Are you trying to say that there were no other options such as building on the existing local government infrastructure that was already in place rather than consciously building a centralised privately led privately run system that Boris Johnson today, after Ł12b of public money has been spent said "was helping a bit".
The BMJ certainly seemed to think so when they looked at how Germany had taken the former path rather than the latter. They called it lessons learned but I guess we will need to wait for the public enquiry to see if this has any grounding in fact.
https://www.bmj.com/content/369/bmj.m2522
At the same time local public health services were mobilised and revitalised. In April both federal and state governments agreed to provide additional investment to strengthen local public health authorities.8 Civil servants were redeployed to public health from elsewhere and extra staff employed to support local contact tracing. Germany built on existing infrastructure and experience from the outset, unlike England, where local public health departments were overlooked in favour of a centralised system run by outsourced companies.
Later, as population restrictions were being lifted, chancellor Angela Merkel and the prime ministers of the federal states agreed that local authorities should have five contact tracers for every 20 000 citizens.9 Inexperience of new staff members was overcome by embedding them in experienced organisational structures, helping to limit the difficulties reported in England.10
Originally Posted by cyril evans awaydays
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