Government AXE PHE and replace it with new institute run by former jockey Baroness Dido Harding

Public Health England was axed today after a series of failings during the coronavirus crisis – but the woman to be handed the reigns of its replacement is a Tory peer with no scientific background whose husband called for PHE to be abolished.

Questions are being raised over the appointment of Baroness Dido Harding as interim chief of the new National Institute for Health Protection despite her recent track record in charge of the government’s disastrous Test and Trace scheme.

Harding, who was made a peer by David Cameron and used to run mobile company Talk Talk, oversaw the catastrophic launch of the government’s contact tracing app that was delayed for months amid bungles over technology.

Health Secretary Matt Hancock is expected to announce the 52-year-old’s appointment in a speech later today, when he will officially confirm the axing of PHE.

The beleaguered Government agency has been blamed for a litany of errors in the UK’s Covid-19 response, including miscounting thousands of virus deaths and failing to ramp up testing capacity quick enough.

Local public health directors have also criticised PHE for refusing to share regional infection data, with one describing the body as ‘an obstructive pain in the a**’ on the Radio 4 Today programme this morning.

Among PHE’s failings are: 

  • Miscounting at least 5,000 Covid-19 deaths due to a statistical flaw;
  • Scrapping widespread testing and contact tracing early in the crisis;
  • Refusing to share regional infection data with local public health officials;
  • Ignoring offers from universities and scientific labs to help scale up testing.

Baroness Dido Harding, a former Talk Talk chief executive and head of the NHS ‘s disastrous Test and Trace scheme, is tipped to take up the mantle at the new National Institute for Health Protection

Baroness Dido Harding and Health Secretary Matt Hancock at a Downing Street briefing

Baroness Dido Harding and Health Secretary Matt Hancock at a Downing Street briefing

Baroness Harding is a former horse jockey who had been on the board at Cheltenham

Baroness Harding is a former horse jockey who had been on the board at Cheltenham

Duncan Selbie is the current chief executive of PHE. It's unclear how many of his staff will be retained when it merges to become the new National Institute for Health Protection

Duncan Selbie is the current chief executive of PHE. It’s unclear how many of his staff will be retained when it merges to become the new National Institute for Health Protection

Independent experts have questioned the decision to appoint Baroness Harding rather than a scientist, with one saying the move made as ‘much sense as Chris Whitty [England’s chief medical officer] being appointed a head of Vodafone’.

Baroness Harding was CEO of Talk Talk when the telecoms firm suffered one of the worst data breaches in the UK and hackers stole personal data from 157,000 customers.

WHAT HAS PUBLIC HEALTH ENGLAND COME UNDER FIRE FOR? 

Public Health England has come under fire for the way it has handled the UK’s coronavirus testing system, for which it was responsible at the start of the Covid-19 crisis.

Its directors have tried to divert blame, explaining that major decisions are taken by Government ministers in the Department of Health, but the body has been accused of being controlling.

These are some of the mis-steps for which PHE has been blamed:

Stopping mass testing and tracing

On March 12 the Government announced it would no longer test everybody who was thought to have coronavirus, and it would stop tracking the contacts of the majority of cases to try and stop the spread of the disease.

As a result, Britain effectively stopped tracking the virus and it was allowed to spiral out of control.

Conservative MP David Davis said that was ‘precisely the wrong thing to do’.

Professor Yvonne Doyle, PHE’s medical director, told MPs in May: ‘It was a decision that was come to because of the sheer scale of cases in the UK.’

She added: ‘We knew that if this epidemic continued to increase we would certainly need more capacity.’

PHE said: ‘Widespread contact tracing was stopped because increased community transmission meant it was no longer the most useful strategy.’

Lack of contact tracing capacity

Papers published by Government scientists on SAGE revealed that PHE only had the capacity to cope with five new cases a week on February 18.

Only nine cases had been diagnosed at the time.

PHE experts said modelling suggested capacity could increased ten-fold to 50 new cases a week — allowing them to contact 8,000 people a day.

SAGE said: ‘When there is sustained transmission in the UK, contact tracing will no longer be useful.’

Britain’s cases jumped started to jump by 50 each day at the beginning of March.

Pledged antibody tests in March

PHE’s Professor Sharon Peacock said on March 25 that the UK was on course to have antibody tests available to the public that month.

She confirmed the Government had bought 3.5million of the tests and was evaluating their quality.

They could be available to the public ‘within days’, she said at a Downing Street briefing.

Three months later, however, and they are still not a reality. Officials have since decided there are no tests good enough available, and there is no proof that the results will be of any use to the public.

Testing efforts slowed by ‘centralised’ lab approach

Scientists in private labs, universities and research institutes across the country said in April that their offers to help with coronavirus testing had fallen on deaf ears.

Only eight PHE laboratories and some in NHS hospitals were being used to analyse tests during the start of the crisis.

‘Little ship’ labs had tools to process tests and could have increased testing capacity rapidly if officials had agreed to work with them, they said.

But it took Britain until the end of April to manage more than 100,000 tests in a day. Germany had been managing the feat for weeks by utilising private laboratories. 

PHE says it did not ‘constrain or seek to control any laboratory either public, university or commercial from conducting testing for Covid-19’.

It claimed that it requested officials changed testing methods in January to allow for any testing facility to conduct diagnostic tests.

She has also been spearheading the failing NHS Test and Trace system, which is still struggling to find 50 per cent of Covid-19 patients’ close contacts, who are most at risk of being infected.

It emerged today that her husband, Tory MP John Penrose, is also board member of the think tank ‘182’  which has published several reports calling for PHE to be abolished.  

Professor Paul Hunter, professor in medicine at the University of East Anglia, told the Telegraph: ‘The organisational culture needed for effective science is not the same as that needed for state bureaucracies nor that needed for commercial organisations.

‘In this regard it is notable that the president of the RKI is a highly rated scientist himself.

‘So if we do have a to have a new health protection organisation, please this be adequately funded, please can this be science-focussed and please can this be science-led.’ 

Baroness Harding led telecoms giant TalkTalk when it suffered a massive cyber attack in October 2015 when hackers accessed 157,000 customers’ details, including bank account numbers.

The Information Commissioner’s Office fined it £400,000 over the breach, which ultimately cost the company an estimated £77 million.

The ICO issued TalkTalk with a record fine in 2016 for security failings that it said had allowed customers’ data including some 15,656 bank account numbers to be accessed ‘with ease’.

Baroness Harding is currently chairman of NHS Improvement and has held senior roles at Tesco and Sainsbury’s during her career.

She was appointed to the Sainsbury’s operating board in March 2008 after a stint at Tesco where she held a variety of senior roles both in the UK and international businesses.

Her retail experience was boosted by her time working at Kingfisher plc and Thomas Cook Limited.

She has also served on the board of the British Land Company plc and is a trustee of Doteveryone. Baroness Harding is also a member of the UK National Holocaust Foundation Board.

She became a peer in August 2014 and has sat on the Economic Affairs Committee of the Lords since July 2017.

Her husband is the Conservative MP for Weston-super-Mare John Penrose and she is a mother-of-two.

Away from the worlds of politics and business, she is a jockey and racehorse owner who has served on the board of Cheltenham Racecourse.

Labour MP for Sefton Central, Bill Esterson, savaged the appointment of Harding today.

He said: ‘Dido Harding is a Tory peer and ran the discredited, centralised test and trace [programme].

‘She has been appointed to run the body which will replace Public Health England (PHE).

‘Her husband, Tory MP John Penrose is a board member of a think tank which called for PHE to be abolished. Join the dots!’

Mr Penrose – MP for Weston-Super-Mare – is on the board of advisers for think tank 1828, which describes itself as a neoliberal platform founded to champion freedom.

It has published articles which have been critical of PHE, including one which declared ‘We need to think very carefully about whether Public Health England should even have a future.’

The think-piece earlier accused the health body of having ‘decided that their control of testing is more acceptable than any outside assistance, regardless of the very human consequences’. 

Another story is entitled ‘Let’s take back control from Public Health England’.

It brands them ‘joyless nanny-statists’ before stating ‘This incessant control freakery from PHE is also bad news for businesses’. 

None of the pieces are authored by Mr Penrose and he has previously said he does not agree with all their articles.

He said in July: ‘I have written a couple of pieces for 1828 and I was asked to join their advisory board in April, but I am yet to attend a meeting.

‘Like any good independent think-tank they publish a range of political ideas.

‘I don’t necessarily agree with all of them particularly if they contradict the NHS manifesto pledges on which I was elected just six months ago.’

Other experts have accused the Government of using PHE as a way to shift blame away from ministers themselves. 

Richard Horton, editor-in-chief of the prestigious scientific journal, the Lancet, tweeted this morning: ‘So. Farewell then PHE. You stood up for public health against Governments that slashed public health budgets over a decade. 

‘And now you have to take the blame for one of the worst national responses to Covid-19 in the world. Strange, no?’

Dr Amitava Banerjee, a Professor in Clinical Data Science at University College London, told the Telegraph: ‘PHE was set up as an executive agency of the Department of Health and Social Care by a Conservative government and is politically controlled, reporting directly to the Secretary of State for Health and Social Care.

‘Therefore, if PHE has fallen short, responsibility lies firmly with the current government and health ministers.’

The most recent PHE blunder forced the Government to wipe 5,000 Covid-19 deaths from its official count.

The Department of Health and Social Care (DHSC) reduced the number following an urgent review into how Public Health England calculates the daily Covid-19 death figures.

Academics found Public Health England’s methods meant victims who tested positive and then died from other causes were added to the list – even if they had made a full recovery from the virus.

The crude method meant even people who beat the disease and were hit by a bus months later were being included in the toll. 

PHE also came under fire for the way it handled the UK’s coronavirus testing system, for which it was responsible at the start of the Covid-19 crisis.

Its directors have tried to divert blame, explaining that major decisions are taken by Government ministers in the Department of Health, but the body has been accused of being controlling.

On March 12 the Government announced it would no longer test everybody who was thought to have coronavirus, and it would stop tracking the contacts of the majority of cases to try and stop the spread of the disease.

As a result, Britain effectively stopped tracking the virus and it was allowed to spiral out of control.

Conservative MP David Davis said that was ‘precisely the wrong thing to do’.

Professor Yvonne Doyle, PHE’s medical director, told MPs in May: ‘It was a decision that was come to because of the sheer scale of cases in the UK.’

She added: ‘We knew that if this epidemic continued to increase we would certainly need more capacity.’

PHE said: ‘Widespread contact tracing was stopped because increased community transmission meant it was no longer the most useful strategy.’

Public Health England: Protected the nation or hampered testing?

Public Health England is one of the organisations established in April 2013 under controversial health reforms driven by former health secretary Lord Lansley.

Its purpose was to ‘protect and improve the nation’s health and wellbeing, and reduce health inequalities’ but has come under heavy criticism during the pandemic.

PHE has a wide range of responsibilities ranging from protecting the nation from public health hazards, preparing for and responding to public health emergencies, supporting local organisations to carry out screening and immunisation programmes, reducing health inequalities, and encouraging the public to lead healthier lifestyles, but some argue its scope is too wide.

Unlike other health bodies such as NHS England, NHS Improvement and the Care Quality Commission, Public Health England has always been an ‘executive agency’ of the Department of Health and Social Care.

On PHE’s ‘executive agency’ status, NHS Providers has previously said: ‘This gives ministers direct control of its activities. So, whilst it might be convenient to seek to blame PHE’s leadership team, it is important that the Government reflect on its responsibilities as well.’

Critic Matthew Lesh, head of research at the Adam Smith Institute, has hailed the end of the organisation.

He said: ‘Public Health England is being abolished, and rightly so. This organisation failed their paramount goal — stopping infectious disease outbreaks. They hampered testing and provided awful advice. Good riddance.’