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  • Oct 20, 2026, 11:39 AM

    By mid-March 2020 there was enough evidence of possible asymptomatic transmission to justify a precautionary approach. The Inquiry says all hospital admissions to care homes should have been isolated. Scotland introduced this advice earlier.
    7/10

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Replies

  • Oct 20, 2026, 11:39 AM

    Governments did not even know which care homes could isolate residents safely. Nor were alternative isolation facilities ready. Exercise Cygnus had identified the need for social-care capacity planning in 2016, but the work remained unfinished.
    8/10

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  • Oct 20, 2026, 11:39 AM

    Care homes were urged to accept admissions to free up hospital beds. The Inquiry finds that official wording could create false reassurance that untested or asymptomatic Covid-positive residents could be accommodated safely. Some managers felt they could not refuse.
    9/10

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  • Oct 20, 2026, 11:40 AM

    Care workers were given guidance that was detached from reality, including advice to remain two metres from people while providing intimate care. PPE shortages left some working with unsuitable equipment or none at all. The report calls this “wholly unacceptable”.
    10/10

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  • Oct 20, 2026, 11:43 AM

    Routine inspections largely stopped, professional visits fell and families were excluded. That removed several layers of oversight simultaneously, increasing the risk that neglect, abuse, poor infection control and deteriorating health would go unnoticed.

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  • Oct 20, 2026, 11:43 AM

    The Inquiry’s overarching judgement is that fragmented responsibility, ignored warnings, poor data and inadequate planning created conditions in which Covid could spread “like wildfire”. Social care’s neglect was longstanding.
    During the pandemic, its consequences became catastrophic.

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