London Daily

Focus on the big picture.
Wednesday, Sep 16, 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 Doctors Warn Expanded Pharmacy First Scheme Could Put Patients at Risk
British Airlines Cut Short-Haul Capacity as Jet Fuel Costs Rise
UK News Publishers Forecast 40% Search Traffic Drop as AI Overviews Expand
Axel Springer Wins Approval for £575 Million Daily Telegraph Acquisition
London Mayor Sadiq Khan Opposes Heathrow Third Runway Over Climate Targets
Scotland, Wales and Northern Ireland Leaders Hold Summit Seeking Greater Autonomy
UK Energy Price Cap Set to Rise to £1,723 in October
UK Treasury Warns Middle East Conflict Is Threatening Economic Growth
Labour Moves to Retrospectively Cap Overseas Political Donations After Reform UK Funding Surge
HMRC Warns Nearly Seven Million Adults Are Unclear About State Pension Entitlements
UK Parliament Passes Sovereign Grant Reform Before Conference Recess
British Rail Passengers Gain Automatic Right to Switch Operators During Disruptions
Burnham Hosts Downing Street Business Summit as UK Fiscal Pressure Builds
Labour Government Moves to Challenge £72 Million in Reform UK Crypto Donations
UK Advertising Industry Warns Wider Junk Food Rules Could Put £1 Billion in Media Spending at Risk
Cornwall Opens Devolution Talks With UK Government Over Transport and Local Services
UK Parliament Considers Sovereign Grant Reform Setting Royal Funding at £99.9 Million
Trades Union Congress Calls for Income-Based Energy Tariff Funded by Higher Bank Levy
UK Prime Minister Rejects Second Scottish Independence Referendum
House of Lords Begins Scrutiny of Bill to Lower UK Voting Age to 16
Anthropic Says Claude Was Exploited in Weapons-Related and State-Linked Cyber Activity
Institute of Directors Urges UK Government to Avoid Business Tax Increases in Autumn Budget
Rising Gilt Yields Cut UK Fiscal Headroom to About £13 Billion Ahead of Budget
UK Economy Grows 0.4% in July as Services and Technology Activity Strengthen
UK Government Promises Clearer Student Loan Guidance After Repayment Backlash
Charities Warn Unpaid Carers May Die Before Receiving Government Compensation
Dover Unrest Prompts Review of UK Counter-Extremism Strategy
Celtic Summit Leaders Reassert Right to Pursue Independence From UK
NHS Records Busiest Summer on Record Amid Severe Heatwaves
Harrods Faces Potential £150 Million Compensation Bill Over Al Fayed Abuse Claims
UK Parliament Opens Debate on Landmark Assisted Dying Legislation
Metropolitan Police Investigate Reform UK Over Alleged Foreign Electoral Donations
UK Economy Expands 0.4% in July as AI Investment Boosts Activity
Bank of England Signals Caution on Rates as Inflation Pressures Persist
Tesco Alerts Police After Scammers Use Its Branding in AI-Generated Fraud
Lindy Cameron Appointed First Female Permanent Under-Secretary at UK Foreign Office
UK Government to Rewrite Student Loan Guidance After Mis-Selling Criticism
Welsh First Minister Warns Andy Burnham Government to Respect Devolution
Trump’s Falkland Islands Remarks Trigger New Diplomatic Tension With Britain
Reform UK Receives Record £72 Million Donation From Cryptocurrency Billionaires
UK Bans Imports From Israeli West Bank Settlements and Sanctions Supporting Institutions
Bayeux Tapestry Draws Large Crowds at British Museum
Cuts to International Aid Raise Concerns Over Fragile Overseas Health Systems
UK Airlines and Logistics Operators Adjust Capacity as Fuel Costs Rise
UK Mortgage Arrears Edge Lower in Second Quarter
UK Government Advances New Devolution Offers for English Councils
UK Parliament Begins Debate on NHS Governance and Single Patient Record Reforms
Andy Burnham Launches Number 10 North Devolution Initiative
UK Parliament Rejects Assisted Dying Bill for Terminally Ill Adults
UK Bans Goods From Israeli Settlements in the Occupied West Bank
×