What have we learned so far from the UK government’s COVID-19 policy?

This post first appeared on LSE British Politics and Policy (27.11.20) and is based on this article in British Politics.

Paul Cairney assesses government policy in the first half of 2020. He identifies the intense criticism of its response so far, encouraging more systematic assessments grounded in policy research.

In March 2020, COVID-19 prompted policy change in the UK at a speed and scale only seen during wartime. According to the UK government, policy was informed heavily by science advice. Prime Minister Boris Johnson argued that, ‘At all stages, we have been guided by the science, and we will do the right thing at the right time’. Further, key scientific advisers such as Sir Patrick Vallance emphasised the need to gather evidence continuously to model the epidemic and identify key points at which to intervene, to reduce the size of the peak of population illness initially, then manage the spread of the virus over the longer term.

Both ministers and advisors emphasised the need for individual behavioural change, supplemented by government action, in a liberal democracy in which direct imposition is unusual and unsustainable. However, for its critics, the government experience has quickly become an exemplar of policy failure.

Initial criticisms include that ministers did not take COVID-19 seriously enough in relation to existing evidence, when its devastating effect was apparent in China in January and Italy from February; act as quickly as other countries to test for infection to limit its spread; or introduce swift-enough measures to close schools, businesses, and major social events. Subsequent criticisms highlight problems in securing personal protective equipment (PPE), testing capacity, and an effective test-trace-and-isolate system. Some suggest that the UK government was responding to the ‘wrong pandemic’, assuming that COVID-19 could be treated like influenza. Others blame ministers for not pursuing an elimination strategy to minimise its spread until a vaccine could be developed. Some criticise their over-reliance on models which underestimated the R (rate of transmission) and ‘doubling time’ of cases and contributed to a 2-week delay of lockdown. Many describe these problems and delays as the contributors to the UK’s internationally high number of excess deaths.

How can we hold ministers to account in a meaningful way?

I argue that these debates are often fruitless and too narrow because they do not involve systematic policy analysis, take into account what policymakers can actually do, or widen debate to consider whose lives matter to policymakers. Drawing on three policy analysis perspectives, I explore the questions that we should ask to hold ministers to account in a way that encourages meaningful learning from early experience.

These questions include:

Was the government’s definition of the problem appropriate?
Much analysis of UK government competence relates to specific deficiencies in preparation (such as shortages in PPE), immediate action (such as to discharge people from hospitals to care homes without testing them for COVID-19), and implementation (such as an imperfect test-trace-and-isolate system). The broader issue relates to its focus on intervening in late March to protect healthcare capacity during a peak of infection, rather than taking a quicker and more precautionary approach. This judgment relates largely to its definition of the policy problem which underpins every subsequent policy intervention.

Did the government select the right policy mix at the right time? Who benefits most from its choices?

Most debates focus on the ‘lock down or not?’ question without exploring fully the unequal impact of any action. The government initially relied on exhortation, based on voluntarism and an appeal to social responsibility. Initial policy inaction had unequal consequences on social groups, including people with underlying health conditions, black and ethnic minority populations more susceptible to mortality at work or discrimination by public services, care home residents, disabled people unable to receive services, non-UK citizens obliged to pay more to live and work while less able to access public funds, and populations (such as prisoners and drug users) that receive minimal public sympathy. Then, in March, its ‘stay at home’ requirement initiated a major new policy and different unequal impacts in relation to the income, employment, and wellbeing of different groups. These inequalities are list in more general discussions of impacts on the whole population.

Did the UK government make the right choices on the trade-offs between values, and what impacts could the government have reasonably predicted?

Initially, the most high-profile value judgment related to freedom from state coercion to reduce infection versus freedom from the harm of infection caused by others. Then, values underpinned choices on the equitable distribution of measures to mitigate the economic and wellbeing consequences of lockdown. A tendency for the UK government to project centralised and ‘guided by the science’ policymaking has undermined public deliberation on these trade-offs between policies. The latter will be crucial to ongoing debates on the trade-offs associated with national and regional lockdowns.

Did the UK government combine good policy with good policymaking?

A problem like COVID-19 requires trial-and-error policymaking on a scale that seems incomparable to previous experiences. It requires further reflection on how to foster transparent and adaptive policymaking and widespread public ownership for unprecedented policy measures, in a political system characterised by (a) accountability focused incorrectly on strong central government control and (b) adversarial politics that is not conducive to consensus seeking and cooperation.

These additional perspectives and questions show that too-narrow questions – such as was the UK government ‘following the science’ – do not help us understand the longer term development and wider consequences of UK COVID-19 policy. Indeed, such a narrow focus on science marginalises wider discussions of values and the populations that are most disadvantaged by government policy.

_____________________

Policy learning to reduce inequalities: a practical framework

This post first appeared on LSE BPP on 16.11.2020 and it describes the authors’ published work in Territory, Politics, Governance (for IMAJINE)

While policymakers often want to learn how other governments have responded to certain policies, policy learning is characterized by contestation. Policymakers compete to define the problem, set the parameters for learning, and determine which governments should take the lead. Emily St.Denny, Paul Cairney, and Sean Kippin discuss a framework that would encourage policy learning in multilevel systems.

Governments face similar policy problems and there is great potential for mutual learning and policy transfer. Yet, most policy research highlights the political obstacles to learning and the weak link between research and transfer. One solution may be to combine academic insights from policy research with practical insights from people with experience of learning in political environments. In that context, our role is to work with policy actors to produce pragmatic strategies to encourage realistic research-informed learning.

Pragmatic policy learning

Producing concepts, research questions, and methods that are interesting to both academics and practitioners is challenging. It requires balancing different approaches to gathering and considering ‘evidence’ when seeking to solve a policy problem. Practitioners need to gather evidence quickly, focusing on ‘what works’ or positive experiences from a small number of relevant countries. Policy scholars may seek more comprehensive research and warn against simple solutions. Further, they may do so without offering a feasible alternative to their audience.

To bridge these differences and facilitate policy learning, we encourage a pragmatic approach to policy learning that requires:

• Seeing policy learning through the eyes of participants, to understand how they define and seek to solve this problem;
• Incorporating insights from policy research to construct a feasible approach;
• Reflecting on this experience to inform research.

Our aim is not ‘evidence-based policymaking’. Rather, it is to incorporate the fact that researchers and evidence form only one small component of a policymaking system characterized by complexity. Additionally, policy actors enjoy less control over these systems than we might like to admit. Learning is therefore best understood as a contested process in which actors combine evidence and beliefs to define policy problems, identify technically and politically feasible solutions, and negotiate who should be responsible for their adoption and delivery in multilevel policymaking systems. Taking seriously the contested, context-specific, and political nature of policymaking is crucial for producing effective advice from which to learn.

Policy learning to reduce inequalities

We apply these insights as part of the EU Horizon 2020 project Integrative Mechanisms for Addressing Spatial Justice and Territorial Inequalities in Europe (IMAJINE). Its overall aim is to research how national and territorial governments across the European Union pursue ‘spatial justice’ and try to reduce inequalities.

Our role is to facilitate policy learning and consider the transfer of policy solutions from successful experiences. Yet, we are confronted by the usual challenges. They include the need to: identify appropriate exemplars from where to draw lessons; help policy practitioners control for differences in context; and translate between academic and practitioner communities.

Additionally, we work on an issue – inequality – which is notoriously ambiguous and contested. It involves not only scientific information about the lives and experiences of people, but also political disagreement about the legitimate role of the state in intervening in people’s lives or redistributing of resources. Developing a policy learning framework that is able to generate practically useful insights for policy actors is difficult but key to ensuring policy effectiveness and coherence.

Drawing on work we carried out for the Scottish Government’s National Advisory Council on Women and Girls on approaches to reducing inequalities in relation to gender mainstreaming, we apply the IMAJINE framework to support policy learning. The IMAJINE framework guides such academic–practitioner analysis in four steps:

Step 1: Define the nature of policy learning in political systems.

Preparing for learning requires taking into account the interaction between:

• Politics, in which actors contest the nature of problems and the feasibility of solutions;
• Bounded rationality, which requires actors to use organizational and cognitive shortcuts to gather and use evidence;
• ‘Multi-centric’ policymaking systems, which limit a single central government’s control over choices and outcomes.

These dynamics play out in different ways in each territory, which means that the importers and exporters of lessons are operating in different contexts and addressing inequalities in different ways. Therefore, we must ask how the importers and exporters of lessons: define the problem, decide what policies are feasible, establish which level of government should be responsible for policy and identify criteria to evaluate policy success.

Step 2: Map policymaking responsibilities for the selection of policy instruments.

The Council of Europe defines gender mainstreaming as ‘the (re)organisation, improvement, development and evaluation of policy processes, so that a gender equality perspective is incorporated in all policies at all levels and at all stages’.

Such definitions help explain why mainstreaming approaches often appear to be incoherent. To map the sheer weight of possible measures, and the spread of responsibility across many levels of government (such as local, Scottish, UK and EU), is to identify a potentially overwhelming scale of policymaking ambition. Further, governments tend to address this potential by breaking policymaking into manageable sectors. Each sector has its own rules and logics, producing coherent policymaking in each ‘silo’ but a sense of incoherence overall, particularly if the overarching aim is a low priority in government. Mapping these dynamics and responsibilities is necessary to ensure lessons learned can be effectively applied in similarly complex domestic systems.

Step 3: Learn from experience.

Policy actors want to draw lessons from the most relevant exemplars. Often, they will have implicit or explicit ideas concerning which countries they would like to learn more from. Negotiating which cases to explore, so that it takes into consideration both policy actors’ interests and the need to generate appropriate and useful lessons, is vital.

In the case of mainstreaming, we focused on three exemplar approaches, selected by members of our audience according to perceived levels of ambition: maximal (Sweden), medial (Canada) and minimal (the UK, which controls aspects of Scottish policy). These cases were also justified with reference to the academic literature which often uses these countries as exemplars of different approaches to policy design and implementation.

Step 4: Deliberate and reflect.

Work directly with policy participants to reflect on the implications for policy in their context. Research has many important insights on the challenges to and limitations of policy learning in complex systems. In particular, it suggests that learning cannot be comprehensive and does not lead to the importation of a well-defined package of measures. Bringing these sorts of insights to bear on policy actors’ practical discussions of how lessons can be drawn and applied from elsewhere is necessary, though ultimately insufficient. In our experience so far, step 4 is the biggest obstacle to our impact.

___________________