London Daily

Focus on the big picture.
Tuesday, Feb 24, 2026

Covid: What happened to care homes early in the pandemic?

Covid: What happened to care homes early in the pandemic?

The publication of leaked WhatsApp messages sent and received by former health secretary Matt Hancock has highlighted the issue of government policy on care homes during the first wave of coronavirus.

The Telegraph claims Mr Hancock ignored advice - in April 2020 - to test everybody going into care homes.

His spokesperson disputes this and says he had also been advised that there was not enough capacity to do so.

So, what action did the government take in the care sector in England, where there were more than 40,000 deaths involving Covid-19.


Testing


On 14 March 2020, the government began prioritising the most vulnerable individuals for testing, including those in hospitals and care homes.

If an outbreak was suspected, a handful of residents at a home could be tested.

Reality Check understands that some care providers found access to testing to be very limited at this time.


On 14 April, according to messages seen by The Telegraph, which we cannot independently verify, there was discussion of advice from Chief Medical Officer Sir Chris Whitty to Mr Hancock that there should be testing for everyone going into care homes.

It is reported that Mr Hancock initially accepted that advice but later that day changed his mind and said the government should just commit to testing people being moved to care homes from hospitals.

Mr Hancock's spokesperson said this followed an operational meeting at which he had been advised that it was not possible to test everyone going into care homes.

On 15 April, the social care action plan was launched as care home deaths in England were peaking at around 400 a day.

This included a pledge to test all care staff who needed one, for example if they were in a household that was self-isolating.

At that point, just 1,000 care staff had been tested out of an estimated half a million who work in care homes.

The government said it would "move... to a policy of testing all residents prior to admission to care homes", starting with people being moved there from hospitals.

All care home residents with coronavirus symptoms would also be tested.

On 28 April, this was extended to all care staff and residents, regardless of whether they had symptoms.

It's important to remember that early in the pandemic it wasn't widely understood that people who didn't have symptoms could pass on coronavirus.


Moving patients from hospitals to care homes


On 19 March 2020, NHS guidance said that "unless required to be in hospital, patients must not remain in an NHS bed".

This policy was implemented to free up beds in advance of an expected surge in coronavirus patients.

On 2 April, the rules on discharging patients to care homes were clarified, saying "negative [coronavirus] tests are not required prior to transfers/admissions into the care home".

Even elderly patients who tested positive could be admitted to care homes, if measures - such as wearing personal protective equipment (PPE) and isolation - were used.

From 15 April, the government said that all patients discharged from hospitals would be tested for coronavirus.

By this time, an estimated 25,000 patients had been discharged to care homes. In July, Panorama gathered data from 39 hospital trusts, which showed three-quarters of people discharged were untested.

Up to this point more than 5,700 care home residents had died in England and Wales (either in homes or in hospital).

Public Health England has published research into the impact of hospital transfers. It found that 1.6% of the lab-confirmed outbreaks in care homes that they knew about by mid-October 2020, had come from people discharged from hospitals.

But it is not clear what percentage of outbreaks up to 15 April (when the testing policy changed) were the result of patients being moved to homes.

And it is important to note that, at this time, there was a lack of testing so not every outbreak may have been recorded. Also, the figures do not count people who were not previously care home residents who were transferred into them from hospitals.

The government has repeatedly said that decisions to discharge patients from hospitals during this time were made by medical professionals on a case-by-case basis.


The government has repeatedly said that decisions to discharge patients from hospitals during this time were made by medical professionals on a case-by-case basis.


Personal Protective Equipment (PPE)


In March 2020, specific guidance related to coronavirus said that the PPE in care homes should be similar to that used in hospital settings.

The government launched the National Supply Disruption Response on 13 March, a centralised line for care and health providers to raise concerns.

This was followed on 19 March by a promise to deliver 300 masks to each care provider.

Concerns over PPE peaked at the end of March and early April, as bodies such as Unison, the Royal College of Nursing and care homes themselves highlighted shortages.

Because care homes are generally privately-run, they are responsible for purchasing their own PPE. Many found their local suppliers were running low and that they were competing with better-funded hospitals.

A letter from the government on 2 April recognised "the challenges providers may have experienced in obtaining PPE supplies over recent weeks," and promised that the supply chain would be bolstered, with support from the armed forces.

On 10 April the government announced a PPE action plan, which included freeing up 34 million pieces of equipment to "local resilience forums" who would then distribute it to care homes through local authorities.

By this point, 3,100 care home residents had died in England and Wales.


Visiting care homes


General guidance produced on 25 February 2020 included advice for carers on what to do if they came into contact with someone with Covid-19 - but there was nothing advising against visits to care homes.

In one section it said: "It remains very unlikely that people receiving care in a care home or the community will become infected."

Another section said: "Currently there is no evidence of transmission of Covid-19 in the United Kingdom. There is no need to do anything differently in any care setting at present."

However, the government's own Scientific Advisory Group for Emergencies (SAGE) had advised on 10 February that "it is a realistic probability that there is already sustained transmission in the UK, or that it will become established in the coming weeks."

On 3 March, the government released its coronavirus action plan - the document did not mention restricting visits to care homes.

By 5 March, England had had 273 cases of people with the virus.

That day Prof Chris Whitty told a committee of MPs that as there were cases that could not be traced back to people who had come from abroad, it was "highly likely therefore that there is some level of community transmission in this virus in the UK now".

Italy suspended visits to care homes at this point, five weeks after recording its first case. A day later, Nursing Homes Ireland, which represents hundreds of care homes in Ireland, banned non-essential visits, just six days after the first confirmed case in the country.

On 10 March, Prof Martin Green, head of Care England, which represents independent care providers, directed criticism in an Independent article at the government for its response.

"There is no evidence of a plan. I'm not even certain they have these plans and aren't just making them up as they go along," he said.

Some homes were already deciding to close their doors to visitors, with care groups Barchester and HC-One stopping non-essential visits on 10 March and 12 March.

Scottish Care - a representative body for social care in Scotland - advised care homes to close to visits on 11 March.

On 13 March, the government's guidance from 25 February was updated to say that "care home providers are advised to review their visiting policy, by asking no-one to visit who has suspected Covid-19 or is generally unwell, and by emphasising good hand hygiene for visitors".

On the same day, Bupa and Four Seasons care homes stopped non-essential visits.

It wasn't until 16 March that it was announced that social distancing should be carried out by everyone, in particular those aged over 70 and vulnerable people.

That day, the prime minister was asked about care homes and said: "We don't want to see people unnecessarily visiting care homes."

In the period between 25 February and 16 March, 14 deaths of care home residents were reported along with 30 outbreaks in England's 15,000 care homes.

On 21 March, guidance was introduced to encourage medically vulnerable people to remain indoors as much as possible until the end of June - a process known as shielding.

Finally, on 2 April a document from the Department of Health and Social Care said that "family and friends should be advised not to visit care homes, except next of kin in exceptional situations such as end of life".

Newsletter

Related Articles

0:00
0:00
Close
UK Economy Faces Acute Strain as Trump’s Global Tariff Reshapes Trade Landscape
UK Signals Retaliation Is Possible as New US Tariff Policy Threatens Trade Stability
British Police Arrest Former Ambassador Peter Mandelson in Epstein-Related Misconduct Probe
Australia Officially Supports Proposal to Remove Andrew Mountbatten-Windsor from Royal Succession
Victorian Premier Jacinta Allan remains silent on ISIS brides' resettlement plans in Melbourne
Former UK Ambassador Peter Mandelson Arrested in Connection with Jeffrey Epstein
Jacob Rees Mogg afraid to talk about Peter Mandelson arrest on “suspicion of misconduct in a public office” (Pedophilia, corruption, etc.)
United Nations Calls for Global Action Against Disinformation and Hate Speech Online
Tucker Carlson warns of an inevitable clash in Western societies over mass migration
President Trump warns countries against abandoning recent trade deals with the US
Diverging Polls Show Mixed Signals on UK Economic Revival as Confidence Remains Fragile
Spotify Expands AI-Driven ‘Prompted Playlists’ Feature to the United Kingdom and Other Markets
Greens and Reform UK Surge in Manchester By-Election, Threatening Labour’s Historic Stronghold
UK Businesses Push for Closer European Trade Links Amid Renewed US Tariff Uncertainty
Deloitte Global Overhaul Sparks Leadership Contest in the United Kingdom
University of Kentucky and Microsoft to Showcase Campus-Wide AI Innovation
UK Food System Faces Acute Vulnerability to Shocks, Experts Warn
Reform UK’s Proposed ICE-Style Deportation Scheme Triggers Sharp Backlash
U.S. Global Tariff Push Leaves Britain, Australia and Others Facing Higher Costs and Trade Strain
UK Police Officers Guarded 2010 Epstein Dinner Attended by Prince Andrew, Reports Say
US Trade Representative Affirms Commitment to Existing Tariff Agreements with UK and Other Partners
Activists at the Louvre hung a framed Reuters photograph of Andrew Mountbatten-Windsor slumped in the back of a car leaving a police station on the day of his arrest
The royal biographer said that he expected the police to 'look at the money trail' - including Sarah Ferguson borrowing money from Epstein
A Protestor screams in NYC: “Bill Gates is on the Epstein’s List…”
FBI and Secret Service Hold Press Conference After Shooting Incident at Mar-a-Lago
Mark Zuckerberg Testifies in Trial Over Social Media's Impact on Children's Mental Health
Maggie Oliver exposes Keir Starmer using letters to close child rapists investigations
Kouri Richie's wrote a children’s book to help her sons grieve the death of their father. Now she’ll stand trial for his murder
New York Braces for Major Snowstorm With Up to 18 Inches Forecast and Blizzard Warnings Issued
Mexican Military Kills CJNG Leader Nemesio Oseguera Cervantes as Violence Erupts Across Jalisco
Metropolitan Police Deploys Palantir-Powered AI to Flag Potential Officer Misconduct
UK Parliament Rebukes Police Over Ban on Israeli Football Fans
Britain Emerges Among a Small Group of Nations Without a Religious Majority
UK’s Manufacturing Base at Risk as Soaring Energy Costs Weigh on Industry
Matt Goodwin’s Unconventional Campaign for Reform UK in the Gorton and Denton By-Election
US Military Movements in the UK Spark Speculation Over Preparations Related to Iran Tensions
UK Faces Significant Economic Risk From Trump’s New Global Tariff Regime
UK Defence Secretary Signals Intent to Deploy British Troops to Ukraine
UK Students Mark Lunar New Year as Universities Adjust to New Equality Compliance Rules
UK Government Weighs Removing Prince Andrew from Line of Succession After Arrest
Prince Andrew’s Arrest in UK Rekindles Scrutiny Over US Handling of Epstein Records
Trump’s Strategic Warning to UK Over Chagos Islands Deal Sparks Diplomatic Whiplash
Starmer Government Postpones Local Elections Affecting 4.5 Million Voters
UK Economy Remains Fragile Despite Recent Upturn in Headline Indicators
UK Businesses Face Fresh Uncertainty Following US Tariff Ruling
Reform UK’s Senior Figures Face Scrutiny Over Remarks on Women and Family Policy
UK Electric Vehicle Drive Threatened by Shortage of 44,000 Qualified Technicians
University of Kentucky Trustees Advance Academic Reforms and Approve Coliseum Plaza Purchase
Boris Johnson Calls for Immediate Deployment of UK Troops to Support Ukraine
OpenAI CEO Sam Altman praises the rapid progress of Chinese tech companies.
×