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		<title>Patrick Vallance - UnHerd</title>
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		<description>think again</description>
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	<title>Patrick Vallance - UnHerd</title>
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					<title>Covid could still save Boris</title>
					<link>https://stage.unherd.com/2022/01/covid-could-still-save-boris/?edition=us</link>
											<comments>https://stage.unherd.com/2022/01/covid-could-still-save-boris/?edition=us#comments</comments>
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					<dc:creator>
						<![CDATA[Freddie Sayers]]>
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							<![CDATA[Sacrificial cow or saviour? Credit: Jack Hill/AFP/Gerry]]>
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						<unherd:twitter_bio>
							<![CDATA[<p><strong>Freddie Sayers</strong> is the <strong>Editor-in-Chief </strong>of UnHerd and CEO of OQS Media. He was previously Editor-in-Chief of YouGov, and founder of PoliticsHome.</p>
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						</unherd:twitter_bio>
						<unherd:twitter_handle>freddiesayers</unherd:twitter_handle>
															<unherd:author_bio>
						<![CDATA[ is the <strong>Editor-in-Chief </strong>of UnHerd and CEO of OQS Media. He was previously Editor-in-Chief of YouGov, and founder of PoliticsHome.]]>
					</unherd:author_bio>
										<pubDate>Tue, 18 Jan 2022 00:03:39 +0000</pubDate>
					<updated>Tue, 18 Jan 2022 13:48:40 +0000</updated>
							<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Boris Johnson]]></category>
		<category><![CDATA[Climate lockdown]]></category>
		<category><![CDATA[Covid]]></category>
		<category><![CDATA[lockdown]]></category>
		<category><![CDATA[Partygate]]></category>
		<category><![CDATA[Patrick Vallance]]></category>
		<category><![CDATA[Vaccine mandates]]></category>
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								<![CDATA[England can lead the world out of pandemic]]>
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								<![CDATA[<p>Is Boris Johnson toast? His personal ratings have been declining steadily <a href="https://yougov.co.uk/topics/politics/trackers/boris-johnson-approval-rating">since last May</a> and Labour now have their biggest <a href="https://yougov.co.uk/topics/politics/articles-reports/2022/01/14/voting-intention-con-29-lab-40-12-13-jan">lead</a> over the Tories since 2013. But whether the Prime Minister survives is an open question: there may yet be a path back.</p>
<p>Partygate comes just as general support for restrictive Covid measures is dramatically running out. Already in early December, as the Omicron wave arrived and various scientists and experts began to call for the usual kinds of restrictions, the customary majority in favour of another lockdown was evaporating. A massive 68% of people <a href="https://yougov.co.uk/topics/health/articles-reports/2021/12/02/english-attitudes-covid-19-restrictions-largely-un" target="_blank" rel="noopener">opposed</a> closing pubs and restaurants; 64% <a href="https://yougov.co.uk/topics/health/articles-reports/2021/12/02/english-attitudes-covid-19-restrictions-largely-un" target="_blank" rel="noopener">opposed</a> stay at home orders.</p>
<p>Since then, the trend has only accelerated. New YouGov polling, seen by <em>UnHerd</em>, reveals a dramatic shift in opinion since before Christmas: support for every one of ten different restrictions tested has fallen even further, and none of them now commands majority support (not even “encouraging companies to allow people to work from home”, the most popular at 49%). Fully 75% of people on December 16 felt that Covid was getting worse in the UK and only 9% felt it was getting better; by January 11 it had swung completely, as 37% felt it was getting worse and 38% felt it was getting better. Public anxiety is falling away as fast as the Omicron wave itself.</p>
<p>Meanwhile, the cohort of scientists who projected disaster without a Christmas lockdown has been humiliated, as their disaster spectacularly <a href="https://www.spectator.co.uk/article/how-did-sage-scenarios-compare-to-reality-an-update">failed to materialise</a>. It has left people with the lingering question: what about the previous restrictions? What about all those months we spent trying to navigate those byzantine regulations — how many of them were really necessary?</p>
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<p>Into this atmosphere the stories about No 10 parties started to break. They couldn’t have been better designed to reinforce the suspicion that some of the past two years’ exertions might have been a waste of time. If they weren’t taking the rules seriously in Downing Street, was that because they knew they were partly theatrical and that some of them were pointless? The one-way systems in pubs, the daft signs outside on the street, the endless barked inanities on loudspeakers… were they taking us for fools? The public went along with it and gave the authorities their trust, despite coming face to face with absurd scenarios every day. It&#8217;s possible the current rage towards Boris is made more acute by a sense of embarrassment — maybe even shame — that everyone went along with it for so long.</p>
<p>So Boris Johnson has a choice. Either he accepts the role as sacrificial cow of the Covid era, soaking up all its insecurity and anger, and allowing himself to be ritually slaughtered so that we can all move on. Or he can acknowledge the role he has played over the past two years, and show us the way out of it.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/04/did-sweden-get-covid-wrong/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/04/did-sweden-get-covid-wrong/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/04/GettyImages-1208286997-1.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/04/did-sweden-get-covid-wrong/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2021/04/did-sweden-get-covid-wrong/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Did Sweden get Covid wrong?</h5></a><p class="author"><a href="https://stage.unherd.com/2021/04/did-sweden-get-covid-wrong/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Freddie Sayers</a></p></div></a></div>
<p>England is now uniquely positioned to lead the world out of the Covid era — and this alone could save the Johnson premiership. The fact that his government managed to restrain from imposing freedom-curtailing restrictions over Christmas against the advice of Whitty and Vallance, Gove and Javid, an array of activist scientists and the Labour Party, was a decision of global consequence.</p>
<p>Across Europe, lockdowns returned in response to Omicron, and did little to prevent huge surges in cases. In the Netherlands, the lockdown was justified by the same bogus claims from Imperial College about Omicron that nearly scuppered England; meanwhile, the UK case rate is <a href="https://twitter.com/cjsnowdon/status/1482300309896577031">crashing</a> to the bottom of the European league table. From Italy to California, the obsessive focus on vaccine passports — more pointless and divisive than ever in the face of Omicron — has intensified in the past months, while England has all but steered clear of them, save for occasional use at larger events. Many Western countries have managed to create a new underclass of the non-vaccinated from previously law-abiding citizens, who will now be alienated and radicalised for years to come. England has mainly avoided this; our society is strained, but it will hold.</p>
<p>Historians may yet conclude that this was the Johnson government’s biggest achievement. It stands accused of being both over-reluctant and over-keen to introduce lockdowns but in an international context, the UK has shown a laudable moderation. It managed to avoid the hotheadedness of the US and the divisive police-states of much of Europe; travellers returning home are hit by how normal things seem here in comparison. Given the initial disadvantage of being a global hub, our Covid fatality outcomes (<a href="https://www.statista.com/statistics/1104709/coronavirus-deaths-worldwide-per-million-inhabitants/" target="_blank" rel="noopener">27th in the world</a>, <a href="https://www.statista.com/statistics/1111779/coronavirus-death-rate-europe-by-country/" target="_blank" rel="noopener">13th in Europe</a>) could have been an awful lot worse.</p>
<p>This is the final card Boris Johnson has to play. Even his most vehement critics would agree that he possesses the <a href="https://stage.unherd.com/2020/02/the-two-faces-of-boris-johnson/" target="_blank" rel="noopener">dubious gift</a> of giving the impression of being two different things at once: at the last election, he was one thing to a Red Wall Brexiteer, another to an affluent Southern Tory. In the Covid era he is similarly associated with opposing poles: to some he is the dithering libertarian, obsessed with freedom and herd immunity; to others he is the timorous face of endless lockdowns. As always with Johnson, there’s an element of truth to both.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/12/new-lockdown-restrictions-are-pointless/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/12/new-lockdown-restrictions-are-pointless/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/12/GettyImages-1237098311-1-1.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/12/new-lockdown-restrictions-are-pointless/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2021/12/new-lockdown-restrictions-are-pointless/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Why Plan B is a mistake</h5></a><p class="author"><a href="https://stage.unherd.com/2021/12/new-lockdown-restrictions-are-pointless/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Freddie Sayers</a></p></div></a></div>
<p>The only way he can save himself politically also happens to be the most useful thing he can do for the country: stitch together these contradictions and help us move on. When the ‘Plan B’ restrictions expire next week, he should use the opportunity to call time on Covid’s dominance over our lives and announce that England is going back to normal life. Rescind the remaining ineffective mandates and order the signs and visible detritis of Covid to be removed. He cannot promise no new risks or variants but public attitudes are always a decisive factor in the start and end of an emergency, and leadership is an important part of that. Now is the moment: <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/articles/coronaviruscovid19latestinsights/antibodies" target="_blank" rel="noopener">97.5%</a> of people in England have antibodies; <a href="https://coronavirus.data.gov.uk/details/vaccinations" target="_blank" rel="noopener">63%</a> have been boostered; cases are coming down fast, hospitalisations and deaths will follow.</p>
<p>For Johnson, the political prize is more than just survival. As well as getting unhappy backbenchers back on side, it is a chance to be forever associated with this moment in history — as a winner not a loser. He should acknowledge the imperfections of his Covid response — inadequately decisive at certain points, overly fearful at others. He could even point to the Partygate stories to concede, with humility, how they demonstrate the impossibility of micromanaging every human being in society by diktat, alongside a vow never to return to that approach. Whatever your view of his moral worth, there are few politicians as opportunistic, as able to alchemise anger into joy, as Boris Johnson. The end of the pandemic is his last, best hope.</p>
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					<title>The men who failed Britain</title>
					<link>https://stage.unherd.com/2021/10/the-men-who-failed-britain/?edition=us</link>
											<comments>https://stage.unherd.com/2021/10/the-men-who-failed-britain/?edition=us#comments</comments>
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					<dc:creator>
						<![CDATA[Tom Chivers]]>
					</dc:creator>
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							<![CDATA[Chief Medical Officer for England Chris Whitty (L), Prime Minister Boris Johnson (R) and Chief Scientific Adviser Patrick Vallance. Credit: Dan Kitwood-WPA Pool/Getty]]>
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						<unherd:twitter_bio>
							<![CDATA[<p><strong>Tom Chivers</strong> is a science writer. His second book, <em>How to Read Numbers</em>, is out now.</p>
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						</unherd:twitter_bio>
						<unherd:twitter_handle>TomChivers</unherd:twitter_handle>
															<unherd:author_bio>
						<![CDATA[ is a science writer. His second book, <em>How to Read Numbers</em>, is out now.]]>
					</unherd:author_bio>
										<pubDate>Thu, 14 Oct 2021 00:00:00 +0000</pubDate>
					<updated>Thu, 14 Oct 2021 00:00:00 +0000</updated>
							<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Borders]]></category>
		<category><![CDATA[Boris Johnson]]></category>
		<category><![CDATA[British government]]></category>
		<category><![CDATA[Chris Whitty]]></category>
		<category><![CDATA[COVID-19]]></category>
		<category><![CDATA[Don't miss]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[Pandemic]]></category>
		<category><![CDATA[Patrick Vallance]]></category>
		<category><![CDATA[Planning]]></category>
		<category><![CDATA[Public health]]></category>
					<guid isPermaLink="false">https://old.unherd.com/?p=238162</guid>
																												<description>
								<![CDATA[At every turn Covid beat the British state. Will lessons be learned? ]]>
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								<![CDATA[<p><span style="font-weight: 400;">I have a distinct memory of watching the first of the pandemic press conferences; the first time Chris Whitty, Patrick Vallance and Boris Johnson stood up behind those podiums in the wood-lined room and told us what was going to happen. It was March 3, 2020. They unveiled the “flatten the curve” plan — to slow rather than stop the virus’s spread, so that we would slowly build up population immunity while preventing the NHS being overwhelmed.</span></p>
<p><span style="font-weight: 400;">It seemed reassuring. I know this because I messaged something like “It seems like they might know what they’re doing!”  in a science-nerdy chat group that I’m part of. But my optimism was not echoed. “It seems like they’ve just killed all our grannies,” responded someone.</span></p>
<p><span style="font-weight: 400;">I recall this to make two points. Firstly, I can’t claim any sort of foresight. I didn’t see then, though perhaps I should have done, that the early response of the British government to Covid was disastrous and wrongheaded. Instead, I was falsely reassured by the confidence of the scientific advisers, Whitty and Vallance. </span></p>
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<p><span style="font-weight: 400;">But secondly, other people </span><i><span style="font-weight: 400;">did</span></i><span style="font-weight: 400;"> see it. The failings were predicted. And not just by my friend: a </span><a href="https://stage.unherd.com/2020/04/could-anyone-have-predicted-covid-19/" target="_blank" rel="noopener"><span style="font-weight: 400;">large number</span></a><span style="font-weight: 400;"> of smart, numerate generalists outperformed public health experts repeatedly in predicting the course of the pandemic in those early months.</span></p>
<p><span style="font-weight: 400;">On Monday night, two House of Commons select committees </span><a href="https://committees.parliament.uk/committee/135/science-and-technology-committee/publications/"><span style="font-weight: 400;">released the findings</span></a><span style="font-weight: 400;"> of their report into England’s Covid response. The headlines yesterday were stark: the “</span><a href="https://www.bbc.co.uk/news/health-58876089.amp"><span style="font-weight: 400;">worst public health failure ever</span></a><span style="font-weight: 400;">”, “</span><a href="https://www.bmj.com/content/375/bmj.n2487"><span style="font-weight: 400;">big mistakes</span></a><span style="font-weight: 400;">”, “</span><a href="https://www.theguardian.com/world/2021/oct/12/damning-commons-covid-report-should-be-seen-only-as-a-start"><span style="font-weight: 400;">damning</span></a><span style="font-weight: 400;">”. </span></p>
<p><span style="font-weight: 400;">The individual mistakes — failure to protect care homes; failure to move quickly enough on lockdowns; failure to build testing infrastructure and more — are certainly worthy of criticism. But having read the report, I want to talk about what strikes me as the overarching theme: being too bloody clever by half.</span></p>
<p><span style="font-weight: 400;">Let’s return to early March 2020, when I was falsely reassured by the Whitty/Vallance/Johnson press conference. The “flatten the curve” strategy that the three men introduced involved slowly introducing public health measures one by one. The idea was to carefully control the R value – the number of people that each infected person would, on average, give the disease to. The idea was to keep it at just above one, so that the disease would slowly spread through the population rather than either burning through it or dwindling down.</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/09/are-we-heading-for-another-winter-lockdown/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/09/are-we-heading-for-another-winter-lockdown/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/09/GettyImages-1289026759-scaled-e1631553301293-copy.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/09/are-we-heading-for-another-winter-lockdown/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2021/09/are-we-heading-for-another-winter-lockdown/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Are we heading for another winter lockdown?</h5></a><p class="author"><a href="https://stage.unherd.com/2021/09/are-we-heading-for-another-winter-lockdown/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">In paragraph 87 of the report, the committee writes: &#8220;It is striking, looking back, that it was accepted that the level of Covid-19 infection in the UK could be controlled by turning on particular non-pharmaceutical interventions at particular times.&#8221; </span></p>
<p><span style="font-weight: 400;">“Striking” is certainly one word for it. This was a novel disease. We knew almost nothing about its behaviour. On March 6 2020, I went to a gig at Alexandra Palace. Looking back now, it should not have been allowed to go ahead — but because the consensus at the time was that the disease was spread by fomites, by touching surfaces, the only advice was to keep washing our hands. In fact, it is spread largely through the air. </span></p>
<p><span style="font-weight: 400;">So we had a completely wrong idea how the virus behaved, but we nevertheless had a confident</span><a href="https://www.gov.uk/government/publications/coronavirus-action-plan/coronavirus-action-plan-a-guide-to-what-you-can-expect-across-the-uk" target="_blank" rel="noopener"><span style="font-weight: 400;"> plan</span></a><span style="font-weight: 400;"> to control it very precisely by </span><i><span style="font-weight: 400;">now </span></i><span style="font-weight: 400;">banning large gatherings, </span><i><span style="font-weight: 400;">then </span></i><span style="font-weight: 400;">closing schools, </span><i><span style="font-weight: 400;">then</span></i><span style="font-weight: 400;"> encouraging working from home</span><i><span style="font-weight: 400;">.</span></i><span style="font-weight: 400;"> We were trying to thread a needle blindfolded.</span></p>
<p><span style="font-weight: 400;">This sort of overconfidence in highly uncertain science crops up over and over again. As well as flattening the curve, the phased introduction of distancing measures had another purpose: it was not believed that the public would accept long-term restrictions on their freedom. “There is a risk,” </span><a href="https://www.youtube.com/watch?v=b1b-JdeRKyY&amp;t=484s" target="_blank" rel="noopener"><span style="font-weight: 400;">Whitty told the public</span></a><span style="font-weight: 400;"> in one of the early press conferences, “that if we go too early, people will understandably get fatigued and it will be difficult to sustain this over time.” </span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/05/have-we-seen-the-end-of-covid/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/05/have-we-seen-the-end-of-covid/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/05/GettyImages-1214931668.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/05/have-we-seen-the-end-of-covid/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2021/05/have-we-seen-the-end-of-covid/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Have we seen the end of Covid?</h5></a><p class="author"><a href="https://stage.unherd.com/2021/05/have-we-seen-the-end-of-covid/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">This was also the official Sage position: “Sage agreed that a balance needs to be struck between interventions that theoretically have significant impacts and interventions which the public can feasibly and safely adopt in sufficient numbers over long periods.”</span></p>
<p><span style="font-weight: 400;">It’s not clear what this claim was based on. Other behavioural scientists questioned it, with 200 of them signing an </span><a href="https://sites.google.com/view/covidopenletter/home" target="_blank" rel="noopener"><span style="font-weight: 400;">open letter </span></a><span style="font-weight: 400;">to the Government asking for the evidence. But what evidence were they hoping to receive? What comparable situation have we ever faced? A few small-scale experiments about people obeying instructions under laboratory conditions probably can’t tell us anything at all about what people would be willing to do in order to save hundreds of thousands of their fellow citizens, very possibly including their own elderly relatives. Nonetheless, we based highly counterintuitive policy decisions — not imposing strict lockdowns even as the disease was spreading and killing, despite seeing it being successful elsewhere — on this apparently unevidenced belief.</span></p>
<p><span style="font-weight: 400;">And let’s be clear: the coming hundreds of thousands of deaths were</span> <span style="font-weight: 400;">very much known about. The report rightly says that we over-relied on a plan for pandemic flu. That was a huge mistake, and it led us to strange things like moving to “delay” the virus rather than “contain” it, and stopping community testing. </span></p>
<p><span style="font-weight: 400;">That meant that we had no idea how widespread the virus was. “The UK was reduced to understanding the spread of Covid-19 by waiting for people to be so sick that they needed to be admitted to hospital,” says the report. “For a country with a world-class expertise in data analysis, to face the biggest health crisis in a hundred years with virtually no data to analyse was an almost unimaginable setback.”</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/12/did-anyone-predict-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/12/did-anyone-predict-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/04/GettyImages-1210398255-e1587552513561.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/12/did-anyone-predict-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2020/12/did-anyone-predict-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Did anyone predict coronavirus?</h5></a><p class="author"><a href="https://stage.unherd.com/2020/12/did-anyone-predict-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">So, yes, sticking to the flu plan was a disaster. But if you </span><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/213717/dh_131040.pdf" target="_blank" rel="noopener"><span style="font-weight: 400;">read the flu plan</span></a><span style="font-weight: 400;">, it wouldn’t have worked any better for flu. The disaster that arrived was completely foreseen, yet it confidently said we couldn’t do anything about it, so we shouldn’t try. It said that planners should “aim to cope with a population mortality rate of up to 210,000–315,000 additional deaths” within 15 weeks of a virus arriving, and should “plan for a situation in which up to 2.5% of those with symptoms die”. </span></p>
<p><span style="font-weight: 400;">The lowest number there, 210,000 over 15 weeks, works out at 2,000 deaths a day. At the peak of the second wave, the seven-day rolling average of deaths briefly – for nine days, in fact — broke 1,200 a day. </span></p>
<p><span style="font-weight: 400;">That period was horrifying, but the pandemic flu plan was to “cope” with at least 2,000 deaths a day for 15 weeks. That appears to have been based on the idea that we, the British public, were so profoundly wedded to </span><i><span style="font-weight: 400;">liberty</span></i><span style="font-weight: 400;"> that we would rather let the equivalent of the entire population of Norwich die in three months than have the nightclubs closed. </span></p>
<p><span style="font-weight: 400;">More than that, in fact, it was important to keep them open so that people didn’t get depressed: “Large public gatherings or crowded events where people may be in close proximity are an important indicator of ‘normality’ and may help maintain public morale during a pandemic.” The possibility that people might not want to attend large public gatherings if it might kill them or their family, or might value the lives of their elderly relatives highly enough to stay home for a few weeks rather than watch them die in their thousands, was not considered..</span></p>
<p><span style="font-weight: 400;">Over and over again, the British response was one of unwarranted confidence in highly uncertain outcomes. We were, of course, dealing with a largely unprecedented situation. But that meant that the evidence was necessarily weak. </span></p>
<p><span style="font-weight: 400;">So statements such as “There is very limited evidence that restrictions on mass gatherings will have any significant effect on influenza virus transmission” (from the pandemic flu plan) were on the one hand true, but also basically meaningless. There’s very limited evidence either way. </span></p>
<p><span style="font-weight: 400;">But the common sense attitude would be that being in a large group of people probably helps the virus to spread. And given that the alternative, which the plan explicitly endorses, is at least 210,000 people dying in 15 weeks, it seems incredible that the approach was “well, there’s no evidence that it works, so we might as well not try”.</span></p>
<p><span style="font-weight: 400;">There are other areas where this overconfident, clever-clever approach backfired. For instance, Matt Hancock told the committee that in the early months, they were advised that “testing people asymptomatically might lead to false negatives” so you shouldn’t do it. Of course, it would also lead to lots of true positives. But the fear of a hypothetical second-order effect — like </span><a href="https://www.independent.co.uk/news/health/coronavirus-news-face-masks-increase-risk-infection-doctor-jenny-harries-a9396811.html" target="_blank" rel="noopener"><span style="font-weight: 400;">Jenny Harries’s claim last March</span></a><span style="font-weight: 400;"> that wearing masks could increase the risk of infection, because it would make people more confident — overshadowed the very obvious and real risk of disease. It’s like the plan was based around not wanting to be obvious, but always being clever and counterintuitive.</span></p>
<p><span style="font-weight: 400;">And the reliance on the pandemic flu “flatten the curve” plan meant that there was no modelling of the impacts of a lockdown. Dominic Cummings told the committee: “You are going to have to lock down, but there is no lockdown plan. It doesn’t exist. Sage haven’t modelled it.”</span></p>
<p><span style="font-weight: 400;">Often, simply plotting an exponential curve on a graph might have done better than the more complex forecasts the Government used. Vallance </span><a href="https://ourworldindata.org/covid-deaths" target="_blank" rel="noopener"><span style="font-weight: 400;">told a press conference</span></a><span style="font-weight: 400;"> that we were “four weeks” behind Italy, when simply </span><a href="https://ourworldindata.org/explorers/coronavirus-data-explorer?zoomToSelection=true&amp;time=2020-03-01..2020-03-17&amp;facet=none&amp;pickerSort=desc&amp;pickerMetric=total_cases&amp;hideControls=true&amp;Metric=Confirmed+deaths&amp;Interval=Cumulative&amp;Relative+to+Population=false&amp;Align+outbreaks=false&amp;country=GBR~ITA" target="_blank" rel="noopener"><span style="font-weight: 400;">looking at the number of deaths</span></a><span style="font-weight: 400;"> showed that we were 14 days behind. And when other countries locked down, with some success, we didn’t learn from their example, because we had a plan, and we were confident in it.</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/07/britains-absurd-quarantine-failures/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/07/britains-absurd-quarantine-failures/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/07/GettyImages-1233713654-1-e1627469501604.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/07/britains-absurd-quarantine-failures/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2021/07/britains-absurd-quarantine-failures/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Britain&#039;s absurd quarantine failures</h5></a><p class="author"><a href="https://stage.unherd.com/2021/07/britains-absurd-quarantine-failures/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Stuart Ritchie</a></p></div></a></div>
<p><span style="font-weight: 400;">And, of course, </span><a href="https://stage.unherd.com/thepost/maybe-donald-trumps-travel-ban-wasnt-stupid/" target="_blank" rel="noopener"><span style="font-weight: 400;">border closures</span></a><span style="font-weight: 400;">. Naively, you’d think that stopping people coming into the country would reduce the likelihood of the disease coming here. But overconfident modelling told scientific advisers that it wouldn’t, so they trusted that, rather than thinking “OK, but if the model is wrong then we’ve completely messed up.”</span></p>
<p><span style="font-weight: 400;">This isn’t to place all of the blame on Whitty, Vallance and Sage — or to exonerate the politicians. There was plenty of cowardice and dithering on the part of the Government, not least (as the report shows) when they ignored scientific advice to impose a short “circuit breaker” lockdown in autumn 2020, presumably because they feared being unpopular. </span></p>
<p><span style="font-weight: 400;">But the valuable lesson, I think, is not “we should have done X” or “we should have done Y” specifically, but that we should be less confident in our ability to predict highly complex situations. And more than that: we should look at the possible results of being wrong in our attempts to predict those highly complex outcomes. If you’re 60% sure that lockdowns won’t work, then that implies there’s a 40% chance they will, and </span><i><span style="font-weight: 400;">that</span></i><span style="font-weight: 400;"> implies that you think there’s a 40% chance of saving hundreds of thousands of lives. Instead, it seems like the whole way through, the thinking was “it probably won’t work so let’s not try”.</span></p>
<p><span style="font-weight: 400;">I didn’t foresee any of this. I should have: it was all there in the pandemic flu plan. Others, smarter and more conscientious than me, </span><a href="https://stage.unherd.com/2020/04/could-anyone-have-predicted-covid-19/" target="_blank" rel="noopener"><span style="font-weight: 400;">did</span></a><span style="font-weight: 400;">, or at least foresaw that disaster was a realistic probability. But the takeaway should be not “in the next pandemic, we need to protect care homes” — although we should — but “in the next pandemic, we should stop trying to be so damn clever”.</span></p>
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					<title>The Government&#8217;s Covid comms failure</title>
					<link>https://stage.unherd.com/2021/02/behavioural-science-wont-save-us/?edition=us</link>
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						<![CDATA[Stuart Ritchie]]>
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							<![CDATA[What's the point of the Government's emotive new advertising campaign? Credit: May James/SOPA Images/LightRocket via Getty Images]]>
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							<![CDATA[<p><strong>Stuart Ritchie</strong> is a psychologist and a Lecturer in the Social, Genetic and Developmental Psychiatry Centre at King’s College London</p>
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						<unherd:twitter_handle>StuartJRitchie</unherd:twitter_handle>
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						<![CDATA[ is a psychologist and a Lecturer in the Social, Genetic and Developmental Psychiatry Centre at King’s College London]]>
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										<pubDate>Fri, 05 Feb 2021 00:12:18 +0000</pubDate>
					<updated>Fri, 05 Feb 2021 11:15:38 +0000</updated>
							<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Behavioural science]]></category>
		<category><![CDATA[Chris Whitty]]></category>
		<category><![CDATA[COVID-19]]></category>
		<category><![CDATA[Nudge theory]]></category>
		<category><![CDATA[Pandemic]]></category>
		<category><![CDATA[Patrick Vallance]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[UK government]]></category>
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								<![CDATA[The obsession with behavioural science is a classic case of over-promising and under-delivering]]>
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								<![CDATA[<p>“Look her in the eyes and tell her you never break the rules.” You’ll doubtless have <a href="https://inews.co.uk/news/uk/new-government-ad-campaign-targets-rule-breakers-covid-19-patients-staff-842022" target="_blank" rel="noopener noreferrer">seen</a> or <a href="https://vimeo.com/503387990/66bb4741db" target="_blank" rel="noopener noreferrer">heard</a> manifestations of the UK Government’s most recent advertising campaign. Close-up images of Covid patients wearing oxygen masks and a pleading gaze are begging you to stick to the guidance and stay at home. Clearly, our leaders are betting that this emotional appeal will change people’s behaviour for the better. It’s not the first time they&#8217;ve dabbled in behavioural science. Or have tried to, anyway.</p>
<p>Behavioural science — a catch-all term for a strand of psychology, with micro-economics, sociology and other disciplines mixed in — has been unusually prominent during the pandemic, and particularly so in the UK. For a while at the start of 2020, it was touted as the answer to all our prayers. “Nudges” to change people’s behaviours were suddenly the <a href="https://www.thetimes.co.uk/article/nudge-nudge-how-psychology-is-being-used-in-coronavirus-fight-bb6t0hllz" target="_blank" rel="noopener noreferrer">order of the day</a>. “Behavioural science can”, <a href="https://www.prospectmagazine.co.uk/science-and-technology/coronavirus-hand-washing-uk-lockdown-sanatizer" target="_blank" rel="noopener noreferrer">we were assured</a>, “save lives”; without it, “our attempts to defeat the virus <a href="https://www.newscientist.com/article/mg24632811-400-can-nudge-theory-really-stop-covid-19-by-changing-our-behaviour/" target="_blank" rel="noopener noreferrer">will fail</a>”. On the <em>BMJ</em>’s blog, UCL psychologist Susan Michie and her colleagues wrote <a href="https://blogs.bmj.com/bmj/2020/02/28/behavioural-science-must-be-at-the-heart-of-the-public-health-response-to-covid-19/" target="_blank" rel="noopener noreferrer">a post</a> entitled: “Behavioural science must be at the heart of the public health response to Covid-19”. Boris Johnson himself was directly advised by “behavioural psychologists”, and specifically referenced them at <a href="https://www.theguardian.com/politics/live/2020/mar/09/boris-johnson-cobra-labour-trevor-phillips-says-his-suspension-by-labour-suggests-party-turning-into-brutish-authoritarian-cult-live-news" target="_blank" rel="noopener noreferrer">a press conference</a>.</p>
<p>At the end of March, just after lockdown began, I <a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/" target="_blank" rel="noopener noreferrer">wrote for <em>UnHerd</em></a> about the bad predictions and faulty logic of psychologists (and other people writing about risk). I argued that low-quality evidence was being relied on to support arguments that downplayed the danger of the disease. But the story of our Government’s engagement with behavioural science during this pandemic extends far beyond that. Now that a whole year has passed since the UK recorded its <a href="https://en.wikipedia.org/wiki/Timeline_of_the_COVID-19_pandemic_in_the_United_Kingdom_(January%E2%80%93June_2020)" target="_blank" rel="noopener noreferrer">first Covid cases</a>, it’s a good time to look back at what the much-lauded discipline contributed to our Covid response.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/03/GettyImages-1208642237.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Don’t trust the psychologists on coronavirus</h5></a><p class="author"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Stuart Ritchie</a></p></div></a></div>
<p>Behavioural science had great press for a few weeks, but it all <a href="https://psyarxiv.com/dw85a" target="_blank" rel="noopener noreferrer">fell apart</a> pretty fast. As case numbers and deaths in the UK increased throughout March, many began to wonder why we weren’t following the example of other countries and locking down. The blame, according to some, lay at the feet of the behavioural scientists. Apparently, they’d advised the Government that the population would suffer “behavioural fatigue” — that after just a few weeks of strict lockdown measures, we&#8217;d get bored and frustrated, and start bending the rules in an attempt to get back to normal life.</p>
<p>Chief Medical Officer <a href="https://www.itv.com/news/2020-03-09/prime-minister-boris-johnson-coronavirus-covid-19" target="_blank" rel="noopener noreferrer">Chris Whitty</a>, Deputy Chief Medical Officer <a href="https://www.youtube.com/watch?v=6XfAFRfkqZ0" target="_blank" rel="noopener noreferrer">Jenny Harries</a>, Chief Scientific Adviser <a href="https://www.washingtonpost.com/world/europe/uk-coronavirus-herd-immunity/2020/03/16/1c9d640e-66c7-11ea-b199-3a9799c54512_story.html" target="_blank" rel="noopener noreferrer">Patrick Vallance</a>, and others all made this argument explicitly in the media. It would be counter-productive to go too hard too soon, they said. Such a huge change to people’s lives wouldn’t be sustainable, and people might make a collective break for freedom just as the virus was most prevalent.</p>
<p>But behavioural scientists, whose discipline was supposedly the basis of the Government&#8217;s policy, were outraged by this narrative. Michie, a member of the Government’s SAGE subcommittee on behavioural science, SPI-B, told the<em> Guardian </em>that the concept of “fatigue” had never been used in any of their reports (<a href="https://www.bbc.co.uk/programmes/m000l207" target="_blank" rel="noopener noreferrer">which was true</a>). Indeed, <a href="https://www.theguardian.com/world/2020/apr/29/revealed-the-inside-story-of-uk-covid-19-coronavirus-crisis" target="_blank" rel="noopener noreferrer">she said</a>, “[fatigue] is just not a concept that exists in behavioural science”. Warwick behavioural scientist Nick Chater agreed, <a href="https://www.theguardian.com/commentisfree/2020/mar/16/social-distancing-coronavirus-stay-home-government" target="_blank" rel="noopener noreferrer">writing</a> that behavioural fatigue “has no basis in science”. Another member of SPI-B, Robert West, made <a href="https://www.independent.co.uk/news/uk/home-news/coronavirus-behavioural-fatigue-uk-lockdown-delay-science-chris-witty-robert-west-a9644971.html" target="_blank" rel="noopener noreferrer">much the same</a> argument. An <a href="https://sites.google.com/view/covidopenletter/home" target="_blank" rel="noopener noreferrer">Open Letter</a> from UK psychologists and behavioural scientists urged the Government to reveal the evidence base for the fatigue concept (I was among nearly 700 signatories).</p>
<p>As it turns out, there <em>was</em> evidence in the scientific literature for the idea of “behavioural fatigue” all along. The neuropsychologist Vaughan Bell, <a href="https://mindhacks.com/2020/03/20/do-we-suffer-behavioural-fatigue-for-pandemic-prevention-measures/" target="_blank" rel="noopener noreferrer">as far back as late March</a>, reviewed a selection of papers (all published pre-2020) that discussed the fatigue idea in the context of people’s rule-compliance in past disease outbreaks, though they didn&#8217;t necessarily use the specific word “fatigue”. As Bell noted, some found evidence for it, some against — and the studies certainly weren’t all top-quality. But the idea spread by behavioural scientists before the first lockdown — that “behavioural fatigue” was a concept entirely divorced from the scientific literature — was flat wrong.</p>
<p>So far, so embarrassing: the psychologists either weren’t aware of the relevant evidence, or wanted to shift the blame for the delayed lockdown away from behavioural science (even though they’d never advocated for it). Whitty, Harries and Vallance, for their part, never pointed to any of the science they were relying on to make their claims. Confusion reigned. The lockdown was delayed on the basis of some unknown evidence. Behavioural science seemed to have failed its first and biggest <a href="https://www.duncanrobertson.com/2020/03/11/coronavirus-the-first-big-test-of-behavioral-science/" target="_blank" rel="noopener noreferrer">test</a> of the pandemic.</p>
<a href="https://stage.unherd.com/2021/02/behavioural-science-wont-save-us/?edition=us?=refinnar"><div class="ref-ar"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/02/GettyImages-1230909501-e1612525466579.jpg?w=300" /><div class="content"><span class="meta">Suggested reading</span><h5>The Government's Covid comms failure</h5><p class="author"><span>By</span> Dan Hitchens</p></div></div></a>
<p>To make things worse, the “fatigue” debate was essentially irrelevant to what the Government should have been doing in the face of the virus. Regardless of whether people’s compliance with the rules would decay over time, it would still have made sense to lock down earlier, because the virus spreads exponentially. Stopping it from taking hold early in an outbreak (a policy that worked in countries like New Zealand and Taiwan) means that the population — even if they start to break more rules as time goes on — will be at far less risk of the disease. To put it another way: despite the hype, the behavioural science should have been very much secondary, something to worry about only if a government fails to properly contain the spread of infection.</p>
<p>You’ll have noticed, of course, that our government <em>did </em>fail to properly contain the spread of infection. We didn’t lock down early enough — twice — and we’ve now had over 100,000 <a href="https://coronavirus.data.gov.uk/" target="_blank" rel="noopener noreferrer">coronavirus deaths</a>. So perhaps there’s more of a role for behavioural science now. But have we learned anything in the past year about how to mould human behaviour to keep people from Covid?</p>
<p>My behavioural scientist colleagues won’t like me for saying this, but the answer is: not really. A number of recent studies have explored how to improve interventions such as <a href="https://www.bi.team/blogs/bright-infographics-and-minimal-text-make-handwashing-posters-most-effective/" target="_blank" rel="noopener noreferrer">hand-washing</a>, face-touching, mask-wearing, and vaccine-getting. (Let’s leave aside the awkward fact that the first two probably <a href="https://stage.unherd.com/2021/01/do-you-know-how-covid-really-spreads/" target="_blank" rel="noopener noreferrer">aren’t all that relevant</a> to stopping the spread – the behavioural scientists weren’t to know that at the time.) These interventions are a smorgasbord of tricks to get people thinking differently about the virus: asking them to plan for the future; targeting their emotions; telling them how social distancing can save the economy; focusing them on reasoning rather than gut feelings; and so on — all things that might be adapted into government messaging, if they work.</p>
<p>But do they? Some of them, such as asking a person to write down the name of a loved-one they want to protect, have shown <a href="https://www.medrxiv.org/content/10.1101/2020.03.27.20042820v2" target="_blank" rel="noopener noreferrer">no effects whatsoever</a>. Others, like focusing on moral messages, or those delivered by a respected figure, are supported by <a href="https://www.nber.org/system/files/working_papers/w27496/w27496.pdf" target="_blank" rel="noopener noreferrer">patchy evidence</a> that shows generally <a href="https://psyarxiv.com/9yqs8/" target="_blank" rel="noopener noreferrer">small effects</a>. Some have shown effects only in particular circumstances: one <a href="https://www.cambridge.org/core/journals/behavioural-public-policy/article/when-behavioural-science-can-make-a-difference-in-times-of-covid19/FA4A3A934B88A3C954AEFB13F4C7237F" target="_blank" rel="noopener noreferrer">study</a> tried a range of different interventions and found that some worked, but only for people who had just recently begun social distancing. For those who had been social distancing for longer, the interventions backfired — the participants reported going outside <em>more </em>and distancing <em>less </em>after they’d taken part in the intervention. Oops.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/12/what-would-you-sacrifice-for-the-nhs/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/12/what-would-you-sacrifice-for-the-nhs/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/12/GettyImages-1210725269-e1607968172673.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/12/what-would-you-sacrifice-for-the-nhs/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/12/what-would-you-sacrifice-for-the-nhs/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>It&#039;s not our job to protect the NHS</h5></a><p class="author"><a href="https://stage.unherd.com/2020/12/what-would-you-sacrifice-for-the-nhs/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Timandra Harkness</a></p></div></a></div>
<p>Even for the studies that appear more promising, one has to remember what’s actually being measured: in most cases, it’s people’s self-reported <em>intentions</em> to do things like wash their hands or wear masks. It’s what they tick on a questionnaire during the experiment — not necessarily what they’ll do in the real world. Of course, intentions and actions will be related to one another, but <a href="https://journals.sagepub.com/doi/10.1111/j.1745-6916.2007.00051.x" target="_blank" rel="noopener noreferrer">not perfectly</a>. Researchers should be a lot <a href="https://www.the100.ci/2020/03/26/crisis-research-fast-and-slow/" target="_blank" rel="noopener noreferrer">more careful</a> than the authors of the questionnaire study that appeared in September, whose very <a href="https://journals.sagepub.com/doi/abs/10.1177/0956797620964422" target="_blank" rel="noopener noreferrer">title</a> claimed that “Empathy Promotes Physical Distancing and Wearing of Masks”. The only data they gathered concerned self-assessed motivations — not behaviours. “Intentional science” sounds somewhat less impressive than “behavioural science”, but it would, alas, be much more accurate.</p>
<p>Yet more evidence is <a href="https://hbhi.jhu.edu/?page_id=179" target="_blank" rel="noopener noreferrer">appearing all the time</a>: perhaps the behavioural scientists will crack a solid, reliable intervention soon. But the discipline&#8217;s contribution to the pandemic feels like a classic case of over-promising and under-delivering. The confident claims at the start of the pandemic — that behavioural science would play a crucial role in the Government’s toolkit to keep us all safe — simply fell flat when the actual data were examined. Had the hype been dialled back a little, behavioural science&#8217;s messy evidence base would look more like a discipline doing its best to find out what works (which is a <a href="https://fivethirtyeight.com/features/why-coming-up-with-effective-interventions-to-address-covid-19-is-so-hard/" target="_blank" rel="noopener noreferrer">genuinely difficult task</a>), rather than a big disappointment.</p>
<p>Even if our ability to alter human behaviour using clever psychological techniques is weaker than we’d like, it is still useful for understanding human behaviour in the pandemic. To take just one example: knowing what people believe, and how those beliefs change over time, is important for governments and health systems to target their policies.</p>
<p>UCL’s <a href="https://www.covidsocialstudy.org/results" target="_blank" rel="noopener noreferrer">Covid-19 Social Study</a> is packed with interesting data on this topic. One of the <a href="https://b6bdcb03-332c-4ff9-8b9d-28f9c957493a.filesusr.com/ugd/3d9db5_59d1b940054440bbb52a72b6bd0b0a06.pdf" target="_blank" rel="noopener noreferrer">overall findings</a> is that people’s compliance with the rules (again, self-reported, so <em>caveat emptor</em>) has waxed and waned along with Covid cases: the recent second wave was accompanied by more people saying they follow all the rules. The main driver of people’s behaviour seems to be how many infections there are in the country (which ultimately depends on government policies like lockdown and border control); “soft” behavioural science interventions like nudges are only going to be useful <a href="https://www.cambridge.org/core/journals/behavioural-public-policy/article/when-behavioural-science-can-make-a-difference-in-times-of-covid19/FA4A3A934B88A3C954AEFB13F4C7237F" target="_blank" rel="noopener noreferrer">at the margin</a>.</p>
<a href="https://stage.unherd.com/2021/02/behavioural-science-wont-save-us/?edition=us?=refinnar"><div class="ref-ar"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/02/GettyImages-1230909501-e1612525466579.jpg?w=300" /><div class="content"><span class="meta">Suggested reading</span><h5>The Government's Covid comms failure</h5><p class="author"><span>By</span> Tom Chivers</p></div></div></a>
<p>To those new UK Government adverts, they seem to be an attempt to use a mixture of empathy, shame and fear to promote compliance. Although there’s plenty of evidence to show that the latter of these <a href="https://www.apa.org/pubs/journals/releases/bul-a0039729.pdf" target="_blank" rel="noopener noreferrer">has worked</a> in previous contexts, it’s hard to apply any previous research to our unprecedented situation. It certainly feels to me that more attention paid to <a href="https://stage.unherd.com/2021/01/inside-the-covid-ward/" target="_blank" rel="noopener noreferrer">actual Covid patients</a>, rather than just graphs of case numbers, would jolt people out of complacency — but that’s the hunch of a behavioural scientist, rather than evidence from behavioural science.</p>
<p>And there’s nothing wrong in theory with a behavioural scientist giving you their opinion — if they’re clear that’s what it is. The superficially convincing sheen of “science” is too easily applied to what are often just thoughts and judgements by well-meaning, well-informed experts (or <em>mostly </em>well-informed: the “fatigue” debacle illustrates how even the experts can fail to be on top of their brief). Setting the behavioural scientists up as some kind of oracular group of truth-tellers who’ve figured out the intricacies of the human mind is setting them up for failure — and trivialising the very real <a href="https://www.gov.uk/government/groups/independent-scientific-pandemic-influenza-group-on-behaviours-spi-b" target="_blank" rel="noopener noreferrer">contributions</a> they can make.</p>
<p>So can I look you in the eyes and tell you that the new adverts will work? Not really. But what do I know? I’m just a behavioural scientist.</p>
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					<title>The Government&#8217;s Covid scaremongering</title>
					<link>https://stage.unherd.com/2020/11/the-governments-covid-scaremongering/?edition=us</link>
											<comments>https://stage.unherd.com/2020/11/the-governments-covid-scaremongering/?edition=us#comments</comments>
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						<![CDATA[Timandra Harkness]]>
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							<![CDATA[Has the third lockdown made a difference to infection rates? Credit: Wiktor Szymanowicz/Barcroft Media via Getty Images]]>
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							<![CDATA[<p><strong>Timandra Harkness</strong> presents the BBC Radio 4 series, <a href="https://www.bbc.co.uk/programmes/b064z7f2">FutureProofing</a> and <a href="https://www.bbc.co.uk/programmes/b0bfd2qr">How To Disagree</a>. Her book, <em><a href="https://harpercollins.co.uk/products/technology-is-not-the-problem-timandra-harkness?variant=40663002579022">Technology is Not the Problem</a>, </em>is published by Harper Collins.</p>
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						<unherd:twitter_handle>TimandraHarknes</unherd:twitter_handle>
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						<![CDATA[ presents the BBC Radio 4 series, <a href="https://www.bbc.co.uk/programmes/b064z7f2">FutureProofing</a> and <a href="https://www.bbc.co.uk/programmes/b0bfd2qr">How To Disagree</a>. Her book, <em><a href="https://harpercollins.co.uk/products/technology-is-not-the-problem-timandra-harkness?variant=40663002579022">Technology is Not the Problem</a>, </em>is published by Harper Collins.]]>
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										<pubDate>Fri, 06 Nov 2020 10:51:59 +0000</pubDate>
					<updated>Sat, 07 Nov 2020 09:51:04 +0000</updated>
							<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Chris Whitty]]></category>
		<category><![CDATA[Coronavirus]]></category>
		<category><![CDATA[COVID-19]]></category>
		<category><![CDATA[Graham Stringer]]></category>
		<category><![CDATA[lockdown]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[Pandemic]]></category>
		<category><![CDATA[Patrick Vallance]]></category>
		<category><![CDATA[Rishi Sunak]]></category>
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								<![CDATA[It is an insult to the public's intelligence to treat us like a volatile rabble]]>
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								<![CDATA[<p>Given that our Government claims to be led by science, <a href="https://www.youtube.com/watch?v=IJl3QF58g3s" target="_blank" rel="noopener noreferrer">last Saturday’s</a> slide show was an insult to the public: the data was out of date, selectively used, and out of context. Ten hospitals were full above their spring peak level, yes, but the other 472 (not shown) were not. Also not shown: excess deaths are <a href="https://www.telegraph.co.uk/news/2020/11/03/hospital-intensive-care-no-busier-normal-leaked-documents-show/" target="_blank" rel="noopener noreferrer">only just beginning</a> to rise above the five-year average, and hospital capacity is currently at normal levels for this time of year in most areas.</p>
<p><a href="https://committees.parliament.uk/committee/135/science-and-technology-committee-commons" target="_blank" rel="noopener noreferrer">Tuesday’s session</a> of the Commons Science and Technology Committee was a grilling for the Government’s Chief Medical Officer and Chief Scientific Advisor. Professor Whitty and Sir Vallance were asked whether their projected figures for hospitalisations and deaths take into account the effects of the Tier system, which is only a few weeks old? The answer was evasive. They were asked why, in Saturday’s Press Conference, they had displayed poorly-labelled graphs implying that there could be 4,000 deaths a day if nothing were done. The research group who modelled that scenario had already revised it to a much lower estimate of 1,000 daily deaths.</p>
<p>After wondering whether it was “sensible or fair” to display a misleading graph that will have frightened a lot of people, MP Graham Stringer asked why SAGE never presents equivalent predictions or quantifications for other impacts of lockdowns, citing an April study that suggested they would cause 200,000 deaths in the long term. “I think the public would be very surprised to see that was the other side of the equation,” he observed.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/11/the-trouble-with-covid-denialism/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/11/the-trouble-with-covid-denialism/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/11/GettyImages-1229455012.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/11/the-trouble-with-covid-denialism/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/11/the-trouble-with-covid-denialism/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>The trouble with &#039;Covid denialism&#039;</h5></a><p class="author"><a href="https://stage.unherd.com/2020/11/the-trouble-with-covid-denialism/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Saloni Dattani and Matthew Lesh</a></p></div></a></div>
<p>It’s only right that the cobbled-together visual aids used in Saturday’s Press Conference come under scrutiny, both in the media and by the MPs who were asked to vote in new restrictions. The UK Office of Statistics Regulation (OSR) <a href="https://osr.statisticsauthority.gov.uk/correspondence/ed-humpherson-to-sir-patrick-vallance-transparency-of-data-related-to-covid-19/" target="_blank" rel="noopener noreferrer">wrote to</a> Sir Patrick Vallance and Professor Whitty, to remind them that data “should be published in a clear and accessible form with appropriate explanations of context and sources.”</p>
<p>“We welcome the fact that the sources for the data used in the slides were published,” noted the OSR in a simultaneous <a href="https://osr.statisticsauthority.gov.uk/why-trust-and-transparency-are-vital-in-a-pandemic/" target="_blank" rel="noopener noreferrer">blog post</a>, “albeit three days after the slides themselves.”</p>
<p>Despite continuing efforts to brand any objection to anti-Covid restrictions as a form of treason — some accuse dissenters of wanting to “Let It Rip” through the population — a space to discuss rational alternatives is emerging. Scientists and public health professionals are increasingly willing to distance themselves from arbitrary and counterproductive measures, like involving the police in contact tracing and isolation. The British Medical Association <a href="https://www.theregister.com/2020/10/19/uk_test_and_trace_data/" target="_blank" rel="noopener noreferrer">told <em>The Register</em></a>:</p>
<p style="padding-left: 40px;"><em>&#8220;For the test and trace system to be effective it needs to have the full confidence of the public, with transparency about the appropriate and secure use of their data. We are already concerned that some people are deterred from being tested because they are anxious about loss of income should they need to self-isolate – and we are worried should police involvement add to this.&#8221; </em></p>
<p>Professor Susan Michie of UCL <a href="https://www.huffingtonpost.co.uk/entry/10pm-curfew-review-scientists-warn_uk_5f719f26c5b64deddef05de0?" target="_blank" rel="noopener noreferrer">warned the </a><em>Huffington Post </em>that the 10pm curfew had predictable consequences that would be counterproductive, calling it, “another example of a restriction brought in without a coherent strategy and without sufficient consultation with relevant experts and communities.” A campaign called Recovery has tabled <a href="https://timeforrecovery.org/" target="_blank" rel="noopener noreferrer">“Five Reasonable Demands”</a> (which I support) for a more balanced approach to Covid-19. The insistence that “there is no alternative” to lockdown, to use Boris Johnson’s words, is unravelling.</p>
<a href="https://stage.unherd.com/2020/11/the-governments-covid-scaremongering/?edition=us?=refinnar"><div class="ref-ar"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/11/GettyImages-1229474714-e1604663868313.jpg?w=300" /><div class="content"><span class="meta">Suggested reading</span><h5>The Government's Covid scaremongering</h5><p class="author"><span>By</span> Tom Chivers</p></div></div></a>
<p>And yet, on Wednesday Parliament voted in another lockdown, slightly less restrictive than the first, but one that has forbidden outdoor group sports for children, and closed golf courses and open-air swimming pools, bookshops and gyms. What is the evidence that these venues were a significant site for infections? Where is the modelling that shows the lives saved by preventing outdoor swimming outweigh the negative long-term health impacts? If they exist, the Government hasn’t seen fit to share them with the public.</p>
<p>Lurking behind this new lockdown is a difficult truth. Every winter, hospitals run close to, or at, their capacity, thanks to normal winter illnesses and the increased challenge cold weather poses to the frail. The added burden of Covid-19 could push that capacity to the point where, at best, non-emergency treatments are cancelled and postponed. At worst, people die untreated, whether from Covid-19 or other conditions.</p>
<p>The Nightingale Hospitals, which mostly stood unused in the Spring peak of the pandemic, offered beds but not doctors or nurses. One of the reasons they were so little used was that hospitals could only transfer patients there if they also sent staff. Their potential to take the strain now would rely on an influx of skilled personnel, and it’s hard to see where those people could be found in a chronically understaffed NHS.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/09/lets-be-honest-the-nhs-is-awful/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/09/lets-be-honest-the-nhs-is-awful/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/08/GettyImages-1209052094-e1598541846328.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/09/lets-be-honest-the-nhs-is-awful/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/09/lets-be-honest-the-nhs-is-awful/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Let&#039;s be honest, the NHS is awful</h5></a><p class="author"><a href="https://stage.unherd.com/2020/09/lets-be-honest-the-nhs-is-awful/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Henry Jeffreys</a></p></div></a></div>
<p>This, at heart, is the justification for the second lockdown: shut down society to save our ailing health service from being overwhelmed, as it was in winter 2017/18. Tens of thousands of people had their treatments <a href="https://www.telegraph.co.uk/news/2018/01/02/nhs-hospitals-ordered-cancel-routine-operations-january/" target="_blank" rel="noopener noreferrer">postponed</a> or <a href="https://www.theguardian.com/society/2017/dec/21/nhs-cancels-surgery-tens-of-thousands-avoid-winter-crisis" target="_blank" rel="noopener noreferrer">cancelled</a> that year, as a bad flu season pushed demand above capacity. Those pre-emptive cancellations may have been designed to prevent a crisis like the one preceding it, in winter 2016/17, when overflowing hospitals had <a href="https://www.theguardian.com/society/2017/jan/06/nhs-faces-humanitarian-crisis-rising-demand-british-red-cross" target="_blank" rel="noopener noreferrer">patients dying in corridors</a>.</p>
<p>What has changed since 2018? There was no question of reorganising society around the needs of the NHS, even though 55,720 people in the UK fell victim to Excess Winter Deaths in that season. There were not even calls for people to avoid social interaction with the elderly, to wash hands more often, or to stay home if they had a fever. Those at risk were exhorted to get a flu jab, and the rest of us were left to get on with it.</p>
<p>Covid-19 is not seasonal flu. Left unchecked, it would spread faster, and kill more people. But we are not leaving it to spread unchecked. The Tier system of regional restrictions appears to be having effects already, with cases falling in the Northeast, and the R number shrinking back towards one since early October. Chief Medical Officer Chris Whitty admitted to the Commons Science and Technology Committee that he thought Tier 2 and 3 regulations were having an effect, but that those effects were not included in the models used to justify a second lockdown.</p>
<p>The most profound problem with current Covid-19 policies, though, is this: the public, whom the measures are supposedly protecting, are now seen as the problem. The CEO and deputy chief of the NHS, calling on MPs to vote for the new lockdown measures, <a href="https://www.telegraph.co.uk/politics/2020/11/04/lockdown-vote-boris-johnson-commons-december-brexit-election/" target="_blank" rel="noopener noreferrer">claimed</a> that dissent within parliament would “reduce public compliance” with the measures. Writing in the <em>Telegraph </em>this week, Rishi Sunak <a href="https://www.telegraph.co.uk/politics/2020/11/02/can-responsibility-tackling-virus-personal-collective/" target="_blank" rel="noopener noreferrer">reminded us scoldingly</a> that “the responsibility for tackling this virus is personal as well as collective”, before issuing a plea: “however frustrating and difficult, I am asking everyone to follow the rules.”</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/06/was-the-two-metre-rule-one-big-lie/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/06/was-the-two-metre-rule-one-big-lie/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/06/GettyImages-1210496932.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/06/was-the-two-metre-rule-one-big-lie/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2020/06/was-the-two-metre-rule-one-big-lie/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Was the two-metre rule one big lie?</h5></a><p class="author"><a href="https://stage.unherd.com/2020/06/was-the-two-metre-rule-one-big-lie/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Timandra Harkness</a></p></div></a></div>
<p>Clearly, the Government doesn’t trust us. That’s why the press conference wheeled out misleading graphs to frighten us into compliance. The less we are convinced by arbitrary and ineffective rules, imposed without evidence or even common sense, the more the government resorts to threats. Our willingness to make sacrifices — in Spring, <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandwellbeing/bulletins/coronavirusandthesocialimpactsongreatbritain/23april2020" target="_blank" rel="noopener noreferrer">85%</a> of the public adhered to the “Stay Home” instruction — has fractured into mutual distrust. <a href="https://yougov.co.uk/topics/politics/survey-results/daily/2020/10/12/9fc6f/2?" target="_blank" rel="noopener noreferrer">53%</a> of recently surveyed adults blame “The Public” for recent rises in Coronavirus cases (the only other option was “The Government”, with “Nature, Red In Tooth And Claw” somehow omitted).</p>
<p>Instead of cultivating the upsurge of altruism that drove millions to volunteer back in March, the Government has treated us as a volatile rabble, to be contained and kept passive. No wonder they are so willing to shut down public performances, shared sporting and religious activities, meetings and demonstrations, formal and informal social events. They place no value whatever on public life. All the things that make human life something more than individual survival or passive consumption of products, physical or virtual, in our isolated households, are seen as superfluous. The coming together of human minds and bodies to create new ideas, projects, experiences, relationships, is quantified only in terms of viral transmission.</p>
<p>It’s time we had a rational debate about balancing social measures to suppress Covid-19 against social harms. The evidence presented in support of the new lockdown is weak. Evidence that the resulting damage has been researched alongside the hoped-for benefits is almost non-existent. “There Is No Alternative” is not an argument, when not only livelihoods, but the fabric of society, is being devastated in the name of controlling the virus and protecting the NHS, which should be protecting us.</p>
<p>This debate needs to recognise the corrosion of public life that results from sweeping measures imposed with little or no evidence. And, most importantly, it needs to be a debate about public life that actually includes the public.<a href="applewebdata://1C3AA6A6-03E1-4D98-B5F2-1F3A95221E07#_ftnref9" name="_ftn9"></a></p>
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