UK did not have ability to ‘scale up quickly’ to deal with pandemic – Whitty

Sir Chris Whitty and Sir Patrick Vallance are giving evidence to the Covid inquiry on Thursday
Sir Chris Whitty arrives to give evidence to the UK Covid-19 Inquiry in central London (PA)
PA Wire
Jane Kirby22 June 2023
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The UK did “not have the ability to scale up” quickly to deal with the Covid-19 pandemic in areas such as testing, England’s chief medical officer has said.

Professor Sir Chris Whitty told the UK Covid-19 Inquiry that the “hazards and threats” from a pandemic are “going to be completely different every time” and what is needed are “multiple capabilities that can be flexed to almost any emergency…” rather than having a plan for one particular scenario.

Sir Chris addressed the families bereaved by the pandemic at the start of his evidence on Thursday, saying he had first-hand experience of being on the front line when he was on NHS wards for 12 weeks.

“I can say to the families who are here I saw the extraordinary impact and devastation for individuals and the families,” he said.

Module 1 of the inquiry, which is set to run until mid-July, is looking at the UK’s preparedness for pandemics in the time before Covid struck.

Under questioning from Hugo Keith KC, lead counsel to the inquiry, Sir Chris admitted that insufficient thought had been given to how a pandemic like Covid could be stopped in its tracks.

Asked about written evidence from former health secretary Matt Hancock and whether there was a focus on worst-case scenarios, he said: “I certainly agree that we did not give sufficient thought to what we could do to stop, in its tracks, a pandemic on the scale of Covid, or indeed any other pathogen that could realistically go there.

“I do think, on the other hand, it is sensible to have a plan for ‘if everything fails, what are we going to do?’

“We do still need to be able to say, ‘let’s go to the top of the range, actually, we could end up with 750,000 people dying, where are we going to bury bodies?’

“These are important, they may seem morbid, but they are practically important … in this sense, I do think a plan is important.

“Where I would completely agree is that we do need to actually start off – and I think this is brought out in Mr (Jeremy) Hunt’s evidence yesterday and also Mr (Oliver) Letwin’s – all of them essentially said we saw this huge problem and we didn’t say to the system, ‘how are we going to stop it?’”

Sir Chris said he thought this illustrated “the interaction between the political ‘we’ve really got to do something serious here, I want to be absolutely assured we can’t do any better’ and the scientific and technical ‘OK, well in response to that challenge, here’s your range of options, but they are going to cost something and you need to understand what that trade off is.

“That, I think, is where I think we have not been successful.”

Sir Chris also told the inquiry that non-pharmaceutical interventions (NPIs) used during the Covid pandemic – social measures such as quarantine, individual isolation, closing schools – were not new and some went back to the Middle Ages.

“However, the very big new idea was the idea of a lockdown,” he said. “I’m talking here very, very specifically about the state saying people have to go home and stay at home, except under very limited circumstances – a very radical thing to do.”

He added that it would have been “very surprising – without this being requested by a senior politician or similar” that a scientific committee would have planned lockdowns with their “huge economic and social impact ramifications” in advance.

“So, that’s my point – is that it is very difficult for the committees to go beyond a certain level unless they are asked to do so externally,” he said.

Sir Chris was asked by Mr Keith about the fact there appeared to have been no extensive discussions about issues such as speed of transmission or asymptomatic infection in Government documents pre-Covid.

In every pandemic, every epidemic, the ability to diagnose, for example, is essential

Prof Sir Chris Whitty

He replied: “I think this illustrates a failure in the way we generally operate in government to deal with emergencies which is to say, ‘we need to have a plan for every eventuality and if you can just pull off the plan and you can tick off all the things you want to do that’s going to work’.

“Actually what nature is going to give you…the hazards and threats…is going to be completely different every time.

“So what you need to have is building blocks of lots of different capabilities and you need to say ‘actually, we don’t know what problem we’re going to face but what we do know is we’ve got the capabilities to face a whole range of different possible outcomes’.”

Later, he said: “I think, in a sense, the danger in government is that people feel the document is written, and therefore the problem is solved, and I absolutely do not think that’s the case.”

On the issue of scaling up, Sir Chris said one issue “we really absolutely should have taken much more seriously, was the capability to scale up”.

He added: “In every pandemic, every epidemic, the ability to diagnose, for example, is essential and we had a very good capacity to do a very small amount of diagnoses really quickly, and we did not have the ability to scale up, and I could repeat that across multiple other domains.”

Earlier, Sir Chris was asked about the level of abuse experienced by some scientists involved in the Covid outbreak.

He called such abuse and threats “extremely concerning”, adding: “We should be very firm in saying that society very much appreciates the work of these people.”

Former health secretary Mr Hancock, ex-Scottish first minister Nicola Sturgeon and the chief executive of the UK Health Security Agency, Dame Jenny Harries, will give evidence to the inquiry next week.

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