Commons Sense

House of Commons · Ministerial Statement

Covid Pandemic: Testing of Care Home Residents

01 March 2023 · 23 other contributors

Opened by Helen Whately Con Faversham and Mid Kent

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Helen Whately raised concerns about covid pandemic: testing of care home residents in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • The Minister highlighted the unprecedented nature of the covid-19 pandemic and the importance of testing from its early stages
  • Tough decisions about prioritisation had to be made due to limited testing capacity in the initial phase
  • The UK government built the largest testing network in Europe thanks to bold testing ambitions

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Government Statement

The Minister highlighted the unprecedented nature of the covid-19 pandemic, emphasising the importance of testing from its early stages. She acknowledged tough decisions about prioritisation had to be made due to limited testing capacity in the initial phase but noted that the UK government built the largest testing network in Europe thanks to bold testing ambitions. The minister expressed gratitude towards those who worked tirelessly on this mission day and night, including civil servants, NHS staff, and social care workers. She stressed the need for learning lessons from the situation in care homes during the pandemic while also emphasising the importance of context and the comprehensive public inquiry.

Other contributors (23)
  • Liz Kendall Lab Leicester West

    Question

    Throughout the covid pandemic, Ministers repeatedly claimed that they had thrown a protective ring around England’s care homes and that they had always followed the evidence and scientific advice. However, WhatsApp messages from the former Health Secretary revealed in today’s Daily Telegraph suggest otherwise. The MP questioned why the Government rejected the chief medical officer's advice to test all residents going into care homes and failed to introduce community testing until August 14th despite significant deaths.

    Minister reply

    The Minister acknowledged the difficulties of prioritization decisions at the start of the pandemic due to limited testing capacity. She explained that initial tests were prioritised for NHS frontline workers, hospital patients, and symptomatic care home residents. As testing capacity increased, so did the scope of testing. The Government established the largest testing network in Europe from a standing start, and this expansion was reflected in their adult social care plan published on 15 April.

  • Question

    My hon. Friend will agree that it was Labour that called for a public inquiry, and the Government agreed to it. It is a full public inquiry with a distinguished judge leading it. Does my hon. Friend agree that what we are seeing today is a bit of trial by media and party politics?

    Minister reply

    The Minister concurred that they have a thorough public inquiry led by an experienced judge, and the Government is fully cooperating to ensure all necessary information is provided for a comprehensive investigation.

  • Barbara Keeley Lab Worsley and Eccles South

    Question

    On 2 April 2020, I wrote to the former Health and Social Care Secretary highlighting the urgent need for testing in care homes. In July 2021, during a session of the Select Committee on Health and Social Care, I asked why the Government had not taken up an offer from care providers to isolate patients before admitting them to care homes. Will the Minister admit that the Department failed to understand social care's role in pandemic decisions and ignored offers for help?

    Minister reply

    The hon. Lady is right about testing importance; she argued for it at the time as did I, Social Care Minister. Decisions were based on scientific advice given by experts. Millions of tests were distributed to care homes as capacity allowed. Guidance from 15 April stated that everyone discharged from hospital should be tested and isolated.

  • Peter Bone Con Wellingborough

    Question

    The Opposition wants to rewrite history. The then Secretary of State faced a complex situation with limited information, having to make tough decisions based on advice received. Shouldn't the public inquiry be the right forum for such matters? Can we expedite the inquiry's report?

    Minister reply

    My hon. Friend is correct; the covid inquiry is the proper place to delve into these details. Decisions were made with limited information and uncertainty about the virus's impact. The inquiry timing is not within Ministers' control.

  • Daisy Cooper Lib Dem St Albans

    Question

    Leaked WhatsApp messages show that despite test shortages in September 2020, an adviser sent a test to the home of Mr Rees-Mogg by courier. Can the Minister confirm how many Government Ministers and Conservative MPs received priority tests during the pandemic when there was a shortage?

    Minister reply

    Difficult to comment on WhatsApp messages; I sought a test for my family member using the same app as everyone else.

  • Tim Loughton Con East Worthing and Shoreham

    Question

    During limited testing supplies, calls were made to prioritise certain groups. In hindsight, some decisions may have been incorrect but it was an urgent situation. Can my hon. Friend confirm that Wales took two weeks longer than England to mandate care home resident testing? Why isn't the Opposition outraged by this?

    Minister reply

    My hon. Friend highlights challenges faced globally during the pandemic. Decisions were taken across Scotland, Wales and Northern Ireland as well. If the Opposition had been in power, they would have done their best with limited information.

  • Janet Daby Lab Lewisham East

    Question

    Even if we now know that the Secretary of State was not following scientific advice, can the Minister explain why she did not do the right thing at the time? Was she not listening to the chief medical officer?

    Minister reply

    The hon. Lady seems unaware; public health and chief medical officer's advice were followed. As testing volumes increased, tests were used as advised.

  • Kieran Mullan Con Bexhill and Battle

    Question

    I remember Opposition Members repeatedly saying we had the worst death toll in Europe, which was misleading based on recent studies showing a different picture. Have they apologised for this misleading information?

    Minister reply

    My hon. Friend is right; it's important to reflect on pandemic decisions and prepare better for future pandemics. We regret every life lost but should look at these issues through the public inquiry.

  • Karin Smyth Lab Bristol South

    Question

    The Government entered unprepared, ignored lessons from Operation Cygnus, and ran NHS at 96% capacity. Families deserve more detail on what happened to ease their suffering before the public inquiry.

    Minister reply

    Legal investigations have already taken place; bringing evidence together in a proper public inquiry is the best way to reach conclusions.

  • Damian Green Con Ashford

    Question

    This is a serious matter of life and death, so it's right to conduct a thorough public inquiry. Can my hon. Friend assure us that the Government will be as transparent and open as possible during this process?

    Minister reply

    Absolutely; the Government are sharing huge quantities of evidence with the public inquiry to ensure best-informed conclusions.

  • Clive Efford Lab Eltham

    Question

    The emails and WhatsApp messages show that scientific advice was ignored. The Minister has said other priorities were considered, but what did the Government know that Professor Whitty didn't when they decided not to follow his advice?

    Minister reply

    Opposition Members seem not to have listened; public health advice was followed. Testing capacity was limited and only increased later as tests became available.

  • James Wild Con North West Norfolk

    Question

    Is it not regrettable, if all too typical, that the Labour party ignores the fact that when the pandemic struck there was capacity for only 2,000 tests a day—ignoring, too, the huge, successful efforts to massively increase that capacity—and instead chooses to leap on partial information to make political points rather than listen to the full facts of the public inquiry?

    Minister reply

    My hon. Friend is absolutely right about how we ramped up incredibly fast from a capacity of just 3,000 tests a day in March 2020, to more than 38,000 in mid-April, and more than 100,000 by May. We were then able to test many millions per week during the course of the pandemic.

  • Derek Twigg Lab Widnes and Halewood

    Question

    The Minister said that what my hon. Friend the Member for Leicester West (Liz Kendall) said was shocking. What is shocking is the number of people who died but who might have been saved in the first place. Is the Minister really saying that, at the beginning of the pandemic, there was no rush to get people out of hospital and back into the community without being tested?

    Minister reply

    The questions about the discharge policy have been interrogated on a number of occasions, including by Select Committees. The hon. Gentleman will well know that in general, and in the work that we are doing now on discharge, it is rarely good for somebody who is medically fit for discharge to continue to be in hospital beyond that time.

  • Question

    I am very proud of this Conservative Government’s record during the pandemic: 400 million tests, a world-leading and world-beating vaccine programme, and £400 billion spent to keep jobs and people’s prospects going. Clearly, hard decisions were made, and hindsight is a wonderful thing, but we should not be reflecting with hindsight now; we should deal with the facts at hand. Does the Minister agree that this Government will continue to take measures, and that if—God forbid—there is another pandemic, we will not let party politicking get in the way of making decisions to protect lives, fund jobs and keep our country going?

    Minister reply

    My hon. Friend is absolutely right to point out the extraordinary things that were done during the pandemic. I do not think that the Government should seek to take credit for that; so many people worked incredibly hard.

  • Emma Lewell-Bentley Lab South Shields

    Question

    In April 2020, now-disappeared Government guidance in relation to hospital discharges stated: “Negative tests are not required prior to transfers/admissions into the care home.” It was later reported that the Minister then leaned on Public Health England to alter its proposed advice to care homes from ensuring that those discharged from hospitals tested negative to not requiring any testing at all. Why, at every stage, were the Government content to send people to their deaths in our care homes?

    Minister reply

    I do not recognise the hon. Lady’s account at all. If she looks back at one of the legal cases that has looked into this question, she may find more accurate information about some of the conversations that went on behind the scenes.

  • Question

    Leaked WhatsApp messages will be partial and selective, but in reading even those I note that the Minister was doing her job on behalf of my constituents. In a message on 8 April, she spoke up for a care home in Newcastle-under-Lyme and raised it with the Government and her fellow Ministers. Everyone was doing their best. I served in the lessons learned inquiry, and there are lessons that can be learned with the benefit of hindsight, but the hindsight that we have seen from the Labour Front Bench is opportunistic. Does she agree that the Government were doing everything they could to respond to an unprecedented situation under severe pressure and severe supply and capacity constraints?

    Minister reply

    My hon. Friend is 100% right. The context is absolutely important as part of this conversation. It was a global pandemic about which very little was known and about which we worked incredibly hard to find out more, and on which we continually made the best possible decisions in the light of the information that we had.

  • Dan Carden Lab Liverpool Walton

    Question

    Care home residents and their families were failed not just at the beginning of the pandemic but in the months and years that followed, as families and loved ones were prevented from visiting. The leaked WhatsApps show that the Minister was arguing against the ban on visiting. Can she say why the ban was sustained for so long throughout the pandemic, and what plans she has to ensure that families with loved ones in care homes have the right to visit if this ever happens again?

    Minister reply

    I know how strongly the hon. Member feels about this. Clearly, we are having ongoing conversations about visiting in care homes at the moment.

  • Emma Hardy Lab Kingston upon Hull West and Haltemprice

    Question

    The front page of today’s Telegraph, which reveals that the medical advice was not followed, will be heartbreaking for so many families up and down the country, re-opening the grief that so many felt about the loss of their loved ones. I have listened carefully to the Minister’s responses, and she has basically said that she is unable to compel the public inquiry to move more quickly—that it is above her pay grade. But what she could do now is commit to lobbying the Government to complete that public inquiry before the end of the year, and to doing everything she can to bring those answers forward for all those families who are today feeling so deeply hurt and upset.

    Minister reply

    On the first point about the use of public health advice, the hon. Lady is wrong; all decisions were informed by public health advice.

  • Florence Eshalomi Lab Co-op Vauxhall and Camberwell Green

    Question

    To reiterate the point that my hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) just made, every time there is a statement, every time there is a revelation, every time such an issue is raised, whether in this House or in the press, it triggers trauma for many people who have not healed from losing their loved ones, who were not able to go to funerals, and who were not able to seek closure. I hope that the Minister will reflect on her response in that context.

    Minister reply

    As I have said, we are talking about, very sadly, people’s lives being lost—people’s mothers and fathers, grans and grandpas, sons and daughters, and sisters and brothers.

  • Justin Madders Lab Ellesmere Port and Bromborough

    Question

    As the Minister will recall, I spoke for the Opposition on dozens of regulations to do with the pandemic, and on occasions I questioned some of the decisions that were made. The suspicion was that sometimes political rather than medical or scientific decisions were taken. What has come out overnight has caused me to question that again, and I hope she can understand why. It is an important question of trust for us as politicians but also for the wider public.

    Minister reply

    I do remember many of those SI debates. I can assure the hon. Gentleman that it was not political decision making as he suggests.

  • Layla Moran Lib Dem Oxford West and Abingdon

    Question

    My heart goes out to the bereaved families and I cannot imagine what they must be feeling again today. My heart also goes out to care workers, many of whom lost their lives having contracted covid. Many also survived but are now living with long covid and have lost their livelihoods. The Minister may be aware that advice from the Industrial Injuries Advisory Council that would give compensation to just some of those brave workers is currently with the Department for Work and Pensions. In a recent meeting with me, the Minister told me that it could take years for that to be taken up. What conversations has this Minister had with the DWP and, if it will take years, will her Department set up a compensation scheme so that those brave workers get the support they deserve?

    Minister reply

    As the hon. Lady says, care workers were among those on the frontline during the pandemic and they had some incredibly difficult experiences. They took the risk of catching covid and, very sadly, some care workers and NHS workers were among those who lost their lives. Others have long covid. The question of compensation is currently with the Department for Work and Pensions. The Minister for Disabled People, Health and Work, my hon. Friend the Member for Corby (Tom Pursglove), is in his place on the Front Bench: his Department is looking at this and will respond in due course.

  • Jim Shannon DUP Strangford

    Question

    I thank the Minister for her answers. Everyone’s thoughts and prayers are with those who lost loved ones. The impact of the covid lockdown on mental health was felt most keenly in care homes. To see what the elderly people were put through, and learn that the full protections were not in place and they could not see loved ones at the end of life, is totally unacceptable. What would the Minister offer to those who lost precious hours with those they loved and adored on hearing this tragic news today?

    Minister reply

    I reiterate to those living in care homes and their loved ones and families that the Government took every step throughout the pandemic to protect those we knew were vulnerable. For instance, we prioritised testing with more than 180 million tests going to care homes during the pandemic, and we prioritised vaccinations. I remember talking to residents in care homes at the time, and vaccination was a huge moment for them because it was the first time they had felt really protected from that cruel virus. I know how hard it was for families that they could not see loved ones in care homes, and that was one reason we put out guidance about visiting, saying that if someone was close to end of life they should be able to receive visitors. I will continue to do my utmost as Minister for Social Care to make sure that we do our very best for those living in care homes.

Shadow Comment

Liz Kendall

The shadow minister criticised the government's handling of testing in care homes, stating that Ministers repeatedly claimed to have protected England’s care homes and followed scientific advice during the pandemic. She questioned why the former Health Secretary rejected the chief medical officer's advice to test all residents going into care homes from early April 2020 until community testing was introduced on August 14th, leading to 17,678 deaths in care homes before this policy change. Liz Kendall also challenged the government’s prioritization decisions and accused former Ministers of attempting to rewrite history.

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