It is clear that impacts of the global pandemic continued to dominate public services in 2021. Not only did existing services continue to be impacted, but COVID related services, which were rapidly developed and deployed, remained in place. Testing and contact tracing, and the rollout of the vaccine programme, were vital components in the health systems’ response to COVID-19. The report shows us that by the end of 2021 there was almost 93% uptake of the vaccine programme amongst the eligible population, and 95% of tests results were being communicated within 48 hours.