Wednesday, July 29, 2009

UK: House Of Lords Flu Report

 

 

# 3557

 

Over the past few months the UK has been harder by the Swine Flu virus than has the United States or Canada.   Estimates of the number of new cases each week are near 100,000.  

 

While most of these cases are reportedly mild, this is causing a tremendous strain on their NHS medical services.

 

Last week a `flu hotline’ was finally put online, where people could obtain antivirals without seeing their GPs.  Things, however, have not gone as smoothly as one might have hoped. 

 

Today the House of Lords Science and Technology Committee released a somewhat critical report on the government’s early response to the swine flu crisis.   

 

For those not familiar with this committee, they describe themselves thusly:

 

The Science and Technology Committee was established in 1979 and is one of the main investigative committees in the House of Lords. It represents a major forum of independent expertise, drawing on the wide experience of members of the House.

 

The Committee's broad remit is to consider science and technology. It works principally through inquiries undertaken by two Sub-Committees, constituted afresh for each inquiry.

 

Each inquiry leads to a report, published together with the evidence on which it is based, setting out the Committee's findings and making recommendations to the Government and others.

 

 

 

 

Pandemic flu report from Lords’ Committee

Pandemic flu report from Lords’ Committee

28 July 2009

The House of Lords Science and Technology Committee has today published its follow-up report on pandemic influenza.

While the report praises the Government’s actions in stockpiling antivirals such as Tamiflu, and entering into advance purchase agreements for pandemic specific vaccines, the Committee criticises other aspects of the Government’s preparations for the swine flu pandemic.

Some of the criticisms the Committee makes include:

  • The Committee wants clarity on how intensive and critical care facilities would be expected to perform in a pandemic and where there are weaknesses in critical care provision which should be addressed.
  • The Committee has ‘significant concerns’ about the delay in the operation of the National Pandemic Flu Service (NPFS) and asks the Government to explain this delay. It also seeks assurances that the service will be able to meet anticipated demand and be fully operational by autumn to meet the challenges of the anticipated ‘second wave’ of swine flu.
  • The Committee is disappointed the process of ‘whole system’ testing (examining how the full range of health services could react in a pandemic) was not carried our earlier.
  • The Committee asks the Government to clarify what interim services are in place until the ‘enhanced’ NPFS comes on-stream and to make clear how the service will interact with NHS Direct.
  • The report calls on the Government to clarify how they will ensure NHS staff are supported in providing services that may be outside their areas of expertise and if they will be protected from legal action when they provide this treatment. The Committee also wants better guidance on ethical decisions on who could have access to limited flu treatments/vaccines.

Commenting on the Report, Lord Sutherland, Chairman of the Committee, said:

“While the Government have got some things right in preparing for a flu pandemic, such as the stockpiling of antivirals, there are other areas where we appear to be under prepared.

“We are particularly concerned that the ‘enhanced’ NPFS or ‘flu line’ is not fully operational and there seems to be a lack of clarity about how the ‘interim’ flu line will interact with NHS Direct.

“We were surprised and disappointed that the Government had not undertaken ‘whole system’ testing of health services preparations for a flu pandemic before swine flu emerged.”