Care homes ‘ravaged’ by coronavirus after being ‘thrown to the wolves’ during outbreak, MPs say

The coronavirus outbreak in the UK has “ravaged” care homes after they were “effectively thrown to the wolves”, MPs have said.

Advising hospitals to discharge thousands of patients into care homes without knowing if they had coronavirus was a “reckless” and “appalling” policy error, the cross-party Public Accounts Committee report says.

MPs said discharging around 25,000 patients to free up beds was an example of the Government’s “slow, inconsistent and at times negligent” approach to social care.

The report voiced “concerns” that the Department of Health had continued with the policy “even once it was clear there was an emerging problem”.

The Committee also identified a lack of transparency around the availability of personal protective equipment (PPE), with a tendency for the Government to “overpromise and under deliver”.

Committee chairwoman, MP Meg Hillier, said: “The failure to provide adequate PPE or testing to the millions of staff and volunteers who risked their lives to help us through the first peak of the crisis is a sad, low moment in our national response.

“Our care homes were effectively thrown to the wolves, and the virus has ravaged some of them.”

Hospitals in England were asked on March 17 to discharge patients, but patients did not require a coronavirus test prior to discharge until April 15.

And it was the end of April when the Government said all care home residents and staff, regardless of symptoms, would be able to access tests.

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On June 22, the Department of Health told a committee it believes the clearest correlations between social care outbreaks related to staff rather than the discharge of hospital patients.

However, it added: “That is not the same as saying that we would do the same again.”

The Public Accounts Committee said nobody would expect the Government to get everything right in its initial response, but that it “urgently needs to reflect, acknowledge its mistakes, and learn from them”.

It says testing should have been made available to hospital patients and social care staff “much more quickly”.

“The deaths of people in care homes devastated many, many families,” Ms Hillier added. “They and we don’t have time for promises and slogans, or exercises in blame.

“We weren’t prepared for the first wave. Putting all else aside, Government must use the narrow window we have now to plan for a second wave. Lives depend upon getting our response right.”

The report, titled Readying the NHS and social care for the Covid-19 peak, is the Public Account Committee’s first examination of the health and social care response to the crisis.

It said it was concerned about a “scarcity of information on contracts and costs” during the period, adding that allowing the Nightingale hospitals to remain empty while the NHS requires additional capacity for routine services “will not be a good use of public money”.

MPs are calling for the Department of Health and NHS to write to the committee by September 1 detailing how private and Nightingale hospitals will be “made best use of” in the coming months.

A Department for Health spokesman said: “Throughout this unprecedented global pandemic we have been working closely with the sector and public health experts to put in place guidance and support for adult social care.

“Alongside an extra £1.3 billion to support the hospital discharge process, we have provided 172 million items of PPE to the social care sector since the start of the pandemic and are testing all residents and staff, including repeat testing for staff and residents in care homes for over-65 or those with dementia.

“We know there is a need for a long-term solution for social care and we will bring forward a plan that puts social care on a sustainable footing to ensure the reforms will last long into the future.”



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