Covid: As Matt Hancock faces grilling, what are key questions for him?

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Covid: As Matt Hancock faces grilling, what are key questions for him?
Matt HancockPA Media

After a bruising few weeks, Health Secretary Matt Hancock is appearing in front of a committee of MPs on Thursday to answer questions about his handling of the coronavirus pandemic.

It comes after Mr Hancock was accused by Dominic Cummings, the prime minister's former top aide, of a string of mistakes - and of lying to the prime minister - at the start of the crisis, in an appearance before the same committee two weeks ago.

Mr Hancock has firmly and repeatedly denied the claims - and the chairs of the joint committee on Covid, Greg Clark and Jeremy Hunt, have written to Mr Cummings to ask for evidence to back up his assertions, before grilling the health secretary. They have yet to receive a reply.

But with a public inquiry into the pandemic not due until 2022, all eyes will be on health secretary's evidence session. Here are some of the questions he is facing.

Did Mr Hancock lie about testing in care homes?

This question centres around whether people were discharged from hospital to care homes without being tested for Covid, leading to the virus taking hold among vulnerable people.

More than 42,000 care home residents in England and Wales have died of Covid.

Mr Cummings accused Mr Hancock of misleading Prime Minister Boris Johnson about testing, during his seven-hour appearance before the science and health committees.

The former aide said that both he and the PM were "told categorically in March (2020) that people would be tested before they went back to care homes. We only subsequently fund out that that hadn't happened".

He added: "Now the government rhetoric was we put a shield around care homes and blah blah blah - it was complete nonsense. Quite the opposite of putting a shield around them, we sent people with Covid back to the care homes."

Matt Hancock, care homes and PPE – what happened when?

The Health Secretary Matt Hancock is under scrutiny over his handling of the early stages of the Covid-19 pandemic. Here is what we know about the events of March and April 2020.

Action plan published

The government publishes its official coronavirus action plan to contain, delay, research and mitigate the virus. The public are urged to wash their hands regularly with soap and water for at least 20 seconds or the length of time it takes to sing ‘Happy Birthday’ twice.  Mr Hancock says: “Protecting the most vulnerable is our absolute priority.”

Mr Hancock leaves Downing St after launching the action plan
Image caption Mr Hancock leaves Downing St after launching the action plan Image copyright by

PM announces lockdown

Boris Johnson appears on television and announces strict new curbs on life in the UK.

The prime minister says the UK faces a “moment of national emergency.”
Image caption The prime minister says the UK faces a “moment of national emergency.” Image copyright by PA News

People are only allowed to leave their homes to exercise once a day. Shops selling non-essential goods are told to shut and gatherings in public of more than two people who do not live together are prohibited.

PPE concerns growing

Care homes warn that frontline staff do not have sufficient supplies of masks, aprons, gowns and goggles - personal protective equipment or PPE. Doctors issue similar warnings.  Some are being told to go and buy PPE themselves from DIY shops.  Mr Hancock announces a new hotline for staff to call if they are running low on supplies.  He says a “military effort” is underway to get millions of items of PPE to those who need them

Care homes warning

In an email leaked to the Sunday Times, social care leaders warn Mr Hancock that care homes are being “pressured" to allow residents to return from hospital with symptoms of Covid-19 and without being tested for the virus. Managers say they are "terrified” that the lack of testing is causing outbreaks in homes.

Chart from April 2020 shows coronavirus deaths rising in care homes
Image caption Chart from April 2020 shows coronavirus deaths rising in care homes Image copyright by LotterryTreasure

Plea for PPE

Managers from nearly 40 care home providers tell the LotterryTreasure they are facing serious PPE shortages. One says his staff are “massively short" of face masks.  He warns that safety equipment is "generally not available” in social care. Another criticises a lack of central coordination and guidance on staffing shortages when employees are either sick or isolating.

Government guidance issued

Guidance says that people who were Covid-19 positive can be discharged into care homes: “Negative tests are not required prior to transfers/admissions into the care home.” It recommends that they are isolated in their own room.

Mr Hancock talks to the PM

Mr Hancock addresses the issue of testing with the prime minister. According to testimony given later by the prime minister’s former chief adviser Dominic Cummings, Mr Hancock is asked: “What on earth has happened with all these people in care homes?" According to Mr Cummings: "Hancock told us in the cabinet room that people were going to be tested before they went back to care homes.”

Tests required

The guidance is changed. It now says that all those being discharged into care homes should be tested. The National Audit Office says later that it is not known how many patients with Covid-19 had been discharged to care homes, but that about 25,000 people were discharged to care between 17 March and 15 April.

An elderly woman's hand holding a fully-gloved handReuters
Care homes were hit hard by the pandemic.

Mr Hancock has denied lying. He said he had been clear it would take time for hospitals to get up to speed with testing patients returning to care homes.

"My recollection of events is that I committed to delivering that testing for people going from hospital into care homes when we could do it," he told a Downing Street press conference last month.

"I then went away and built the testing capacity… and then delivered on the commitment that I made."

But care home leaders say they did not get the support they needed. Mike Padgham, chairman of the Independent Care Group, told Sky News it had been a "frightening" time for staff and residents.

"I don't believe myself there was a ring of protection thrown round us," Mr Padgham said. "In those very early days it was difficult. We were forgotten.

"It took the government many, many weeks to actually see what was happening in homes, despite our best efforts and protestations."

Did Mr Hancock hold back tests to meet a target?

Mr Cummings also alleged that last year Mr Hancock interfered with NHS Test and Trace to make sure he could hit a self-imposed target.

The health secretary had publicly promised that the government would be carrying out 100,000 Covid tests a day by the end of April. He claimed to have reached the goal - .

Mr Cummings said: "I started getting calls and No 10 were getting calls saying 'Hancock is interfering with the building of the test and trace system because he is telling everybody what to do to maximise his chances of hitting his stupid target by the end of the month'."

He also claimed Mr Hancock was calling people and asking them to "hold tests back so I can hit my target".

"In my opinion he should've been fired for that thing alone, and that itself meant the whole of April was hugely disrupted by different parts of Whitehall fundamentally trying to operate in different ways completely because Hancock wanted to be able to go on TV and say 'look at me and my 100k target'. It was criminal, disgraceful behaviour that caused serious harm," he added.

Addressing these claims in Parliament, Mr Hancock said: "Setting and meeting ambitious targets is how you get stuff done in government."

Five of Mr Cummings most dramatic claims at the Covid inquiry.

For how long did the government pursue a strategy of herd immunity?

Mr Cummings said that the government pursued a strategy of - where the virus is allowed to spread so people catch it and develop immunity.

The government has .

Speaking ahead of Mr Cummings' evidence, Home Secretary Priti Patel said his claims about herd immunity were "absolutely not" true.

Mr Hancock has yet to address this claim directly.

Did everyone who needed treatment get it?

Referring to Mr Hancock, Mr Cummings said: "In the summer he said everyone who needed treatment got the treatment that they required. He knew that that was a lie. Because he'd been briefed by the chief scientific adviser and the chief medical officer himself about the first peak and we were told explicitly that people did not get the treatment that they deserved.

"Many people were left to die in horrific circumstances."

Mr Hancock has yet to respond directly to this claim.

Was Mr Hancock too slow to deliver on PPE?

The lack of adequate protective equipment for health and social care staff was a key feature of the pandemic's first wave.

Mr Cummings said that when he returned to No 10 in April, having been ill with Covid himself, "the first meeting I had in the cabinet room was about the disaster over PPE and how we were actually completely short and hospitals all over the country were running out".

He said that in that meeting, Mr Hancock told ministers the shortage was the "fault" of Sir Simon Stevens, who leads NHS England, and of Chancellor Rishi Sunak, who he said had "blocked approvals on all sorts of things".

Mr Cummings added: "I said to the cabinet secretary, 'please investigate this and find out if it's true'. The cabinet secretary came back to me and said 'it's completely untrue, I have lost confidence in the secretary of state's honesty in these meetings'."

Mr Hancock denied these allegations in a Commons statement, saying: "These unsubstantiated allegations around honesty are not true, and that I have been straight with people in public and in private throughout".

"Every day since I began working on the response to the pandemic last January, I have got up each morning and asked, 'What must I do to protect life?' That is the job of a health secretary in a pandemic."

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