EXECUTING THE COVID-19 RECOVERY - A guide for governments for reopening and restoring their economies - Deloitte
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EXECUTING THE COVID-19 RECOVERY A guide for governments for reopening and restoring their economies April 2020
Contents 3 Executive Summary 4 The Challenge 11 Key recovery actions 13 - Balance actions to limit disease spread and economic impact 19 - Promote economic health for individuals, businesses and sectors 27 - Reopen the economy for a better future 41 Managing the recovery process: Coordinated execution 53 Looking ahead Copyright © 2020 Deloitte Development LLC. All rights reserved.
Executive Summary The Challenge Managing the recovery process Governments are on the front line of the COVID-19 crisis. In the Governments not only need to manage the health crisis and the coming months, they will be focused on the following steps as we economic crisis, they need to do so in light of drastic reductions in move through recovery and beyond. revenue, surging demand, and the need to restart public agencies in a manner that is safe for both public employees and constituents. Balance health and economic impact The economic recovery will depend on a healthy population. What do regions The “Next Normal” need to do in terms of testing, health system capacity and the development of vaccines and treatments? We have seen how critical data, digital workflows, and agility has been in responding to this crisis. As we move ahead, governments Promote economic health for individuals, businesses and sectors should reexamine their basic operating system. From public transit How can government best provide support to those affected by the economic to schools, governments should reexamine operations, service shutdown? Federal assistance will help, but states, regions, and cities will need delivery, workforce and safety issues as it sequences the reopening to execute. of government offices. This is an opportunity for governments to Reopen the economy for a better future adopt new tools to enable them to better serve the people. Consensus is calling for a phased reopening, with timing dictated by health science. How might regions execute such a reopening? Copyright © 2020 Deloitte Development LLC. All rights reserved. 3
THE CHALLENGE Copyright © 2020 Deloitte Development LLC. All rights reserved.
THE CHALLENGE Governments must take action on three fronts to address the COVID-19 crisis How do we address the How do we address How do we keep “the business” health care crisis? the economic crisis? of government operating? Any given government agency may be involved with one, two, or all three fronts. For instance, a transit agency may limit ridership, enforce social distancing, and regularly disinfect vehicles while monitoring employee health. Later, the agency may play a part in the recovery by spending stimulus money on upgrading infrastructure. Copyright © 2020 Deloitte Development LLC. All rights reserved. 5
THE CHALLENGE Governments are starting to move into the recover and thrive phases The figure models the COVID-19 crisis over time across the three overlapping phases governments will pass through: Respond, Recover, and Thrive Pre-COVID-19 RESPOND RECOVER THRIVE PHASE New norm is set; improvement from pre-COVID-19 level “You don’t make the timeline; the Level of flexibility and virus makes the speed in government timeline.” ─Dr. Anthony Fauci 1 2 3 4 5 ~4-66 months 7 8 9 10 11 12 13 14 TIME 15 ~10-18 months Act to promote safety and continuity Restore and emerge stronger Prepare for the next normal • Focus on essentials • Move toward normalcy • Build long-term enhancements to the public sector • Offer maximum flexibility • Offer high flexibility • Establish a better foundation for the future • Use maximum speed • Use high speed • Create a new level of flexibility Copyright © 2020 Deloitte Development LLC. All rights reserved. Note: These timelines may change Source: Governments' response to COVID-19 6
THE CHALLENGE Governments are being “squeezed” from multiple directions Governments are facing Health sector at risk Economic shutdown revenue shortfalls and simultaneous surging High unemployment and Concerned Government demands for services. As social pressures workforce they look to reopen the economy, they will also be Challenges of Local government and higher restarting many of their education fiscal crises reopening government own operations under new, operations post-COVID-19 Revenue shortfalls conditions—no easy task. High demand for curtailed government services Copyright © 2020 Deloitte Development LLC. All rights reserved. 7
THE CHALLENGE Forecasts show strong economic headwinds Depending on policies, business activity and consumer spending recovery could take different shapes and forms Real GDP growth in 2020* Mild Economic Case 1 Economic activity rebounds in late 2020 as the virus United European dissipates. Recovery initially slow, but speeds up in second China Japan States Union half of 2021 as consumers become more confident. Mild 2 Harsh Economic Case -5% -5% 3% 0% Economic Case The virus follows a wave pattern, abating and then peaking again in multiple global geographies. Economic recovery begins late 2021. Recovery slow in early 2022 and speeds up by second half of 2022. Harsh -8% -8% 1% -3% Economic Case 3 Severe Economic Case The epidemic continues with severe infection rates into 2021until either crowd immunity and/or a vaccine reduces Severe -10% -10% -3% -6% the virality. Economic recovery by mid-2022. Significant risk of Economic Case cascading outbreaks with feedback loops, limiting recovery. *Scenarios as of April 6, 2020 Copyright © 2020 Deloitte Development LLC. All rights reserved. Source: Deloitte COVID-19 Economic Scenarios For details read: Deloitte COVID-19 Economic Scenarios 8
THE CHALLENGE A strong recovery depends on societal attitudes Citizen concerns and confidence are part of the terrain of any recovery Rising fear of catching Concerns around job Concerns around Concerns around government’s the disease i loss ii social gatheringiii handling of the disease iv of Canadians are very or workers in the UK are of respondents from China of people in Spain feel that somewhat scared that they expected to be mentioned that they would eat their government is might contract COVID-19 11 furloughed at home more often than they handling the disease well or 69% Million 86% 38% somewhat well used to before the pandemic Consumers not Lower Incomes vi Stunted business Reopening willing to spend v investments vii too soon viii of people say they of people would reduce expect their income this of Indian businesses plan to of Americans are spending to prepare for year to be lower, further defer their expansion plans for concerned that the US 41% future crises, according 68% dampening consumer 66% more than 6 months and 33% 66% may lift the to a survey in China appetite, according to a plan to defer for more than 12 restrictions too soon survey in China months Sources: 1 Brunswick; ii Express UK; iii Nielsen; iv YouGoV; v Quartz; vi Quartz vii Economic Times viii Pew Research Copyright © 2020 Deloitte Development LLC. All rights reserved. 9
THE CHALLENGE Governments will have a central role in this recovery Health Care – Focus in the Economy – Focus in the Respond Phase Recover Phase • Severity of pandemic and pattern GOVERNMENT’S COVID-19 ACTIONS • Reopening economy balanced of disease progression against public health • Effectiveness of policies and • Industries and sectors protocols • Protection of the public and support of the healthcare system Geography Timing Policy and (statewide vs. Protocols Economic Impact select regions) Health Care Impact Recover → Thrive Transition Resilience and Growth – Focus in the Thrive Phase Demand • Promoting resilience in both the government and the private economy Pre-COVID-19 Demand Levels • Prevention of future risk Copyright © 2020 Deloitte Development LLC. All rights reserved. 10
KEY RECOVERY ACTIONS Copyright © 2020 Deloitte Development LLC. All rights reserved. 11
KEY RECOVERY ACTIONS Governments will need to take actions on various fronts to support the economic recovery Key actions for the economic recovery Balance actions to limit disease Provide relief for individuals, Re-open the economy spread and economic impact businesses and sectors Copyright © 2020 Deloitte Development LLC. All rights reserved. 12
KEY RECOVERY ACTIONS Balance actions to limit disease spread and economic impact Copyright © 2020 Deloitte Development LLC. All rights reserved. 13
KEY RECOVERY ACTIONS: Balance actions to limit disease spread and economic impact Governments are wrestling with balancing health and economic impacts Leaders will have to determine what is optimal for their regions Recovery on the health and economic fronts is intertwined: Until people can gather in groups to work, travel, and shop, any economic recovery will likely be limited (see figure). How do we speed recovery while limiting risk? When do we relax the rules? What restrictions should be imposed on businesses and individuals? Should these restrictions differ by area and by industry? Reoccurrence is likely to be patchy. This could mean that a second wave may not be as severe as the current one but may spike in a few geographic areas and could also be seasonal in some cases. Source: Governments' response to COVID-19 Copyright © 2020 Deloitte Development LLC. All rights reserved. 14
KEY RECOVERY ACTIONS: Balance actions to limit disease spread and economic impact There will be critical choices along the journey and governments will need to monitor progress and adapt Potential COVID-19 Path for Region A Potential Relevant Response Milestones & Choices (Illustrative) 1 Cases are declining consistently across geographies KEY All public health pre-requisites are met: Milestone Choice 2 • sufficient supplies at surge capacity • minimized risks for vulnerable populations 1 • preventative measures for workplaces • reduced importation risks CHOOSE to decrease restrictions on some non-essential services (e.g. personal care, fitness 3 centers, etc.) Public Health Impact 4 Mass viral and serology testing available 2 10 CHOOSE to increase public health departments staff to continue widespread contact tracing 5 and testing 6 CHOOSE to decrease some restrictions on social and economic activity (e.g., reopen schools) 3 9 CHOOSE to fast-track limited release of vaccine to healthcare workers (impact depends on 7 vaccine efficacy and participation) 11 8 8 Cases begin to rise with second wave of infections 4 Potential 9 CHOOSE to implement targeted increase in restrictions on economic and social activity 5 6 7 second wave of CHOOSE to make vaccine available for broader population (impact depends on vaccine 10 infections efficacy and participation) Time 11 CHOOSE to decrease restrictions on social and economic activities for vaccinated population Copyright © 2020 Deloitte Development LLC. All rights reserved. 15
KEY RECOVERY ACTIONS: Balance actions to limit disease spread and economic impact Non-linear path to emerge from the crisis better prepared for the future Responses to the COVID-19 crisis require iterative approaches to addressing the health threat, transitioning out of the crisis and rebuilding health, economic, and social systems Addressing Today’s Crisis Building Resiliency for Tomorrow Transition Thrive Take actions to remediate impacts of crisis Improve health, economic, and Relax response interventions as crisis social resiliency is contained Learn & Evolve Recover Integrate learnings to adjust Return to health, economic, capabilities in the future and social status quo Respond Take actions to contain the crisis Regress A region’s integration Increase response interventions if of learnings influences virus reemerges See degradation in heath, its ability to respond economic, and social systems to future crises Copyright © 2020 Deloitte Development LLC. All rights reserved. 16
KEY RECOVERY ACTIONS: Balance actions to limit disease spread and economic impact Testing capabilities have grown but more progress is needed Number of tests per day COVID-19 testing has been largely limited 350,000 to symptomatic cases and impacted groups only due to barriers in raising 300,000 testing capacity. Wider testing on a mass 250,000 Italy scale is needed to better understand the United States disease. 200,000 Canada United Kingdom In addition to testing for the disease, 150,000 Australia increasing serological tests/testing for 100,000 South Korea antibodies to indicate exposure and Austria immunity and contact tracing will be 50,000 critical to reopening the economy. Denmark - Successful antiviral or plasma treatments and vaccines will be crucial for long-term 1-Apr-20 3-Apr-20 5-Apr-20 7-Apr-20 9-Apr-20 11-Apr-20 13-Apr-20 15-Apr-20 17-Apr-20 19-Apr-20 21-Apr-20 23-Apr-20 25-Apr-20 27-Apr-20 16-Mar-20 25-Feb-20 27-Feb-20 29-Feb-20 2-Mar-20 4-Mar-20 6-Mar-20 8-Mar-20 10-Mar-20 12-Mar-20 14-Mar-20 18-Mar-20 20-Mar-20 22-Mar-20 24-Mar-20 26-Mar-20 28-Mar-20 30-Mar-20 recovery efforts. Copyright © 2020 Deloitte Development LLC. All rights reserved. Source: Our world in data 17
KEY RECOVERY ACTIONS: Balance actions to limit disease spread and economic impact Contact tracing will be key to limiting the spread of the disease Contact tracing elements Proximity Tracking Contact/Call Center Contact Tracers Network Analysis & Advanced Analytics A network of information on A range of customer support is Acquisition of contact tracers individuals’ mobility to trace needed, including telephony and specialized call center Network analysis can provide contacts based on self opt in for support, agents, chatbot & voice to talent, including community public health officials insights public use, and for employers. text, and multi-language support. heath professionals, will be to guide strategy and policy. needed in many jurisdictions. An integrated approach to Case Management Application Programming Interface Public Sentiment & Trust contact tracing would trace (API) Integration Campaign Would enable regional, local and COVID-19 contacts through public health organizations to Governments will need the ability Governments need the ability automated case collect information on tracking, to securely exchange information to understand customer and conduct follow-up; also and provide reporting and experience and analyze management and data allows users to report and receive integration with existing disease sentiments toward the region’s analytics by public health follow-up guidance. surveillance and health data COVID-19 contact tracing entities, community partners systems and third party providers. efforts. and government agencies Copyright © 2020 Deloitte Development LLC. All rights reserved. 18
KEY RECOVERY ACTIONS Promote economic health for individuals, businesses and sectors Copyright © 2020 Deloitte Development LLC. All rights reserved. 19
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Governments have several ways to boost the economy Governments need to focus on three areas when it comes to promoting economic health Stimulating economic activity • Promote spending • Reducing barriers to economic activity Getting individuals back to work • Minimize further job losses and promote job creation Assisting distressed businesses • Work to stabilize, then advance business health Copyright © 2020 Deloitte Development LLC. All rights reserved. 20
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Stimulating economic activity Use the broad power and resources of the government to foster business growth and reduce growth-impairing constraints. Encourage individuals and businesses to resume personal spending and business investment to re-start economic “engine” of the region. Maximize federal funding. Designate a team to Expedite permit approvals. Expedite approvals for maximize region’s receipt of federal funding. construction permits not creating high risk to health, safety, or the environment. Use rainy day funds strategically. Use the funds to promote business growth and hiring. Extensions for professional licenses. Consider streamlined extensions for authorized professional Tax credits to incentivize hiring. To promote licenses, except those health-related or others with investment and immediate hiring, consider one-time, higher risk to public safety. time-limited tax credit options to incentivize new employment or immediate business expansion. Relax regulations. Relax regulations to reduce burden of compliance on businesses which would help Review timeline for proposed construction projects businesses focus on recovery. under existing bonds issuance of the transportation department, including greater focus on “shovel ready” projects as a key criteria. Copyright © 2020 Deloitte Development LLC. All rights reserved. 21
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Countries are taking several measures to stimulate economic activity Australia Canada Germany • The Higher Education Relief Package will • The Canada Emergency Business Account (CEBA) is • Germany has announced an economic support workers displaced by the providing interest-free loans of up to CAD 40,000 to stabilization fund of EUR 600 billion for COVID-19 crisis to upskill or retrain, and businesses and not-for-profits to help cover costs distressed businesses. support universities and other higher due to reduced demand. • Through the newly created economic education providers to continue • The temporary expansion of the Canada Summer stabilization fund (WSF) and the public teaching. development bank KfW, the government is Jobs (CSJ) program to support the youth employment • In the Australian capital territory, an is planned. This would enable employers to adapt expanding the volume and access to public loan immediate expenditure of AUD 20 their projects and job activities to support essential guarantees for firms of different sizes and credit million on infrastructure projects and services, such as hiring youth to deliver meals from insurers. maintenance on local schools, roads, food banks to the vulnerable population. • It announced increased financial support of EUR and public transport has been planned. • Provincial governments have loosened rules around 500 million ($540.88 million) for schools and • Small businesses in South Australia borrowing and debt and extended financial pupils to boost e-learning and digitalization. have been given AUD 5,000 to hire deadlines to give municipalities more access to cash • Germany is temporarily lowering the tax burden trainees and apprentices to boost local to deal with the fallout from the pandemic. for the catering industry through a reduced VAT jobs. rate of 7 percent for food and to give tax relief for small companies. Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: Deloitte internal analysis, Canada Emergency Business Account, International Monetary Fund, Aljazeera, Department of 22 Education, Skills and Employment, Australia, Reuters
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Assisting distressed businesses Seek to reduce business failures, mitigate further business disruption, then provide growth-oriented support Consider establishing a business recovery Shift focus of economic development agencies to center to help local companies gain streamlined recovery. Shift business attraction resources to access to business support, technical assistance or recovery, retention, and job-growth of industries. government assistance. Partner with business associations to streamline dissemination of Conduct an industry/sector assessment. By information and direct business to appropriate analyzing various sectors of the economy against their assistance programs. level of COVID-19 vulnerability, governments can provide more precise guidance than just “essential vs. non- Use data to identify the hardest-hit sectors and essential” designations. Such an assessment could regions. Data-driven analysis can identify where include the likelihood of widespread transmission, ability support is most needed. to mitigate against such transmission, and so forth, informing reopening decisions. Copyright © 2020 Deloitte Development LLC. All rights reserved. 23
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Government measures to assist distressed businesses Australia Canada United Kingdom • The government announced the JobKeeper wage subsidy • The Canada Emergency Wage Subsidy (CEWS) • The UK government introduced the Coronavirus program in April 2020. Under the JobKeeper Payment, businesses was established to help employers retain their Job Retention scheme for eligible employers to and not-for-profits significantly impacted by the Coronavirus staff on the payroll. cover the wages of employees who are temporarily outbreak will be able to access a wage subsidy of AUD 1,500 per not working due to COVID-19 but are still on the fortnight per employee until September 2020 from the • To provide additional support to small and company's payroll. Also, the COVID-19 self- government. medium enterprises, the Business employment income support scheme for eligible Development Bank of Canada (BDC) and self-employed individuals. • Cash flow support to businesses: Eligible businesses and not-for- Export Development Canada (EDC) are working profits (NFP) will receive between AUD 20,000 to AUD 100,000 in with lenders in the private sector to organize • Businesses that occupy a property with a “rateable” cash flow boost amounts by lodging their activity statements up credit solutions for individual businesses in value of under GBP 15,000 will receive a cash grant to the month or quarter of September 2020. sectors such as oil and gas, air transportation, of GBP 10,000. exports and tourism. • For small businesses to retain their trainees and apprentices, the government introduced wage subsidy measures where they will • To assist businesses in the regions impacted by Germany be reimbursed up to a maximum of AUD 21,000 per eligible COVID-19, the government is making CAD 15 trainee or apprentice. billion available in non-repayable support. • The government established a EUR 50 billion • In the state of Victoria, the government has introduced a hotline immediate assistance program ("Soforthilfe") to for businesses dealing with challenges posed by the COVID-19 support small businesses, freelancers, and the self- outbreak, to provide information about support services, to help employed. them develop business continuity and recovery plans and access • A short term working scheme “Kurzarbeitergeld”, financial support available through the national stimulus package. covers 60-87 percent of the forgone wages of workers whose hours are cut. Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: Canada economic response plan, , Deloitte’s COVID-19 Government Response Portal, 24 Department of Treasury, Australia, Australian Taxation Office, Plant Labor
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Getting individuals back to work Minimize further loss in employment, while taking actions to promote job creation and matching displaced workers to in-demand sectors Implement fast track program focused on Promote in-demand employment opportunities. displaced workers from COVID-19 crisis, focused on Use press briefings and other “free media” to promote connecting individuals with transferable skills to accelerated workforce development programs and near-term, in-demand positions (e.g., healthcare, employment opportunities. e-commerce/distribution, food processing). Program should be aligned to greatest impacts and Focus on reskilling to help workers navigate the needs in each unique region. disruptions caused by technology advancements and shifts in employer demands. Accelerate certifications program for in- demand positions. Leverage best, “off the shelf” programs of community colleges, employers, labor associations, etc., to advertise and make certificate programs available rapidly and at scale. Copyright © 2020 Deloitte Development LLC. All rights reserved. 25
KEY RECOVERY ACTIONS: Promote economic health for individuals, businesses and sectors Reskilling to help workers navigate the disruptions caused by COVID-19 Reskilling will be critical in the post Government’s reskilling “Toolkit” COVID-19 economy to – According to the International Labor Retrain workers to deal with surges Data-driven approach: Analyze data to understand how Organization (ILO), the in overloaded areas industries are reacting to COVID-19. Which occupations are expanding and which ones are contracting? COVID-19 crisis is Prepare unemployed workers for already affecting 3.3 industries that see a high demand Build partnerships: Develop deep partnerships with billion workers globally, for talent companies/industries that are expanding hiring and tailor that’s more than 4 out of programs to meet employer needs 5 in the world workforce. Help workers adapt to digital workspaces Target the right segments: Provide wraparound support to challenged population segments such as single Furthermore, the crisis is parents, older workers and the physically challenged who expected to wipe out may have more employment opportunities due to almost 6.7 percent increases in telework across different occupations working hours, equivalent to 195 million Act as a connector: Connect employers, philanthropies jobs in the second and other stakeholders to build a workforce information system that reduces information gaps between various quarter of 2020. participants Sources: ILO; Closing the talent gap, Deloitte Copyright © 2020 Deloitte Development LLC. All rights reserved. 26 * As of April 16, 2020
KEY RECOVERY ACTIONS Reopen the economy for a better future Copyright © 2020 Deloitte Development LLC. All rights reserved. 27
KEY RECOVERY ACTIONS: Reopen the economy for a better future The “shutdown” was abrupt … but the restart will be in phases Beginning Jan 2020 Within a few months… Dozen cases of pneumonia from an WHO declared the outbreak a global public health unknown cause in Wuhan, China emergency as more than 9,000 cases were reported worldwide, including in 18 countries beyond China on Jan 30 Chinese citizens all set to rack up to 3 Several countries including China, South Korea, billion trips to ring in the Chinese New Singapore and Italy instituted an international travel There is more to restarting Year ban. the economy than merely reopening businesses. This In April 2020, the International Labour Organization (ILO) Global unemployment stood at 190 predicts 6.7 percent working hours to be wiped out, isn’t about flipping a million equivalent to 195 million jobs in the second quarter of switch. It’s about building 2020 and executing a plan that People across the globe come will include transitional As of March 31, more than one-third of world together to ring in the new year stages, and will involve population is under some form of lockdown health, business, education and government sectors. Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: Worldometer; United Nations; NBC News; Bloomberg; Brookings; Business Insider, ILO 28
KEY RECOVERY ACTIONS: Reopen the economy for a better future Governments will have an unprecedented number of roles to play in restarting the economy How government leaders communicate While restarting businesses is important, Government is a large and diverse Schools, daycare, and social services to about the restart will be critical restarting government services will be employer free up workers equally critical • There is a need to douse fears and instill • The public sector will also employ some • Many workers rely on public entities to confidence in people. It won’t matter if • From transportation to licensing, kind of phased reopening educate and care for their children and stores are open if no one will go outside government activities support and enable sick relatives so they can go to work • The safety of workers and those with economic activity • Regions should seek inputs from industry whom they interact will be key associations to develop a plan Communicator Government as a communicator will provide clear, Government as an employer will have to ensure consistent and adequate communication to all involved staff safety, redeployment and retraining of staff to in the recovery process. quickly recover. Enforcer Employer Government as an enforcer will be in charge of Government as a service provider will have to making sure protocols are followed and inspections rethink delivery of services and create the necessary are conducted. Designer Service provider infrastructure. Government Government as a designer will draw out the initial plan, lay down the protocols and guidelines needed to reopen. Government will have to wear many hats Source: Deloitte and juggle many responsibilities Copyright © 2020 Deloitte Development LLC. All rights reserved. 29
KEY RECOVERY ACTIONS: Reopen the economy for a better future Reopening is a complex task that may shift as circumstances evolve Massive complexity with a huge number of intertwined issues and efforts Limited resources already spread thin with core government operations • Reopening is one of the most important events in recent history Short, and constantly shifting, timeframe • Governments are at the center of a complex and highly unpredictable set Facts on the ground and medical advancements are constantly changing of facts Many layers and parts of government engaged and interacting Copyright © 2020 Deloitte Development LLC. All rights reserved. 30
KEY RECOVERY ACTIONS: Reopen the economy for a better future Some countries have begun to reopen When and how countries reopen will be unique due to geographic, demographic, economic, and health factors Confirmed COVID-19 cases per million people (as of April 28, 2020) "We mustn’t allow ourselves for one second to be lulled into a false sense of security. The impact of the gradual reopening will be visible only in two weeks. We mustn’t forget that we’re still at the beginning of this pandemic.” ─ Angela Merkel, Chancellor of Germany Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: European CDC, Our World in Data, The Wall Street Journal 31
KEY RECOVERY ACTIONS: Reopen the economy for a better future Reopening is a multi-dimensional challenge requiring real-time, data-driven decision making Illustrative region reopening plan TIMING WHEN TO RE-OPEN? POLICY & GEOGRAPHY PROTOCOL WHERE TO HOW TO RE-OPEN? RE-OPEN? INTERCONNECTED CHOICES Informs INDUSTRIES & CITIZEN SECTORS GROUPS WHAT TO FOR WHOM RE-OPEN? TO RE-OPEN? virus at a higher rate Copyright © 2020 Deloitte Development LLC. All rights reserved. 32
KEY RECOVERY ACTIONS: Reopen the economy for a better future Governments will need to define and monitor triggers appropriate to their circumstances Successfully operationalizing indicators will bring its own challenges Governments will need Some examples to be monitoring Symptoms Resources triggers in real time for • Downward trajectory of influenza-like illnesses (ILI) • Contact tracing protocols reported within a 14 day period • Hygiene protocols for public spaces an early warning at a • Downward trajectory of covid-like syndromic cases • Supply of PPE, swabs and medical equipment granular level for reported within a 14 day period decision making. They Testing Cases might need to consider • Testing capacity • Downward trajectory of documented cases within a other variables that deal • Serological and antibody testing 14-day period • Downward trajectory of severe cases requiring with interdependencies hospitalization in their region and also Hospital capacity • Ability to treat all patients without crisis care pick the right triggers for • Robust testing plan in place for at-risk healthcare workers, including emerging antibody testing their industries. Source: Deloitte Copyright © 2020 Deloitte Development LLC. All rights reserved. 33
KEY RECOVERY ACTIONS: Reopen the economy for a better future Different triggers: Lessons from other countries on reopening the economy Key health data triggers Austria South Korea Germany • Cases: 1,600 per million • Tests performed: More than 610,000 • Excess health care capacity: 12,000+ ICUs vacant • Hospitalization: Only 25 percent of the country’s ICU • Positivity rate (% of people found to be positive in • R0 (one person infecting other person): 0.9 capacity was used tests): 1.8 percent • Lowering of mortality rate • Days taken to double the rate of infections: Two weeks • Anti-body tests: Plan for mass testing of anti-bodies as • Testing per million: 10,862 economy reopens Lesson: Reopen the economy once health Lesson: Aggressive testing and tracing of Lesson: Reopen the economy if health care care capacity can accommodate existing and individuals so that positive and symptomatic capacity can accommodate new cases and new cases and the growth of new cases has cases can be quarantined, and economic R0 is below 1. Launch large-scale antibody slowed down considerably. activity can be continued in non-hotspots. tests to assess infection rates and monitor South Korea did not implement nation-wide the spread. lockdown. * The impact of reopening in these countries will be known only in the future Sources: Foreign Policy; Ministry of Health and Welfare, Korea, Business Insider; Robert Koch Institute Copyright © 2020 Deloitte Development LLC. All rights reserved. 34
KEY RECOVERY ACTIONS: Reopen the economy for a better future Risk stratification: Analyzing different types of risk Advanced analytics to guide decision-making Community risk metrics PEOPLE RISK – BASED ON WHO YOU ARE Aggregating a variety of “signals” from traditional and non- • Susceptibility risk - Some populations are much more likely to suffer severe symptoms from the traditional sources to understand the relative risks in a disease, including hospitalization and death. Key risk factors include age, and underlying given region. conditions such as obesity, diabetes and hypertension. Statistically comparable regional analysis • Mitigation strategy - Identify the high-risk group and accommodate high risk individuals. In Austria, some 90,000 employees were classified by the government as being in a higher risk Use statistical matching methods to identify other regions group for the coronavirus; they will receive a letter establishing their right to telework or paid with similar risk profiles and demographics for comparison. leave even after measures are lifted. Measure how likely an infection is to spread within the community due to factors like density, commutes, and ACTIVITY-BASED RISK – BASED ON WHAT YOU DO frequency of infection spread in hospitals • Transmissibility Risk - Close and frequent human interactions increase the likelihood of contracting the virus. Physical proximity, such as working or living with others, or the use of mass transportation Simulation modeling (trains, buses, planes, elevators, etc.) enables spread of the infection. Model feeds into dashboard and decision support • Mitigation strategy - Social distancing, masks and other forms of personal protective equipment, framework – helps illustrate how changes like holding a and strong personal hygiene such as handwashing. Government in the UK and elsewhere have large one-time event or relaxing restrictions on issued guidance on social distancing measures for workers in construction, manufacturing, logistics restaurants might bend the infection curve businesses and retail respectively. How does moderate social AMBIENT RISK – BASED ON THE ENVIRONMENT AROUND YOU distancing among a large • Health Environment Risk - Many factors about the external environment influence both the swath of the population (e.g. likelihood of coming into contact with the disease as well as the consequences of doing so. These closing bars) affect the trajectory, as opposed to include, the prevalence of infectious individuals in your area, the treatments and health care preventing a smaller number available, and other factors such as air quality. of highly concentrated • Mitigation strategy - Understand the community levels of disease, including those with acquired gatherings? immunity, and other data around the extent of sick and immune people in the local population. Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: Metropole, Gov.UK 35
KEY RECOVERY ACTIONS: Reopen the economy for a better future Reopening: An industry and risk perspective (Illustrative) Illustrative view of industries, their value addition and risk of spreading virus Information is a classic work at home industry. It is an essential and it has the least amount of risk of transmitting or spreading virus at Value How essential How risky Current status workplace. (Scale: 1-5, 1=less Industry added (Scale: 1-5, 1=less (Scale: 1-5, 1=not shut essential, 5=most ($B) risky, 5=risky) down, 5=shutdown) essential) Arts, Entertainment and Recreation is high risk/low in terms of an essential industry. Firms, in this industry require either their workers Finance, Insurance, Real 4,490 3 1 1 or consumers to gather at one place. These industries were shut early. Estate, Rental and Leasing Professional and Business Transit and Ground Passenger Transportation is extremely risky but 2,750 3 1 1 Services also very important. The other industries have dependency on this Manufacturing 2,360 3 3 3 industry. This will be one of the most difficult sectors when it is time to resume full service. Information 1,120 4 1 1 Construction 880 2 3 2 Retail 640 1 4 5 Value added: The economic value added by an industry Hospitals 520 5 5 3 Essential: How essential is the industry to keep running the economy Utilities 340 5 2 1 Risky: Risk of transmitting or spreading the virus depending Educational Services 260 3 3 4 on whether an industry can maintain social distancing and Arts, Entertainment and other safety protocols Recreation 240 1 5 5 Current status: Whether the industry is shutdown, open or Food and Beverage Stores 160 5 4 1 partially open Air Transportation 150 2 5 5 Transit and Ground 50 4 5 4 Passenger Transportation Note: The importance, employment, mix across and within categories, etc. will impact ranking and vary by region Copyright © 2020 Deloitte Development LLC. All rights reserved. 36
KEY RECOVERY ACTIONS: Reopen the economy for a better future Sector priority and risk mitigation Focus on mitigation for essential sectors Examples of possible rules for school reopening Even at the height of the pandemic, certain sectors have remained Transmissibility risk measures how likely an infection is to Risk spread within themitigation community due to factors like density, operational, including critical health providers, prisons, grocery commutes,strategies and frequencyshould of infectionbegin spread in hospitals stores, and other essential activities. There is little option but to Staggered schedules with classrooms at half keep these open, but optimum mitigation strategies should be capacity with essential sectors, Capacity factors can inform the county’s likelihood of being employed. cascading unable to handle into other a large population of ill patients—hospital No sports or music (due to increased risk of beds, number of healthcare providers, telemedicine economic activities. options, utilization of emergency services, etc. Develop data-driven plans for phased sector openings, infection) Phased sector openings mitigation and reopening large- Critical economic activities, and those with limited risk, should be prioritized. In addition, sectors that enable more widespread 1.5-meter (5-foot) spacing between desks scale activities merit economic activity, such as mass transit or education and day care, comprehensive and should also be given priority. Data-driven analysis of both data-driven mitigation economic impact and likelihood of transmission should drive Masks required when coming to school strategies. decisions. Hygiene protocols, facilities for washing Develop concrete plans for large-scale activities hands and adequate supplies of Activities such as mass transit, public education, correctional disinfectant facilities, and nursing homes merit detailed analysis and concrete mitigation strategies. In many countries, education ministries are Special emphasis on graduating classes, developing guidelines for hygiene measures, school bus the oldest primary school children and operations, break times and group division that meet social students who are taking exams distancing guidelines. Source: The Local.de Copyright © 2020 Deloitte Development LLC. All rights reserved. 37
KEY RECOVERY ACTIONS: Reopen the economy for a better future Each region may need unique approaches to recovery activities… GEOGRAPHY INDUSTRIES & SECTORS POLICY & PROTOCOL COMMUNICATIONS Prioritization will be key Not all industries and Guidance is critical since Messaging to the sectors will re-open at the reopening is not returning right audience same time to normal • Regions with lower infection rates and • Sectors with a low risk of infection, e.g. • Release guidance on personal hygiene, • Devise targeted communication plans for less potential for spread can be opened highly automated factories, and less workplace place, physical distancing a areas and industries that are reopening first; up more easily; vulnerable persons, e.g. day-care centers few days before reopening; • Communicate to clarify questions on and schools, should be opened first; • After the formation of natural immunity, • Devise guidelines on percentage of reopening; especially areas and regions with high • Complementarities between sectors must workforce that can come back to work; • Clearly explain the reasons for not opening immunity can be open; be taken into account. For example, many • Before reopening, consider developing certain areas and industries. people with children cannot go to work • Regions with free capacities in health immunity certified workforce to mitigate when day-care centers and schools are care can be opened up more easily. spread of the virus while handling closed; personal information discreetly. • Sectors where home office and digital technologies can be used well have less priority than sectors where this is not possible; • Sectors that generate high employment and economic activity in a given region should be considered as a criterion for priority opening; • Priority should be given to easing restrictions that imply high social or psychological stress. Copyright © 2020 Deloitte Development LLC. All rights reserved. Sources: IFO Institute; Deloitte Insights; Deloitte 38
KEY RECOVERY ACTIONS: Reopen the economy for a better future Reopening strategies from other countries* Countries around the world are gradually easing up on their lockdown restrictions in phases, while following strict social distancing and hygiene protocols Shopping Construction and Kindergarten/ Non critical health Non-essential High schools/ Car dealerships, Salons and Restaurants/ centers/ Country manufacturing primary schools/ care/ elective stores** Universities bike shops personal care cafes Theatres/ units day care centers surgery Museums Austria Australia Czech Republic Denmark Germany Iceland Italy New Zealand*** Norway Spain *This information is as of April 29th 2020 **Small shops, garden centers, laundries, stationery and bookstores Re-opened ***New Zealand reopened non-essential stores, cafes and restaurants on April 27th, but only for online delivery or pick-up Reopening shortly Note: Taiwan and South Korea did not enforce nation-wide lockdown so most of the activities were open in both the Remained open with limited capacity countries with a few restrictions. China has also re-opened many of its sectors. Not opened/ reopening in later phases Sources: The Guardian Reuters, CNN, TIME, Business insider, US News, WSJ, The Guardian, Reuters, StraitTimes, RNZ, NZ Herald, TVNZ, Dailyforex, ABC, ABC, NewsHub, Dailymail, Telegraph, IcelandReview, IcelandReview, WSJ, Deloitte COVID –19 Government response portal, Reuters, Ruptly, Automotive Logistics 39
KEY RECOVERY ACTIONS: Reopen the economy for a better future Reopening AUSTRIA strategies vary between countries Lessons can be learned from other countries on how to reopen different sectors of the economy Schools Retail Shops Workplaces Staggered schedule; prioritizing graduating students Reopening smaller shops with guidelines on social Identified high-risk employees to continue to telework Austria • Reopening from May 4th. First resuming high school classes distancing and wearing of PPEs • Unclear on reopening date for workplaces which have school leaving exams • Reopened small shops of size 400 square meters or • Identified 90,000 employees who are at higher risk for the • Some students will learn in shifts with half students attending less starting April 14th. coronavirus. High risk employees to continue telework or school in the first half of the week and the remaining attending in • Only one customer at a time for every 20 square paid leave after measures are lifted the second half of the week. No afternoon teaching, sports or meters is allowed. Compulsory for all customers to music classes wear masks Prioritizing graduating students and those expected to take Reopening smaller outlets with social distancing Updating occupational safety standards for employees Germany exams; limiting class size; and physical distancing of desks • Reopening from May 4th. Focusing on graduating classes, oldest mechanisms in place • Reopened stores of size 800 square meters or less returning to work • Employees recommended to work from home wherever primary school children and students who are expected to take starting April 20th possible exams in the coming year • Shoppers have been asked to maintain 5 feet • Additional occupational safety standards have been issued • Spacing of 5 feet to be maintained between desks. Local variation distance from each other by Federal Minister of Labor for employees who have to in guidelines across regions. Example Hesse is maximizing class • Some big stores have cordoned off a smaller area to return to work size to 15 students, Saxony is holding classes only for subjects meet 800 square meter rule relevant to the exams Denmark Reopened for lower grades under strict hygiene and distancing protocols Most shops remained open with guidelines on hygiene and distance Reopened for companies facing productivity losses; guidelines on social distancing • Reopened on April 14th for lower grades (students up to 12 years • Many non-essential shops remained open during • Reopened on April 14th particularly for companies facing of age) the lockdown period however customers need to productivity losses. All other companies recommended to • High schools and universities to reopen mid-may comply with guidelines on hygiene and distance continue work from home • Student desks have to be 6.5 feet apart. Handwashing every 2 • Guidelines issued by Danish Business Authority on workplace hours has become routine. Only a small group (3-5 children) are protocols including spreading employees across premises, allowed together on the playground working in shifts etc. Sources: Reuters, Express, Bird & Bird, The Local, Metropole, The Guardian, The Guardian, The Guardian, Express, Reuters, The Hill, KCRW Berlin, DW, Lexology, BBC, WSJ, NPR Copyright © 2020 Deloitte Development LLC. All rights reserved. 40
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION Copyright © 2020 Deloitte Development LLC. All rights reserved. 41
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION Success in the recovery phase requires coordinated success on all fronts How do we address the How do we address the How do we keep “the business” health care crisis? economic crisis? of government operating? Establish and maintain a safe and healthy Resume/reopen markets; provide funding Resume/reopen offices; manage the environment; oversee testing; ensure to at-risk sectors/businesses; stabilize government’s own Services, Facilities, and hospital capacity and access to treatments employment Employees during the crisis Establish education policies, maintain transportation networks, and ensure access to other essentials for the public (may be public, private or a combination) Regional level leadership will plan and coordinate the government’s actions across workstreams Copyright © 2020 Deloitte Development LLC. All rights reserved. 42
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION Governments face a daunting set of decisions/actions during the recovery phase The sample decision points and actions listed below illustrate the complexity of the recovery. Close coordination, careful monitoring and real-time adjustments will be needed to speed an effective recovery. Healthcare Economy Business of government • Monitor COVID-19 cases to detect a possible “second • Execute economic stimulus plans • Track and disburse recovery funds wave” during the recovery • Monitor effectiveness of stimulus and other economic • Co-ordinate reopening of government offices • Resume non-COVID-19 health care services at full scale recovery plans • Track and update regulatory changes • Review overall costs of COVID-19 and secure additional • Identify strategies to support struggling industries (e.g. • Support workforce upskilling/ reskilling funding airlines) • Monitor decline of health care crisis and measure ending • Define discharging/outpatient conditions and services • Monitor financial controls health related impacts on all stakeholders • Support health workers post COVID-19 with support • Manage supply chain risk and resolve issues • Model conditions across health, economy, and citizen activity and counseling services • Assess tax strategy based on effectiveness of the with particular focus on economic levers • Develop a plan for closing temporary testing facilities recovery • Estimate impact of different levels of business reopening on and disposing materials/equipment • Provide additional emergency support and/or funding scenario modeling and simulation • Identify potential vaccines for mass-deployment and as needed • Monitor Federal Government policies – focus on economic develop potential roll-out plan • Redesign unemployment claims process for greater policies (e.g. tax filing) • Establish ongoing relationships/action plan with simplicity/efficiency • Refortify key supplier networks neighboring regional governments • Develop and deploy fiscal support for counties and • Monitor impact of business reopening measures • Establish on-call emergency supplier/supplier networks municipalities facing liquidity issues during the • Review programs for supporting business entities and update • Review county – by – county status to confirm return to recovery for current conditions (e.g. need for additional funding) stability • Identify unmet needs during the recovery to prioritize • Model regions budget impact at different stages of reopening • Identify hot-spot, laggard areas on the county or city and potentially apply for future stimulus funds • Propose and simulate new economic regulations’ impacts levels and resolve • Continue to develop and monitor various economic until full resumption of business scenarios for the recovery Copyright © 2020 Deloitte Development LLC. All rights reserved. 43
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION How do you address all these issues in an integrated fashion? Measures 1 2 3 4 Establish a COVID-19 Develop Execution by Network Use data, business mission control communication – with federal, state and and technology center strategy to increase local governments, tools to accelerate transparency and private sector, recovery build trust academics, non-profits Source: Deloitte Copyright © 2020 Deloitte Development LLC. All rights reserved. 44
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION 1. A unified approach through a COVID-19 Mission Control Center A COVID-19 mission control center brings together a cross-functional, cross-agency team, structure, processes, and tools to coordinate a government’s actions through the crisis. It can enhance the government’s ability to quickly move to a proactive and strategic response to the crisis. Defining guiding Defining Develop Activating the Operating the principles workstreams workstream plans response center response center The mission control center Governments need to The next step is to identify the The center should establish The mission control center establishes and defines the identify key streams of roles, responsibilities, core services and supporting activities need to be driven in overall objectives, decision- activities—public health objectives, governance tools, technology, and an open and transparent making philosophy, investment capacity, public safety, structure, and resources that platforms to operationalize, environment. It needs to priorities, and broader communication strategy, would help drive activities in track, manage, and align ensure alignment across governance structure. For recovery task force—and each workstream. It’s important workstream activities. There is workstreams and actively instance, managing competing include projects, initiatives, to identify the right agency a need to tap into cross- manage issues, decisions, and priorities between different and milestones that need to leaders to drive each agency resources and best risks to drive activities toward agencies and focus areas will be undertaken in each. workstream and make granular practices and bring them in to completion. be key during the initial plans wherever possible. the center. recovery period. Source: Deloitte Copyright © 2020 Deloitte Development LLC. All rights reserved. 45
MANAGING THE RECOVERY PROCESS: COORDINATED EXECUTION Mission control center pandemic response activities What would the command center do? Benefits Mission control centers provide Strategy, Governance & Interagency Coordination advice and recommendations ▪ Provide subject matter advice to assess and help enhance governance structure, ▪ Better-informed governance model for regarding strategy, coordination, central coordination, protocols, and emergency actions and governance for emergency ▪ responding to the pandemic ▪ Assist with communication strategy related to the implementation of protective management, health, and ▪ Optimized resource allocation medical organizations measures ▪ Effective standard operation responding to crises, including ▪ Provide recommendations regarding resource prioritization pandemics. They also provide procedures advice and recommendations to Incident Action Planning establish and maintain ▪ Assist with recommendations for establishing an Incident Command System, ▪ Proactive mitigation of potential command systems to manage which the client would use to manage the incident, coordinate resources, and risks and issues incidents, coordinate resources, establish a structure to maximize multi-agency support and establish a structure to ▪ Robust command center for ▪ Provide recommendations for developing daily priority setting, risk and issue coordinating responses maximize multi-agency support. tracking, and incident action planning ▪ Fit for purpose, executable plans configured for unique crisis events and types Crisis Communication ▪ Identify and coordinate messaging and conduct media trend and risk analysis ▪ Increased situational awareness ▪ Assist with developing proactive communications ▪ Actionable communications plan ▪ Provide recommendations for improving message development & planning ▪ Effective and clear communications to ▪ stakeholders during turbulent times Copyright © 2020 Deloitte Development LLC. All rights reserved. Source: Deloitte 46
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