Leicester lockdown exposes lack of local Covid testing data
Health secretary vows to publish more information but UK’s nations and regions fear they are not seeing the full picture
John Burn-Murdoch, Sarah Neville and Laura Hughes in London and Andy Bounds in Manchester 3 HOURS AGO
Daily coronavirus case numbers for the UK’s cities and regions contain only a fraction of the real total in those areas, according to data analysis by the Financial Times, hampering local authorities’ ability to control localised outbreaks of the virus.
Although the government publishes the total UK-wide figure for Covid-19 cases every day — including positive tests collected in hospitals and those processed at home and in commercial laboratories — at a subnational level the total of new daily cases contains only the number of positive tests recorded in hospitals.
Public Health England does publish a weekly breakdown of the two categories of tests results while the Welsh government publishes both pillar 1 (hospitals) and pillar 2 (commercial labs and home tests) data on a daily basis.
But, while PHE releases full data for nine of England’s main regions such as Yorkshire & the Humber with a two-week delay, hundreds of local authorities in the rest of the country are unable to see a timely picture of what is happening in their communities or compare that with other cities and regions of the UK.
Chart showing that Pillar 2 tests account for an ever-growing share of new confirmed cases of Covid-19 in England
This gap in the subnational and regional data has been cited by local political leaders and health officials in Leicester as one of the reasons for the delay in locking down the east Midlands city.
“For weeks we have been trying to get information about the level of testing in the city and the results of that testing in the city,” Peter Soulsby, mayor of Leicester, told the BBC on Tuesday.
According to published data for Leicester, the city recorded just 80 new positive tests between June 13-26. But, in announcing the decision to tighten the lockdown in Leicester, closing non-essential shops and ordering schools to shut to all non-key worker pupils by Thursday, health secretary Matt Hancock revealed that there were in fact 944.
Leicester city council’s public health department only received those figures last Thursday. They could not compare with places elsewhere because those pillar 2 figures are only made available to local officials in their own local authority area provided they have signed the Data Protection Act.
“I would wish that they had shared that [data] with us right from the start,” said Sir Peter. “And I wish they had taken a more speedy decision rather than leaving it 11 days. That's a long gap and a long time for the virus to spread.”
Chart showing that Leicester’s new outbreak is visible only in Pillar 2 data, which the government does not make public
A Public Health England official, who declined to be named, said non-publication was a ministerial decision. “The Department for Health and Social Care need to make the decision to publish — and they should — but we can’t push them because we are their arms-length body.”
The issues go beyond availability of the data: its quality and the speed with which it is disseminated, too, leave much to be desired, say public health leaders.
Kate Ardern, who leads health protection and emergency planning for Greater Manchester, said the information being sent to local authorities from tests conducted under pillar two lacked the granularity or timeliness needed to pre-empt an outbreak.
For the past two months she and colleagues had been making their concerns known to officials and ministers, she said.
“If I don't know who is being tested, and getting positive tests, in the community because one of the major elements of the testing system isn't currently sending me complete and reliable intelligence . . . it actually hampers our ability to get ahead of the curve on outbreak management,” said Ms Ardern.
Chart showing that the issue is especially acute in Yorkshire & the Humber and the East Midlands, where new upticks are only visible in pillar 2 data
The government stresses that more information has been given to local public health officials this month.
Since June 11, NHS Digital had made available an operational data dashboard with counts of total tests, total positives and total voids per local authority to Directors of Public Health.
The DHSC said: “We have been working closely with our local partners, providing them with the resources and tools so that they can take swift action to deal with any new local spikes in infections.”