[ "Neither a defensive denial of events in plain sight nor the blame game will help. What matters now is how we might do things differently to protect care home residents if we have a second surge or a new pandemic" ]
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David Oliver: Let’s be open and honest about covid-19 deaths in care homes
https://www.bmj.com/content/369/bmj.m2334
[ From the first recorded UK case to June 5, the Office for National Statistics (ONS) reported
17,422 deaths of care home residents from covid-19 in England and Wales—
47% of the total.
1
England’s health secretary, Matt Hancock, was insisting in the media that only around 30% of deaths in England were in care homes, saying that it was lower than the European average, by using Department of Health and Social Care data based only on people who had tested positive for covid-19 (when tests were in short supply) rather than on death certification—an approach used by ministers throughout the pandemic... ]
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“Abandoning” residents
The mainstream media narrative around covid-19 care home deaths became one of cruel bureaucrats, politicians, and managers callously abandoning care home residents to preventable deaths, knowingly sacrificing residents to “protect” acute hospital beds. Allegedly, hospitals had deliberately sent residents back to care homes with no covid-19 tests or even after positive ones.
8 New data analysis suggests that discharges from hospitals back to care homes increased year on year during a critical period in March,
9 despite claims from the government and NHS Providers that discharge numbers from hospital to care homes had been much lower in March and April than in previous years.
10 11
Before any instruction from NHS England, emergency legislation, or government cash injections,
12 acute hospitals around the country were busy implementing escalation plans to prevent hospitals from being swamped. Part of this was a focus on more ambulatory emergency care, prompt transfer of inpatients back home (or to care homes or community hospitals), and close collaboration with community health services to enhance support and speed... ]