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Covid inquiry finds care homes were 'afterthought' as 43,000 died

Summarised from 6 outlets · 8 reports · Updated 20 Oct, 12:15 · Archive

The UK Covid-19 Inquiry has found that more than 43,000 people died in care homes between March 2020 and July 2022 because the sector was inadequately protected.

The UK Covid-19 Inquiry has published its sixth report, focusing on the adult social care sector and finding systematic failures that left care homes inadequately protected during the pandemic. Inquiry chair Baroness Heather Hallett concluded that more than 43,000 people died with coronavirus in care homes between March 2020 and July 2022.

The report identifies a critical early failure: when the pandemic began in 2020, around 25,000 patients were rapidly discharged from hospitals into care homes to free up NHS beds. However, there was no policy requiring patients to be tested before admission or to isolate after arrival until mid-April 2020. This absence of protection allowed the virus to spread rapidly among residents and staff.

Baroness Hallett stated that the 'mantra at the time of protecting the NHS sometimes came at the expense of the users and providers of care', with the adult social care sector appearing to be 'something of an afterthought'. She described the government's failure to advise isolating discharged patients as a 'significant omission' that created environments where the virus could spread 'like wildfire'.

The inquiry's findings directly contradict former health secretary Matt Hancock's May 2020 claim that ministers had thrown a 'protective ring' around care homes 'right from the start'. Multiple outlets describe this claim as 'rhetoric' and note that the report refutes it. The report found that care homes lacked adequate testing, personal protective equipment and other safeguards needed to protect vulnerable residents.

Beyond infection control, the inquiry found profound harm from visiting restrictions imposed at the pandemic's outset. Baroness Hallett wrote that the 'profound isolation and sense of abandonment felt by residents resulted in immense emotional harm'. She noted that by September 2020, research indicated the risk posed by loneliness and isolation was 'likely an order of magnitude higher' than the risk from visitors transmitting infection. The report states that family members designated as 'essential carers' should have been recognised and permitted to visit much sooner.

Many residents were prevented from being with dying loved ones in their final moments. The inquiry found that bereaved family members 'remain wracked by a guilt that they do not deserve to carry'. Baroness Hallett highlighted a 'significant decline in the health and wellbeing of residents, especially those with cognitive conditions like dementia'.

The inquiry, chaired by Baroness Heather Hallett and the most expensive public inquiry in British history, began in June 2023 and finished public hearings in March 2024. The report acknowledges that care home providers and policy-makers initially had limited choice in imposing restrictions when the pandemic began, as protection of life was paramount. However, it concludes that failures in planning and guidance for the adult social care sector resulted in 'devastating consequences'. The inquiry has made 55 recommendations so far and will publish ten modules in total covering preparedness, political decision-making, health and social care, vaccines, procurement, test and trace, children and young people, the economic response and wider societal impact.

Covid inquiry finds care homes were 'afterthought' as 43,000 died
Image: BBC News

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In this story: Baroness Heather Hallett · Matt Hancock · UK Covid-19 Inquiry · Covid19 Bereaved Families for Justice UK · United Kingdom

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