The UK might be much less well-equipped to deal with a pandemic than it was earlier than Covid due to deteriorating well being inequalities, the disaster within the NHS and pressures in care houses, main consultants have warned.
The pinnacle of the British Medical Affiliation (BMA) stated that the general scenario meant the nation can be “nonetheless massively underprepared” when a brand new pandemic hit.
The primary report of the official Covid inquiry, printed on Thursday, pointed to main failures in authorities planning and warned that extra should be completed to enhance preparedness.
Pat McFadden, the Cupboard Workplace minister, whose division heads up emergency planning, advised the Commons on Friday that whereas there was extra to be completed, “progress had been made” below the Conservatives in enhancing pandemic measures.
However a sequence of consultants say this is likely to be fruitless given the worsening scenario in lots of different related areas, together with declining public well being and growing inequalities, a lot of it a operate of austerity insurance policies.
Sir Michael Marmot, professor of public well being at College School London and creator of a pair of landmark government-commissioned studies into well being inequality, stated the impression of Covid confirmed his predictions that such a pandemic “would expose the underlying inequalities in society and amplify them”.
He stated: “The lesson to me is that to organize for the following pandemic, we have to put together to enhance the well being of the inhabitants. However the well being inequalities have gotten larger. We’re in a worse state now.”
Between 2010 and 2022, statistics for all times expectancy within the UK have been static, he stated.
“Over that 13 years, life expectancy didn’t enhance in any respect. I don’t know one other interval in peacetime since 1900 the place we’ve gone 13 years with out an enchancment in life expectancy.”
The Affiliation of Administrators of Public Well being, which represents native public well being leaders, echoed Marmot’s phrases, saying that enhancements in preventable sicknesses resembling coronary heart illness and sort 2 diabetes would assist mitigate the impression of a brand new virus.
“It’s now well-evidenced that merchandise like alcohol, unhealthy meals, playing merchandise and fossil fuels are a robust contributory issue to those non-communicable ailments,” stated Greg Fell, the affiliation’s president.
“Due to this fact, to turn into extra resilient, we should spend money on lowering the degrees of consumption of those dangerous merchandise.”
There was additionally a necessity to raised spend money on public well being, Fell added, saying that now there have been “merely not sufficient correctly educated and resourced workers to hold out our function successfully”.
One other main weak point raised was the state of the NHS, with Prof Philip Banfield, the chair of council on the BMA, saying the Covid report made it clear “that we’re nonetheless massively underprepared for when – not if – the following pandemic hits”.
He stated: “We went into the pandemic with a sick inhabitants, with large well being inequalities, public well being providers stripped to the bone and the NHS and social care understaffed and under-resourced.
“None of this has improved since and, in lots of circumstances, has acquired worse; this can not all be blamed on the pandemic itself.”
Dr Tim Cooksley, instant previous president of the Society for Acute Drugs, stated the impression of a brand new pandemic throughout an present winter disaster can be “merely unimaginable”.
He added: “The conclusion that we’re much less ready for a pandemic as we stand at the moment is indeniable. Acute hospital providers are collapsing.
“There may be inadequate workforce and capability to fulfill present calls for which ends up in sufferers struggling hurt and appalling situations each day. There are inadequate crucial care beds.”
The pinnacle of the College of Intensive Care Drugs, Dr Daniele Bryden, warned that the UK nonetheless didn’t have capability in hospital intensive care models to deal with a future pandemic, regardless of these having performed a key function throughout Covid.
This included an uneven distribution of beds and an absence of workers, she stated.
“Total, intensive care capability is just not but sufficiently sturdy to climate one other problem.”
Martin McKee, professor of public well being on the Faculty of Hygiene and Tropical Drugs, stated that whereas Covid had offered “a wealth of proof” to help in areas together with airborne transmission and coverings, there was little proof the UK was higher ready general than in 2020.
“NHS efficiency is demonstrably worse,” he stated. “Little one mortality, an indicator of social situations, is worse than in 2020 and inequalities by degree of deprivation and ethnicity have widened.”
Whereas Covid additionally highlighted methods to raised shield folks in care from a pandemic – a module of the inquiry on this may report later – folks within the care sector warned that it was not essentially any higher in a position to cope.
Jane Townson, chief govt of the Homecare Affiliation, which represents domiciliary care suppliers, stated: “Nothing has modified from earlier than. In truth, arguably issues are worse. The sector stays in a really weakened state.
“UK workforce numbers have decreased by 70,000 during the last two years. The expansion in workforce numbers has come solely from worldwide recruitment.”
Mike Padgham, chair of the Impartial Care Group, a membership organisation for care residence operators, stated: “We’re as weak now as we have been in 2019. Solely this week we heard that social care is understaffed by some 131,000 and that an additional 540,000 social care workers might be wanted by 2040 to deal with rising demand.
“That doesn’t converse to me of a sector that’s prepared for something the world can throw at it – it says precisely the other.”
