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

Akwa Ibom records five monkeypox cases

The Akwa Ibom State Government has raised the alarm over the increasing cases of monkeypox in the state, with five confirmed cases recorded so far.

The government has urged residents to be vigilant as the disease spreads across local government areas.

During an update on Friday, September 6, the state government revealed that out of 30 samples collected for diagnosis, five tested positive. The initial four confirmed cases included three males and one female, aged 2, 4, 12, and 41.

Samuel Etuk, the official in charge of disease surveillance and notification at the state Ministry of Health, confirmed the fifth case and noted that contact tracing efforts are underway while the affected individuals are in isolation.

Etuk provided details at a Media Review Meeting organized by Breakthrough Action Nigeria (BA-N) in collaboration with the State Tuberculosis and Leprosy Control Programme (STBLCP).

He emphasized the importance of community involvement in monitoring the disease, with 10 informants engaged in each of the state’s 368 political wards to report cases to health authorities.

Etuk explained that Mpox can be transmitted from animals to humans (a zoonotic process), as well as through direct or indirect human contact. Transmission can occur through contact with urine, blood, faeces, skin lesions, and oral secretions.

Symptoms of Mpox typically appear after an incubation period of 5 to 21 days and include fever, headaches, swollen lymph nodes, back pain, rashes, and muscle pain. The rashes often start on the face and spread to other parts of the body.

To prevent further spread, residents are advised to avoid contact with sick animals or humans, maintain proper hygiene, and report any suspected cases to health authorities or the Nigeria Centre for Disease Control (NCDC).

Etuk reminded the public that the World Health Organisation (WHO) had declared Mpox a global public health emergency of international concern in August 2024, signaling the need for heightened awareness and preventive measures.

Health

FG to establish blood collection centres in 774 LGAs

The Federal Government has announced plans to establish Blood Collection Centres in all 774 local government areas, including the FCT, to ensure availability of blood during medical emergencies and transfusions.

Abdullahi Haruna, Head, Media and Publicity, National Blood Service Agency (NBSA), made this known in a statement on Saturday in Abuja.

The statement quoted Prof. Saleh Yuguda, the Director-General, NBSA, as reiterating government’s commitment towards addressing blood shortages in the country as the initiative would save lives.

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“We are working tirelessly to ensure that blood needs are adequately addressed, and this initiative is a significant step towards achieving that goal.

“NBSA has partnered with the Nigerian Security and Civil Defence Corps (NSCDC) to establish a formidable blood bank at the Corp’s medical facility.

“This collaboration aims to mitigate blood shortages during medical emergencies and provide critical support to sister security agencies,” he said.

He explained that to kickstart the blood collection project, the FCT will host strategic blood collection facilities in easily accessible locations.

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“This move is expected to increase blood donation rates and ensure a steady supply of blood for medical purposes.

“The establishment of blood collection centers across Nigeria is a testament to the government’s commitment to improving the country’s healthcare system.

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“As the project rolls out, Nigerians should expect improved access to blood transfusions and better health outcomes,” he said.

The statement also disclosed that the Deputy Commandant Emeka Okeke of the NSCDC said: “this initiative will play a vital role in addressing blood shortages and saving lives.”

Health

WHO sets targets to end Mpox outbreaks in Africa

The World Health Organisation, WHO, has set a target of halting mpox outbreaks in Africa within the next six months.

This announcement came as the first vaccine shipments are expected to arrive in the Democratic Republic of Congo, DRC, in the coming days.

Africa, particularly the DRC, with over 18,000 suspected cases and 629 deaths, has received only a fraction of the vaccines to combat the virus.

At a press briefing on Monday, September 2, WHO Director-General, Dr Tedros Adhanom Ghebreyesus expressed confidence in ending the outbreaks, citing strong government leadership and collaborative partnerships.

In August, WHO declared mpox outbreaks a global emergency to spur a more robust international response even though a new strain of mpox known as clade1b, has been identified in many countries, including Burundi, Cameroon, Rwanda, and Kenya.

The potentially more contagious variant of the virus was detected in Congo in May, prompting heightened concerns among health officials.

WHO estimates that approximately 230,000 vaccines could soon be sent to Congo and other affected countries. The WHO is also implementing educational campaigns to inform people in outbreak areas about preventing the spread of the disease.

Africa’s Centers for Disease Control and Prevention has said it aims to receive 380,000 vaccine doses from donors, including the US and the EU, which falls short of the quantity required to eradicate the outbreaks.