Scientific Advisory Group for Emergencies

The Scientific Advisory Group for Emergencies (SAGE) is a British Government body that advises central government in emergencies. It is usually chaired by the United Kingdom's Chief Scientific Adviser. Specialists from academia and industry, along with experts from within government, make up the participation, which will vary depending on the emergency. SAGE gained public prominence for its role in the 2020 COVID-19 pandemic in the United Kingdom.

History

In the aftermath of the United Kingdom BSE outbreak, "the then Government Chief Scientific Adviser (Lord May) published Guidelines on the Use of Scientific Advice in Policy-Making; these have subsequently been revised, most recently in June 2010... The Government developed the Principles of Scientific Advice to Government, which 'set out the rules of engagement between Government and those who provide independent scientific and engineering advice.' The Principles apply to 'Ministers and Government departments, all members of Scientific Advisory Committees and Councils and other independent scientific and engineering advice to Government.' They detail principles related to roles and responsibilities, independence and transparency and openness." The May advice was updated in May 2011 in a document entitled Code of Practice for Scientific Advisory Committees (CoPSAC 2011).

"In an emergency where scientific or technical advice is required to aid the emergency response, the Government may decide that a" SAGE "is required; this decision can either be made by the Lead Government Department (LGD) or the Cabinet Office in consultation with the Government Office for Science. SAGE is usually chaired by the Government Chief Scientific Adviser... Each SAGE is emergency-specific. The swine flu pandemic was the first emergency where the SAGE mechanism was used; volcanic ash was the second."

SAGE has advised the government on a number of events, including:

Structure and function

SAGE was reported in July 2020 to consist of around 20 participants at any one given time. Participants are drawn from both academia and practice, and the participants of a particular meeting are decided upon by the British Government 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, the UK Health Security Agency and the Chief Scientific Advisers to government departments.

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. Only the Chief Scientific Adviser and Chief Medical Officer may speak on behalf of SAGE.

In 2020, the UK Government carried out a review of SAGE's structure in the context of the COVID-19 pandemic.

Sub-committees can be delegated by SAGE to study particular issues. During the COVID-19 pandemic, these were:

COVID-19

The 2020 COVID-19 pandemic has seen an expanded role for and greater attention paid to SAGE.

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. It was reported that Dominic Cummings and Ben Warner had attended COVID-19 meetings. Their attendance and participation was widely criticised, in particular by other attendees "shocked, concerned and worried for the impartiality of advice".

Early in the pandemic, in April 2020, SAGE was criticised for a lack of transparency. 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 could, and many did, reveal their own membership. 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". Patrick Vallance argued in a letter to Parliament that scientists were protected by the anonymity from "lobbying and other forms of unwanted influence".

Membership of SAGE and its subcommittees was published on 4 May 2020. A register of participants' interests was first published in December 2020.

Participants

April 2020

A report in The Guardian stated that attendees at an April 2020 meeting of the group included:

Senior advisers:

Medical and scientific experts:

Political advisers:

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.

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. 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".

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. The same day of his resignation, a list of SAGE participants was published by the UK Government, 4 May 2020. 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:

July 2020

In July 2020, the participants list was updated to reflect recent meetings. Professor Neil Ferguson was featured on the list. As of 19 November, the list remains unchanged and includes:


March 2021

The following were included on the minutes of a 11 March meeting:

Scientific experts:

Observers and government officials:

Secretariat:

July 2021

The following were added to the list of participants:

Criticism and developments

An April 2020 article in The Guardian written by Richard Coker cited SAGE as a potential example of "scientific groupthink" in which disagreement and/or conflicting views are minimised to reach a consensus. Although disagreement is not preferable, this may ultimately lead to potentially irrational decision-making as counter views are not encouraged.

On 24 October 2020, The Spectator, while noting that SAGE minutes are published, called for a publication of the data used by SAGE, including NHS occupancy data, that were employed by it to justify the decisions it made. The editors remarked how in France hospital occupancy data were indeed published daily, while they were told by the NHS to submit a Freedom of Information request, which can take up to 28 days.

Independent SAGE

The questions raised about the transparency of SAGE and possible political interference during the COVID-19 pandemic 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". Later that month, Independent SAGE warned against ending lock-down prematurely in places like schools.

See also

References

  1. ^ "Scientific Advisory Group for Emergencies (SAGE)". Government of the United Kingdom. Retrieved 26 April 2020.
  2. ^ "Guidance Scientific advice to government: principles". GOV.UK. Government Office for Science. 24 March 2010.
  3. ^ a b "Chapter 6 – Scientific advice and emergency response". Science and Technology Committee – Third Report Scientific Advice and Evidence in Emergencies (Prepared 2 March 2011). 14 February 2011.
  4. ^ "Code of Practice for Scientific Advisory Committees" (PDF). GOV.UK. Government Office for Science. 2011.
  5. ^ "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.
  6. ^ "SAGE minutes: Winter flooding, 2013".
  7. ^ "SAGE minutes: Ebola outbreak, 2014".
  8. ^ "SAGE minutes: Nepal earthquake, 2015".
  9. ^ "SAGE minutes: Zika outbreak, 2016".
  10. ^ "SAGE meetings: Ebola in the Democratic Republic of the Congo, 2018 to 2019". 25 March 2021.
  11. ^ "SAGE minutes: Toddbrook reservoir, 2019".
  12. ^ a b c d "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.
  13. ^ https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/883104/sage-explainer-5-may-2020.pdf
  14. ^ "List of participants of SAGE and related sub-groups".
  15. ^ "Modelling the Covid-19 Pandemic in the UK: The Weldon Memorial Prize Lecture 2022". University of Oxford. 14 November 2022. Retrieved 16 November 2022.
  16. ^ a b David Pegg; Paul Lewis (26 April 2020). "No evidence No 10 advisers attended Sage during previous crises". The Observer.
  17. ^ a b "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.
  18. ^ a b Felicity Lawrence; Severin Carrell; David Pegg (26 April 2020). "Attendees of Sage meetings worried by presence of Cummings". The Observer.
  19. ^ a b c d Landler, Mark; Castle, Stephen (23 April 2020). "The Secretive Group Guiding the U.K. on Coronavirus". The New York Times. Retrieved 25 April 2020.
  20. ^ Sharman, Jon (23 April 2020). "Publishing Sage membership would 'increase public confidence' in government, agrees Whitty". The Independent. Retrieved 25 April 2020.
  21. ^ "List of participants of SAGE and related sub-groups". GOV.UK. Retrieved 1 November 2020.
  22. ^ a b "COVID-19: SAGE register of participants' interests". GOV.UK. 11 December 2020. Retrieved 30 July 2021.
  23. ^ a b Sample, Ian (24 April 2020). "Who's who on secret scientific group advising UK government?". The Guardian. ISSN 0261-3077. Retrieved 24 April 2020.
  24. ^ a b c "Revealed: Cummings is on secret scientific advisory group for Covid-19". The Guardian. 24 April 2020. Retrieved 25 April 2020.
  25. ^ "Coronavirus: Dominic Cummings attended meetings of key scientific group". BBC News. 24 April 2020. Retrieved 25 April 2020.
  26. ^ 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.
  27. ^ "Corporate report: List of participants of SAGE and related sub-groups". Gov.uk. UK: UK Government. 4 May 2020. Retrieved 4 May 2020.
  28. ^ "Transparency data: List of participants of SAGE and related sub-groups". GOV.UK. Government Office for Life Sciences. 19 November 2020. Retrieved 21 November 2020.
  29. ^ "SAGE 83 Minutes". Gov.uk. HM Govt. Retrieved 8 April 2021.
  30. ^ a b "Coronavirus can only be beaten if groups such as Sage are transparent and accountable". The Guardian. 27 April 2020. Retrieved 13 October 2020. I like all the people I know on these committees. They are extremely bright. And I believe their values and motivations are "good". But I worry that their intimacy, their familiarity, lends itself to groupthink. Are there sufficient contrarian views? Are critically important assumptions subjected to sufficient critique? Is groupthink acknowledged as a risk, and if so, how is it addressed?
  31. ^ "We deserve to know what Sage is saying". The Spectator (UK). 24 October 2020.
  32. ^ Independent SAGE Report of 12 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)
  33. ^ a b 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)

External links