NHS Test and Trace has failed to achieve its “main objective” of helping break chains of COVID transmission and allowing people to return to normality despite being given an “eye-watering” amount of money, a highly-critical report from MPs has said.
According to the Public Accounts Committee (PAC), the programme’s outcomes have been “muddled” and a number of its goals have been “overstated or not achieved”.
Test and Trace was developed at the beginning of the COVID-19 pandemic to test the public and trace the contacts of positive coronavirus cases.
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March – MPs: ‘No clear evidence’ Test and Trace works
But its performance has been criticised in the past, including by the PAC.
The MPs said in an initial report in March that despite having access to “unimaginable resources”, Test and Trace could not produce “clear evidence” it had reduced the spread of the virus.
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Since the virus emerged, Test and Trace has been given £37bn – a sum equivalent to 20% of the entire annual budget of the NHS.
This is a particular focus of the committee’s second report into Test and Trace, with the MPs saying that the programme’s “continued over-reliance on consultants is likely to cost taxpayers hundreds of millions of pounds”.
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The report says Test and Trace has failed to reduce its reliance on expensive contractors, who are paid an average of £1,100 per day.
The MPs also bemoan the fact that there is yet to be a “flexible” approach to using laboratories, something that “risks wasting public money”.
According to the committee, Test and Trace has been focused on getting programmes up and running and “paid less attention to ensuring these programmes delivered the benefits they promised”.
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March: Minister says pandemic would have been ‘one heck of a lot worse’ without Test and Trace
Uptake of its services is described in the report as “variable” and “only a minority of people experiencing COVID-19 symptoms get a test”, with some vulnerable people much less likely to take a COVID test than others.
Test and Trace is due to be moved into the new UK Health Security Agency, a development the MPs say should be used to set out a proper long-term strategy” for the programme.
Dame Meg Hillier, chair of the committee, said: “The national Test and Trace programme was allocated eye-watering sums of taxpayers’ money in the midst of a global health and economic crisis.
“It set out bold ambitions but has failed to achieve them despite the vast sums thrown at it.
“Only 14% of 691 million lateral flow tests sent out had results reported, and who knows how many took the necessary action based on the results they got, or how many were never used.
“The continued reliance on the over-priced consultants who ‘delivered’ this state of affairs will by itself cost the taxpayer hundreds of millions of pounds.
“For this huge amount of money we need to see a legacy system ready to deliver when needed but it’s just not clear what there will be to show in the long term.
“This legacy has to be a focus for the government if we are to see any value for the money spent.”
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February: Serco boss defends role in Test and Trace rollout
Dr Jenny Harries, chief executive of the UK Health Security Agency, said Test and Trace had “played an essential role in combating this pandemic”.
“As the Public Accounts Committee acknowledges, there have been improvements in testing capacity, turnaround times and speed and reach of contact tracing – and improved collaboration with local authorities,” she said.
“The fact is NHSTT is saving lives every single day and helping us fight COVID-19 by breaking chains of transmission and spotting outbreaks wherever they exist.
“More than 323 million tests have now been carried out across the UK. NHSTT has now contacted more than 19.9 million people, helping to slow the spread of the virus.
“Testing, contact tracing and the wall of defence built by our vaccination programme are all fundamental to our ongoing efforts to keep people safe as we return to a more normal way of life.”
A government spokesperson said: “We have rightly drawn on the extensive expertise of a number of public and private sector partners who have been invaluable in helping us tackle the virus.
“We have built a testing network from scratch that can process millions of tests a day – more than any European country – providing a free LFD or PCR test to anybody who needs one.
“The new UK Health Security Agency will consolidate the knowledge that now exists across our health system to help us tackle future pandemics and threats.”
The moment we step into Willow Rise, the smell of damp is overpowering.
There are water stains across the carpet and rotten wood on the doors.
Around the corner, there’s a hole in the wall, barely patched up with a piece of polystyrene sheet.
We’re meeting a resident on the 13th floor of the building in Kirkby, Merseyside – but the lifts are broken and wires hang out of the service panel.
Like everyone living here, we will have to walk.
The disrepair in this block is everywhere you look.
Image: Damp staining and ceiling damage around the block
It has now been deemed so unsafe by Merseyside Fire and Rescue Service that they are days away from serving a rare prohibition notice on this tower and its neighbour, Beech Rise, meaning residents will have to leave with immediate effect.
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In total, 160 households here face instant homelessness.
After climbing 13 flights of stairs, we meet Chris Penfold-Ivany.
‘A catastrophic scandal’
He has terminal cancer, and after chemotherapy and a liver transplant, that climb is now the only way he can get up to his flat.
Image: Chris Penfold-Ivany warns ‘this is another Grenfell in the making’
He tells us it’s making him breathless. He can no longer get his prescriptions delivered, as the drivers won’t come up all the stairs.
“It’s a catastrophic scandal that we have been left like this,” he says.
He has lived in this flat for 15 years and has watched the block slowly begin to fall apart over the last decade.
He tells us that numerous complaints have achieved nothing. “I’m going to say it,” he says, “this is another Grenfell in the making.”
‘Nobody can live like this‘
A few floors down, Arunee Leerasiri opens the door to us, in floods of tears.
The stress of the last few weeks has left her anxious and overwhelmed. There are boxes everywhere, bare hooks on the walls where pictures hung.
She is packing up her life just three years after putting her life savings into buying this flat.
Image: Arunee Leerasiri says she doesn’t even recognise her flat as her home anymore
Her elderly mother has come to visit, but she had to hire removal men already to take her mattress into storage as she couldn’t manage without the lifts.
Tonight, and until they are told they must leave, they will sleep on the floor.
“I can’t eat, I can’t sleep,” she tells us, through tears. “Sometimes, if I’m honest, I can’t even think. This used to be my home, and now I look around and I don’t even recognise it.”
“Nobody can live like this,” she adds.
‘Danger, 415 volts’
Image: Water damage around electrical equipment, including a ‘Danger high voltage’ labelled box
She shows us a video she filmed just a few weeks ago, of one of the electrical risers on the ground floor.
None of us can quite believe what we are seeing – water is pouring through the ceiling, directly on to fuse boxes and electrical wiring.
Arunee takes us down to show us the cupboard. The water has now stopped but there are damp stains all over the floor and around the electrical equipment.
The water pipes and electric boxes are just inches away from one another within the cupboard.
One of the boxes, marked ‘Danger, 415 volts’, is rusted through.
Next to it, there is a notice stuck to a resident’s door telling them a leak has been identified in their flat – and as a leaseholder, they will be responsible for paying to fix it.
“Tell me, how is this safe?” Arunee says. “Why is this building allowed to be open for the public, as a dwelling, with this kind of set-up?”
Image: A hole in a wall patched up with polystyrene
Hidden owners and a plea to the government
Merseyside Fire and Rescue tell us they have been serving enforcement notices on the building managers for years, to no avail.
They have now been told there is no money for the millions of pounds worth of repairs that will be needed to bring the blocks up to a safe standard.
They have mandated a ‘waking watch’, where teams physically patrol the buildings daily to check for fire risks, without which they will serve the prohibition notice and tell residents they must leave straight away.
Knowsley Council has stepped in to pay for this temporarily – at a cost of £3,000 per day.
Their deputy leader tells us, though, that the money will soon run out.
Image: Willow Rise and Beech Rise Towers in Merseyside have both been condemned by the fire service
Where to go?
With a complex management structure and several owners, managers and agents over the years, the council says it doesn’t even know who is to blame for the disrepair – or who even has the legal responsibility for maintaining the buildings.
It says discussions are ongoing with central government about whether any extra help – or money – can be provided to try to fix the mess.
Right now though, all the residents can do is wait.
With no date to leave and no idea if anything can be done to keep the buildings open, they are spending every day fearing the call to tell them they have to go.
They can only hope there will be somewhere for them if they do.
Reform UK chairman Zia Yusuf has reversed his decision to quit the party, saying “the mission is too important” and that he “cannot let people down”.
Instead, he said he will return in a new role, heading up an Elon Musk-inspired “UK DOGE” team.
In a statement, he said: “Over the last 24 hours I have received a huge number of lovely and heartfelt messages from people who have expressed their dismay at my resignation, urging me to reconsider.”
He added: “I know the mission is too important and I cannot let people down.
“So, I will be continuing my work with Reform, my commitment redoubled.”
Mr Yusuf said he would be returning in a new role, seemingly focusing on cuts and efficiency within government.
He said he would “fight for taxpayers”.
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Mr Yusuf’s initial decision to quit came after he publicly distanced himself from the party’s new MP, Sarah Pochin, when she asked Sir Keir Starmer about banning the burka at Prime Minister’s Questions.
Reform said a ban was not party policy – and the chairman called it a “dumb” thing to ask.
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DOGE is a meme-coin inspired creation of Musk’s, standing for the Department of Government Efficiency.
It is the latest right-wing US import into British politics.
Before his public fallout with Donald Trump, the tech billionaire said his focus was saving taxpayers’ money by locating wasteful spending within government and cutting it.
However, opposition politicians questioned the impact of his efforts and how much he actually saved.
Musk initially had ambitions to slash government spending by $2trn (£1.5trn) – but this was dramatically reduced to $1trn (£750bn) and then to just $150bn (£111bn).
A body has been found in the search for a missing Colombian woman from east London.
Yajaira Castro Mendez was reported missing to police on 31 May after she left her home in Ilford on the morning of 29 May.
A man known to her appeared in court on Friday charged with the 46-year-old’s murder.
Her body was found during searches in the Bolderwood area of Hampshire on Saturday.
Her family has been informed of the discovery, but formal identification has yet to be made.
Detective Inspector Jay Gregory, who is leading the investigation, said: “This is a very sad development in the investigation and are thoughts are very much with Yajaira’s family and friends at this incredibly difficult time.
“We continue to appeal to anyone with information that could assist the investigation to please come forward.”