The initial report from the public inquiry led by Baroness Heather Hallett has identified data issues that hampered pandemic response, with future emergencies likely to require ‘large scale digital platforms’
The UK’s response to any future major ongoing emergencies will require the deployment of national digital platforms to undertake massive “surveillance” programmes, according to the initial report published by the Covid-19 public inquiry.
The inquiry, which has been led by Baroness Heather Hallett, concluded that the use of these overarching platforms requires an urgent public dialogue with citizens – who need to give their consent.
Referring to evidence given by the UK’s chief medical officer Chris Whitty – who said data is “absolutely essential” in emergency response – the inquiry’s module 1 report found that “data systems have to be in place in advance of the pandemic”.
“They have to be automated and integrated, to provide insights that can be acted upon within the required timeframe,” the document added. “Any future strategy for whole-system civil emergencies, including for pandemics, will need to be based upon the establishment of ‘large-scale digital platforms’. There will need to be, in the case of a pandemic, ‘a digital platform enabling contact management, rapid epidemiological data reporting’ and “surveillance mechanisms” to capture and understand the epidemiology of the pathogen. These will all require public debate and, ultimately, consent. It is important that this conversation commences now.”
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The inquiry acknowledges that “there are limits to what can be done with data in advance of a civil emergency”, but that further steps ought to be taken ensure the foundations are in place so that “there is a reliable feed of live data for decision-makers from the very earliest moments of a crisis, [as] this will enable those decision-makers to have a firmer grip as events unfold”.
The report noted that, currently, there are four different data systems underpinning healthcare delivery in each of the four nations of the United Kingdom. This lack of cohesion proved a challenge in responding to the coronavirus crisis.
“This means that, despite England, Wales, Scotland and Northern Ireland being at risk of the same health emergency, the data and health systems were so different that they were a barrier to effective preparedness,” the report added.
The inquiry’s wider findings including criticism of “groupthink” among officials, ministers and sector experts, which hampered Covid response. Other issues identified by the report include a failure to treat the early stages of the pandemic as a “whole-system” emergency – a challenge that Hallett recommends could be address by the creation of a single, independent statutory body responsible for overseeing national emergency preparedness.
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