So, Hancock's first appearance at the Covid Inquiry did not disappoint.
I will share the critical moments below.
But first, it is clear that his entire justification for the admitted calamitous response rests on one point, and it is a fabricated argument...
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Now, I am not suggesting Hancock intentionally fabricated this argument. Indeed I think he genuinely believes his post-hoc justification for why he failed in his post. Indeed, I am sure it helps shield him from the gravity of his failures. It is simply that it is not true.
Hancock's central point made throughout (to the irritation of the KC) was that there was a critical "Doctrinal flaw". That is, he says, the assumption made in all pandemic preparedness that once community transmission was reached then you could not "stop" the pandemic.
He uses this as a means of explanation for failing to act early and decisively (which he and the Inquiry rightly identify as one of the most critical failures of the UK pandemic response).
But he is confusing the endpoint of eradication with the endpoint of maximal suppression.
Many nations adopted a maximal suppression approach. Indeed most countries that had the resources to (and some that didn't) tried to drive the rate of transmission down as much as possible at the very start of the pandemic. Indeed, this is BASIC public health outbreak strategy.
When there is an outbreak there are three basic tenets of a response: 1. Find the sick (tests, symptom profiles, tracing) 2. Treat the sick 3. Stop others from getting sick (isolation, PPE, etc...)
This approach (maximal suppression) was entirely open and on the table when Covid first hit the UK in Feb 2020. Indeed, it was the WHO guidelines and it was the approach of most countries that had already seen Covid.
It was the norm to suppress aggressively at the start
Hancock's entire contention, and one that the other politicians have eluded to already (perhaps aided by some scientists trying to obfuscate their initial incorrect views), was that to maximally suppress the virus was some grand idea that had never been considered before 2020.
He draws this (what I am sure is a comforting conclusion for him) from the acceptance that once a flu pandemic starts spreading through the community it cannot be stopped.
Sadly, the Covid Inquiry did not (as yet) challenge him on this...stopped is not the same as suppressed.
He does though concede that maximal suppression until vaccines and treatments were available was the correct play. A play which most countries attempted to do. Initially, the UK did not!
The importance of this cannot be understated. It was the failure to act normally and instead to act exceptionally that led to massive loss of life, disability, and eventually to much stricter and LONGER lockdowns, greater economic impacts, social impacts, prolonged NHS waits, etc
Hancock goes on to suggest we should have locked down earlier and harder. He misses the point. Had we continued with normal public health practices then the viral spread would have been much more limited and we may have avoided lockdowns (although with very poor NHS capacity..
that seems v. unlikely) but certainly, we would have only needed short, sharp and probably localised lockdowns of perhaps a couple of weeks
Instead, the decision not to follow standard public health outbreak protocols (or WHO guidelines or other nations) led to brutal lockdowns
It is his entire argument throughout. I suspect this will form the basis of much of the govt defence too. It simply doesn't stack up. It was the UK (and US and Brazil) who broke away from normal practice and their people suffered. We need to know why!
Highlights to follow...
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If you can get passed the slow pace of it and the terminology, the Covid Inquiry is turning into quite the drama...and, dare I say, may well have some teeth!
Today Dame Jenny Harries (Head of Test & Trace and HSA) was in the hot chair, and it certainly got fiery!
For those who don't know Dame Jenny Harries (DJH), she moved from Deputy CMO to Head of Test & Trace and then Head of UK Health Security Agency...
Watching her performance at the Covid Inquiry it is easy to see how DJH could progress so well in Johnson's government
For me, DJH was a terrible witness. Evasive, defensive, and at times almost annoyed at the (much more impressive) KC questioning her. DJH seemed to try and detract by using terms she hoped the Inquiry would be lost in, and bringing in vaguely relevant explanations.
For me, it is the abandonment of the public by the Govt that causes most trauma.
So I wanted to share with you what I found to be one of the most shocking parts of the national covid response..
1/n
It was March 2020 and I was charged with reviewing our local hospital's Covid Triage Pathway.
For those unfamiliar, triage is how we decide what level of healthcare a patient needs - so when to send Covid patients to hospital!
The UK had taken a very odd position. It had been decided (centrally) that all triage was to be done online via an automated, patient-led triage system. This meant the patient would input their details into '111' and an algorithm decided what level of healthcare they needed.
People realise that Johnson was the reason lockdowns were so long and severe, right?
1. He delayed acting. This turned a few weeks of lockdowns into months.
2. He refused to invest in NHS capacity - leading to a 9% shrinkage of bed capacity, when we needed a 30% increase. This meant the point at which the health service would become overwhelmed was much lower.
3. He cut out the GPs from the Covid triage pathways. Instead pushing people online to 111 and then on to private testing companies. This meant the opportunity to prevent disease from getting worse was lost…leading to much longer admissions and “overwhelming” the system earlier.
There is no doubt in my mind that Jack Monroe is a force for good.
So I couldn't quite understand what she was supposed to have done to deserve the level of abuse (albeit by a minority) that she has been receiving.
Surely it must be real bad?
No. It really wasn't...
From what I can tell, there seem to be a few issues some folk keep picking at.
Firstly, there is the issue of whether or not she was working or middle class. It seems like a pretty straightforward answer, really. Her mum was a nurse and her dad was a fireman. Working class! Regardless of how senior they each became, she is of working-class background.
We all know the govt’s strategy for over a decade has been to starve the NHS of resources, treat the staff poorly to squeeze them out, create massive backlogs and then bring in the private sector for the rescue.
But how they are doing it is truly awful
As written in Javid’s “NHS Recovery Plan” 18 months ago, they are investing £6bn into recovering the NHS…
The government appear to be moving ahead with their new healthcare model….
to replace our current NHS model with a direct pathway for private care companies to access NHS (tax) funds.
This will be catastrophic for the level and amount of healthcare we can provide.
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First thing to say is that the whole thing is quite opaque. After asking around, even those colleagues deep in the know about policy and contracts were worried and could not confirm how this surge in private care was being funded.
The worry, it is from existing health budget.
We already know the govt are intent on using NHS recovery money to boost our use of private care. But until now, the limit has always been that private care providers had to be awarded an NHS subcontract to access tax money for procedures.