New Winter COVID-19 Infection Study

A study to gather vital data on COVID-19 this winter has been launched by the UK Health Security Agency (UKHSA) and the Office for National Statistics (ONS).

The Winter COVID-19 Infection Study (WCIS) will run from November 2023 to March 2024, involving up to 200,000 participants.

UKHSA previously commissioned the Coronavirus Infection Survey (CIS), carried out by the ONS during the pandemic, in partnership with scientific study leads Oxford University.

Recognised globally as the gold standard for surveillance of the virus, CIS gathered and analysed more than 11.5 million swab tests and 3 million blood tests from April 2020 to March 2023. 

The new WCIS is a different study and will involve up to 32,000 lateral flow tests being carried out each week, providing key insight into the levels of COVID-19 circulating across the wider community. This sample will be broadly representative of the population according to key characteristics.

While widespread vaccination has allowed us to live with COVID-19, some people remain more vulnerable to severe illness, and this in turn can lead to increased pressures on the NHS over the winter months.

That is why UKHSA is urging eligible adults to book their flu and COVID-19 vaccines online via the NHS website, by downloading the NHS App, or by calling 119 for free, to give themselves the best protection against severe illness and hospitalisation.

UKHSA’s existing surveillance systems already provide up-to-date information on hospital and intensive care unit (ICU) admission rates, but the introduction of this study will allow us to detect changes in the infection hospitalisation rate (IHR), which requires accurate measurement of infection levels in the community.

Calculating the IHR will enable UKHSA to assess the potential for increased demand on health services due to changes in the way the virus is spreading, which could be driven by the arrival of any new variants.

Professor Steven Riley, Director General of Data, Analytics and Surveillance at UKHSA, said: “The data we collected alongside the ONS during the pandemic provided us with a huge amount of valuable insight, so I am delighted that we are able to work together again to keep policymakers and the wider public informed in the coming months.

“UKHSA continues to lead the way internationally on COVID-19 surveillance and by re-introducing a study of positivity in the community, we can better detect changes in the behaviour of the virus.”

The study will use lateral flow devices (LFDs) supplied by UKHSA.

The latest UKHSA technical briefing, published on 22 September, included initial findings of tests performed in the laboratory at Porton Down to examine the effectiveness of LFDs in detecting BA.2.86, and found no reduction in sensitivity compared to previous variants.

The model and scale of this study could also be converted into a programme that captures data on different respiratory viruses, should that be required in future.

Deputy National Statistician Emma Rourke at the ONS said: “ONS is committed to building on the experience of standing up the gold standard CIS. Our resources and statistical expertise are here for the public good, and we are delighted to be delivering this study in partnership with UKHSA.

“There remains a need for robust data to help us continue to understand the virus and its effects during the winter months.

“As well as working to provide UKHSA with regular rates of positivity, we will also be looking at analysis of symptoms, risk factors and the impact of respiratory infections, including long COVID, as part of this important surveillance.”

Record number of Scots are being paid the real Living Wage

A Fair Work approach to the cost of living crisis

A record proportion of employees in Scotland are being paid the real Living Wage (rLW) or more, new figures have revealed.

The Office for National Statistics’ Annual Survey of Hours and Earnings shows 91% of employees aged 18 and over earned at least the rLW in 2022, an increase from 85.5% in 2021 and the highest proportion since the rLW series began in 2012.

In comparison, 87.5% of employees aged 18 and over in England are paid the rLW or more, 88.2% in Wales and 85.4% in Northern Ireland.

The ONS survey also confirms that the Gender Pay Gap is lower in Scotland than across the UK as a whole. For full-time employees the gap is 3.7% compared with the UK figure of  8.3%.

The Scottish Government is committed to tackling the cost of living crisis with a Fair Work approach, ensuring workers are paid at least the rLW – currently £10.90 per hour – and supporting more women into jobs through flexible working opportunities.

Minister for Employment and Fair Work Richard Lochhead said: “The Scottish Government’s commitment to promoting payment of the real Living Wage is a fundamental part of our National Strategy for Economic Transformation and a key cost of living policy to deliver a fairer and more equal society.

“The ONS figures confirm that Scottish employers are leading the way and we can be proud of the progress that has been made.

“There is still work to be done on tackling the gender pay gap, but we are taking steps to make this happen. We will publish our refreshed Fair Work Action Plan later this year, outlining the actions needed to close the gap further and create a more diverse and inclusive workplace.

“We will continue to work with employers, employability providers and partners to achieve this aim.” 

Read the Annual Survey of Hours and Earnings statistics in full here.

Huge boost to national testing study

  • Office for National Statistics to significantly expand infection survey to 400,000 people, making it the country’s largest study tracking COVID-19 in the general population
  • New data will support rapid testing and diagnosis of COVID-19 on a national and local level, helping to narrow down the areas of concern
  • UK Government to provide £2 million grant to ZOE COVID-19 Symptom Study app to support its ongoing data collection

The Office for National Statistics has partnered with Scotland, Wales and Northern Ireland to extend the  ONS COVID-19 Infection Survey tracking the virus in the general population across the UK – making this the UK’s largest COVID-19 surveillance survey.

It will expand from regularly testing 28,000 people per fortnight in England to 150,000 by October, the Health Secretary announced today. The survey aims to increase to 400,000 people across the entire project.

The expanded study will play a crucial role in providing extensive, weekly data on the spread of infection, supporting rapid testing and diagnosis of COVID-19 both nationally and in areas of concern. The ONS will prioritise ramping up in the north west of England and London in light of recent upticks in infection rates in these areas.

Letters have already been sent out to tens of thousands of homes inviting new participants to take part in the survey. Anyone who receives a letter asking them to participate in the study is encouraged to do so.

Health Secretary Matt Hancock said: “This country now has the capacity to test for coronavirus on an unprecedented scale and this ONS survey will be a crucial part of this work – improving our understanding of the rate of infection in the population and how many people have antibodies.

“This will allow us to further narrow down the areas potentially affected by local outbreaks and continue our fight to curb the spread ahead of winter.

“I urge anyone who is able to take part in this study to do so – you will be playing a vital role in the fight against the virus. The data and insight gathered will help inform our national, regional and local responses to the pandemic, allowing this nation to get back to the things we love doing.”

Reporting on a weekly basis, the ONS study will provide both a national picture of how the virus is spreading as well as granular estimates of the number of COVID-19 cases down to local level.

Crucially, this will allow government and local authorities to further narrow down the areas which may be undergoing outbreaks, potentially reducing the number of people affected by new restrictions and allowing for swift action to curb the spread of the virus.

Led by the ONS and The University of Oxford in partnership with the departments of health across the UK, the survey uses routine swabbing and antibody testing to provide insight into the rate of infection and antibody levels in the community.

Professor Sir Ian Diamond, UK National Statistician, said: “Vigilance is key to containing this pandemic and the extra data on the spread of infections and antibodies at local level will be invaluable to the planning of effective local responses.

“Following this expansion, the ONS-led COVID-19 Infection Survey will be the biggest of its kind in this country. If you’ve been approached to take part then please do so. You will be helping us all to contain this terrible virus and get on with our lives.”

Alongside this significant expansion, the government is providing a £2 million grant to the ZOE COVID-19 Symptom Study app to support its data collection. Participants use the app to regularly report on their health and symptoms and whether they have tested positive for the virus or not, making it the largest public science project of its kind anywhere in the world.

Data from the app is analysed in collaboration with King’s College London researchers and provides granular data on symptoms across the country, helping identify local outbreaks and support NHS decision-making. Researchers are able to predict who has the virus and track infections across the UK as well as identify who is most at risk and where high-risk areas are.

The government will not have access to the base data gathered by the app. The ZOE app is separate to the NHS Test and Trace app launched last week for a trial run, to support national and local contact tracing and help minimise the spread of COVID-19.

Together, these studies will help control the spread of the virus by providing vital new intelligence on the scale of local outbreaks, inform our understanding of the virus and how it affects different demographics.

Jonathan Wolf, CEO of ZOE, said: “We are a start-up, so we are delighted that this funding guarantees the future of the study throughout the winter. When we started the study with Professor Tim Spector at King’s in March, we never imagined it could become so important. We have been blown away by the commitment of the British public to help fight COVID, by sharing the state of their health daily.

“The app is an amazing demonstration of the power of large-scale science and the use of machine learning. We have funded the app ourselves so far, and with this funding we can continue the essential work of hotspot detection and research on the long-term risks of COVID.

“We are delighted that ZOE and this innovative study can play a part in keeping the UK safe.”