Monday 7 November 2022

'Failures of State' by Jonathan Calvert and George Arbuthnott


Despite me not being completely ignorant of how bad the UK government's response to the pandemic was, I still found this book shocking. It is a relentless catalogue of bad decisions, made by a government both callous and incompetent. Working in a hospital through COVID, the book put some things I remembered into a wider context.

I remembered colleagues sharing photos of the PPE worn by healthcare staff in other countries, and comparing it to the flimsy aprons we were given. Public Health England downgraded the threat ranking of Covid-19, which meant that only basic PPE needed to be worn, according to health and safety laws, and this was a way of getting around the shortage of PPE caused by the pandemic stockpile being allowed to run down or expire over the austerity decade.

I remembered the mixed messages given about masks, and learnt that there was a government desire early on in the pandemic to minimise the effectiveness of masks to the public, because there were fears that masks might run out if everyone rushed out to get them. The government was trying to buy as many commercially available masks as possible for the NHS, because of the austerity-ravaged stockpile. This then, obviously, backfired later when masks were made mandatory.

What shocked me the most was how much the politicians rejected scientific advice, or never sought it. The scientific advisors first heard about Eat Out To Help Out on the day it was announced to the public. Same with the nonsensical tier system. The government announced many changes to restrictions without asking for any modelling work to estimate the impact on infections or the NHS.

I remember the 'I back Boris 100% he's doing his best in a bad situation' crowd on social media being roundly mocked at the time, but there was nevertheless a sizeable chunk of the population who were sympathetic towards the government, believing them to be doing their best, making tough decisions while following the best scientific advice available. Unfortunately, that is a poisonous fiction.

The UK Covid-19 Inquiry will be the Johnson administration's Chilcott, and hopefully its outcome will have actual consequences for those whose terrible decisions led to tens of thousands of avoidable deaths.

I do recommend this book a lot. I learnt a lot from it, and it has made me even more disillusioned with our political system. 

In a just country, Matt Hancock would at least be a disgraced ex-politician, not a pseudo-celebrity joining a reality TV show while trying to flog a book. In a just country, Rishi Sunak would never have become Prime Minister, and even the thought of Boris Johnson returning as PM would have been anathema to all of the political class. Alas, that is not the country we live in.

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