In the last few days there’s been a resurgence of interest in the UK’s Eat Out to Help Out scheme of August 2020, in connection with the UK’s imminent public inquiry into COVID. For example, Sunday’s Observer headline was
Sunak under fire as ‘stupid’ Eat Out to Help Out scheme to be focus of Covid inquiry
I ended up discussing this on BBC Radio 4 More or Less just now. Of course, you can’t share graphs on the radio, so here for me is the main one.
This is a plot of the admissions ratio through summer and autumn 2020. This is roughly an estimate of weekly growth rate: if the figure is below 1 admissions are shrinking, if they are above 1 they are growing. So, it’s clear that for most of the Eat Out to Help Out period (August 2020), admissions were shrinking, and the return to serious growth only came after the scheme ended. (You can even see the small return to admissions decline that followed the second lockdown).
As I said on the radio, the 8-17% case increase attributed to Eat Out to Help Out pales into insignificance compared with this kind of sustained exponential growth. If you plot that number on the graph, it’s between the solid line and the first dotted line. It perhaps corresponds to a few days of the kinds of sustained autumn growth we saw, and perhaps at most caused lockdown to take place a few days earlier as a result.
But more importantly, I think this whole thing is an example of a foundational myth, of the kind that the inquiry should really be questioning. In the same way, despite Christopher Snowdon more or less demolishing the idea that “scientists wanted us to lock down in March 2020, but politicians and Dominic Cummings overruled them” here, that seems to have been accepted as part of the story in some quarters.
In the same way, I’d hate it to be the case that (as the Observer headline implied) Eat Out to Help Out became the focus of the story about the disasters of autumn 2020. Of course, it’s part of the story, and should be examined, but the picture is much more complicated than this one factor might suggest.
Indeed, I think it’s important that the inquiry avoids a particular kind of bias (as I discussed in Numbercrunch). We should definitely look at times when we under-reacted to COVID and ignored voices of warning. But equally, it’s important to remember that there were times when warning voices were ignored and things didn’t end in the disaster that was prophesied in some quarters. For example
We were warned that reopening schools in March 2021 would end in disaster:
Without additional mitigations, increases in transmission are likely, this time with more infectious and possibly more virulent variants, resulting in further lockdowns
We were warned about the July 2021 unlocking:
We believe the government is embarking on a dangerous and unethical experiment, and we call on it to pause plans to abandon mitigations on July 19, 2021
We were warned in December 2021 that:
The situation is so urgent we must take emergency action now and that means it is imperative to reduce contacts … Accordingly we now call for an immediate circuit break … No indoor gatherings between households of any size
On all these occasions the Government did not heed these warnings, and we didn’t return to a situation where deaths became very high or admissions numbers returned to levels last seen in January 2021.
So in my view, it’s important to remember that you can’t just construct a narrative of “the Government ignored advice and things went wrong” without at least considering the other times as well, or there is a serious danger that the result of the inquiry will be recommendations that would embed future overreactions into the system.
There is so much revisionism going on. Even if you're not a fan of this government, they got many things right (and some things badly wrong). The roadmap out of restrictions in 2021 was pretty much spot on.
I backed EOTO at the time and still do. People forget the context: we needed cheering up after months of misery; hospitality was on its knees and needed a boost; most of us love going out for a drink or a meal and it was a treat; it was great to be out surrounded by others.
There is so much this inquiry needs to focus on which I fear it won't. E.g. the public health messaging: was scaring people really the best approach? When we knew how Covid was transmitted, why were we still instructed to obsessively clean surfaces and wash our hands? So much time wasted deep cleaning. Why not tell/reassure people that outdoor mask wearing was a waste of time? That people didn't need to jump out of each other's way in the street.
The messaging never got updated. To the detriment of our understanding of Covid and how people behaved and to the mental health of many. Had it been, even more people would have felt more confident/less terrified sooner.
Since we have had disagreements about EOTHO on twitter maybe it's worth saying that I essentially agree with all of your post. It can both have been highly counter-productive (my view) and not a huge disaster in the big picture (both your and my view).
And anyone who doubts that we ever overreacted should be reminded that in England, in February 2021 -- long after we should have known that outdoor transmission is minimal --, children were still barred from playing outside with their friends.
And maybe let me add another point we probably agree on. I hope the covid inquiry also highlights what the UK got right. We should examine what process led to these good decisions, and make sure we can repeat them next time around.