Health

NHS test and trace ‘failed its main objective’, says spending watchdog

The government’s flagship test and trace system has failed to achieve “its main objective” to cut infection levels and help Britain return to normal despite being handed an “eye-watering” £37bn in taxpayers’ cash, the Commons spending watchdog has warned.

NHS test and trace was set up in May last year as the UK emerged from the first lockdown. It was led by Dido Harding, a Conservative peer and businesswoman who previously worked for Tesco and TalkTalk. She was appointed by the then health secretary, Matt Hancock, who praised her “brilliant” work on the pandemic.

In a damning report, the public accounts committee concluded that NHS test and trace “has not achieved its main objective to help break chains of Covid-19 transmission and enable people to return towards a more normal way of life” despite receiving about 20% of the NHS’s entire annual budget – £37 bn – over two years.

Instead, the report said, since the end of October 2020 “the country has had two more national lockdowns and case numbers have risen dramatically”. At the time of its launch, Boris Johnson claimed NHS test and trace would be “world-beating”. However, the 26-page report found that its aims had been “overstated or not achieved”.

The timing of the report’s conclusions is hugely embarrassing for the government as it continues to resist introducing measures to stem the rise in Covid cases. NHS test and trace is a key pillar of its “plan A” approach to autumn and winter, which ministers say is sufficient to avoid a crisis.

Even now, uptake of NHS test and trace is still “variable” as some vulnerable people are much less likely to take a test than others, the report says. Urgent improvements are needed in public outreach, with more than 60% of people who experience Covid-19 symptoms reporting that they have not been tested, and certain groups, such as older people, men, and some ethnic minorities, less likely to engage with the service.

The programme is also “still not flexible enough to meet changing demand and risks wasting public money”, the report adds. MPs on the cross-party committee warned that NHS test and trace desperately needs a “proper long-term strategy”.

The report also criticised the handling of the cash awarded to NHS test and trace. It said the programme has still not managed to cut the number of expensive contractors paid an average of £1,100 a day. Some have been paid rates of more than £6,000 a day.

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 691m 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.”

Dr Simon Clarke, associate professor in cellular microbiology at the University of Reading, said the MPs’ report exposed “a great many shortcomings in the NHS test and trace service”.

“Harding previously boasted that the operation was [the] size of Tesco, without conceding that the supermarket chain actually works,” he said. “Greater attention seems to have been paid to headline-grabbing initiatives to build up the system than to ensuring it actually did its job.”

He added: “Failure to cut infections could mean that we suffered more sickness and death, and longer time spent living under restrictions than would otherwise have been the case.”

Michael Hopkins, professor of innovation management at the University of Sussex business school, warned that the report “comes at a crucial time, with Covid cases and scepticism of NHS test and trace both rising”.

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 (lateral flow device) 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.”

Health

NCDC records 832 Lassa fever, Mpox cases, 135 deaths

The Nigeria Centre for Disease Control and Prevention (NCDC) has confirmed the country has recorded 832 confirmed cases of Lassa fever and Mpox.

Speaking during a press briefing on Friday in Abuja, the agency’s Director General, Dr. Jide Idris, revealed that 132 fatalities were recorded from Lassa fever and three from Mpox.

While acknowledging a recent decline in Lassa fever infections during epidemiological week 16 (ending April 20, 2025), he warned that the overall risk remains high, particularly in endemic regions.

“Cumulatively, as of week 16, Nigeria has reported 4,253 suspected cases of Lassa fever, 696 confirmed cases, and 132 deaths, resulting in a case fatality rate of 19.0 percent,” he stated.

Dr. Idris attributed recent improvements to intensified surveillance, treatment efforts, and enhanced community engagement. He emphasized, however, the continued need for vigilance and collaboration to sustain progress.

Regarding Mpox, the NCDC boss disclosed that three deaths have been recorded in 2025—two in Abia and Ebonyi States in week 10, and one recently in Rivers State involving a patient co-infected with HIV and tuberculosis. As of week 16, 723 suspected cases and 136 laboratory-confirmed cases of Mpox have been reported across 35 states and the Federal Capital Territory (FCT). The national case fatality rate currently stands at 2.2 per cent.

“The epidemic curve reveals multiple peaks in Mpox cases, indicating ongoing transmission. While most states have reported suspected cases, confirmed infections are heavily concentrated in Nigeria’s southern and central regions,” Dr. Idris noted.

To address these outbreaks, the NCDC has activated its Emergency Operations Centre (EOC), deployed National Rapid Response Teams to affected states, and prepositioned essential medical supplies, including personal protective equipment and laboratory consumables. Five additional Mpox diagnostic laboratories have also been optimized in Bauchi, Kano, Cross River, Rivers, and Enugu States.

“Healthcare workers are undergoing specialized training in infection prevention, case management, and cerebrospinal meningitis (CSM) care. Community outreach is being reinforced through public awareness campaigns, media engagement, and targeted health communication strategies,” he added.

On cerebrospinal meningitis, Dr. Idris reported a consistent decline in new cases and fatalities over the last three weeks.

He attributed the improvement to effective vaccination, early treatment, and adaptive surveillance strategies tailored to real-time data.

“Although the situation remains serious, strong national and state-level coordination is showing positive results. The response will continue until full containment is achieved and states take full ownership of the CSM Incident Action Plan,” he said.

Dr. Idris also expressed concern about the rising Mpox trend since its reemergence in 2017, with significant spikes recorded between 2022 and 2024, positioning Nigeria among the most affected countries globally. He warned that underreporting and delayed data entry remain challenges that need urgent resolution to ensure accurate and timely outbreak response.

A national mortality review for the recent Mpox deaths is being planned to further assess response effectiveness and identify areas for improvement.

The NCDC reaffirmed its commitment to safeguarding public health through timely surveillance, transparent reporting, and coordinated national response mechanisms aimed at reducing disease burden and preventing future outbreaks.

Health

Only 89 doctors left in Kwara Govt hospitals amid ‘Japa’ crisis – Health Board

The Executive Secretary of the Kwara State Hospital Management Board, Abdulrahman Malik, disclosed that there is an acute shortage of medical doctors in the state-owned hospitals.

Speaking at the state interministerial press briefing for the first quarter of 2025 on Tuesday, April 29, Malik said that due to the ‘Japa’ syndrome, doctors do not want to take up appointments with the state government, even when the government is ready to recruit them.

He lamented that while between 180 and 200 doctors are required in the government service, only 89 of them are available in the service.

He said the number of available doctors only recently became 89 from 86 when three who had left the service returned after the government introduced a new and improved salary for the doctors’ services.

The hospital board’s boss said the government had been trying to attract doctors to the state service with improved salaries and facilities that could encourage them to stay, especially in the rural areas where many of them do not want to go.

He also disclosed that the government has introduced an intern nurses programme for the training of nurses who would replace many nurses who had left the service for abroad.

“The mass exodus of health professionals is severely affecting our capacity to provide adequate care,” the official said.

“Gov. AbdulRahman AbdulRazaq has approved an upgrade in the salaries of our doctors to match federal pay in a bid to retain the few we have left.

“The revised salary structure has led to the return of three doctors who had previously resigned, bringing the total number on the state’s payroll to 89.

“However, the figure still falls short of the estimated 180 to 200 physicians needed to serve the state’s population effectively.

“Nigeria’s doctor-to-patient ratio is currently estimated at one doctor to over 5,000 patients, far below the World Health Organisation’s (WHO) recommended one doctor to 600 patients.”

Health

Wike approves recruitment of 34 resident doctors for FCT hospitals

The Minister of the Federal Capital Territory (FCT), Mr Nyesom Wike, has approved the recruitment of 34 resident doctors for a seven-year residency training to enhance health-care delivery in FCT.

Mr Lere Olayinka, Senior Special Assistant to the minister on Public Communications and Social Media, made this known in a statement in Abuja on Wednesday.

Olayinka explained that the 34 doctors would be the first batch of 60 medical doctors approved for residency training in eight specialities in FCT Administration hospitals.

He said that five out of the 34 doctors would work in the psychiatric department, four in internal medicine and one in general surgery.

Others, he said would comprise one in anesthesiology, eight in family medicine, six in ophthalmology and nine in obstetrics and gynaecology.

“This is the first time this is being done outside employees of the Health Management Board, thereby, giving doctors more opportunity and bringing more competent hands into healthcare delivery in the FCT,” he said.

The spokesman added that the remaining 26 doctors would be recruited in due course by the FCTA Civil Service Commission.

He said that the 26 doctors would comprise one for psychiatry department, four for internal medicine, eight for general surgery, five in anesthesiology, and eight paediatrics.