There are many lessons - positive and negative - on the response to the pandemic and we need to learn them now to be more effective in future
newlocal.org.uk/articles/covid…
Let's start with three positives: partnership working at a local level through local resilience forums and integrated care systems enabled public services to use resources more effectively with focus on place and community @NHS_RobW
The voluntary and community sector made a huge contribution in meeting needs working alongside public services and providing distinctive capabilities and support @GrapevineCEO @Voa1234
Clinical teams within the NHS were instrumental in shaping how services were delivered to patients with support of managers and informed by research into alternative treatments @mancunianmedic
The negatives included over centralisation, under use of the devolved administrations and regional and local government, and preference for private sector expertise when public sector could have stepped in @ProfDonnaHall @adamjlent @CWilkinsOldham
Decisions in government were taken by a small number of senior ministers and there was a chronic failure on to learn from mistakes as understanding of the pandemic accumulated @GregClarkMP
The expertise of leaders in public health, care homes, social care and schools could and should have been used to inform the government's decision making @Jeanelleuk @DavidBehan15 @tomriordan
looking ahead, there should be much more emphasis on collective and distributed leadership by the many not the few and recognition of the role of teams as argued by @AmyCEdmondson
we live in the century of the system according to @Atul_Gawande and complex challenges must be addressed by partnership working at all levels of government using all assets
people and communities must be active agents of change drawing on the insights of @HilaryCottam and making full use of the VCS as advocated by @alexsharedlives and others
the community paradigm outlined by @wearenewlocal @jesstud is a good way of framing how to do this drawing on the work of Wigan and others @ProfDonnaHall @KateAlvanley
a constitutional reset is needed to clarify the roles and accountabilities of central, regional and local government using the delayed devolution white paper @ianhudspeth @CllrSeccombe
above all, we need leaders able to work in this way and invest in their ability to work in a world of mesh governance as described by @geoffmulgan @colinrtalbot

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More from @profchrisham

11 Nov 20
take home points from yesterday' session with @CommonsSTC @CommonsHealth led by @GregClarkMP @Jeremy_Hunt
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
Read 15 tweets
3 Nov 20
the govt must use the next 4 weeks to sort out test, trace and isolate. Here are the priorities @Jeremy_Hunt @GregClarkMP @JonAshworth @leicesterliz @didoharding @MattHancock @AndyBurnhamGM
weekly testing of asymptomatic NHS staff in all settings should be routine
weekly testing of care home staff and monthly testing of residents should be routine
Read 12 tweets
18 Jun 20
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
Read 9 tweets
12 Jun 20
A tale of English exceptionalism - or how not to manage a pandemic like C-19
Lockdown later than other countries thereby resulting in many avoidable deaths (ref Edmund and Ferguson among others)
Don't control entry via airports and ports until way too late and fail to introduce quarantine like many other countries
Read 13 tweets
10 Jun 20
questions about today's easing of the lockdown announced by the PM @KateAlvanley @jimmcmanusph @Jeanelleuk @GregClarkMP @Jeremy_Hunt
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?
Read 9 tweets
19 May 20
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)
Read 6 tweets

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