Governments ‘failed citizens’ with flawed pandemic planning

Inquiry publishes first report and 10 recommendations focused on pandemic resilience and preparedness

The Chair of the UK Covid-19 Inquiry, Baroness Heather Hallett, is urging the new UK government and the governments of Wales, Scotland and Northern Ireland to implement promptly her 10 key recommendations following publication of the Inquiry’s report of its first investigation into the nation’s resilience and preparedness for the pandemic.

These recommendations, made public on Thursday 18 July 2024, include a major overhaul of how the UK government prepares for civil emergencies such as the Covid-19 pandemic.

Key recommendations include a radical simplification of civil emergency preparedness and resilience systems, holding a UK-wide pandemic response exercise at least every three years and the creation of a single, independent statutory body responsible for whole system preparedness and response.

It is the first of several reports setting out the Inquiry’s recommendations and findings.

Today the Inquiry has published its first report after examining the resilience and preparedness of the United Kingdom to respond to a pandemic. My report recommends fundamental reform of the way in which the UK government and the devolved administrations prepare for whole-system civil emergencies.

If the reforms I recommend are implemented, the nation will be more resilient and better able to avoid the terrible losses and costs to society that the Covid-19 pandemic brought.

I expect all my recommendations to be acted on, with a timetable to be agreed with the respective administrations. I, and my team, will be monitoring this closely.

Baroness Hallett, Chair of the Inquiry

Module 1 examined the state of the UK’s structures and the procedures in place to prepare for and respond to a pandemic.

Hearings for Module 1 were held in London in June and July 2023 and the Chair heard from current and former politicians as well as key scientists, experts, civil servants and bereaved family members.

Following these hearings, the Inquiry’s findings and recommendations are set out in the report published today. The publication of the first report has been welcomed by some of those who lost loved ones during the pandemic. Dr Alan Wightman from North Yorkshire, lost his mother in early-May 2020 to Covid-19 that she had acquired in her care home in Fife, Scotland.

My Mum was an 88-year-old widow, a dementia sufferer and a cancer survivor. She had been settled and looked after in her well-run home for 11 months before Covid got in, despite the best efforts of the staff. A number of the home’s residents were taken by Covid.

I congratulate Baroness Hallett and her Inquiry team for reaching this substantive milestone of issuing findings and recommendations from Module 1. To be at this point a mere 13 months after witnesses started giving evidence in this Module is very impressive. To have achieved that whilst simultaneously completing Module 2 and its three satellite Modules, plus having Module 3 ready to launch within the next three months, is truly exemplary.

Dr Wightman

In her findings, the Chair concludes that the UK’s system of building preparedness for the pandemic suffered from several significant flaws.

These include a flawed approach to risk assessment, a failure to fully learn from past civil emergency exercises and outbreaks of disease, and Ministers not receiving a broad enough range of scientific advice and failing to challenge the advice they did get.

Baroness Hallett acknowledges the pressure on politicians and others to make tough decisions about how resources should be used. However, she also stresses that if the UK had been better prepared, the nation could have avoided some of the significant and long-lasting financial, economic and human costs of the Covid-19 pandemic.

In summary her recommendations are:

  • A radical simplification of the civil emergency preparedness and resilience systems. This includes rationalising and streamlining the current bureaucracy and providing better, simpler Ministerial and official structures and leadership;
  • A new approach to risk assessment that provides for a better and more comprehensive evaluation of a wider range of actual risks;
  • A new UK-wide approach to the development of strategy, which learns lessons from the past and from regular civil emergency exercises and takes proper account of existing inequalities and vulnerabilities;
    Better systems of data collection and sharing in advance of future pandemics, and the commissioning of a wider range of research projects;
  • Holding a UK-wide pandemic response exercise at least every three years and publishing the outcome;
    Bringing in external expertise from outside government and the Civil Service to challenge and guard against the known problem of ‘groupthink’;
  • Publication of regular reports on the system of civil emergency preparedness and resilience;
  • Lastly and most importantly, the creation of a single, independent statutory body responsible for whole system preparedness and response. It will consult widely, for example with experts in the field of preparedness and resilience and the voluntary, community and social sector, and provide strategic advice to government and make recommendations.

The Chair believes that all 10 recommendations are reasonable and deliverable and all must be implemented in a timely manner. The Inquiry and the Chair will be monitoring the implementation of the recommendations and will hold those in power to account.

The Chair has today restated her aim to conclude all public hearings by summer 2026, and to publish reports with findings and recommendations as the Inquiry progresses.

The Inquiry’s next report – focusing on Core UK decision-making and political governance – including in Scotland, Wales and Northern Ireland (Modules 2, 2A, 2B and 2C) – is expected to be published in 2025.

Future reports will focus on specific areas, including:

  • Modules 2, 2A, 2B, 2C: Core UK decision-making and political governance – including Scotland, Wales and Northern Ireland
  • Module 3: Healthcare systems
  • Module 4: Vaccines and therapeutics
  • Module 5: Procurement – procurement and distribution of key equipment and supplies
  • Module 6: The care sector
  • Module 7: Test, trace, and isolate programmes
  • Module 8: Children and young people
  • Module 9: Economic response to the pandemic

For more details of these modules visit the Inquiry’s website.

The Chair is also examining the best way to fulfil her Terms of Reference and investigate the impact of the pandemic on the population of the UK. This will cover a wide range of those affected and include the impact on mental health.

TUC: Covid Inquiry Report is a “moment of truth for the country” as report confirms impact of austerity on UK preparedness and resilience

Report confirms that public services were under huge strain even before Covid struck

  • Baroness Hallett says public health, NHS and social care sector’s capacity to respond to pandemic was “constrained” by funding and negatively impacted by “severe staff shortages” and infrastructure “not fit for purpose”
  • Report warns that not investing “in systems of protection” will impact on the UK’s “preparedness and resilience” in a future pandemic 

Responding to the UK Covid-19 Inquiry Module 1 report today (Thursday), TUC General Secretary Paul Nowak said:  “This is a moment of truth and reflection for the country. 

“Baroness Hallett’s report confirms that austerity left the UK underprepared for the pandemic. 

“Faced with the biggest crisis since the Second World War our defences were down as a result of severe spending cuts. 

“We owe it to those who lost their lives – and to those workers who put their lives at risk – to make sure this never happens again. 

“Strong public services – and a properly supported workforce – are vital for the nation’s health. As Baroness Hallett rightly points out the cost of investing in ‘systems for our protection’ is ‘vastly outweighed’ by the cost of not doing so.”  

Commenting on the report’s finding that inequality put certain communities at disproportionate risk during the pandemic, Paul added: 

“This report lays bare how inequality fuelled the spread of Covid-19.  Low-income, disabled and BME people were far more likely to be infected and die from the virus.  As Baroness Hallett warns inequality is a huge risk to the whole of the UK.” 

Impact of austerity 

Baroness Hallett writes on page 2 of her report: ‘Public services, particularly health and social care, were running close to, if not beyond, capacity in normal times. 

[…] in the area of preparedness and resilience, money spent on systems for our protection is vital and will be vastly outweighed by the cost of not doing so.’ 

Baroness Hallett writes on page 122 of her report: ‘The Inquiry also heard that there were severe staff shortages and that a significant amount of the hospital infrastructure was not fit for purpose. England’s social care sector faced similar issues. This combination of factors had a directly negative impact on infection control measures and on the ability of the NHS and the care sector to ‘surge up’ during a pandemic.’ 

Baroness Hallett writes on page 123 of her report: ‘Issues of funding are political decisions that properly fall to elected politicians. However, it remains the case that the surge capacity of the four nations’ public health and healthcare systems to respond to the pandemic was constrained by their funding.’ 

Baroness Hallett writes on page 127 of her report: ‘Some witnesses to the Inquiry described the prioritisation and reprioritisation of limited resources as a cause of inaction. This is a widely recurring theme in the evidence.’ 

Impact of inequality 

Baroness Hallett writes on page 70 of her report: ‘Resilience depends on having a resilient population. The existence and persistence of vulnerability in the population is a long-term risk to the UK.’ 

‘[…] as the UK entered the Covid-19 pandemic, there were “substantial systematic health inequalities by socio-economic status, ethnicity, area-level deprivation, region, social excluded minority groups and inclusion health groups.”’ 

Baroness Hallett writes on page 71 of her report: ‘Covid-19 was not an ‘equality opportunity virus’. It resulted in a higher a likelihood of sickness and death for people who are most vulnerable in society. It was the views of Professors Bambra and Marmot that: 

“In short, the UK entered the pandemic with its public services depleted, health improvement stalled, health inequalities increased and health among the poorest people in a state of decline.”’ 

UK Covid-19 Inquiry comes to Edinburgh

The UK Covid-19 Inquiry’s Module 2A hearings begin in Scotland today (Tuesday 16 January 2024). The hearings are an important stage in the Inquiry’s investigation into decision making and governance in each nation of the UK.

Members of the public are welcome to attend the hearings in Edinburgh or watch them online through the Inquiry website.

Module 2A, ‘Core UK decision-making and political governance – Scotland’, will look into core political and administrative governance and decision-making. It will include the initial response, devolved government decision making, political and civil service performance as well as the effectiveness of relationships with the UK government and local and voluntary sectors.

The Inquiry is also encouraging people in Scotland to share their pandemic experience so we can truly understand the human impact and learn lessons from it.

Find out more about the hearings, the benefits of sharing your story with the Inquiry and how to do so in our video recorded this week at the Royal College of Surgeons in Edinburgh:

Standing next to Scotland’s memorial dedicated to NHS staff who worked through the pandemic – the award-winning ‘Your Next Breath’ – Inquiry Secretary, Ben Connah, said he was excited that the Inquiry’s hearings are soon to begin in the Scottish capital:

“It’s the start of the UK Covid-19 Inquiry’s public hearings here in Scotland. We will be holding three weeks of hearings at the International Conference Centre in Edinburgh. People in Scotland will have the opportunity to hear from politicians, advisers and scientists who were crucial to the decision-making.

“This is a UK-wide public inquiry and it’s really important that we visit the places where decisions were taken and where the impact of the pandemic was felt in different ways in different parts of the country.”

Ben also highlighted how the Scottish public can already participate via Every Story Matters, which will support the UK Covid-19 Inquiry’s investigations and help the Chair of the Inquiry make recommendations for the future.

Every Story Matters will provide evidence about the human impact of the pandemic on the UK population. It provides an opportunity for those affected by the pandemic to share their experiences online without the formality of giving evidence or attending a public hearing, as Ben explained.

“The Scottish public can already play their part in the inquiry by logging on to everystorymatters.co.uk and sharing their experience of the pandemic.

“I am really keen that we hear stories from people right across Scotland, from Stranraer to Stornoway, to help us to build a picture of the impact the pandemic had on this beautiful country.”

Joining the Inquiry Secretary in Edinburgh this week is Hussein Patwa, an Aberdeen resident who is visually impaired and registered blind. He described lockdown as “quite tough”.

“Even to this day the pandemic has affected my independence, my ability to get out and about even in my local area. I have also found it has affected my confidence, especially in larger social situations.”

Hussein is also an enthusiastic advocate of Every Story Matters, as he explained: “Telling my story to Every Story Matters has been a cathartic experience for me.

“It has allowed me to reflect on aspects of my experience I hadn’t even thought about, and that in itself was a healing process. I would encourage everyone to share their story on the Every Story Matters website.”

Every Story Matters

Every Story Matters is your opportunity to help the UK Covid-19 Inquiry understand your experience of the pandemic.

Share your story

UK Covid-19 Inquiry is under way

The UK Covid-19 Inquiry began hearing evidence for its first investigation into the UK’s preparedness and resilience for a pandemic this morning (Tuesday 13 June 2023) at 10:00.

These public hearings are when the Chair, Baroness Heather Hallett, begins formally listening to evidence. Six weeks of hearings are planned for Module 1, which will run until Thursday 20 July.

The hearing opened with a statement from the Chair, followed by a short film showing the impact of the pandemic, featuring people from across the UK, sharing their experiences of loss.

The voices of some of those who suffered most during the pandemic are heard through the film. Some people may find the film difficult to watch.

This was followed by opening statements from Core Participants to the first investigation. The Inquiry then heard testimony from first witnesses.

timetable for witnesses for the first week of hearings is available.

The hearings are open to the public and will be held at the Inquiry’s hearing centre, Dorland House, 121 Westbourne Terrace, London, W2 6BU. Seating at the hearing centre is limited and will be reserved on a first come first served basis.

The hearings will also be available to view on our YouTube channel, subject to a three minute delay.

The Inquiry is expected to last three years.

The first four panels of the UK Covid Inquiry’s commemorative tapestry have been unveiled at the Inquiry’s hearing centre in Dorland House.

The tapestry hopes to capture the experiences and emotions of people across the UK during the pandemic, helping to ensure that people who suffered hardship and loss remain at the heart of the Inquiry.

The panels are inspired by the experiences of organisations and individuals from across the UK.

Each panel is based on an illustration by a different artist, following conversations with individuals and communities impacted in different ways by the pandemic.

“Broken Hearts” is a collaboration between artist Andrew Crummy and the Scottish Covid Bereaved group, one of the Inquiry’s Core Participants, and expresses the grief and sadness felt by so many at the loss of loved ones.

“Little Comfort” was created by Daniel Freaker, and is his interpretation of some of the emotions and experiences of those with Long Covid, following conversations with members of several Long Covid support and advocacy organisations.

“Eyes Forced Shut” was created by Catherine Chinatree. It explores the disempowerment and loss of freedoms experienced by patients and their relatives in care homes, and follows conversations between the artist and members of Care Campaign for the Vulnerable.

“The Important Thing Is That You Care” was created by artist Marie Jones, following a series of conversations with a bereaved individual in Wales, grieving the loss of her father.

Broken Hearts tapestry panelLittle Comfort tapestry panelEyes Forced Shut tapestry panelThe Important Thing Is That You Care tapestry panel

Last month, the Inquiry announced that renowned art curator Ekow Eshun had been appointed to oversee the first phase of the project, with further panels to be developed over the coming months.

The Inquiry will be sharing further information about each of the panels, including from the artists, and those whose experiences helped shape the artwork, and the digital version of the tapestry will be available next month.

The tapestry will also be shown in different locations throughout the UK whilst the Inquiry’s work is ongoing. We plan to add more panels over time, so this tapestry reflects the scale and impact the pandemic had on different communities.

The UK Covid Inquiry’s commemorative tapestry is one of a growing number of sculptures, creative installations, and community initiatives being developed as the county (and the world) comes to terms with the enormity of the pandemic and its effect on the lives of countless millions of people. Each of these projects brings a unique perspective and adds a powerful new layer of value to the richness of our collective memory.

Organisations interested in getting involved in the project are invited to contact engagement@covid19.public-inquiry.uk.

TUC: Inquiry must examine how “unchecked growth” of insecure work left millions vulnerable to the virus

  • NEW ANALYSIS: numbers in insecure work grew by a fifth in the decade preceding the pandemic – with half a million more in insecure work by the end of the decade
  • Insecure workers were TWICE as likely to die from Covid-19 during the pandemic
  • TUC says Tory failure on workers’ rights had devastating consequences for workers

The TUC has today (Monday) called on the Covid public inquiry to look at how the “unchecked growth” of insecure work left millions of low-paid and frontline workers vulnerable to the pandemic.

New analysis by the TUC shows that between 2011 and the end of 2019, the number of people in insecure work grew by a fifth – with half a million more in insecure jobs by the end of the decade.

In 2011, the numbers in insecure work were 3.2 million. By the end of the decade, the numbers were 3.7 million.

This growth is disproportionate compared to the growth of the labour market in this period (the proportion of those in insecure work grew from 10.7% to 11.2%).

The call by the union body comes as the Covid public inquiry prepares to take witness evidence from Tuesday 13 June.  

Higher mortality rates

TUC analysis during the pandemic showed that those in insecure occupations faced mortality rates which were twice as high as those in more secure jobs.

The analysis showed that:

  • The Covid-19 male mortality rate in insecure occupations was 51 per 100,000 people aged 20-64, compared to 24 per 100,000 people in less insecure occupations.
  • The Covid-19 female mortality rate in insecure occupations was 25 per 100,000 people, compared to 13 per 100,000 in less insecure occupations.

BME and low-paid workers “forced to shoulder most risk”

The TUC says workers in insecure jobs were forced to shoulder more risk of infection during this pandemic, while facing the “triple whammy” of a lack of sick pay, fewer rights and endemic low pay.

TUC polling from 2022 showed that three in four (76%) in insecure jobs get the “miserly” statutory sick pay, or nothing, when off sick.

Insecure workers are markedly less likely to benefit from the full range of employment rights that permanent, more secure workers are entitled to, including vital safeguards such as unfair dismissal and redundancy protections.

Sectors such as care, leisure, and the elementary occupations have high rates of insecure work – compared to managerial, professional and admin sectors which have some of the lowest.

Those in insecure occupations largely continued to work outside the home during the pandemic – and many were key workers.

A government study suggested that agency workers at care homes – often employed on zero-hours contracts – unwittingly spread the infection as the pandemic grew.

During the pandemic, insecure workers accounted for one in nine workers – with women, disabled workers and BME workers more likely to be in precarious work.

Recent TUC research showed BME women are twice as likely to be on zero-hours contracts as white men.

Dismal record on workers’ rights

The TUC says that the government’s record on workers’ rights has been dismal.

Instead of “getting a grip of insecure work” as it grew from 2010 onwards, the Conservative government “let it flourish on their watch”.

This was despite government promises to boost employment rights.

The Taylor Review reported on 11 July 2017, promising “good work for all”. However, the following years have seen few of the review’s proposals implemented.

And since the pandemic, ministers have failed to learn lessons – instead repeating the same mistakes.

Ministers ditched the long-promised employment bill – and they are now backsliding on promised protections for workers from sexual harassment, as well as attacking workers’ right to strike.

TUC General Secretary Paul Nowak said: “The Covid public inquiry must look at how the unchecked growth of insecure work left millions vulnerable to the pandemic.

“Ministers let insecure work flourish on their watch – instead of clamping down on the worst employment practices.

“That failure had devastating – and even fatal – consequences for workers.

“Those in insecure work faced markedly higher Covid infections and death rates. And they were hit by a triple whammy of endemic low pay, few workplace rights and low or no sick pay.

“Lots of them were the key workers we all applauded – like care workers, delivery drivers and coronavirus testing staff.

“For years ministers promised working people improved rights and protections. But they repeatedly failed to deliver.

“It’s time for the government to learn the lessons of the pandemic and stamp out the scourge of insecure work for good.”

On the Conservative government refusing to hand over unredacted evidence to the inquiry Paul added: “Ministers seem more interested in playing political games than learning lessons from the pandemic.

“It’s time they fully cooperated with the inquiry and stopped dragging their feet.”