Volume I: Introduction and key events from January 2020 to May

Introduction by The Rt Hon the Baroness Hallett DBE xiii Voices xvii

  • Executive summary — 1

  • Key events from January 2020 to May 2022 — 2

  • Key themes — 8

  • Key lessons for future emergencies — 13

  • Specific recommendations — 14

Chapter 1: The context for pandemic decision-making – key structures and concepts 16 Introduction 17

  • Key structures — 17

  • Key scientific concepts — 21

Chapter 2: The emergence of Covid-19 (January and February 2020) 32 Introduction 33

  • January 2020: Emerging understanding — 33

  • The situation at the end of January 2020 — 53

  • February 2020: The spread of the virus — 57

  • Border controls and restrictions — 78

  • The situation at the end of February 2020 — 80

  • Lost time — 91

  • Chapter 3: The first 12 days of March 2020 — 92

Introduction 93

  • 1 to 3 March 2020 — 94

  • The initial plan for the response — 104

  • 4 to 12 March 2020 — 119

The move from 'contain' to 'delay' and self-isolation advice 137

  • The end of community testing and tracing contacts — 144

  • The situation on 12 March 2020 — 147

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Chapter 4: Realisation and lockdown (13 to 23 March 2020)

Introduction 149

  • Public health data and NHS capacity at 13 March 2020 — 149

  • 13 March 2020: New data and a dawning realisation — 153

  • The weekend of 14 and 15 March 2020 — 159

  • The situation on 15 March 2020 — 169

  • 16 March 2020: An 'advisory' lockdown — 170

  • 17 March 2020 — 177

  • 18 March 2020: Closing schools and London lockdown — 179

  • 19 and 20 March: Additional restrictions — 184

  • The weekend of 21 and 22 March 2020 — 191

  • The lockdown decision: 23 March 2020 — 194

  • Decision-making leading to the lockdown decision — 199

  • The inevitability of a lockdown — 213

  • Chapter 5: Exit from lockdown (April to early July 2020) — 214

  • Introduction — 215

  • Plans for reviewing lockdown — 217

  • April 2020: Reviews of lockdown — 220

  • May 2020: Planning for lifting lockdown — 234

  • June 2020: Reopening — 247

  • Further easing of restrictions in July 2020 — 259

  • The divergence of approaches across the UK — 265

Chapter 6: The second wave (mid-July to early December 2020) 266 Introduction 267

  • July and August 2020 — 268

  • The situation at the end of August 2020 — 280

  • September 2020 — 281

  • The situation at the end of September 2020 — 297

  • Local restrictions: England and Scotland — 299

  • Circuit breakers in Wales and Northern Ireland — 307

  • A second lockdown in England — 319

  • November and early December 2020 — 329

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  • Chapter 7: Further lockdowns (December 2020 to April 2021) — 333

Introduction 334

  • December 2020 to early January 2021 — 334

  • February to April 2021 — 362

  • The situation by the end of April 2021 — 372

  • Winter lockdowns and exit plans — 374

Chapter 8: Learning to live with Covid-19 (May 2021 to May 2022) 376 Introduction 377

  • May to July 2021 — 377

  • The situation at the end of July 2021 — 396

  • August to October 2021 — 399

  • The situation at the end of October 2021 — 406

  • Omicron: November and December 2021 — 408

  • The situation at the end of December 2021 — 427

  • January to May 2022 — 430

  • The situation at the end of May 2022 — 436

  • A new normal — 438

Volume II: Key themes, lessons and recommendations Voices vii

  • Chapter 9: Scientific and technical advice — 1

  • Introduction — 2

  • Scientific advice — 2

  • Economic advice — 47

  • Support for advisers — 53

  • Chapter 10: Vulnerabilities and inequalities — 59

  • Introduction — 60

  • Consideration of particularly vulnerable people — 61

  • Consideration of indirect harms — 80

  • Impact assessments, including the public sector equality duty — 85

  • Identification of vulnerable groups — 90

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  • Chapter 11: Government decision-making — 97

  • Introduction — 98

  • Emergency decision-making — 98

  • A framework for emergency decision-making — 122

  • The role of leaders — 138

  • Chapter 12: Public health communications — 158

  • Introduction — 159

  • Communications campaigns during the Covid-19 pandemic — 159

  • Complexity and change — 170

  • Optimism versus caution — 174

  • Clarity of geographic scope in messaging — 177

  • Delivering the message: Press conferences — 179

  • Accessibility — 184

  • Chapter 13: Legislation and enforcement — 191

  • Introduction — 192

  • The legal framework for health emergencies in early 2020 — 192

  • The legislative response to the Covid-19 pandemic — 195

  • The clarity of the rules — 209

  • Enforcing the law — 216

  • Legislative planning for future emergencies — 224

  • Chapter 14: Intergovernmental working — 226

  • Introduction — 227

  • Engagement with local and regional authorities — 227

  • Intergovernmental working during Covid-19 — 234

  • Chapter 15: Key lessons for future emergencies — 261

  • Introduction — 262

  • The importance of planning — 262

  • The importance of an unambiguous strategy — 265

  • The importance of acting quickly — 266

  • The importance of working together — 267

  • The importance of data — 268

  • Applying these lessons — 270

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