It cannot be denied that Britain could have done better in responding to Covid-19, so it may seem surprising that in a study into preparedness for just such an outbreak the country was ranked number two in the world for its readiness to cope. Number one was the USA, which handled the crisis even more poorly. Germany was significantly lower down the list and yet did far better in containing the disease, although, now that it has loosened restrictions, reports indicate the situation there is worsening.
Of course, luck has played some part. Germany and Italy responded in a similar way, but the German outbreak began amongst young people returning from skiing holidays and was fairly localised, making it far easier for the country to contain the spread, compared to Italy’s outbreak, which began in a region with an elderly population with a high number of smokers, which meant the disease spread quickly and in a more deadly manner, overwhelming the local health services.
But, why did Britain and America, at the top of the list, perform so badly? The answer is simple: Complacency. Because they were confident – overconfident – in their ability to cope and the initial outbreak wasn’t as deadly as a pandemic could be and China seemed to be containing it, the authorities dragged their feet, wary of damaging the economy or causing panic due to an aggressive reaction that might prove unnecessary.
Unfortunately, although Covid-19 isn’t that devastating, the lack of a swift response has seen it cause more deaths than it needed to. Of course, multiple countries, especially China, are to blame. The 2002-04 SARS outbreak provided a clear template on how to handle such a potential pandemic and quash it before it got going – indeed, the experts literally wrote the book on what to do in the aftermath of SARS – yet, the lessons were forgotten or ignored in favour of expediency and nobody in charge in China, the WHO, the USA, UK or elsewhere reacted as they should, transforming what might have been a historical footnote into an outbreak that has severely impacted people around the world.
But, whilst it is Boris Johnson and his government who take the flak here in the UK, it is the civil service, NHS managers, procurement managers and the like who must take the bulk of the blame. Not only is the government reliant upon the information its subordinants pass up to them and the advice they receive from experts in their departments, but they also rely on those same people to carry out their agenda. Some experts might genuinely be able to say they weren’t listened to when they were warning about the danger, but there wasn’t a clear consensus on how dangerous Covid-19 would be and how to respond (thanks to ignorance of post-SARS planning) and, indeed, the issue was clouded by the pros and cons of different approaches – one based upon testing and tracking like Germany would have been better than wholesale lockdown and aiming for herd immunity, but, given that testing still hasn’t been properly organised in the UK, it’s clear the idea was abandoned because it was impossible to put in place, a failure that clearly falls upon the lower levels of management that were actually supposed to be implementing it.
Likewise, lockdown should have occurred earlier and been better prepared for, but not only did the government need to weigh up its options between that and the economic impact (and witness all the whining and arguments now!), but even the medical experts were pointing out the dangers of lockdown, both in direct medical terms of restricting access to medicine for people with other illnesses and the problems of ensuring vulnerable people received food and care, and in terms of the economic impact, which could affect the provison of health and social care longterm.
Then, we have the fact that civil servants have been directly implicated in not providing information to the government when it came to EU plans to pool resources to produce PPE. The government was (falsely) accused of putting Brexit before lives when, it has been revealed, the civil servants who attended the EU meetings showed no interest in being involved (doubtless due to the complacency the British authorities felt) and failed to inform the government of what was on offer. (Of course, it should also be noted that the EU PPE project has, so far, failed to actually produce any PPE for member states, so Britain hasn’t actually missed out, and co-operation between member states – such as the aid given to Italy by Germany, or the provision of German ventilators to Britain – has occured nonetheless.)
Of course, whilst the bulk of the blame can be laid at the civil servants and managers who have, unsurprisingly to anyone who is aware of Whitehall’s failings, not done their jobs properly, that doesn’t entirely absolve the government of blame. Ministers could have been more decisive, even in the light of conflicting evidence – after all, the lockdown could have been lifted if it wasn’t effective, but delaying its implementation caused deaths – and they should have been more proactive in policing their civil servants when it became clear they weren’t providing accurate information or properly implementing policy. And, even if bad advice, understaffing or incompetence may have played a role, there is absolutely no excuse for the fact that planes are still landing from countries with high infection rates without testing or quarantining taking place.
Yes, the government will have questions to answer about the shortcomings of its response to the outbreak, but any investigation into the failings must go much deeper than the ministers and must result in more than resignations or dismissals of ministers or top civil servants. There needs to be a fundamental restructuring of the departments responsible for keeping us safe and an end to the slackness and complacency, because complacency kills. Literally.