Test and Trace 2
Public Accounts Committee
Closed
Inquiry
In March this year the Committee reported on the “unimaginable” cost of the UK Government’s test and trace programme, which had nonetheless “failed to deliver on the central promise of averting another lockdown” that was used, in part, to “justify the scale of investment”. The Committee will question senior public …
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1
Recommendation
24
Conclusions
1
Report
1
Oral session
1
Letter
1
Event
Activity timeline 5 events
21 Jan
2022
2022
27 Oct
2021
2021
Report published
25 Oct
2021
2021
8 Jul
2021
2021
Oral evidence
8 Jul
2021
2021
Formal meeting (oral evidence session) · The Grimond Room, Portcullis House
Oral evidence sessions 1 session
8 Jul 2021
View on parliament.uk
Test and Trace 2
Baroness Dido Harding · NHS Test and Trace
Dr Jenny Harries OBE · UK Health Security Agency
Jonathan Marron · Department for Health and Social Care
Shona Dunn · Department of Health and Social Care
Sir Chris Wormald · Department of Health and Social Care
Reports 1 report · click to expand
| Title | HC No. | Published | Items | Response |
|---|---|---|---|---|
| Twenty-Third Report - Test and Trace update | HC 182 | 27 Oct 2021 | 25 | Responded |
Recommendations & Conclusions
25 results
2
Conclusion
Twenty-Third Report - Test and Tra…
Uptake of NHST&T’s services by the public is variable, and some vulnerable groups are currently...
Uptake of NHST&T’s services by the public is variable, and some vulnerable groups are currently much less likely to engage with it. Only a minority of people experiencing COVID-19 symptoms get a test. Between 18% and 33% of people who …
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Government Response
agree with the Committee’s conclusion. The department assesses the value for money of all its investments. Value for money is evidenced and scrutinised at key approvals and assurance milestones and …
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HM Treasury
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3
Conclusion
Twenty-Third Report - Test and Tra…
NHST&T has focussed on getting programmes up and running and paid less attention to ensuring...
NHST&T has focussed on getting programmes up and running and paid less attention to ensuring these programmes delivered the benefits they promised. NHST&T has distributed 691 million lateral flow device (LFD) tests but only 96 million of these have been …
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Government Response
agree with the Committee’s conclusion. The department recognises the importance of managing supplier performance including the apportionment of financial and programme risk. CAAS (Cost Assurance & Analysis Service) Approvals Team …
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HM Treasury
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4
Recommendation
Twenty-Third Report - Test and Tra…
NHST&T’s approach to laboratory and contact centre usage is still not flexible enough to meet...
NHST&T’s approach to laboratory and contact centre usage is still not flexible enough to meet changing demand and risks wasting public money. In 2020–21, NHST&T paid £3.1bn to secure the laboratory capacity to process PCR tests and £911 million for …
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HM Treasury
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5
Conclusion
Twenty-Third Report - Test and Tra…
NHST&T’s continued over-reliance on consultants is likely to cost taxpayers hundreds of millions of pounds.
NHST&T’s continued over-reliance on consultants is likely to cost taxpayers hundreds of millions of pounds. Our previous report found that NHST&T was overly reliant on expensive contractors and temporary staff and recommended that it needed to reduce this. Despite NHST&T …
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Government Response
5.1 The government agrees with the Committee’s recommendation. Target implementation date: June 2022 5.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it has reduced …
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HM Treasury
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6
Conclusion
Twenty-Third Report - Test and Tra…
UKHSA has still not set out how it would like to work with local authorities,...
UKHSA has still not set out how it would like to work with local authorities, leaving them little time to plan for the new approach. The UKHSA was announced in March 2021 and is expected to be in place by …
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Government Response
agree with the Committee’s conclusion. The £16.5 billion extra funding from Spending Review 2020 will support the aims and priorities outlined in the Integrated Review to better counter developing and …
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HM Treasury
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1
Conclusion
Twenty-Third Report - Test and Tra…
On the basis of a report by the Comptroller and Auditor General, we took evidence...
On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health and Social Care (the Department), the former Head of the NHS Test and Trace Service (NHST&T), and the Chief Executive …
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Government Response
Based on a report by the National Audit Office, the Committee took evidence on Thursday 08 July from the Department of Health and Social Care, UK Health Security Agency and …
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HM Treasury
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7
Conclusion
Twenty-Third Report - Test and Tra…
We asked our witnesses whether these figures meant that NHST&T had been given an unrealistic...
We asked our witnesses whether these figures meant that NHST&T had been given an unrealistic objective at the outset. The former head of NHST&T told us that it alone could not prevent a lockdown and that it was one of …
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Government Response
1.2 The government does not accept the Committee’s conclusion that NHS Test and Trace had not helped to break chains of transmission nor enabled people to return to a more …
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HM Treasury
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8
Conclusion
Twenty-Third Report - Test and Tra…
In April 2021, the Department identified the Delta form of COVID-19 as a variant of...
In April 2021, the Department identified the Delta form of COVID-19 as a variant of concern and within four weeks it had become dominant in the UK, accounting for 99% of positive cases.13 The Chief Executive of the UKHSA told …
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Government Response
2021. This is the government’s response to the Committee’s report. Relevant reports • NAO report: Investigation into the British Business Bank’s accreditation of Greensill capital – Session 2021-22 (HC 301) …
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HM Treasury
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9
Conclusion
Twenty-Third Report - Test and Tra…
In our March 2021 report, we concluded that NHST&T published a lot of performance data...
In our March 2021 report, we concluded that NHST&T published a lot of performance data but that this did not demonstrate how effective test and trace was at reducing transmission of COVID-19. We recommended that NHST&T should improve the data …
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Government Response
1.3 NHS Test and Trace developed a performance framework in summer 2020 and has continued to adapt it as the government’s plans and objectives for its services have developed during …
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HM Treasury
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10
Conclusion
Twenty-Third Report - Test and Tra…
The Scientific Advisory Group for Emergencies (SAGE) recommends that, for a test and trace system...
The Scientific Advisory Group for Emergencies (SAGE) recommends that, for a test and trace system to be effective, no more than 48 hours should elapse between identifying an original case and their contacts self-isolating. NHST&T routinely monitors the speed with …
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Government Response
1.3 NHS Test and Trace developed a performance framework in summer 2020 and has continued to adapt it as the government’s plans and objectives for its services have developed during …
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HM Treasury
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11
Conclusion
Twenty-Third Report - Test and Tra…
Academics and experts have consistently noted that the effectiveness of test and trace systems rests...
Academics and experts have consistently noted that the effectiveness of test and trace systems rests on adherence to their requirements and high levels of compliance by members of the public, but these are still low for NHST&T. Of those people …
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Government Response
1.2 The government does not accept the Committee’s conclusion that NHS Test and Trace had not helped to break chains of transmission nor enabled people to return to a more …
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HM Treasury
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12
Conclusion
Twenty-Third Report - Test and Tra…
We asked our witnesses what progress had been made across government to improve self-isolation rates...
We asked our witnesses what progress had been made across government to improve self-isolation rates since we last examined the programme. The Department asserted that it has done significant work, including appointing a cross-government senior officer with responsibility for compliance …
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Government Response
2.4 To drive up engagement, the UKHSA has delivered targeted communications and campaigns to these groups and made testing more accessible. Through the targeted community testing programme, local authorities and …
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HM Treasury
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13
Conclusion
Twenty-Third Report - Test and Tra…
We asked our witnesses about the role of the NHS COVID-19 app in ensuring that...
We asked our witnesses about the role of the NHS COVID-19 app in ensuring that people self-isolate if they need to, particularly given suggestions that some people might delete the app or stop it being enabled in order to avoid …
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Government Response
2.4 To drive up engagement, the UKHSA has delivered targeted communications and campaigns to these groups and made testing more accessible. Through the targeted community testing programme, local authorities and …
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HM Treasury
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14
Conclusion
Twenty-Third Report - Test and Tra…
University College London found that older people, men, and people in lower- income households were...
University College London found that older people, men, and people in lower- income households were consistently less likely to request a test following symptoms.25 We asked our witnesses how the test and trace system could be improved to reach those …
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Government Response
2.3 As the majority of the data used comes from self-reporting, the UKHSA cannot set out the precise levels of engagement among different groups. However, based on research, data and …
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HM Treasury
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15
Conclusion
Twenty-Third Report - Test and Tra…
In 2020–21, NHST&T paid £3.1 billion to secure the laboratory capacity to process PCR tests...
In 2020–21, NHST&T paid £3.1 billion to secure the laboratory capacity to process PCR tests and £911 million for contact tracing, primarily for contact centres.30 In our March 2021 report, we found that NHST&T struggled to consistently match supply and …
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Government Response
4.1 The government disagrees with the Committee’s recommendation. 4.2 The laboratory network for PCR (polymerase chain reaction) testing is designed to have sufficient capacity to operate on a 24/7 basis …
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HM Treasury
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16
Conclusion
Twenty-Third Report - Test and Tra…
The Chief Executive of the UKHSA told us that it was “extremely difficult” to predict...
The Chief Executive of the UKHSA told us that it was “extremely difficult” to predict how much NHST&T would spend on laboratory and contact centre capacity or what demand would be for these services. Witnesses assured us that arrangements had …
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Government Response
4.1 The government disagrees with the Committee’s recommendation. 4.2 The laboratory network for PCR (polymerase chain reaction) testing is designed to have sufficient capacity to operate on a 24/7 basis …
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HM Treasury
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17
Conclusion
Twenty-Third Report - Test and Tra…
NHST&T does not yet know how it will secure the promised benefits from the laboratory...
NHST&T does not yet know how it will secure the promised benefits from the laboratory infrastructure it has established. NHST&T’s November 2020 business case for a £10 billion expansion of its testing capability stated that a £150 million investment 30 …
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Government Response
3.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2022 3.2 Given the nature of the pandemic, UKHSA has focused on rapidly establishing programmes to deliver on …
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HM Treasury
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18
Conclusion
Twenty-Third Report - Test and Tra…
Since October 2020, NHST&T has introduced lateral flow device (LFD) tests to detect infections in...
Since October 2020, NHST&T has introduced lateral flow device (LFD) tests to detect infections in people without symptoms. NHST&T distributed around 691 million LFD tests between October 2020 and May 2021 as part of its plans to roll out regular …
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Government Response
Twenty-Third Report of Session 2021-22 Department of Health and Social Care Test and Trace - Update Introduction from the Committee NHS Test and Trace Service (NHST&T) was set up in …
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HM Treasury
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19
Conclusion
Twenty-Third Report - Test and Tra…
Our first report on NHST&T concluded that it was overly reliant on expensive contractors and...
Our first report on NHST&T concluded that it was overly reliant on expensive contractors and temporary staff. We found that by October 2020, it had signed 407 contracts worth £7 billion with 217 public and private organisations. By the end …
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Government Response
5.1 The government agrees with the Committee’s recommendation. Target implementation date: June 2022 5.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it has reduced …
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HM Treasury
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20
Conclusion
Twenty-Third Report - Test and Tra…
We therefore asked our witnesses why NHST&T’s use of consultants continued to be so high.
We therefore asked our witnesses why NHST&T’s use of consultants continued to be so high. The previous Head of NHST&T explained that up to the end of May 2021, 196 (37%) of the 523 recruitment campaigns run by NHST&T failed …
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Government Response
5.1 The government agrees with the Committee’s recommendation. Target implementation date: June 2022 5.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it has reduced …
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HM Treasury
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21
Conclusion
Twenty-Third Report - Test and Tra…
We again challenged the Department and NHST&T on the value for money of their spend...
We again challenged the Department and NHST&T on the value for money of their spend on consultants. The Department told us the average day rate for consultants was £1,100 but that some would have “undoubtedly” earned more than that. They …
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Government Response
5.1 The government agrees with the Committee’s recommendation. Target implementation date: June 2022 5.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it has reduced …
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HM Treasury
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22
Conclusion
Twenty-Third Report - Test and Tra…
At the time of the NAO’s report, NHST&T provisionally estimated that it had spent £372...
At the time of the NAO’s report, NHST&T provisionally estimated that it had spent £372 million on agency and contractor staff and £195 million on consultancy fees, compared with £52 million on permanent and seconded staff in 2020–21. It had …
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Government Response
5.1 The government agrees with the Committee’s recommendation. Target implementation date: June 2022 5.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it has reduced …
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HM Treasury
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23
Conclusion
Twenty-Third Report - Test and Tra…
Local authorities and public health experts play a vital role in protecting the health of...
Local authorities and public health experts play a vital role in protecting the health of the population. Our previous report on test, track and trace, concluded that many important stakeholders had at times felt ignored by NHST&T. We found that …
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Government Response
6.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2022 6.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it continues to …
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HM Treasury
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24
Conclusion
Twenty-Third Report - Test and Tra…
Our report in March 2021 on local government finance highlighted how the pandemic had caused...
Our report in March 2021 on local government finance highlighted how the pandemic had caused sudden and severe drops in local authorities’ income, whilst at the same time creating additional financial pressures from the need to deliver new services and …
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Government Response
6.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2022 6.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it continues to …
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HM Treasury
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25
Conclusion
Twenty-Third Report - Test and Tra…
From 1 October, NHST&T will become part of the newly created UKHSA.
From 1 October, NHST&T will become part of the newly created UKHSA. We asked witnesses how they were involving local authorities and other stakeholders in designing the model for this new organisation.59 The Department acknowledged that it had not always …
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Government Response
6.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2022 6.2 The UKHSA wrote to the Committee on 16 December 2021 setting out how it continues to …
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HM Treasury
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Correspondence 1 letter
25 Oct 2021
Correspondence from Sir Chris Wormald, Department of Health and Social Care and Dr Jenny Harries OBE, UK Health, Security Agency, re follow up session Test, Track and Trace part 2, dated 4 August 2021
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