Care home deaths will be published daily as well as hospital toll from Wednesday

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19:36pm, Tue 28 Apr 2020
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The number of deaths involving Covid-19 in care homes and other settings will be published daily as well as the hospital death toll, the Health Secretary said.

Matt Hancock said he is “very glad we are now able to publish this daily data that will keep the focus on what is happening in care homes”.

The numbers of deaths in care homes and the community will be released daily from Wednesday in an effort to “bring as much transparency as possible” to the death figures.

“This will supplement the ONS and CQC weekly publication and all add to our understanding of how this virus is spreading day by day, and it will help inform the judgments that we make as we work to keep people safe,” he added.

Health organisations have been calling for the numbers outside hospitals to be published every day, while experts on Tuesday said they could not say the peak in care homes has been reached yet.

Health Secretary Matt Hancock during a media briefing in Downing Street (PA Video/PA) - (Copyright PA Wire)

More than 6,500 deaths involving coronavirus have occurred in England and Wales outside of hospital, according to weekly figures released by the Office for National Statistics earlier on Tuesday.

Care homes notified the Care Quality Commission (CQC) of 4,343 deaths of residents in homes between April 10 and 24 in England.

More than half of the notifications, 2,178, were made in the last five days of that period.

It is the first time the CQC death notifications for suspected or confirmed Covid-19 in care homes have been published.

Deaths involving Covid-19 in England & Wales - (Copyright PA Graphics)

Care providers said it is clear the “epicentre of this crisis is in care homes” and that the sector is “sadly the most affected area of society in terms of deaths from Covid-19”.

Prior to April 10, there were 1,000 deaths registered in care homes, Nick Stripe, head of health analysis, told the BBC.

Separately, the ONS said there were 1,220 deaths which occurred outside hospital, excluding care home deaths, in England and Wales up to April 17.

Of these:

– 883 took place in private homes

– 190 in hospices

– 61 in other communal establishments

– 86 elsewhere

The ONS and CQC figures added together make a total of 6,563 deaths outside hospital.

And overall, some 24,243 deaths involving coronavirus have now been registered across the UK, analysis by the PA news agency shows.

Nick Stripe, head of health analysis at the Office for National Statistics (ONS), told the BBC: “There could be deaths that are happening in care homes that would ordinarily have been transferred to hospitals.

“So those care pathways might be being disrupted to some degree.

“It could also be that perhaps care home residents are getting what ostensibly appears like milder symptoms of Covid… but perhaps Covid which is acting in strange ways in some cases could be affecting their underlying health conditions.

“So the evidence of Covid is less obvious but it might be affecting those underlying conditions and they might be dying of those.”

Coronavirus graphic - (Copyright PA Graphics)

The ONS’s weekly release also showed the total number of deaths involving Covid-19 in England up to April 17 (and which were registered up to April 25), was 39% higher than the equivalent NHS total.

The ONS figures show there were 21,284 deaths involving Covid-19 over that period, compared with 15,293 deaths in hospitals in England for the same period, reported by NHS England.

This is because the ONS figures include all mentions of Covid-19 on a death certificate, including suspected Covid-19, as well as deaths in the community.

The NHS figures only include deaths in hospitals where a patient has been tested for Covid-19.

Cumulative deaths involving Covid-19 in England - (Copyright PA Graphics)

Downing Street insisted it had acted to prevent the spread of coronavirus within care homes in the early stages of the pandemic.

The Prime Minister’s official spokesman said: “We set out a strategy for care homes in the early stages of the pandemic and offered detailed advice on how to stop the spread of coronavirus within care homes and also how to stop it from getting inside care homes in the first place.

“We’ve also been providing PPE from the very early stages of the pandemic.

“The Health Secretary recently published an updated care home strategy.

“I think we want to do all we can to support those living and working in care homes at what we accept is an enormously difficult time.”

Responding to the news that the number of coronavirus-related deaths in care homes would be published daily, Niall Dickson, chief executive of the NHS Confederation, which represents organisations across the healthcare sector, said: “We have consistently called on the Government to recognise that care homes and community care are integral to our health and care system.

“We are pleased that the Government has heeded our calls on this and will publish figures on the people who have died with coronavirus outside of hospitals on a daily basis. This is so that we have a full picture of the impact of the pandemic and can ensure that no one feels their loved ones are being treated like a second-class citizen.”

Overall in England and Wales, almost four in 10 deaths up to April 17 (39.2%) were coronavirus-related.

There were 22,351 provisional deaths registered in England and Wales over the seven days, 11,854 more than the five-year average.

Of these, 8,758 mentioned “novel coronavirus”.

Up to April 17, a total of 3,096 care home deaths involving Covid-19 were registered in England and Wales, up from 1,043 the previous week.

Just over three-quarters (77.4%) of the Covid-19-related deaths up to April 17 took place in hospital with the remainder occurring in care homes, private homes and hospices.

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