my evidence and that of others underlined need for contact tracing to be led locally and for councils to have the resources to do this effectively @Jeanelleuk
@BWDDPH gave a compelling and detailed account of how he and colleagues are doing this and achieving high levels of success in reaching contacts
@didoharding defended use of consultants and private sector and argued that she was developing a team of teams to deliver TT&I involving 'all the talents'
@didoharding agreed there should be local leadership of contact tracing with councils working with PHE and national teams citing work of @tomriordan@CWilkinsOldham in her team in enabling this
@didoharding highlighted huge expansion of testing capacity as a success and said aim was to use c 70% of available capacity (500K plus tests) each day
@didoharding said spike in demand for tests early in September could not have been foreseen and was rightly challenged by MPs on this
@didoharding disagreed with @Jeremy_Hunt that tracing was reaching only 3% of contacts and also claimed c.50% of people were complying with isolating - a much higher figure than in other surveys
John Bell argued that isolating should be made easier through frequent and rapid testing and giving people a three month passport as reward when they did isolate - we need more carrots and fewer sticks
@didoharding and others argued that financial support for people isolating was key and a matter for the govt to decide and @BWDDPH said this was important in his area for people in insecure and low paid jobs
@didoharding argued that TT&I was the second line of defence against C-19. Community support for social distancing and other measures was the first line with everyone having a part to play
Anne Johnson argued that clear and consistent messages from the govt were essential on what the 'rules' are and she and I both emphasised importance of rebuilding trust and consent with the public using credible messengers
John Bell was enthusiastic about mass testing in Liverpool and expressed confidence in the use of new rapid tests and their accuracy @DPH_MAshton
finally the evidence underlined that TT&I should be designed and delivered as an integrated programme with each element working closely with all the others @KateAlvanley
Just explained @BBCEngland that test and trace has picked up 10K new cases in last 2 weeks which is minority of new cases as reported by @ONS. National tracers have reached 10,000 out of 87,000 reported contacts thru 25,000 staff
Remaining 77,000 contacts (complex cases) have been reached by @PHE_uk and council led local health protection teams who have been brought into test and trace late in the day
Balance of work to date raises question of whether 25,000 staff are needed at national level and why govt has preferred outsourcing to private companies instead of building from public sector expertise
test and trace is still in development. When will it be ready to provide the protection we need to avoid a resurgence of C-19? when will every LA have a local outbreak plan and enough staff to do contact tracing?
the PM referenced the Joint Biosecurity Centre which is now on its second leader in 4 weeks. Exactly what is it doing and when will it be fully operational?
The govt's approach to test, trace and isolate has been tactical and focused on specific commitments like 100K tests, 18K contact tracers and an NHS app (1)
a coherent strategy on test, trace and isolate is urgently needed showing how testing will work at scale and the results used to trace contacts and support people who isolate (2)
The strategy must be supported by a detailed implementation plan with milestones on precisely what will be delivered when (3)
Community testing, tracking and contact tracing of C-19 is a key part of the government's strategy as plans are made to relax the lockdown 1/11
Community testing requires sufficient capacity to test in convenient locations and to turnaround the results quickly - this currently does not exist and the whole testing programme to date has been beset by problems @NHSProviders 2/11
Test results need to be shared rapidly with people affected, GPs and staff undertaking contact tracing, supported by data sharing arrangements yet to be agreed 3/11