After 25 years managing in a professional environment where the word ‘capacity’ frequently involves a justification to do little, please excuse me if I feel a bit fatigued with its application within the context of testing for the coronavirus.
Let’s peel back this context when Dominic Raab (The stand-in for the PM) explains the government as having a testing capacity of 40,000 a day, and this will be 100,000 in the next eight days.” On 25 March, the prime minister said: “We are going up from 5,000 to 10,000 tests per day, to 25,000, hopefully very soon up to 250,000 per day.” Professional anoraks often get themselves in a sweat over such terminology, but to help cut this short, there is the self capacity and then there is holistic capacity. There was a sleight of hand today by Dominic Raab who tried to shift the narrative from actually doing 100,000 tests a day to having the capacity to do 100,000 tests per day. Let me try to explain.
Self-capacity is pretty much self-explanatory. What government ministers are now repeatedly talking about is the government having the test capacity, which means having the resources and procedures in place so they can then commission adequate testing.
All well and good, you may say. Still, the health and care sector in the UK has been fragmented through the ideological enslavement of privatisation, outsourcing and artificial internal markets, as well as the climate of austerity, means that “self-capacity” is pretty futile. The government themselves do not do the testing. It is undertaken by either other parts of the state or a private agency contracted to carry out the tests.
One of the main reasons the government is struggling with PPE and testing is the lack of capacity throughout the health and care sector (holistic capacity throughout the supply chain) in the UK. We do not have an integrated national health and care service in the UK.
Decades of underfunding and trying to do things on the cheap through competitive market tendering have left weaknesses throughout the supply chain from service design, procurement, delivery and then right through to the quality outcomes for the person in receipt of the service.
Cruelty in our care homes is directly linked to UK politicians and social policymakers being obsessed with market competition in health and social care. The horrific case of Winterbourne View is but an example of what is going on and a simple Google search ‘care workers jailed for abuse in the UK’ will no doubt lift a few compassionate eyebrows.
At the end of the day, the government may have the capacity to resource 100,000 tests per day by the end of April. The whole health and care sector having the ability to deliver these 100,000 tests, well that is a different outcome altogether. The government are playing spin with the lives of our NHS and Care Sector workers, instead of sorting the supply chain shambles out.
In the murky world of political spin, the smoke and mirrors of tabloid headlines and the lack of interest for many to scratch beneath the surface, tragically lives will still be lost.