PARLIAMENTARY DEBATE
Covid-19 Inquiry - 16 January 2025 (Commons/Commons Chamber)
Debate Detail
Before I turn to the Government’s response, I want to place on record once again my thanks to Baroness Hallett and her team for the work they have done so far in the inquiry. I also pay tribute to the families and friends who lost loved ones during the pandemic, some of whom are with us in the Gallery. Earlier this week I visited the national covid memorial wall just across the river from here. I am grateful to the friends of the wall who have so lovingly cared for it and maintained it over the past few years.
As I said in my statement in July, the Government’s first responsibility is to keep the public safe. That is why since we were elected, we have taken steps to strengthen the UK’s resilience. I announced a review of national resilience. Work on that review is proceeding, and I will update the House on its conclusion in the spring.
The Prime Minister has established a single Cabinet Committee for resilience, which I chair, which meets to ensure clear and rigorous ministerial oversight. We have adopted the 2023 biological security strategy to protect the UK and our interests from significant biological risks.
In April, the new UK Resilience Academy will be launched. It will train over 4,000 people in resilience and emergency roles every year and help them plan for and manage a range of crises, including pandemics. I should also acknowledge, as I did in my first statement back in July, that in some areas these improvements build on work carried out by the previous Administration.
The improvements that we have made to our resilience have been put to the test over the last six months. Those include the Prime Minister chairing a number of emergency Cobra meetings to address the violent disorder that occurred over the summer and working across our four nations to anticipate and contain clade 1 mpox cases in the UK.
Since July, we have also sent two emergency alerts to provide advice to the public in life-threatening situations. During Storm Darragh, because of a very rare red—danger to life—warning, an alert was sent to over three million people in affected regions. More recently, we issued a very localised warning over flooding danger. The Government will carry out a full national test of the emergency alert system later this year. That will ensure that the system is functioning correctly, should it need to be deployed in an emergency.
The covid module 1 inquiry found that years of under-investment meant that pandemic planning was not a sufficient priority, that our health services were already suffering and beyond capacity, and that there were high levels of illness and health inequalities. All of that meant that the state was ill-prepared to manage a crisis on this scale. Therefore, apart from the specific recommendations, delivering on the Government’s missions—particularly in this context, building a national health service fit for the future—will contribute in important ways to the UK’s resilience.
Pandemic planning and resilience are about not just specific resilience measures but ensuring the underlying fundamentals of our country are strong. I thank the devolved Governments for their co-operation in preparing our response today. We will continue to work together for the safety of the communities we serve.
I turn to specifics. There are three new commitments that I wish to highlight. First, the inquiry recommended that the UK Government and devolved Governments should together hold a regular UK-wide pandemic response exercise. We agree and will be undertaking a full national pandemic response exercise later this year. It will be the first of its kind in nearly a decade. It will test the UK’s capabilities, plans, protocols and procedures in the event of another major pandemic. It will be led by senior Ministers, involve thousands of participants and run across all regions and nations of the UK. Alongside the Health Secretary, I have written to all Cabinet Ministers to ask for their commitment to full participation. The exercise will take place in the autumn over a number of days. The Government will communicate the findings and lessons of the exercise as recommended by the covid-19 inquiry.
Secondly, the inquiry found that the pandemic had a disproportionate impact on vulnerable groups and continues to affect many people in those communities. A new national vulnerability map created by the Cabinet Office with the Office for National Statistics will geographically map population numbers of those who may be vulnerable in a crisis. It will do that by sharing data including age, disability, ethnicity, and whether someone is receiving care. The map will improve the Government’s understanding of the scale and location of disproportionately impacted populations ahead of and during crises and enable targeted local support when required.
Thirdly, as the inquiry reminds us, the risks we face are changing more quickly than ever before, and we live in an increasingly volatile world. It therefore recommended a better approach to risk assessment across the board, which we accept. Today, I am publishing an updated national risk register: the public-facing version of the national security risk assessment, which provides businesses and the voluntary and community sectors with the latest information about the risks they face to support their planning, preparation and response. We will ensure that it continues to be updated regularly. A significant proportion of the risks will be subject to reassessment over the next few months, and we will publish a further updated risk register as needed once the process is complete.
I want to mention two further recommendations where the Government accept the underlying objectives and propose to take them forward in specific ways. First, the inquiry recommended Cabinet Office leadership for whole-system civil emergencies in the UK. We agree with that, as for whole-system emergencies such as a pandemic, the centre of Government needs to play a lead role. But for lower-scale emergencies, we believe that the lead Department model still has value. It remains important for Departments with the day-to-day responsibility for an issue to lead the work to identify serious risks and ensure that the right planning, response and recovery arrangements are in place. Therefore, in some circumstances we will retain the lead Government Department model, because, in those cases, responsibility and oversight should sit with the body with the best understanding, relationships and mechanisms for delivery to identify and address risks. There will be an enhanced role for the Cabinet Office to improve preparedness and resilience for larger-scale catastrophic risks.
Secondly, on the question of independent input into whole-system civil emergency preparedness and resilience, we agree with the need for independent strategic advice and challenge, including the use of so-called red teams. We are establishing eight expert advisory groups to combat group-think in our understanding of risks. Alongside that, through the crisis management excellence programme we will increase training in red teaming. We want to work with the local resilience forums that exist around the country who provide critical knowledge and expertise.
The Government are also committed to introducing a duty of candour on public authorities as a catalyst for a changed culture in the public sector to improve transparency and accountability. We also welcome and will draw on the expertise of multidisciplinary pandemic science institutes that provide world-leading academic and scientific expertise such as the excellent Pandemic Institute in Liverpool, which I was pleased to visit yesterday. In the end, the Government must remain responsible and accountable for the policy and resource allocation decisions they take, but we believe that the external input of those bodies can add value to that decision making.
The impact of the covid-19 pandemic was unprecedented in modern memory. It caused the loss of far too many lives. My thoughts, and the thoughts of the whole Government, continue to be with all those who lost loved ones during the pandemic. Many of them feel not just grief but anger that, as Baroness Hallett’s report sadly confirmed, the country was not as prepared as it should have been.
My Department will monitor the implementation of the commitments made in response to the covid-19 inquiry. In all this, we must remember that the next crisis may not be the same as the last. There is a need for flexibility in our planning and learning, and we will build that into what we do. The Government also remain committed to engaging fully with the inquiry, and await Baroness Hallett’s findings and recommendations in subsequent module reports as she continues her important work. I commend this statement to the House.
We all know how challenging the pandemic was. Sadly, far too many lives were lost—I pay tribute to all the victims from across our country and the world. That is why the Conservative Government put in place the inquiry, and former Ministers have been co-operating with its work—I thank the Chancellor of the Duchy of Lancaster for acknowledging that. It is clear from the inquiry’s investigations and findings so far that response times and processes were too slow and disjointed—we recognise that—but it is also clear that there was an incredibly challenging process and no easy answers.
Module 1 examined our country’s pandemic resilience and preparedness, so I will focus on that. The Government’s response has identified a number of overarching implementations from the module recommendations. We are broadly supportive of the Government’s direction. As the inquiry report notes, it is important to strengthen cross-governmental communication and data sharing, and communication and co-ordination between devolved Administrations. I appreciate that the Government recognise that and are taking forward the recommendation to ensure that the Cabinet Office has a clearer and stronger role in crisis and resilience co-ordination.
The Government have clearly signalled their intention to build on the work started under the last Government, who put together the resilience directorate within the Cabinet Office with the goal of ensuring clear accountability and leadership for long-term resilience and crisis planning. I hope that the steps that the Government have set out will successfully build on that. I am also thankful that they are building on the last Government’s work to lay the foundations of the resilience academy, and I look forward to tracking that progress.
It is important to note that the Government intend to strengthen the articulation of requirements for resilience and emergency training qualifications. I am thankful that they are building on the work that we implemented to establish a new national exercising programme, and are planning a full pandemic exercise for this year. Importantly, we need to recognise that the risks that we will face will be dynamic, because we do not know what the future will hold. I hope that the pandemic exercise will involve cross-cutting segments of microbial resistance and technology infrastructure, which will be key challenges that continue to grow in importance.
The Government have also emphasised the holistic work that can be conducted across all types of organisations as a result of the highly transparent risk register that we first published in 2023. I appreciate that they are setting out their intention to build on that, and offer a wider range of scenarios and frameworks to the register in future. However, they do not seem to fully recognise that there is far too much complication in the system, which risks masking fundamental matters of cross-governmental co-ordination with political measures. I recognise in the Government’s response the desire to ensure independent input into the whole-system civil emergency preparedness and resilience and, in doing so, establish a number of expert advisory groups, but I caution them that that must be backed up by real accountability and progress tracking, to ensure that the work conducted by those teams is enacted transparently and for clear reasons. They must not be just talking shops.
The Government have announced a significant number of reviews, consultations and taskforces, but without real accountability and framework clarity, they risk being only a temporary solution to long-term issues. That is a particular concern when it comes to national resilience. Although we support the Government’s direction, I want to raise a couple of questions. On recommendation 3, the Minister mentioned mapping, which is very welcome, but will he expand a little on the combined impacts of different vulnerabilities for certain groups and how they can be overlaid in that mapping process?
On recommendations 4 and 5 on the whole system emergency strategy and, crucially, that data element, is there data to support the strategy? What confidence does he have in that at the moment? Will he use the UK Biobank for that? There are critical issues around academic freedom as we look into very complex issues, and overlapping issues within communities across the country.
On recommendation 6, what response has the Minister had so far from the devolved Governments? He said that they have been very positive, but could he go a little further? In response to recommendation 9, the red groups sounded good, but I was a little worried when he said, “We are establishing eight advisory groups to combat group-think.” That sounds a little like a tautology. I want to ensure that those groups will be properly independent and that the Government are challenged on their plans. On recommendation 7, there was an important point around reporting back the findings of the nationwide investigations. On the publishing and timeliness, the report asked for three-month publications—will the Minister speak to that? The Cabinet Office said that it is scoping and testing solutions to resolve multi-agency reports. Will he speak to that?
Finally—thank you for your indulgence, Madam Deputy Speaker—we must not lose sight of the fact that there are shifting landscapes, and our response will be a long-term thing. I appreciate the Government’s response today, but they have not yet responded to last year’s House of Lords Statutory Inquiries Committee report on reforming the process by which public inquiries are conducted. That is slightly overdue, so if the right hon. Gentleman could update us on progress on that, I would be most grateful. We must ensure that the tracker is in place so that on issues such as this, the Horizon scandal or the infected blood scandal, we are always in the right place.
On mapping, the data is getting better. The Government’s ability to gather and use data has improved over time, and it is important that we do that as well as we can. Data has been described as the new oil, and it is important that the Government, which have access to good data around the country, use that to map vulnerabilities and to make sure that the next crisis does not expose cracks in our society, as was the case the last time around.
The right hon. Gentleman asked about work with the devolved Governments. Around those tables, people are not always of the same political party or outlook, but in my experience in the last six months, the spirit has been good and one of co-operation. It has been underpinned by the common understanding that, on an issue such as public protection, the public do not really care about political differences. They expect all of us, whatever our political stripe, to work together for their safety and the common good. That is what we should do.
Red teaming and challenge are important, but they have to be put into context. The right hon. Gentleman mentioned accountability; I said in my statement that accountability for policy and resource allocation decisions ultimately has to rest with the Government. We are all for challenge and all for independent input into that, but at the end of the day, that is where the accountability lies and that is who has to take the resource allocation decisions. We will publish the findings of the pandemic exercise. I want to see inquiries come to conclusions more quickly so that victims of injustices can get justice more quickly.
The final thing I say in response to the right hon. Gentleman is that he is right to say that the future may not be the same as the past; that is why flexibility has to be built into all this.
My right hon. Friend mentioned the need for a new national pandemic planning exercise. After the last one, one of the press reports suggested that a recommendation was for senior Ministers to act quickly if a pandemic hit us. Can he confirm that one of the ways in which improvements will be made in our preparation on his watch will be that senior Ministers will be ready and will make decisions in a timely fashion?
To do right by them, crucially, we must ensure that this is a turning point. It is essential that the new Government take swift and decisive action to prepare for next time. I therefore welcome the Minister’s announcement of a pandemic response exercise this autumn; however, will that be a one-off or are further exercises planned and, if they are, how frequently?
As well as the different, more proactive approach to disease outbreak preparedness that Baroness Hallett cites in her report, we must invest in public health, rather than simply throwing money at crises when they materialise. One of the key findings is that health inequalities and a less healthy population has left the nation less resilient. Does the Minister agree that public health should be a priority and that the public health grant, with a proportion set aside for those experiencing the worst health inequalities to co-produce plans for their communities, would be a step in the right direction?
We need to help more people live more years of their life in good health. When I think back to those covid years, I think of the appalling loneliness and isolation of those in hospital or in care homes. Do the Government agree that patients and care home residents should be given a new legal right to maintain family contact in all health and care settings?
Finally, on resilience forums, will the Minister confirm what funding plans there are in future for resilience forums? I was aware before Christmas that there was some lack of certainty about that—certainly, that is what I was hearing from my own Sussex resilience forum. We cannot risk our country not being ready for the future, and those are important questions.
The hon. Lady asked about the exercise this autumn. I very much hope it will not be the last; the inquiry recommended that they happen on a regular basis. It will be the first for many years and we want to make sure we learn as much from it as possible. In terms of funding for local resilience forums, they play an important role and we were able to put some increased resources into local government in the next financial year. That area, like others, will have to be considered in the round in the spending review that will be published later this year.
What can we learn from other countries about how they have conducted their lessons-learned exercise, in order to make sure that the people watching the proceedings, who lost their loved ones, feel that something has been done, and done in good time? This is by no means the first public inquiry that has taken too long. The right hon. Gentleman is in the great position of not being responsible for setting up the inquiry. Will he set out what he thinks we should learn from failed and lengthy inquiries to make sure we do these urgent lessons-learned exercises much more quickly? The next emergency could strike tomorrow. We do not have time to hang around and have these long, blame-fest inquiries with criminal lawyers asking “gotcha” questions to get headlines.
Another point that was raised in the report, and in the film “The Unequal Pandemic”, was the fact that there was such low awareness around the functions of public health, which were being reinvented at the centre. None of the legislation and regulations on public health protection were known. I have heard that reported back from directors of public health, who went into Cobra meetings where there was a total absence of understanding of basic legislation in this regard. Can my right hon. Friend reassure me on the relationship between the centre and local public health teams, which were decimated because there was such a lack of understanding of public health as a whole, but particularly about their health protection role, and that this issue of reinventing the wheel will not happen again?
As exhaustive as the inquiry’s proposals for things to look at is, to my mind I see a big gap which relates to the decision making of MPs. The inquiry does not seem to cover that. Those of us on the Government Benches—equally, it could be said of those on the Opposition Benches—were often faced with very difficult votes that were expected to go down to the wire and were asked to make very difficult decisions. MPs’ access to independent advice and scientific briefings was nowhere near like it should have been. If the right hon. Gentleman agrees that that is not part of the current inquiry, can he at least accept that it is a task for the Cabinet Office to think how we can better equip MPs with the information they need to make decisions on important votes of that nature?
I want to take this opportunity to pay tribute to the volunteers who stepped up and went out, without any fear for their own health or their lives, to deliver food, to stand on vaccination lines and to help at local food banks. I want to ensure that we in Parliament never forget those names. I pay tribute to them, and I ask the Minister to do the same.
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