2.1 It was not obvious to us from the evidence received that MAFF was working to any form of coherent contingency plan. We now know from DEFRA that there was a ‘largely internal’ plan which, it is confessed, was overtaken by the scale and size of the outbreak. That tells its own story. Lessons, which should have been learned from the outbreak in 1967, did not appear to have been implemented and recommendations of the official report into that outbreak were not applied. Moving from the strategic to the tactical position, we were easily persuaded that local knowledge was not sought and was dismissed when proffered. The assertion by one witness that “Strangers don’t work well” in local situations caught our imagination. For instance in navigating lorries from distant bases, parish knowledge could have avoided a huge waste of energy and time. This knowledge should also be taken into account in the risk assessment of rights of way by those responsible for decisions on closure.
2.2 We find that a new National Contingency Plan, such as that produced for maritime pollution response by the Marine and Coastguard Agency, needs to be developed quickly, given wide consultation among all the appropriate parties and then published. Publication should be by all available means and not confined to the Internet to which many farmers and parish clerks, for instance, do not have access. It should identify the organisations that will be involved in the response to a Foot and Mouth Disease outbreak in a County or Unitary Authority area, explain their responsibilities and the ways they will work together. An adequate plan to deal with any scale of epidemic needs to be ‘owned’ by all who have and should have a role in handling it. It should be part of an emergency planning process that involves all of them in its construction, testing and regular rehearsal. It must recognise the fundamental need for clear information and effective two-way communications. It must cascade down via the region to the county, the district and particularly to the parish. Responsibilities at each of those levels for implementing allocated functions should be set out (e.g. County Council for trading standards, highways (including public rights of way), and environmental planning, District for environmental health, and Parishes should up date emergency plans adapting them for the easy transmission of local knowledge to incomers). The National Contingency Plan should be reviewed, tested and rehearsed every 5 years, and at local levels at lesser intervals.
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2.3 It was made clear to the Inquiry that such a plan
and its cascade should determine how command
and control is exercised. In Devon, as elsewhere,
it soon became clear that MAFF did not have
among its ranks those who could lead operations
in the field. It is of course the prerogative of
Ministers to determine and instigate policy after
due advice from appropriate sources, but the
Contingency Plan should be implemented
nationally by someone able to command respect
and with experience of managing emergency
operations. But action on the ground in all senses
must be in the hands of those used to command
and with a sufficient support system to be
effective. Much was made to us of the contrast of
achievement between a Brigadier in Cumbria
and a Major in Devon. Experience must be a
factor in that, but Brigadiers also bring systems
(brigades) with them, command is understood,
respect is shown externally and much else flows
from those characteristics. The Chief Constable
explained his emergency control system to us and
indicated his frustration at the limitations the
military authority appeared to apply to itself (in
contrast to the Cumbrian situation). He clearly
would have been happier in control, but also
made it clear that ‘that time is long past’. In any
case it is equally clear that the constabulary has a
full time job to do in normal times and that job
does not diminish during crises of this long
duration. Available military manpower is on the
other hand able to detach itself from training
and ceremonial to concentrate on the temporary
job in hand. The role of the police in upholding
the law (even against other parts of the civil
power) and in movement control during disease
outbreaks of this kind is nevertheless a critical
component of a Contingency Plan.
2.4 We find that in the field handling all the
operational consequences of combating the
disease there would best be a military command,
at least at brigadier level, from Day One of the
outbreak. He or she should work closely alongside the Chief Constable whose roles are
already clearly defined and should have
environmental and veterinary aides at his or her
elbow.
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2.5 The Inquiry heard that a culture of secrecy was
perceived within MAFF, public communication
was poor to non-existent, and this led to an
atmosphere of suspicion, confusion, changing
advice and inconsistencies. This in turn was
reflected by farmers, the media and other
organisations with which the Ministry had
dealings.
2.6 We find that from Day One open two-way
communication must begin within the
operational organisation and with all third
parties. It is vital that timely and accurate
information is provided to individuals and
communities likely to be affected in an outbreak.
This must include farmers and all those who
provide local support and advice such as parish
clergy.
2.7 Effective communications must therefore be at
the heart of any emergency response for that
response to be successful. It is essential that
efficient two-way communications are
recognised in advance as being central to the
effectiveness of any contingency planning and
rigorously tested in regular local, regional and
national exercises.
2.8 Communication planning must involve all
organisations required to deal with any future
outbreak. There must be, however, professional
management of a communications ‘control
centre’ within the structure of the overall
command. Within that context, each
organisation must have a plan for its own
communicating responsibilities and must consult
partner agencies to ensure that all the
information which it dispenses is up-to-date,
consistent and recognises each agency’s specific
role and responsibilities.
2.9 The media can be an important source of public
information and could greatly assist in the
dissemination of accurate information. But the
media, like nature, abhors a vacuum and, in the
absence of official information, will be filled
from alternative sources, including rumour. All
information must be clear, open and honest, and
political considerations should be set aside. The
media should be involved in communications
planning and exercises.
2.10 The good lessons learned from the preparation
for and response to the multi-agency
communications for the 1999 Eclipse and, to a
lesser extent, the Millennium Bug need to be
adopted and adapted. We therefore find that
contingency planning should include provision
for county (or regional as appropriate)
communications centres staffed by specialists
from the organisations involved and should
identify suitable venues which can be activated
speedily. Such centres need to make the best use
of broadcast media - television, radio and
Internet - and it is essential that a proactive
partnership is established with media
organisations to achieve this goal.
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2.11 We heard from one professional witness that
MAFF/DEFRA exceeded the limits of legislation
current during the outbreak and undertook
actions for which there was little or no legal
power granted. This was especially the case in
connection with
There were other dubious statements by
MAFF/DEFRA, for example that the co-operation
of farmers was needed for a vaccination policy to
operate (not so) or, where operations were
organised on behalf of MAFF by the Ministry of
Defence, the MoD became liable for
environmental damage (again, not so).
We find that if it is contemplated that future
epidemics must be tackled in the same way as in
2001 then the existing statutory provisions
should be urgently reviewed in consultation with all those bodies whose functions are
involved to ensure that an unequivocally clear
and properly stocked arsenal is in place to
legitimise that response.
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2.12 We summarise below the areas where we have
found substantial lack of knowledge and where
research, therefore, needs to be undertaken with
urgency:
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