Mind & Body · Wednesday, 21 October 2026
UK Covid inquiry finds government failures let Covid spread 'like wildfire' through care homes, where more than 43,000 deaths were recorded
The inquiry's sixth report says care homes were an afterthought next to hospitals: patients moved in untested and not kept apart, staff short of protective kit and sick pay, and visits cut for too long.
43,000+
deaths involving Covid recorded in UK care homes
between March 2020 and July 2022
25,000
hospital patients moved into care homes in England to free beds
between March and mid-April 2020, many of them untested
16,800 to 26,500
do not resuscitate orders on record
the rise in the pandemic's first nine months
8
key recommendations in this report
including money so care staff can stay home when infected
The lead story — what happened
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The UK's official Covid inquiry published its report on adult social care on Tuesday, the sixth of its ten reports.
[1] [6] -
It found that UK government failures let Covid 'spread like wildfire' in care homes.
[1] [6] -
More than 43,000 deaths involving Covid were recorded in UK care homes between March 2020 and July 2022.
[1] [7] -
Matt Hancock, England's health secretary in 2020, had said a 'protective ring' was put around care homes. Baroness Heather Hallett, who chairs the inquiry, called that claim unfounded.
[3] [6] -
The main aim of the UK government and of Scotland, Wales and Northern Ireland was protecting hospitals, Hallett said. Adult social care was 'something of an afterthought'.
[1] [6] -
About 25,000 hospital patients in England were moved into care homes between March and mid-April 2020 to free beds, before testing them all became the rule.
[3] [6] -
Guidance in England, Wales and Northern Ireland did not tell homes to keep these new arrivals apart from other residents. Hallett called that 'perhaps the only, truly effective precaution' homes had.
[2] [3] -
Paul Sexton says his mother Cathleen, who died at 85 in a Durham care home, would still be alive if new arrivals had been kept apart sooner.
[4] A care home manager in Scunthorpe recalls staff working 24-hour shifts and sleeping at the home.[5] -
Care staff were so short of protective kit that some wore bin bags, festival rain ponchos and painters' overalls.
[2] [6] -
Many care workers are on zero-hours contracts, with no set hours or pay, and with no financial help it was hard for them to stay off work when they might be infected.
[2] [3] -
By September 2020 evidence showed visitors were only a 'marginal risk', but many homes kept visits heavily restricted, which harmed residents.
[2] -
Do not resuscitate orders, which tell staff not to restart a stopped heart, rose from 16,800 to 26,500 in the first nine months.
[2] The inquiry heard of family doctors putting blanket orders on care home residents.[2] [3]
Who is involved
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Baroness Heather Hallett
chair of the UK's official Covid inquiry; she wrote and presented the report
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Matt Hancock
England's health secretary in 2020; he claimed a 'protective ring' around care homes, which the report rejects
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Andy Burnham
the UK prime minister; he says the findings will feed a plan for the next pandemic
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Covid-19 Bereaved Families for Justice UK
a campaign group of people whose relatives died; it says the recommendations do not go far enough
How it unfolded
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2016 A pandemic drill flags social care as a particular concern; the follow-up work is unfinished when Covid arrives
[3] -
Mar 2020 Hospitals begin moving patients into care homes to free beds
[3] -
15 Apr 2020 Testing becomes compulsory for patients sent to care homes
[6] -
Sep 2020 Evidence shows visitors are a marginal risk, but many homes stay shut to them
[2] -
20 Oct 2026 The inquiry publishes its report on adult social care
[1]
Where this points
The next test is the UK government's 'full response', which Health Secretary Yvette Cooper promised 'in due course', and whether it pays for care staff to stay home when infected.
Signals on this beat
The bar and the word are our reading of how hard each one is pushing, and the arrow is where it is heading.
An inquest found doctors in Leeds stuck with Covid for a five-month-old girl and found her meningitis too late.
England plans to let only trained medical staff carry out liquid butt lifts and other high-risk cosmetic treatments.
Fewer people in the UK back the NHS being open to everyone than in 2021, a King's Fund analysis found.
About 1 in 4 people with depression in a large Australian study showed signs of a body clock out of step with the day.
The rest of the day
19 more stories on this beat.
Each with its own sources. None of these is a link to the story above.
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02
A body-clock type of depression
Researchers at the University of Sydney say about 1 in 4 people with depression in a large study have a type linked to the body clock.
[10] [11] The body clock is the inner timer that sets when we feel awake and sleepy, and morning light resets it each day.[10] Of 11,380 Australians, mostly with severe depression that keeps coming back, 23% had at least three of six signs.[11] [12] [13] The signs include being a night owl, waking exhausted and sleeping very differently on free days.[10] [11] The study is in The British Journal of Psychiatry.[11] 5 of 20
people in the study with the body-clock type
23% of 11,380 people, drawn as about 5 in 20. Why it matters — People with this type said common first-choice antidepressants worked less well and caused more side effects.
[10] [11] Other experts say the type is not yet proven, and the study included only people of European ancestry.[11] -
03
Actor Christina Applegate's MS was a misdiagnosis
US actor Christina Applegate said on her podcast on Tuesday that she does not have multiple sclerosis, five years after she was told she did.
[15] [16] MS is a disease in which the body's immune system attacks the nerves, including parts of the brain.[14] She was diagnosed in 2021 after scans showed almost 40 spots of damage in her brain.[14] A few years ago her doctor paused her MS infusions to see how her body reacted, and it did not react the way it would with MS.[15] Why it matters — Her symptoms have got worse, and an investigation into their real cause begins next week.
[15] There is no single test for MS, and a 2024 review found about 15% of MS diagnoses were wrong.[14] [17] -
04
A baby's meningitis missed behind a Covid test
An inquest, a court hearing into a sudden death, found that five-month-old Esta High might have lived if doctors had tested her for meningitis sooner.
[18] She was taken to Leeds General Infirmary in November 2023 with a fever over 40C and vomiting, and tested positive for Covid.[18] Doctors stuck with that diagnosis, and her bacterial meningitis was found too late.[18] She died on 6 November.[18] Why it matters — The jury found neglect contributed to her death, and the hospital trust said serious failures occurred.
[18] Her mother said staff seemed more concerned with isolating Esta for Covid than with listening to her parents.[18] -
05
England plans limits on risky cosmetic treatments
The UK government plans to let only trained professionals carry out high-risk cosmetic procedures in England from 2027.
[19] Liquid Brazilian butt lifts, where filler is injected into the buttocks, would count as surgery that only doctors may do.[19] Today anyone may carry out these 'no scalpel' treatments.[19] Alice Webb, a mother of five, died hours after one in 2024.[19] Under-18s would be banned, and rogue providers could face fines of up to 4,000 pounds.[19] Why it matters — The Royal College of Surgeons of England calls the consultation long overdue and warns that cosmetic surgery itself must not end up with weaker rules.
[19] Scotland passed its own law in March, while Wales and Northern Ireland have no dedicated rules.[19] -
06
Families ask for a ban on ward cameras
Lawyers for more than 70 bereaved families asked the Lampard inquiry on Tuesday to recommend stopping Oxevision across England.
[20] Oxevision is an infrared camera system in patients' bedrooms, used in about half of England's mental health wards.[20] The inquiry is looking into more than 2,000 mental health deaths in Essex over 23 years.[20] It heard that five patients died in two years while being watched by the system at one Essex trust.[20] Why it matters — One lawyer said the cameras were too often used instead of nurses checking on patients in person.
[20] Lio, the Oxford company that makes the system, told the inquiry last week that it has helped staff step in during emergencies.[20] -
07
Support for the NHS's founding rules slips
Fewer people in the UK now back the NHS being free, open to everyone and paid for by taxes than in 2021, a King's Fund analysis found.
[21] The King's Fund is a health think tank, and it used the British Social Attitudes survey, a long-running poll of public views.[21] Among people born before the Second World War, support for an NHS open to everyone fell from 87.1% to 73.2%.[21] Among Gen Z, support for tax funding fell 11.2 points, to 74.1%.[21] Why it matters — Its analyst links the fall to hard times and changing views on migration, though she says there is no single explanation.
[21] Weaker support could make it harder for ministers to justify a bigger NHS budget.[21] -
08
Losing 5% in middle age, healthier heart at 62
Overweight people who lost at least 5% of their weight in their 40s and 50s had heart health at 62 much like people who were never overweight, a study found.
[22] Researchers at University College London used data on more than 6,000 people born in Britain in 1958.[22] At 62 both groups had similar blood pressure, cholesterol and signs of inflammation, the body's swelling response.[22] Why it matters — The study only observed people, so it cannot prove that losing weight caused the better health.
[22] Gaining more weight in midlife was linked to the fastest decline in heart and metabolic health.[22] -
09
Ultraprocessed food and silent brain damage
Middle-aged Canadians who ate the most ultraprocessed food were more likely to show silent damage to the brain's blood vessels on scans, a study in JAMA Network Open found.
[23] It looked at 8,783 adults aged 35 to 69 with no known heart disease.[23] About 1 in 9 in the highest-eating group had this damage, against about 1 in 12 in the lowest.[23] Ultraprocessed foods are factory-made foods with many added ingredients.[23] [24] They make up at least half the average diet in the US and the UK.[24] 1 in 9Ate the most1 in 12Ate the leastShare of each group with silent damage to brain blood vessels. The gap is a link found at one visit, not proof of cause. Why it matters — Diet and brain scans were measured at the same visit, so the study cannot show which came first, and memory tests showed no clear gap between the groups.
[23] Other recent work suggests the sugar, salt and fat in these foods may matter more than the processing.[24] -
10
A few rule-breakers can spread it
Seeing someone break a rule made people more likely to break it too, a study in Proceedings of the Royal Society B reported on 21 October.
[25] [26] 750 Americans, split between Republicans and Democrats, had to pick the brightest square on a screen but were paid more for squares further right.[25] With no information about others, 23% picked the top-paying square.[25] After seeing a member of their own party do it, almost 40% did.[25] 23%Saw no onealmost 40%Saw a rule-breakerShare who picked the top-paying square, which broke the rule, before and after seeing a fellow party member do it. Why it matters — Just over 4% went further than the person they had watched, and in simulations that small group could push a whole group into heavy rule-breaking.
[25] [26] Stephen Reicher, a psychologist at the University of St Andrews, says the task had no penalties, so its link to real life is unproven.[26] -
11
Ultrasound eased delusions in a tiny trial
A 10-minute dose of ultrasound aimed deep into the brain eased delusions for at least a week in a small trial at New York University.
[27] Delusions are false beliefs a person cannot shake, and they are a common symptom of schizophrenia.[27] Ten patients had both the real treatment and a fake one, a week apart.[27] The waves were aimed at a deep structure called the globus pallidus.[27] Why it matters — Hallucinations and thinking did not change, and the researchers say much larger trials are needed.
[27] Because it acts on one spot in the brain, it might avoid side effects of antipsychotic drugs such as weight gain and high blood pressure.[27] -
12
Influencers promote birth with no midwife
Social media influencers are drawing followers to 'free birth', giving birth at home with no midwife or doctor, NPR reported.
[28] US home births nearly tripled between 2004 and 2024, the CDC, the US public health agency, says.[28] It does not track whether a trained person attended them.[28] Natalie Krueger, in a small Nebraska town, had her last two children this way, and her county has no birthing unit.[28] Why it matters — Caitlin Linscheid, a doctor who delivers babies, says emergencies such as a stuck shoulder or heavy bleeding happen fast and need trained help at once.
[28] She also said her profession has not always listened to patients.[28] -
13
Disabled people fear exercise costs benefits
Eight in ten disabled people surveyed for a Disability Rights UK report worried that being seen exercising could cost them their benefits.
[29] The research, led at Durham University, surveyed more than 200 disabled people.[29] Much of it focused on personal independence payment, a UK benefit for the extra costs of disability.[29] Nearly three-quarters said they would be more active if they knew their benefits were safe.[29] Why it matters — More than a quarter of those on benefits said support had been removed because of physical activity, though the survey cannot show why each decision was made.
[29] The report comes as the UK government reviews the payment.[29] -
14
Senators want rules for Medicaid's computer firms
Three Democratic US senators, Ron Wyden, Elizabeth Warren and Raphael Warnock, called for tougher standards on companies that run Medicaid's computer systems.
[30] Medicaid is the US health cover for people on low incomes or with disabilities.[30] Most states pay contractors such as Deloitte to run the systems that decide who qualifies.[30] Errors in those systems have cut eligible people off their cover, KFF Health News has found.[30] Why it matters — From next year millions of adults in more than 40 states must prove 80 hours a month of work to keep their cover, through the same systems.
[30] With Republicans in control of the US Congress and the federal agencies, the senators' ideas face long odds.[30] -
15
US trust in vaccines splits by party
Most Americans in both parties are confident the polio and MMR vaccines are safe for children, a poll by KFF, a US health research group, found.
[31] MMR protects against measles, mumps and rubella.[31] Covid vaccines split people sharply: 77% of Democrats are confident they are safe for children, against 21% of Republicans.[31] About half of parents think spacing out children's shots is healthier, a claim with no evidence behind it.[31] Democrats77%Republicans21%Share confident that Covid vaccines are safe for children. Why it matters — Spacing out shots is a key part of President Trump's order on childhood vaccines.
[31] Most adults are unsure whether a Covid shot in pregnancy raises the risk of miscarriage, a false claim revived by some Republican senators.[31] -
16
Trainee doctors could get less rest
The ACGME, the US body that oversees doctors' training, has proposed cutting the rest trainee doctors must get between shifts.
[32] It would drop the rule of eight hours off between shifts.[32] It would also cut the time off after a 24-hour shift from 14 hours to 12.[32] The 80-hour working week would stay, and public comments close on 22 October.[32] Why it matters — Arifeen Rahman, a surgeon writing against the change in STAT, says it could allow three 24-hour shifts a week with 12 hours between them.
[32] She points to studies linking tired doctors to burnout and medical errors.[32] -
17
Barcelona releases mosquitoes that cannot breed
More than half a million male mosquitoes carrying a bacterium called wolbachia have been released in Barcelona since mid-August, the first large release in Europe.
[33] When females mate with them, their eggs do not hatch.[33] The target is the Asian tiger mosquito, which can spread dengue and is now settled in 16 European countries.[33] Rentokil, a pest-control company, runs the releases with Debug, a Google project.[33] Why it matters — Earlier small trials in Rome cut the number of eggs that hatch by nearly 90%, the two companies say.
[33] Releases stop in mid-November and start again in May.[33] -
18
Police raid a disputed baby vaccine trial
Judicial police in Guinea-Bissau, a small West African country, searched the offices of the Bandim Health Project on Monday and seized doses of hepatitis B vaccine, officials said.
[34] The group plans a trial, part-funded with $1.6 million from the US public health agency, that would hold back the vaccine from 7,000 newborns for six weeks.[34] Officials said the seizure did not point to any problem with the vaccines' safety.[34] Guinea-Bissau's health minister, Quinhin Nantote, denies the trial will go ahead.[34] Why it matters — About one in five adults in Guinea-Bissau carry hepatitis B, and a dose within 24 hours of birth is safe and highly effective, the Guardian reports.
[34] A spokesperson for the WHO, the UN's health agency, called any study that withholds the vaccine unethical.[34] -
19
Sleep researchers ask Europe's governments to act
Sleep researchers asked European governments to tackle what stops people sleeping well, in a paper in the Journal of Sleep Research.
[35] They name hotter nights, round-the-clock work, unequal access to sleep doctors and misleading advice online.[35] About 21% of workers in Europe do shift work, and night shifts clash with the body's natural sleep-wake cycle, the paper says.[35] It also warns that social media trends such as 'sleepmaxxing' push rigid routines and unproven remedies.[35] Why it matters — People in poorly insulated or crowded homes, and those who cannot afford cooling, find it hardest to sleep as nights warm, the authors say.
[35] They want more predictable work schedules and protected time for rest.[35] -
20
Essex hospital trust charged over two girls' sepsis deaths
The Care Quality Commission, England's health care regulator, is prosecuting Mid and South Essex NHS Foundation Trust over the deaths of two girls with sepsis, the BBC reported.
[36] Zadie Ajetunmobi, three, died within 10 hours of reaching Broomfield Hospital in November 2022, and waited more than seven hours for antibiotics through a drip.[36] Selina Samarina, two, was sent home by a doctor in April 2024 and died two days later after her parents brought her back.[36] The trust is due to enter pleas to three charges on 3 December.[36] Why it matters — Zadie's family were told that staff had not updated the hospital's local sepsis guidance since 2017.
[36] A coroner said a doctor senior enough to see Selina was not available for two and a half hours, and a very junior doctor sent her home.[36]
Why a first diagnosis can stop doctors looking for the real cause
When a test gives an answer that fits the symptoms, doctors often stop searching, so a second illness can go unseen.
The twist
Once one answer fits the symptoms, doctors and patients tend to stop asking, even when a second illness is the real cause.
The picture
3 of 20
MS diagnoses that turned out wrong
How it works
- A test or scan gives an answer that fits the symptoms
- The answer gets a name, and treatment starts
- Doctors stop testing for other causes
- New symptoms are read as part of the first answer
- Only a new test, a paused treatment or a worried parent reopens it
The same force, elsewhere today
Where this chain is also running, in today's other stories.
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Esta High's inquest
Her positive Covid test was the first answer, so doctors did not test her for meningitis until it was too late.
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Christina Applegate's MS
Scans with almost 40 spots of damage gave the answer MS, and it stood for five years until pausing her drug put it to the test.
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The body-clock type of depression
The label depression leads to the usual first drugs. For the body-clock type those drugs worked less well, because the clock itself was not what they treated.
Where you've seen this
Car repairs
a mechanic replaces a flat battery and stops, before finding the faulty part that keeps draining it
Police work
once detectives have a suspect, evidence that points somewhere else gets less attention
Computer bugs
a programmer fixes the first error found and misses a second one causing the same crash
The catch
Most first diagnoses are right, and testing everyone for everything has its own harms: more scans, more false alarms and longer waits.
And the whole of it
A parent at the bedside, a doctor on a busy shift and a patient glad to have an answer each see one part of the picture. Most of us have stopped looking once an answer felt good enough.
What is really going on
In spring 2020 the UK government's first aim was to keep hospitals from filling up. About 25,000 patients in England were moved into care homes, many untested, with no instruction to keep them apart from other residents.
Why it works on us — A short, reassuring phrase like 'a protective ring' is easy to repeat and hard to check, and it took an inquiry six years to test it.
Who gains
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Hospitals in spring 2020
— Moving about 25,000 patients into care homes freed beds for Covid patients.
[3] [6] -
The ministers who made the 2020 decisions
— The inquiry does not decide criminal guilt, and bereaved families say no one has been held to account.
[8] -
Trained doctors and clinics in cosmetic treatment
— England's plan would keep high-risk procedures to doctors and other trained staff, pushing untrained providers out.
[19] -
Companies that run Medicaid computer systems
— They are paid billions to run them, and with Republicans in charge the senators' tougher standards face long odds.
[30] -
Hospitals that rely on trainee doctors
— The ACGME proposal would let them schedule more 24-hour shifts with less rest between them.
[32]
Who pays
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Care home residents and their families
— Visits stayed restricted after evidence showed visitors were a marginal risk, and some people could not be with relatives as they died.
[2] [3] -
Care workers on zero-hours contracts
— With no financial help, staying off work when they might be infected was hard to afford.
[2] -
Disabled people on personal independence payment
— Eight in ten surveyed fear that being seen exercising could cost them their benefits.
[29] -
US adults who must prove work to keep Medicaid
— From next year they must log 80 hours a month through systems with a record of wrongly cutting people off.
[30] -
People with the body-clock type of depression
— The usual first antidepressants worked less well for them and caused more side effects.
[10] [11]
What nobody knows yet
Open questions from across today’s stories — ours included.
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01
How many care home infections came from patients moved out of hospital.
Hallett said there is no way of knowing how many cases spread this way.
[7] -
02
How many patients were moved into care homes.
The BBC gives about 25,000 in England from March to mid-April 2020, a National Audit Office figure. The Guardian's editorial says about 30,000.
[3] [7] -
03
What the UK government will actually change.
Health Secretary Yvette Cooper promised a full response 'in due course', and bereaved families say the eight recommendations are too weak.
[1] [8] [9] -
04
What is causing Christina Applegate's symptoms.
Her doctors' investigation into the real cause only begins next week.
[15] -
05
How often MS is wrongly diagnosed.
A 2024 review put it at about 15%. A neurologist on Applegate's podcast said one in five people told they had MS did not have it.
[14] [15] [17] -
06
Whether body-clock depression is a real, separate illness.
Outside experts call the findings early, and the study included only people of European ancestry.
[10] [11] -
07
Whether Oxevision cameras make mental health wards safer.
A lawyer for the families told the inquiry that its own statisticians found no evidence it works. Its maker says it has helped staff in emergencies.
[20] -
08
Whether ultraprocessed food damages the brain's blood vessels, or only goes with damage.
Diet and brain scans were measured at the same visit, and the link weakened when intake was counted another way.
[23] -
09
Whether the rule-breaking result holds in real life.
The online task had no penalties, which a psychologist not involved says leaves the real-world link unproven.
[26]
Overweight people in Britain who lost at least 5% of their weight in their 40s and 50s had heart health at 62 much like people who had never been overweight.
Also true today
- In Barcelona, more than half a million male mosquitoes that cannot father young have been released since August to cut the insects that spread dengue.
- At least three in four US adults in both parties are confident that the polio and MMR vaccines are safe for children.
- In a small New York trial, ten minutes of ultrasound aimed deep into the brain eased delusions in people with schizophrenia for at least a week.
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