in eight people in England have been tested for the virus. I am really keen that we understand the size of this challenge. We have built the largest diagnostic network in British history, including five major labs, 96 NHS labs and Public Health England labs, and we are expanding further. We have pilots going with some of our greatest universities. We are working with hospitals, with the addition of new Lighthouse laboratories in Charnwood, Newcastle and Bracknell, as well as new partnerships only last week with Birmingham University and Health Service Laboratories in London, so we are expanding.

Right at the start of NHS Test and Trace, we worked with all 152 local authorities to help them develop their local outbreak plans. We have ensured access to data, and when it was highlighted that there was a need for better data flow, we worked on it to provide them with additional support to respond to outbreaks, such as with enhanced testing. We have also published the covid-19 contain framework—the blueprint for how Test and Trace is working in partnership with local authorities, the NHS, local businesses, community partners and the wider public so that we can target outbreaks. We introduced new regulations to give local authorities additional powers when they ask for them to stop the transmission of the virus, giving them the ability to restrict local public gatherings and events, and the power to close local business premises and outdoor spaces if it is deemed necessary. This includes more support for local test and trace, more funding for local enforcement and the offer of the armed services in areas of very high alert.

--- Later in debate ---

[Matt Rodda (Reading East) (Lab)]

I would like to make three brief points in support of the motion. First, as I mentioned to the Minister, I have direct experience from Reading and Woodley that supports the motion. Residents have recently been sent as far as south Wales—to the constituency of my hon. Friend the Member for Cynon Valley (Beth Winter), in fact, which is a six-hour round trip from Reading. To make matters worse, we were promised a new testing centre, which has not arrived. This is in a university town, which obviously is particularly at risk. Ministers promised that students would have to travel no further than 1.5 miles for a test.

[Suzanne Webb]

Will the hon. Gentleman give way?

[Matt Rodda]

I will not, I am afraid, because of the time pressure.

I have reported these matters to the Universities Minister, who is trying to help, but the current system means that she is unable to move quickly.

Secondly, we know that a local approach to contact tracing works. We have heard this afternoon that evidence from around the country, including Wales, and around the world clearly demonstrates that local systems work. Their tracing rates for contacts of those infected are far higher than that of the national outsourced system.

Thirdly and crucially, there is no time to lose. We must take action now if we are to have any chance of stemming the rising tide of infections. Once up and running, a local tracing scheme could play an important part in keeping the virus under control until we have a vaccine and more effective treatments.