Covid inquiry live: Hancock ‘wanted to decide who should live or die if NHS became overwhelmed’
Lord Simon Stevens says Cabinet ministers ‘avoided’ Cobra meetings chaired by then-health secretary
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Your support makes all the difference.Ex-health secretary Matt Hancock believed that he – rather than doctors or the public – should decide “who should live and who should die” if hospitals became overwhelmed with Covid patients, the former NHS chief executive has said.
Lord Simon Stevens said that “fortunately this horrible dilemma never crystallised”, as he told the Covid inquiry on Thursday that it would have to look “very carefully” at the issue of asymptomatic Covid patients being discharged from hospitals into care homes.
Meanwhile, Mr Hancock, who was health secretary at the start of the Covid outbreak, told Public Health England’s then medical director Yvonne Doyle “not to patronise him” when she warned that the virus could be in the UK, she told the inquiry.
She said she was barred from doing media interviews for a time after that, and apologised to him, even though she had been telling the truth.
It comes a day after former top civil servant and ethics chief Helen MacNamara said the “female perspective” was missed during the pandemic as she condemned a “toxic” and “macho” culture at the highest levels of Mr Johnson’s government.
Matt Hancock wanted to decide who should live and who should die during Covid – former NHS boss
An unhappy struggle between panto and principle: the Covid inquiry’s winners and losers so far
Matt Hancock told Public Health England director ‘not to patronise him’
Boris Johnson’s No 10 was toxic, sexist and devoid of humanity, says former top civil servant
Matt Hancock ‘pretended to bat away criticism like a cricketer’
Helen MacNamara has described a bizarre situation in which she offered to help Matt Hancock in case he was not able to cope with the “enormity” of his role as health secretary during the pandemic, Archie Mitchell reports.
When the former top civil servant went to check on Mr Hancock, trying to “reassure him”, he said he was “loving” the responsibility.
He then “took up a batsman’s stance outside the Cabinet Room and said: “They bowl them at me, I knock them away,” according to Ms MacNamara.
Helen MacNamara piles into Matt Hancock criticism
Matt Hancock was “regularly” telling people things that they later discovered were not true, Helen MacNamara has said, Archie Mitchell reports.
The then health secretary “time and time again” assured officials that plans were in place for dealing with Covid, and Helen MacNamara said she was “surprised” to learn that they were not.
This was part of a pattern of behaviour from Mr Hancock, she told the Covid inquiry.
The former top civil servant said there was a “lack of confidence” from No10 that what the then health secretary said was happening “was actually happening”.
She said: “What we experienced that was said in a meeting as being under control or going to be delivered or something that was fine, subsequently a matter of days at times or weeks later we would discover that was not in fact the case.
“You don’t usually get everything’s okay and then two weeks later not only is it not okay it was not even there.
“That is very unusual”.
Civil servants making decisions were ‘pretty privileged’
Civil servants making decisions during the pandemic were always “miles away from most people in the UK”, Helen MacNamara has told the Covid inquiry, Archie Mitchell reports.
“For example, in policy discussions when the restrictions were loosening, I found myself explaining that even people who were lucky enough to have a back garden might not have separate back gate or outside loo,” she said.
The former top civil servant said the full cabinet were “a bit more grounded” and better at bringing a “wider perspective”, but were “not asked their opinion very often”.
MacNamara also said that cabinet government was essentially abandoned during the pandemic and that secretaries of state were not properly briefed on the science.
"I was concerned about what they saw as circumnavigating a cabinet governance and you were increasingly worried that the cabinet themselves were not being given a full scientific picture or able to properly be part of accountable decision making,” she said.
Culture of leaking ‘corrosive’ and caused ‘rushed’ decisions, MacNamara
Helen MacNamara said the culture of leaking in Downing Street and Whitehall was “corrosive” and forced “rushed” decision-making, Archie Mitchell reports.
“I think it’s very important that there is good reporting,” she told the Covid inquiry.
But she said when “somebody decides to leak something ill-formed” it leads to everyone having to “rush around trying to come up with what the real answer ought to be in hours rather than days”.
Helen MacNamara was warned about Partygate chaos
Helen MacNamara, who brought a karaoke machine to a lockdown-busting party in Downing Street, was warned that socialising during the pandemic showed “utter contempt to the electorate”, Archie Mitchell reports.
After suggesting greater socialising among staff to boost morale, the former top civil servant was sent a note by John Owen, then private secretary to Mark Sedwill, saying: “Fundamentally disagree with this. When we are telling the country to socially distance it shows utter contempt to the electorate to openly flout those rules.
“Plus when we are going on about how tech and data will save the day for absolutely everything to admit that we can’t use it is not acceptable.”
MacNamara: ‘Hundreds of civil servants were on the wrong side of the line’ on Covid rules
Helen MacNamara said “hundreds” of civil servants and ministers would have found themselves on the “wrong side” once the police drew a line at Boris Johnson’s Partygate birthday bash, Archie Mitchell reports.
The former top civil servant told the Covid inquiry: “When the police drew the line of what was acceptable or not acceptable as the birthday gathering in the Cabinet Room, when they said that was the wrong side of the line, I’m certain that there are hundreds of civil servants and potentially ministers who in retrospect think they were the wrong side of that line.”
Helen MacNamara: ‘Parties should never have happened’
Helen MacNamara said lockdown-busting Downing Street parties should “never have happened”, including one to which she took a karaoke machine, Archie Mitchell reports.
The former top civil servant said she thought that by getting people to talk to each other more, “they might in fact be able to work better together”.
She told the Covid inquiry she was “not partying in No10, I was either at work or at home”.
And she said she would find it hard to pick “one day” on which the Covid rules were followed in Downing Street.
MacNamara recalls that the one time was a cabinet meeting and that everybody present “moaned” afterward that the rules were followed.
MacNamara: ‘Definitely a toxic culture, Cummings texts were horrible’
The former top civil servant described as a “c***” by Dominic Cummings said it was “horrible” to read his messages, Archie Mitchell reports.
But she said it was “both surprising and not surprising”.
She said Mr Cummings, then chief of staff to Boris Johnson, was “frustrated” with her.
But she said she was just “doing my job as a civil servant”.
“All I was doing was working in the service of the then prime minister,” Ms MacNamara told the Covid inquiry.
She added: “It is disappointing to me that the prime minister did not pick him up on the use of some of that violent and misogynistic language.”
‘Female perspective was getting missed’ through Covid, MacNamara says
Helen MacNamara said the “female perspective” was being missed during the pandemic because of a “macho” culture and sexism in Downing Street, Archie Mitchell reports.
She said women were “ignored and excluded” and some who had worked with the Cabinet Office for years felt they had “become invisible overnight”.
This led to failures in policy areas such as domestic abuse and abortion.
Superhero bunfight’ culture would not have developed under Theresa May
A “macho” culture which led to Downing Street resembling a “superhero bunfight” would not have developed under Theresa May’s leadership, Helen MacNamara has said, Archie Mitchell reports.
The former top civil servant produced a report in May 2020 which found bad behaviour by senior leaders being tolerated, junior women being talked over and ignored and “too many people behaving as if they had been parachuted in to save the day”.
Asked at the official Covid inquiry about the report, Ms MacNamara said there was not “any world” in which the culture could have developed under Mrs May.
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