Scientific Advisory Group for Emergencies
The Scientific Advisory Group for Emergencies (SAGE) is a UK governmental advisory body that advises central government in emergencies. It is usually chaired by the UK's Chief Scientific Adviser.[1][2] Specialists from academia and industry, along with experts from within government make up the participation, which will vary depending on the emergency.[3]
Structure and function
SAGE consists of around 20 participants at any one given time.[4] Participants are drawn from both academia and practice, and the participants of a particular meeting are decided upon by the UK Chief Scientific Adviser and the Chief Medical Officer for England depending on the expertise required. They are not generally employed by government. They do not operate under government instruction. In addition to these participants, SAGE is also attended by officials from relevant parts of government and arm's-length bodies who may contribute to discussions with relevant expertise, for instance, Public Health England and the Chief Scientific Advisors to government departments.[4] The government does not have to act upon the conclusions of SAGE, and other bodies, including other sources of scientific advice, feed in to government's decisions.[5] Only the UK Chief Scientific Adviser and the Chief Medical Officer for England may talk on behalf of SAGE.[4]
The UK Government is currently undergoing a review of the structure.[4]
Outbreaks and pandemics
SAGE has advised the government on a number of events, including:[1]
- the 2009 flu pandemic
- the 2010 eruptions of Eyjafjallajökull
- the 2011 Fukushima nuclear accident
- the 2013–14 United Kingdom winter floods
- the 2014 Ebola outbreak
- the 2015 Nepal earthquake
- the 2015–16 Zika virus epidemic
- the potential catastrophic breach of Toddbrook reservoir in 2019
- the 2019–20 COVID-19 pandemic
COVID-19
Early in the 2020 COVID-19 pandemic, SAGE was criticised for a lack of transparency.[6] For their security and safety, and on advice from the Centre for the Protection of National Infrastructure, the list of current members was not disclosed, although members may, and many did, reveal their own membership.[7] Chris Whitty, speaking to the Health and Social Care Select Committee regarding the COVID-19 meetings of SAGE and the anonymity of its members, said that SAGE was "given quite clear advice from the Centre for the Protection of National Infrastructure, basically based on the fact that SAGE is a sub-committee of COBRA".[8] Patrick Vallance argued in a letter to Parliament that scientists were protected by the anonymity from "lobbying and other forms of unwanted influence".[6] Membership of SAGE and its subcommittees was then later published on 4 May 2020.[9]
Although not prohibited, until the 2020 COVID-19 pandemic, it is believed that political advisors had never attended SAGE meetings in any capacity nor is there evidence for 10 Downing Street officials attending these meetings too.[7] It was reported that Dominic Cummings and Ben Warner had attended COVID-19 meetings. Their attendance and participation was widely criticised,[10] in particular by other attendees "shocked, concerned and worried for the impartiality of advice".[11]
A report in The Guardian stated that attendees at an April 2020 meeting of the group included:[12]
Senior advisers:
- Sir Patrick Vallance, Chief Scientific Adviser (chair)
- Professor Chris Whitty, Chief Medical Adviser
Medical and scientific experts:
- Professor John Aston, statistician, Chief Scientific Adviser to the Home Office
- Dr Meera Chand, microbiologist
- Sir Ian Diamond, National Statistician
- Professor John Edmunds, epidemiologist
- Sir Jeremy Farrar, medical researcher
- Professor Neil Ferguson, epidemiologist
- Professor Peter Horby, epidemiologist
- Professor Angela McLean, mathematical biologist
- Professor Graham Medley, epidemiologist
- Dr Edward Mullins, clinical adviser
- Professor Sharon Peacock, microbiologist
- Professor Stephen Powis, national medical director for England
- Professor Andrew Rambaut, molecular biologist
- Emma Reed, emergency planner
- Professor Brooke Rogers, social psychologist
- Dr James Rubin, psychologist
- Professor Jonathan Van-Tam, influenza specialist, Deputy Chief Medical Officer for England
- Professor Charlotte Watts, epidemiologist, Chief Scientific Advisor to the Department for International Development
- Professor Maria Zambon, virologist
Political advisers:
- Dominic Cummings[13]
- Dr Ben Warner, data scientist[13]
Vallance has written that SAGE includes scientists and experts from more than twenty separate institutions. SAGE also contains four expert groups which may each have as low as five and as many as over forty members.[6]
Dominic Cummings was confirmed by 10 Downing Street to have attended a 23 March meeting, but the government said Cummings was not a member of SAGE.[14] The attendance and participation by Prime Ministerial advisors caused much criticism. It was reported that one participant considered that Cummings' interventions had sometimes inappropriately influenced what is supposed to be an impartial scientific process; another expressed shock when Cummings first began participating in SAGE discussions, in February, viewing this as unwanted political influence on what should be "unadulterated scientific data".[11]
May 2020
In May 2020, Professor Neil Ferguson resigned from SAGE after The Telegraph revealed he had violated lockdown rules to meet with a partner.[15] The same day of his resignation, a list of SAGE participants was published by the UK Government, 4 May 2020.[16] However, it notes that: "Permission to publish names was requested from all participants. Those who did not give permission have not been named." In addition: "These meetings are also regularly attended by officials from Her Majesty’s Government. These attendees have not been named." No reason for the secrecy is provided. Two attendees did not give permission to be named. Attendees as of May 2020 included:[12]
- Sir Patrick Vallance, Government Chief Scientific Adviser
- Professor Chris Whitty, Chief Medical Officer (England) and Chief Scientific Adviser, Department of Health and Social Care
- Professor John Aston, Chief Scientific Adviser, Home Office
- Professor Wendy Barclay, Imperial College London
- Professor Phil Blythe, Chief Scientific Adviser, Department for Transport
- Professor Ian Boyd, University of St Andrews
- Professor Andrew Curran, Chief Scientific Adviser, Health and Safety Executive
- Dr Gavin Debrera, Public Health England
- Professor Sir Ian Diamond, National Statistician, Office for National Statistics
- Professor Yvonne Doyle, Medical Director, Public Health England
- Professor John Edmunds, London School of Hygiene and Tropical Medicine
- Professor Sir Jeremy Farrar, Director, Wellcome Trust
- Dr Aidan Fowler, National Health Service England
- Professor Julia Gog, University of Cambridge
- Dr David Halpern, Behavioural Insights Team, Cabinet Office
- Dr Jenny Harries, Deputy Chief Medical Officer
- Dr Demis Hassabis, Personal capacity as a data scientist
- Professor Peter Horby, University of Oxford
- Dr Indra Joshi, NHSX
- Professor Dame Theresa Marteau, University of Cambridge
- Professor Dame Angela McLean, Chief Scientific Adviser, Ministry of Defence
- Professor Graham Medley, London School of Hygiene & Tropical Medicine
- Professor Andrew Morris, University of Edinburgh
- Professor Carole Mundell, Chief Scientific Adviser, Foreign and Commonwealth Office
- Professor Catherine Noakes, University of Leeds
- Dr Rob Orford, Welsh Government
- Professor Michael Parker, University of Oxford
- Professor Sharon Peacock, Public Health England
- Professor Alan Penn, Chief Scientific Adviser, Ministry of Housing, Communities and Local Government
- Professor Stephen Powis, National Health Service England
- Dr Mike Prentice, National Health Service England
- Mr Osama Rahman, Chief Scientific Adviser, Department for Education
- Professor Venki Ramakrishnan, ex-officio as Chair of DELVE, convened by the Royal Society
- Professor Andrew Rambaut, University of Edinburgh
- Professor Tom Rodden, Chief Scientific Adviser, Department for Digital, Culture, Media and Sport
- Professor Brooke Rogers, Kings College London
- Dr James Rubin, Kings College London
- Professor Calum Semple, University of Liverpool
- Dr Mike Short, Chief Scientific Adviser, Department for International Trade
- Dr Gregor Smith, Scottish Government, Chief Medical Officer
- Professor Sir David Spiegelhalter, University of Cambridge
- Professor Jonathan Van-Tam, Deputy Chief Medical Officer
- Professor Russell Viner, University College London
- Professor Charlotte Watts, Chief Scientific Adviser, Department for International Development
- Professor Mark Walport, UK Research and Innovation
- Professor Mark Woolhouse, University of Edinburgh
- Professor Lucy Yardley, University of Bristol
- Professor Ian Young, Northern Ireland Executive
- Professor Maria Zambon, Public Health England
July 2020
In July 2020, the participants list was updated to reflect recent meetings. Professor Neil Ferguson was featured on the list. Attendees as of July 2020 included:[17]
- Sir Patrick Vallance FMedSci FRS, Government Chief Scientific Adviser
- Professor Chris Whitty CB FMedSci, Chief Medical Officer (England) and Chief Scientific Adviser, Department of Health and Social Care
- Professor Rebecca Allen, University of Oxford
- Professor John Aston, Chief Scientific Adviser, Home Office
- Professor Charles Bangham Imperial College London
- Professor Wendy Barclay FMedSci Imperial College London
- Professor Jonathan Benger UWE Bristol
- Fliss Bennee, Welsh Government
- Mr Allan Bennett, Public Health England
- Professor Phil Blythe, Chief Scientific Adviser, Department for Transport
- Professor Chris Bonnell, London School of Hygiene and Tropical Medicine
- Professor Sir Ian Boyd FRSE, University of St Andrews
- Professor Peter Bruce, University of Oxford
- Caroline Cake, HDR-UK
- Professor Andrew Curran, Chief Scientific Adviser, Health and Safety Executive
- Professor Paul Cosford, Public Health England
- Dr Gavin Dabrera, Public Health England
- Professor Sir Ian Diamond FRSE FBA, National Statistician, Office for National Statistics
- Professor Yvonne Doyle CB, Medical Director, Public Health England
- Professor Deborah Dunn-Walters, University of Surrey
- Professor John Edmunds OBE FMedSci, London School of Hygiene and Tropical Medicine
- Professor Sir Jeremy Farrar FMedSci FRS, Director, Wellcome Trust
- Professor Michael Ferguson, University of Dundee
- Professor Neil Ferguson OBE FMedSci, Imperial College London
- Professor Kevin Fenton, Public Health England
- Dr Aidan Fowler FRCS, National Health Service England
- Professor Julia Gog, University of Cambridge
- Professor Robin Grimes, Chief Scientific Adviser, Ministry of Defence
- Dr Ian Hall, University of Manchester
- Dr David Halpern, Behavioural Insights Team, Cabinet Office
- Dido Harding, NHSI
- Dr Jenny Harries OBE, Deputy Chief Medical Officer
- Dr Demis Hassabis FRS, Personal capacity as a data scientist
- Professor Andrew Hayward, UCL
- Professor Gideon Henderson, Chief Scientific Adviser, Defra
- Professor Peter Horby, University of Oxford
- Professor Anne Johnson, UCL
- Dr Indra Joshi, NHSx
- Dr Vittal Katikireddi, University of Glasgow
- Dr Ben Killingley, UCLH
- Professor David Lalloo, London School of Hygiene and Tropical Medicine
- Professor Janet Lord, University of Birmingham
- Professor Dame Theresa Marteau FMedSci, University of Cambridge
- Professor Dame Angela McLean FRS, Chief Scientific Adviser, Ministry of Defence
- Dr Jim McMenamin, Health Protection Scotland
- Professor Graham Medley, London School of Hygiene & Tropical Medicine
- Dr Laura Merson, University of Oxford
- Professor Susan Michie FAcSS FMedSci, University College London
- Professor Christine Middlemiss, Chief Veterinary Officer
- Professor Andrew Morris FMedSci FRSE, University of Edinburgh
- Professor Paul Moss, University of Birmingham
- Professor Carole Mundell, Chief Scientific Adviser, Foreign and Commonwealth Office
- Professor Cath Noakes, University of Leeds
- Dr Rob Orford, Welsh Government
- Professor Michael Parker, University of Oxford
- Professor Sharon Peacock FMedSci, Public Health England
- Professor Alan Penn, Chief Scientific Adviser, Ministry of Housing, Communities and Local Government
- Dr Pasi Penttinen, European Centre for Disease Prevention and Control
- Professor Guy Poppy, Chief Scientific Adviser, Food Standards Agency
- Professor Steve Powis FRCP, National Health Service England
- Dr Mike Prentice, National Health Service England
- Mr Osama Rahman, Chief Scientific Adviser, Department for Education
- Professor Venki Ramakrishnan PRS, Ex Officio as Chair of DELVE, convened by the Royal Society
- Professor Andrew Rambaut FRSE, University of Edinburgh
- Professor Tom Rodden, Chief Scientific Adviser, Department for Digital, Culture, Media and Sport
- Professor Brooke Rogers OBE, Kings College London
- Dr Cathy Roth, Department for International Development
- David Seymour, HDR-UK
- Professor Sheila Rowan MBE FRS FRSE, Chief Scientific Adviser, Scotland
- Alaster Smith, Department for Education
- Professor Iyiola Solanke, University of Leeds
- Dr Nicola Steedman, Scottish Government
- Dr James Rubin, Kings College London
- Professor Calum Semple, University of Liverpool
- Dr Mike Short CBE, Chief Scientific Adviser, Department for International Trade
- Dr Gregor Smith, Scottish Government Chief Medical Officer
- Professor Sir David Spiegelhalter FRS, University of Cambridge
- Professor Jonathan Van Tam MBE, Deputy Chief Medical Officer
- Professor Russell Viner PRCPCH, University College London
- Professor Charlotte Watts CMG FMedSci, Chief Scientific Adviser, Department for International Development
- Dr Rhoswyn Walker, HDR-UK
- Professor Sir Mark Walport FRCP FMedSci FRS, UK Research and Innovation
- Professor Mark Wilcox, University of Leeds
- Professor Lucy Yardley FAcSS, University of Bristol and University of Southampton
- Professor Ian Young, Northern Ireland Executive
- Professor Maria Zambon FMedSci, Public Health England
Controversy and Independent SAGE
The questions raised about the transparency[6] and possible political interference[13][10] of SAGE during the COVID-19 pandemic, have raised concerns about trust in public health messaging by opposition parties and others. As an alternative, a group of scientists created Independent SAGE, chaired by Sir David Anthony King a former Government Chief Scientific Advisor, in early May 2020 to "provide a clear structure on which an effective policy should be based given the inevitability that the virus will continue to cross borders"[18][19] and warned against ending lock-down prematurely in places like schools.[19]
See also
References
- "Transparency data: List of participants of SAGE and related sub-groups". Gov.UK. Government Office for Life Sciences. 3 July 2020. Retrieved 16 July 2020.
- "The UK Response to Fukushima and Anglo-Japanese Relations". Science & Diplomacy. Retrieved 20 March 2020.
- "Scientific Advisory Group for Emergencies (SAGE)". Government of the United Kingdom. Retrieved 26 April 2020.
- "Correspondence from Rt Hon Matt Hancock MP, Secretary of State for Health and Social Care, regarding testing health and care workers". UK Parliament, Science and Technology Committee (Commons). 16 July 2020. Retrieved 16 July 2020.
- https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/883104/sage-explainer-5-may-2020.pdf
- Landler, Mark; Castle, Stephen (23 April 2020). "The Secretive Group Guiding the U.K. on Coronavirus". The New York Times. Retrieved 25 April 2020.
- David Pegg; Paul Lewis (26 April 2020). "No evidence No 10 advisers attended Sage during previous crises". The Observer.
- Sharman, Jon (23 April 2020). "Publishing Sage membership would 'increase public confidence' in government, agrees Whitty". The Independent. Retrieved 25 April 2020.
- https://www.gov.uk/government/publications/scientific-advisory-group-for-emergencies-sage-coronavirus-covid-19-response-membership/list-of-participants-of-sage-and-related-sub-groups
- "Dominic Cummings attended meetings of scientific advisory group, No10 admits". ITV News. 25 April 2020.
Mr Cummings' attendance has been criticised, with many suggesting it could have politicised decision making.
- Felicity Lawrence; Severin Carrell; David Pegg (26 April 2020). "Attendees of Sage meetings worried by presence of Cummings". The Observer.
- Sample, Ian (24 April 2020). "Who's who on secret scientific group advising UK government?". The Guardian. ISSN 0261-3077. Retrieved 24 April 2020.
- "Revealed: Cummings is on secret scientific advisory group for Covid-19". The Guardian. 24 April 2020. Retrieved 25 April 2020.
- "Coronavirus: Dominic Cummings attended meetings of key scientific group". BBC News. 24 April 2020. Retrieved 25 April 2020.
- Mikhailova, Anna; Hope, Christopher; Gillard, Michael; Wells, Louisa (5 May 2020). "Exclusive: Government scientist Neil Ferguson resigns after breaking lockdown rules to meet his married lover". The Telegraph. ISSN 0307-1235. Retrieved 23 June 2020.
- "Corporate report: List of participants of SAGE and related sub-groups". Gov.uk. UK: UK Government. 4 May 2020. Retrieved 4 May 2020.
- "Transparency data: List of participants of SAGE and related sub-groups". GOV.UK. Government Office for Life Sciences. 3 July 2020. Retrieved 16 July 2020.
- Independent SAGE Report of 12th May 2020 COVID-19: what are the options for the UK? Recommendations for government based on an open and transparent examination of the scientific evidence (retrieved 7 June 2020)
- Tidman Z (28 May 2020) Not safe to reopen all schools next week and government ignoring scientific advice, Independent Sage warns. The Independent (retrieved 8 June 2020)