1 - The fact that the govt ignored SAGE's advice on #circuitbreaker lockdown doesn't come as a big surprise as SAGE has been increasingly sidelined since the setting up of the #JointBiosecurityCentre in July

The JBC is part of the "NHS" Test and Trace Service run by @didoharding
2 - The #JointBiosecurityCentre runs the govt's #COVID19 response

Set up in May, it was originally headed by Tom Hurd (MI6)

He was replaced by Clare Gardiner (GCHQ)

This suggests it sits within UK intelligence structures

Over the last 6 months, the JBC has released no minutes ImageImage
3 - Whilst little is known about the staffing & membership of this body, sources suggest that there is no "centre"

Instead, they say, the #JBC is scattered across offices in Whitehall & beyond, including intelligence agencies & research institutes

See: gov.uk/government/gro… ImageImage
4 - Whilst the importance of the work of the #JBC, bringing together data analysis & epidemiological expertise to ensure #COVID19 outbreaks are detected & brought under control is not in doubt, there concerns remain.

"It is in the shadows," says ex-@WHO director @GabrielScally.
5 - The central role of intelligence service's in the #JBC raises concerns over whether a counterterrorism model for #COVID19 could be an over-engineered distraction

Military contractor, #Palantir's role in running the UKs NHS data store, is also worrying
6 - A big question is the extent to which the setting-up of the #JointBiosecurityCentre increased political supervision of "the science"

What level of political control/scientific autonomy is there?

Will the #JBC be used as a counterweight to SAGE?

Are SAGE the next fall guy?
7 - Normally the govt wait months to publish SAGE minutes & then they upload them on gov.uk late on a Friday/Sat night

So why were the explosive 21st Sept SAGE minutes published just after the PM's #covidbriefing?

Did the govt have any control of this decision? Image
8 - If it WAS No.10's decision to release the minutes on Monday evening, might that suggest the govt wanted to publicly clash with SAGE?

But why?

Perhaps a split SAGE is seen as necessary if the govt are planning to go down an openly #HerdImmunity route.
9 - #HerdImmunity has always been the govt's strategy

They tried to float the idea in early March with the PM's #TakeItOnTheChin comments, confirmed on 12 March by @Peston's "senior No.10 source"

But "the public weren't ready" for it then, so they waited
10 - The public are still a long way from accepting #HerdImmunity, but perhaps this "battle" with SAGE & @Keir_Starmer might be the start of the next stage of a bigger plan

Vallance, Whitty Harries etc are probably members of the #JBC so the "faces of science" will stay the same Image
11 - Meanwhile in the US, the White House just embraced a declaration by a group of scientists arguing that authorities should allow the #coronavirus to spread among young healthy people while protecting the elderly & vulnerable

Is this pure coincidence?
nytimes.com/live/2020/10/1…
12 - The parallels between the UK & US are striking

Both have among the world's highest death rates, despite the fact that they were gifted a 3-week warning by Italy

Both admins took control of #COVID19 data at the same time

Both have digital health platforms run by #Palantir. Image

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More from @StefSimanowitz

13 Oct
“Judge Barrett. Is it illegal to intimidate voters at the polls?” @amyklobuchar

“I can’t apply the law to hypothetical facts. I can’t answer questions like that”

Wow! #AmyConeyBarret refuses to acknowledge the fact that voter intimidation is illegal #ACB
Earlier today, Judge Barrett - Trump’s selection to replace #RBG in the Supreme Court - refused to say #DonaldTrump doesn't have the Constitutional power to unilaterally delay the election.

He does not have that power.
#ThisIsNotADrill
“And so by malice, stealth & brutishness a pattern is set. Less & less transparency. Less & less scrutiny. Less & less accountability. Until they’re entirely unleashed to bundle aside the truth & speak only their truths."
(Emerson Warner)
#AmyConeyBarrett
Read 5 tweets
12 Oct
"I am not confident - & nor is anybody confident - that the Tier 3 proposals for the highest rates, if we did the absolute base case & nothing more, would be enough to get on top of it.” Whitty

Did the govt just announce a #COVID19 strategy that they are not confident will work?
Whitty goes on: “That’s why there is a lot of flexibility in the tier 3 level for local authorities, guided by the directors of public health, to actually go up that range so they can do significantly more than the base, b/c the base won’t be sufficient huffingtonpost.co.uk/entry/local-lo…
After months of excluding
local & regional public health experts from outbreak management (centralising data & contracting testing to companies like Serco etc), No.10 now going to get local govts involved in deciding & enforcing restrictions
@doctorshaib👇
Read 17 tweets
11 Oct
1/ Is this the “smoking gun” of the #EducationScandal?

NHS Professionals - the organisation that supplies temporary staff to the NHS - “received some important training updates”

Staff are told they “should not escalate any #COVID19 cases who work or attend educational settings”
2/. This document appears to give clear instructions to Tier 2 (national) contract tracers not to pass on single positive #COVID19 cases in schools, colleges & universities to Local Health Protection Teams.

I’m no expert, but surely this is not good outbreak management advice?
3/ This would presumably mean having to wait for a #COVID19 outbreak before the Local Health Protection Teams even knew there has been a positive test in the school or university

In Scotland, by contrast, there are daily updates in local areas citing individual cases in schools
Read 10 tweets
6 Oct
1. “Why were we faffing around with Excel when the scientists were telling us not to?" @skynewsniall

“The system was designed in conjunction with our scientists... at PHE & the JBC they're all scientists who have been involved in this." @RishiSunak
2. “Scientists” didn’t decide on using Excel. It’s a reporting/admin tool

The scientists would have told IT what info the database needed to hold. The IT team should have designed a database fit for that purpose rather than using an old version of Excel.
3. Sunak is also allowed to claim: “We are now testing 250,000 people a day”

That’s the figure for tests “processed” NOT people tested

When @MattHancock claimed 226,000 people were being tested on 21/9, the actual figure turned out to be around 82,000.
Read 5 tweets
5 Oct
1/. Ten days ago, @MattHancock launched "#GenomeUK: the future of healthcare", a major new 10-year genomic healthcare strategy

Happening on a Saturday without much fanfare, it didn't get much news coverage beyond the biomedical press

And yet this is big.
2/. The launch of a new decade-long national health strategy should be big news at anytime, but coming amidst the #COVID19 pandemic & with the potential to shift genome research to the heart of No.10's programme for govt, it is of particular significance.
3/. Genome research has HUGE potential social & cost benefits, not just in medicine

In the right hands & with the appropriate checks & balances it is very important but, when it is being rolled out by this govt in conjunction with companies like #Palantir, scrutiny is needed.
Read 7 tweets
5 Oct
Wow!

"The UK offers companies system-wide collaborative working, a dynamic regulatory system, active life sciences & increasingly expanding access to rich longitudinal data from the NHS’s 65 million patients"

A Dept of Trade / NHS "invitation to invest" directory-cms-public.s3.amazonaws.com/documents/Inve… ImageImageImageImage
Last week, the govt launched #GenomeUK.

The NHS is already implementing whole-genome sequencing as routine care in order to sequence 500,000 whole genomes by 2024.

NHS Wales just introduced a programme to sequence the genomes of critically ill newborns.
https://t.co/vhpoeUHxFu
If you don’t want your data shared with companies for research, you should have opted out before 30 Sept

You can still opt out but even if you do, they can still share your data if they anonymise it

The fear is that data dumps may have already been done.
nhs.uk/your-nhs-data-…
Read 4 tweets

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