Care home bosses have blamed the sector’s soaring death toll on government guidance telling hospitals to discharge elderly residents to free up beds.
The chilling warning came in the wake of a government document which advises hospitals, ‘to free up NHS capacity via rapid discharge into the community and reducing planned care.’
The plan, drafted on March 17, told NHS hospitals that ‘timely discharge’ was important – and told care homes to accept patients who had not even been tested for coronavirus.
It has since been updated saying the policy ‘will move’ to patients being tested prior to admission to care homes.
But residents coming from their own homes do not have to be tested prior to admission.
The devastating impact on the elderly has been laid bare in recent days, after Care England estimated the number of Covid-19 deaths in care homes reached 7,500 a week ago.
Questions continue to emerge over the true number of Britons dying in care homes after figures from Northern Ireland yesterday showed a third of all fatalities were elderly residents.
Last night it was announced another 684 people have died from coronavirus in Britain, taking the total number of fatalities to 19,506.
Abbotswood Nursing Home in Ballasalla (pictured) had its license suspended on April 13 after nearly 40 residents tested positive for coronavirus
Director and chief nurse Zandra Lewis had earlier warned about a lack of PPE at the care home
As Britain’s coronavirus death tally edges closer to 20,000:
- Officials also announced that 5,386 people tested positive for the killer virus, meaning 143,464 have now officially been diagnosed;
- NHS England confirmed 587 people died in its hospitals, while another 174 deaths were announced across Scotland and Wales;
- Victims in England were aged between 40 and 102 years old, and 34 of them had no known underlying health conditions;
- Ministers are looking at whether to relax the strict ‘stay at home’ advice to let small groups of households ‘cluster’ together;
- It would allow close family members to meet for meals, or enable friends to share childcare. It could also allow couples who do not live together to see each other;
- Millions of key workers face a rush to get a coronavirus test on the Government’s new online system this morning – after it ran out of home testing kits just two minutes after launching yesterday;
- Traffic has returned to London’s A40, with 10 per cent more cars hitting the roads as shops, building sites and factories reopen
- Nicola Sturgeon says Scottish people could soon be allowed to meet with a ‘bubble’ of up to friends or family as deaths and cases continue to fall;
- Northern Ireland has similarly signalled it could lift restrictions independently of the rest of the UK;
- But Wales maintains that people should not leave their home unless absolutely essential as hundreds more people continue to die every day
The Office for National Statistics (ONS) said on Tuesday 1,000 people died in care homes in the week to 10 April.
The Care Quality Commission (CQC), which regulates care homes in England, has produced preliminary data for April 11-15, suggesting there were a further 1,000 deaths linked to Covid-19.
They also say there may be a significant increase.
New figures are expected to be published on April 28, once they have been verified.
The Adult and Social Care Action Plan adds: ‘Timely discharge is important for individuals so they can recuperate in a setting appropriate for rehabilitation and recovery – and the NHS also needs to discharge people in order to maintain capacity for acutely ill patients.’
It was subsequently updated with the following guidance: ‘We can now confirm we will move to institute a policy of testing all residents prior to admission to care homes.
‘This will begin with all those being discharged from hospital.’
But it says people coming from their own homes will not yet be tested prior to admission; ‘For individuals coming from the community, we will move to these residents being tested prior to admission.
‘The majority will have come from isolation in their own homes given social distancing and shielding policies.
‘After discussion with the new resident and family, the care home may wish to isolate the new resident for a 14-day period following admission.’
A Whitehall source told the Telegraph that the policy was ‘designed as a ‘stiff broom’ to free up capacity in hospitals.’
Dr Jamie Wilson, founder of Hometouch, which provides care to people in their own homes, told the Telegraph: ‘I’m astonished at the lack of foresight of these policies.
‘To mandate that care homes should take back Covid-positive patients with such a high risk of cross infection and high mortality rate in vulnerable residents seems unfathomable.’
This comes as it was revealed ministers are looking at whether to relax the strict ‘stay at home’ advice to let small groups of households ‘cluster’ together.
A Department of Health and Social Care spokesperson said: ‘Social care is on the frontline of our fight against coronavirus and the safety of staff and residents is our top priority.
Another 684 people have died from coronavirus in Britain Officials also announced that 5,386, people tested positive for the killer virus up to Friday afternoon. It means the total number of fatalities is 19,506, while 143,464 patients have been officially been diagnosed
‘All care home residents discharged from hospital will be tested before being admitted into their care home. For those who have tested positive, care homes should follow guidance on effective isolation strategies or cohorting and where this isn’t possible alternative accommodation should be found through local authorities for the remainder of their isolation period.
‘To further help control the spread of the virus within social care we have also strengthened our advice around isolation for asymptomatic residents discharged into care homes and are using our increased testing capacity to test all symptomatic care home residents, care staff, and their families.’
Who will be in your lock-down ‘bubble’?: Government considers relaxing ‘stay at home’ rules to let small groups meet for meals, share childcare and to reunite couples who live apart
An easing of lockdown rules could allow people to socialise with up to ten of their closest family and friends, it can be revealed today.
Ministers are looking at whether to relax the strict ‘stay at home’ advice to let small groups of households ‘cluster’ together.
It would allow close family members to meet for meals, or enable friends to share childcare. It could also allow couples who do not live together to see each other.
In an idea reminiscent of BT’s ‘Friends and Families’ scheme, people would nominate a small list of those they want to be able to see, drawn from no more than one or two households.
Those involved would then be able to meet for meals and other social activities. But neither group would be allowed to mingle with others outside the ‘cluster’.
Ministers are still grappling with how to enforce the new system and prevent a free-for-all that could allow the coronavirus epidemic to take hold again.
A Whitehall source said: ‘If we can find a way to allow a bit more flexibility without risking transmission of the disease running higher then we will do it.’
Health Secretary Matt Hancock yesterday warned the government would not ease lockdown restrictions until ministers were certain they could prevent a deadly second wave of infection.
He said this would not be possible until the number of cases was driven ‘right down’. Mr Hancock said he understood the ‘economic pressures’ the lockdown was causing, but warned they would be even worse if the UK suffered a second peak of the epidemic.
He told BBC Radio Four’s Today programme: ‘I understand those voices who are saying we should move sooner but that is not something we are going to do.’
Mr Hancock said the lockdown could not be eased until ministers have the preliminary results of an Office for National Statistics study looking at how widespread the disease is in society.
Downing Street said it was ‘conceivable’ this could be ready ahead of the May 7 review of the lockdown.
Former Tory leader Sir Iain Duncan Smith yesterday said it was time for the government to ‘bite the bullet’ on the issue and set out a plan for easing the lockdown.
‘The UK government now needs to recognise that the time is now,’ he said.
Health Secretary Matt Hancock, pictured, yesterday warned the government would not ease lockdown restrictions until ministers were certain they could prevent a deadly second wave of infection.
Privately ministers are gloomy about the prospect of any significant easing of the lockdown on May 7, given the need to meet five tests that include a major reduction in the number of cases and security of supply of personal protective equipment.
One insider said: ‘I don’t think anyone thinks we are going to pass the five tests in the next week or two.’
Scottish First Minister Nicola Sturgeon said she is considering relaxing the lockdown rules.
She said: ‘I know from my own parents who are not seeing their grandkids just know, I understand the anguish of that.
‘We’re all missing seeing our loved ones so we all want to get beyond that as quickly as possible.
‘Every country is going through these decisions, none of us are through this pandemic yet, but some countries are starting to look at slightly expanding what people would define as their household – encouraging people who live alone to maybe match up with somebody else who is on their own or a couple of other people to have almost kind of bubbles of people.’
Single care home where 11 out of Isle of Man’s 15 coronavirus deaths has its licence suspended after director blasted government over lack of PPE gear
A single care home where 11 out of the Isle of Man’s 15 coronavirus deaths have occurred has had its licence suspended – after its director blasted the government over a lack of PPE.
Abbotswood Nursing Home in Ballasalla had its license suspended on April 13 after nearly 40 residents tested positive for coronavirus.
Eleven people are now reported to have died at the home – with six confirmed in the last 24 hours alone – while another resident died while being treated at Noble’s Hospital.
Health Minister David Ashford revealed the news in a media briefing yesterday in which he also said his ‘heart goes out to the families and friends’ of the victims and announced there were now 307 confirmed cases on the virus on the island.
Director and chief nurse Zandra Lewis had earlier warned about a lack of PPE at the care home.
She told Manx Radio: ‘We’ve asked for help from the relevant public health authorities to give us the appropriate PPE to look after the rest of my staff, let alone the residents.
‘And we’ve been given what I would call basic PPE. I’m really upset because any of my staff actually died from this, let alone residents, then I will feel the government has let us down.
She added: ‘Are we as a private nursing home, which has NHS residents in it, not as worthy as a hospital [for PPE]?’
The Department of Health and Social Care (DHSC) took over the running of the care home last week.
DHSC chief executive Kathryn Magson said the reasons behind the decision were ‘confidential’ but it was for the ‘safety of the residents’, according to the BBC.
Some residents of the care home have been moved to a building on the Noble’s Hospital site while the facility is given a ‘deep clean’ but they be moved back once that is completed.