Question to the Department of Health and Social Care:

To ask Her Majesty's Government what assessment they have made of the remarks made by the Rt Hon Jeremy Hunt MP on 12 June that “whilst the impact of such discharges meant the NHS was never short of beds or ventilators, it seems extraordinary that no one appeared to consider the clinical risk to care homes despite widespread knowledge that the virus could be carried asymptomatically.”

Throughout our coronavirus response we have kept our policies under continuous review based on the emerging international and domestic evidence and have worked tirelessly with the care sector and public health experts to reduce transmission and save lives.

On 15 April, we published COVID-19: Our Action Plan for Adult Social Care. This set out that all patients are required to be tested prior to discharge to a care home. A copy is attached.

Patients are discharged when it is clinically safe and they no longer need acute care. Wherever possible, people who are clinically ready should be supported to return to their place of residence, where assessment of longer-term needs will take place. This approach follows the ‘discharge to assess’ model, to support timely and appropriate discharge from hospital.

As our understanding of the virus has changes throughout the course of the pandemic, we have continued to develop our policy. Our current policy is that due to evidence of asymptomatic spread, during periods of sustained transmission we recommend that all residents being discharged from hospital or interim care facilities to the care home and new residents admitted from the community should be isolated for 14 days within their own room. For care home residents, around 70% of people living in care homes for the over 65s have dementia. It is important they return to their familiar environments when they are clinically ready, with the personalised support and daily activities in place that help them to live well with dementia. This can be better achieved in their care home, rather than the hospital.

We have made £1.3 billion funding available via the National Health Service to help patients who no longer need urgent treatment to get home from hospital safely and quickly. We have also made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care. On 13 May we announced an additional £600 million to support care home providers through a new Adult Social Care Infection Control Fund.