Title

PUBLIC HEALTH

Terminating transmission: emerging best practice in COVID adaptation

As a sector we need to lead the adoption of best practice on managing the risks from coronavirus for the benefit of our communities, says Dr Andrew Larner - 'and we are trusted to solve some of the privacy issues'.

The rapidly rising numbers of COVID cases herald a more difficult time ahead. But there is hope in the waves of COVID-related research being undertaken around the world. The estimated time to develop a vaccine may vary, but even the most optimistic is more than a year to allow for production and distribution. So, we had better get good at taking that research and turning it into practical solutions that allow our environment to adapt to COVID.

Amongst all the detail of the Prime Minister's announcement last week was a message that employers, where homeworking isn't possible, were responsible for ensuring their workplaces are secure against COVID. But in an environment where the national testing system isn't working for those on the frontline nor for those with symptoms, what does that actually mean?

Every type of environment, school, office or exhibition centre needs its design. We need to consider that design in the way we do any other service; human-centred. If we put the child, the office worker, the exhibition attendee at the centre, we would not only make the environment safe but easy to use. Or in the case of the pub-goer we won't just make it easy to use, we will make it safe. Research is changing what this means in practice by the week, but the two key principles are to eliminate surface-to-human transmission and human-to-human transmission.

It is simple to eliminate surface-to-human transmission, but in the UK we don't. Yes, we do apply chemicals to kill COVID through fogging or other means, but between cleans there is an infection gap. The same is true of hands. It stops transmission, increases social distancing and saves money so it's a surprise that we haven't done so already.

Eliminating human-to-human transmission is more difficult, social distancing and face masks are both essential, but what if your mask didn't just reduce the viral load transmitted? But instead killed it? What if there was an accurate COVID test with a unit price of $2 which could be administered at home? These things are possible, and they will be game changers.

As a sector we need to lead the adoption of best practice for the benefit of our communities, and we are trusted to solve some of the privacy issues. If you are interested in learning more, register interest in our webinar on current and emerging worldwide best practice in adapting to COVID at www.iese.org.uk/covid-worldwide-best-practice

Dr Andrew Larner is chief executive of the Improvement & Efficiency Social Enterprise (iESE), which supports public sector transformation

For more information visit www.iese.org.uk

PUBLIC HEALTH

Crossing the capability chasm

By Simon Christian | 20 January 2026

Local government finance leaders are very clear about what they want to focus on, but there is a widening gap between strategic aspiration and operational ba...

PUBLIC HEALTH

Is English devolution in a holding pattern hiatus?

By David Blackman | 20 January 2026

What impact will the delays to the mayoral elections in Greater Essex, Hampshire and the Solent, Norfolk & Suffolk and Sussex & Brighton have on devolution? ...

PUBLIC HEALTH

AI: powering the next chapter of UK local government

By Emma Foy | 19 January 2026

One year on from the national AI Action Plan, Emma Foy says those who move early – and move responsibly – will shape the future of local government service d...

PUBLIC HEALTH

Challenging the LGR wisdom

By Heather Jameson | 15 January 2026

As local government faces the next round of reorganisation, Dorset Council chief Catherine Howe challenges the assumption that only county-scale leaders can ...

Dr Andrew Larner

Popular articles by Dr Andrew Larner