Adam Briggs Profile picture
26 Feb, 19 tweets, 13 min read
This week's T&T update. Covers 11th-17th Feb.

Tl,dr
testing, cases, and contacts all down
performance steady
and a critical need to tackle inequalities.

gov.uk/government/pub…
First decent fall in number of people being tested this week (not including Christmas/NY).

Down 14% to 2.6m.
Lateral flow device (LFD) use for people w/o symptoms has fallen for the first time as well as PCR.

Part this will be because this week covers the first few days of the school half term (15-19 Feb) and much of LFD use is in schools.

Would expect this to bounce up again next wk
Some variation in use by region.

This will change as asymptomatic testing is rolled out and more people are back at school/college/work.

Current LFD use rates lowest in London and highest in SW. Will be following this closely over coming weeks to check for any emerging inequals
PCR test turnaround time is good, with 87% of in person PCR test results received within 24hrs of taking the test.

For home/satellite tests, it's 83% within 48hrs
Case numbers down 21% this week on the week before, with 83k cases handled by T&T
Of these, 73,976 (88%) were reached. This percentage has been steadily around 86-89% since Nov last year.
On cases reached, 75% - 54,331 cases - provided details of close contacts.
Between them, identifying 146,757 contacts, or 2 contacts per case.
3,377 cases and 2,715 contacts were managed by local PHE health protection teams. These are more complex or high risk cases with a median 15 contacts per case.
The remaining 69,599 cases and 144,042 contacts were managed by T&T along with local authority contact tracing systems that take on cases the national team can't reach within 24hrs (mean 2.1 contacts per case, median 2).
The proportion of contacts reached by the national team has been pretty constant at around 93% since start of Dec.
85% of contacts at the moment are from the same household as the case.

So the overall figure of 93% is made up of 97% reached for household contacts (generally told by the case to isolate rather than phoned by T&T), and 71% for non household contacts.
Although, there is variation by local authority in the percentage of cases and contacts reached.

We've did work on this before Christmas
thelancet.com/journals/lance…
The time to reach contacts, as well as end to end journey (time from booking test to reaching contacts) has been steady over the past few weeks.

And good relative to overall T&T performance.
Finally, these data tell us nothing about who isn't getting tested but should be, and who is struggling to isolate.

On @BBCNewsnight yesterday I tried to explain how critical it is address the issues underlying this for T&T to be a success.

From 20:56⬇️
bbc.co.uk/iplayer/episod…
And whilst isolation support is hugely important, it's also about tackling the thorny underlying structural drivers of inequalities.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Adam Briggs

Adam Briggs Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @ADMBriggs

25 Feb
This week's PHE surveillance report now out. Covers 15-21 Feb (half term).

Case rates falling, vaccinations increasing, but inequalities being exposed and still a lot of people in hospital and on ICU. 🧵

gov.uk/government/sta…
Fall in case rates beginning to level off except in 70-79yrs and 80+, the vaccine is playing it's part!
For regions, there is now a distinct and worrying split between low case rates in the south of England, and higher case rates in the north.
Read 22 tweets
23 Feb
I know others will have found these things before me but I've been home-schooling all day so only getting round to reading the roadmap now.

A few things stick out on first pass

(tl,dr: inequalities, testing, isolation support, social care, and inequalities).
There's a section on 'Test, Trace and Isolate' (who says NHS Test and Trace has a branding problem).

As expected, big focus on testing plus a further £400m for local gov through the contain outbreak mgmt fund - details tbc but likely much is for local testing/variant mgmt. ImageImage
As have said, there remains a big challenge of people not getting tested in the first place (fear of being unable to isolate, job insecurity, caring responsibilities etc). Surveys suggest just 1/3 get tested regularly if symptomatic.
Read 12 tweets
18 Feb
This week's PHE COVID surveillance report now out.

Most recent week covers 8th-14th Feb.

tl,dr: Things continue to improve but NHS bed/ICU situation has only *just* dipped below April peak. And some potentially worrying regional variation.

gov.uk/government/sta…
Case rates and positivity falling relatively fast. And across all ages.
Percentage of tests positive also falling, but this pillar 2 (community testing) graph has also been causing people some concern re young school children and returning to school - despite reported case rates being the lowest of all age gps.
Read 23 tweets
18 Feb
Most recent T&T data now out, covers 4th - 10th Feb

LFD use continues to rise but more slowly than last week and T&T performance remains consistent.

And as ever we don't know about who isn't tested and who struggles to isolate.

🧵

gov.uk/government/pub…
The number of people being tested each week remains high at around 3m, but this is due to increasing use of rapid lateral flow devices as PCR test use falls.
The number of LFDs used has increased five-fold since the start of Jan, and 35% in the past two weeks (although noticeable slowdown this most recent week).

By contrast, PCR test use for people with symptoms fallen week on week for the past month (PHE positivity data due later).
Read 17 tweets
18 Feb
Latest REACT-1 study results are really important.

The headline result of prevalence now at around 0.5% masks big differences by region, employment type, HH size, and keyworker status.

(and note - in the summer, prevalence was more like 0.05-0.1%)

1/5

spiral.imperial.ac.uk/bitstream/1004…
Relative drop in prevalence between round 8 (6th-22nd Jan) and 9a (4th-13th Feb) is far greater in the S than the N and may be plateauing at around 1% in the NE.

It's helpful to know that trends in REACT generally follow trends in national PCR positivity data (in red). 2/5
Differences by deprivation group exposed yet again, plus if living in large households. Less stark differences by ethnicity (although v wide confidence intervals).

And this is AFTER adjustment for things like age, region, key work status, HH size, deprivation, ethnicity. 3/5
Read 5 tweets
14 Feb
Latest Test and Trace data now out. Covers to 3rd Feb.

Some useful separation of LFD and PCR tests, and new data on end-to-end contact tracing.

Summary in figure,🧵for the detail.

gov.uk/government/pub…
As case rates fall across the country, the number of people being tested is up 7% of last week to over 3m for the first time.

Over 5% of the population.
And as you can see from PHE data to 7th Feb - the increase is from the use of lateral flow devices (LFDs) to find cases among people without symptoms.

The number of people tested using PCR tests each week (and the proportion coming back positive - positivity) is still falling.
Read 24 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!