Support our Nation today - please donate here

PPE and test and trace in England almost twice as expensive as Wales, says report  

09 Apr 2021 3 minute read
Picture by DFID – UK Department for International Development. (CC BY 2.0)

The cost of PPE and test and trace in England was almost twice as expensive as Wales, according to a new report.

Cardiff University’s Wales Governance Centre estimated that the cost of PPE and the devolved element of the test and trace system in Wales cost £533 million.

This was approximately half the level of ‘consequentials’ stemming from English spending on test and trace and PPE at £1,084 million.

It says these costs were £158 per person lower in Wales than in England, and that this was a major contributing factor to the Welsh Government’s ability to carry forward £500 million of Covid-19 funding from 2020-21 to 2021-22.

According to the report, Covid-19 will cause NHS funding pressures for many years to come.

It argues post-pandemic health pressures and current UK government spending plans suggest tough decisions and trade-offs for the next Welsh Government.

The amount of money that Welsh NHS receives is dependent on how much the Health Department in England gets.

The report found there is a significant funding gap between projected ‘consequentials’ stemming from health spending by the UK government in England and total funding pressures for the NHS in Wales, including the legacy costs of the pandemic.

This shortfall could peak at £740 million in 2022-23, and average £360 million a year from 2023-24 to 2025-26.


As well as assessing pre-pandemic trends in NHS spending and underlying spending pressures from an ageing population, the report analyses how the Covid-19 pandemic will cause significant additional funding pressures for the NHS over the course of the next Senedd term. The factors considered include:

  • The direct costs of Covid-19 over coming years, such as ongoing costs for the Test, Trace, Protect programme and potential future revaccinations;
  • Productivity losses as a result of social distancing and heightened infection control;
  • The cost of clearing the backlog in elective care waiting lists;
  • New demands on the NHS, such as on mental health services.

The report also details how the Welsh Government allocated an additional £1.4 billion to the NHS for 2020-21 in response to the Covid-19 pandemic.

£440 million has so far been allocated for NHS Covid-19 costs in the first six months of 2021-22. The direct and indirect costs of Covid-19 will continue well beyond this point.

Guto Ifan, a researcher on the Wales Fiscal Analysis project, said: “While the Welsh Government appears to be in a position to meet funding pressures this year, in the face of significant post-pandemic spending pressures, the outlook for the Welsh budget is relatively austere.

“Current UK government spending plans contain no Covid-19 related funding for years after 2021-22 and assume NHS spending in England returns to pre-Covid-19 multi-year spending plans next year.

“Only passing on health-related consequentials to the NHS would likely fall short of funding pressures but would still entail cutting most other areas of the budget in 2022-23.

“The next Welsh Government will need to balance these additional pressures against huge funding challenges elsewhere in the budget and the potential use of devolved tax levers.”

Support our Nation today

For the price of a cup of coffee a month you can help us create an independent, not-for-profit, national news service for the people of Wales, by the people of Wales.

Notify of
Inline Feedbacks
View all comments

Our Supporters

All information provided to Nation.Cymru will be handled sensitively and within the boundaries of the Data Protection Act 2018.