‘No clear evidence’ £22 billion Test and Trace scheme works, MPs say

EMBARGOED TO 0001 WEDNESDAY MARCH 10 File photo dated 10/11/2020 of Baroness Dido Harding, Executive

Baroness Dido Harding, Executive Chair of NHS Test and Trace, in Westminster, London. There is "no clear evidence" the £22 billion Test and Trace scheme contributed to a reduction coronavirus infection levels, a cross-party group of MPs have said - Credit: PA

There is “no clear evidence” the £22 billion Test and Trace scheme contributed to a reduction in coronavirus infection levels, a cross-party group of MPs have said.

Meg Hillier, the chair of the Commons Public Accounts Committee (PAC) behind a critical report, urged the government to justify the “staggering investment of taxpayers’ money”.

The MPs said ministers had justified the vast expenditure on preventing a second national lockdown, but noted England is currently living under its third in questioning the programme’s effectiveness.

They also urged the scheme led by Tory peer Dido Harding to “wean itself off” reliance on thousands of “expensive” consultants and temporary staff, with some receiving £6,624 per day.

The PAC said the programme does publish a significant amount of weekly data, including some that shows full compliance with the self-isolation rules relied upon by the scheme can be low.

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But it criticised the data for failing to show the speed of the process from “cough to contact” and therefore not allowing the public to judge the “overall effectiveness of the programme”.

“There is still no clear evidence to judge NHST&T’s overall effectiveness. It is unclear whether its specific contribution to reducing infection levels, as opposed to the other measures introduced to tackle the pandemic, has justified its costs,” the report said.

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The MPs also criticised the scheme for struggling to consistently match supply and demand for the service, and therefore “resulting in either sub-standard performance or surplus capacity”.

And they said it remained “overly reliant” on contractors and temporary staff after having to initially act quickly to scale up the service rapidly.

The report said the scheme admitted in February that it still employs around 2,500 consultants, at an estimated daily rate of around £1,100, with the best paid consultancy staff on £6,624.

“It is concerning that the DHSC (Department of Health and Social Care) is still paying such amounts – which it considers to be ‘very competitive rates’ to so many consultants,” the report said.

Hillier, a Labour MP, equated the scheme’s budget with being similar to that of the Department for Transport.

“Yet despite the unimaginable resources thrown at this project Test and Trace cannot point to a measurable difference to the progress of the pandemic, and the promise on which this huge expense was justified – avoiding another lockdown – has been broken, twice,” she added.

“DHSC and NHST&T must rapidly turn around these fortunes and begin to demonstrate the worth and value of this staggering investment of taxpayers’ money.

“British taxpayers cannot be treated by government like an ATM machine. We need to see a clear plan and costs better controlled.”

As England’s chief medical officer Professor Chris Whitty warned of another “surge” in the virus later in the year, the PAC called for ministers to set out how the scheme will “cost-effectively maintain a degree of readiness”.

Chancellor Rishi Sunak’s Budget last week included an additional £15 billion for Test and Trace, taking the total bill to more than £37 billion over two years.

Labour’s shadow chancellor of the Duchy of Lancaster Rachel Reeves said the report shows the significantly outsourced system has “failed the British people and led our country into restrictive lockdown after lockdown”.

“It underlines the epic amounts of waste and incompetence, an overreliance on management consultants, taxpayers’ cash splashed on crony contracts, all while ministers insist our NHS heroes deserve nothing more than a clap and a pay cut,” she said.

Trades Union Congress general secretary Frances O’Grady said the government’s refusal to increase statutory sick pay had “massively undermined Test and Trace”.

Despite Boris Johnson pleading the UK will have a “world-beating” tracing system, experts advising the government in the Scientific Advisory Group for Emergencies (SAGE) said in September that the testing programme was only having a “marginal” impact on transmission.

Whitehall’s spending watchdog, the National Audit Office, has also previously criticised the service.

Its report in December said not enough test results were delivered within 24 hours, and too few contacts of infected people were being reached and told to self-isolate.

Some call handlers were also said to have been busy for only 1% of their paid hours in the service’s early days, rising to less than 50% in October.

Unions used the report to reiterate calls to give NHS workers a “decent” pay increase, after the government proposed a raise of 1%.

Royal College of Nursing general secretary Dame Donna Kinnair said nurses “will be furious to hear of the millions of pounds being spent on private sector consultants”.

Unison’s head of health, Sara Gorton, added: “Billions have been frittered away.

“Recognising the immense effort of NHS staff during the pandemic would be a far better use of public money. It would cost a fraction too.”

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