Coronavirus: Lack of PPE ‘shocking indictment’ of government’s handling of crisis, doctors’ leaders say

Health secretary Matt Hancock is facing a growing backlash over his claim that NHS workers are using too much personal protective equipment (PPE), with one doctors’ leader saying that the failure to provide adequate supplies was a “shocking indictment” of the government’s response to the coronavirus outbreak.

Mr Hancock revealed that 19 NHS staff have died after contracting Covid-19, but said that authorities were “not aware of any link to shortages of PPE in any of these deaths”.

The Royal College of Nursing rejected the health secretary’s warning that shortages were being caused by overuse of items like facemasks and gowns, and that PPE should be treated as a “precious resource” by frontline workers. And Labour leader Sir Keir Starmer said it was “insulting” to suggest NHS staff were wasting life-saving equipment.

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Mr Hancock said in a Downing Street press conference on Friday that there was “enough PPE to go around”, but warned that it should be used in line with official guidance to ensure everyone got what they needed.

Announcing that PPE distribution would be stepped up to daily deliveries, the health secretary said: “Everyone should use the equipment they clinically need in line with the guidelines, no more and no less. There’s enough PPE to go around, but only if it’s used in line with our guidance. We need everyone to treat PPE like the precious resource that it is.”

Shape Created with Sketch. Coronavirus: London on lockdown Show all 29 left Created with Sketch. right Created with Sketch. Shape Created with Sketch. Coronavirus: London on lockdown 1/29 A man walks down a deserted Camden High Street Photos Angela Christofilou 2/29 Goodge Street Station is one of the many stations closed to help reduce the spread Angela Christofilou 3/29 An empty street in the heart of Chinatown Angela Christofilou 4/29 People in masks in Chinatown a day after the lockdown Angela Christofilou 5/29 A near-empty Piccadilly Circus during the first week of lockdown Angela Christofilou 6/29 Sonja, my neighbour, who I photographed while taking a short walk. It was nice to briefly chat even from a distance Angela Christofilou 7/29 A couple sit on the empty steps of the statue Eros in Piccadilly Circus Angela Christofilou 8/29 Making sure I stay two-meters apart – D’Arblay Street, Soho Angela Christofilou 9/29 A mannequin behind a shop window. UK stores have closed until further notice Angela Christofilou 10/29 A notice displayed on a shop window in Camden Angela Christofilou 11/29 As part of the lockdown, all non-essential shops have been ordered to close.Image from Camden High Street Angela Christofilou 12/29 A skateboarder wearing a mask utilises his exercise allowance in the Camden area Angela Christofilou 13/29 Communities have been coming together in a time of need Angela Christofilou 14/29 A woman stands alone in a deserted Oxford Street. Up until a few weeks ago, on average, half a million people visited the street per day Angela Christofilou 15/29 A couple walk hand in hand down a street in Soho, a day before the stricter lockdown was announced Angela Christofilou 16/29 During the first week of March, shoppers focused on stockpiling necessities ahead of a countrywide lockdown Angela Christofilou 17/29 Many supermarkers are operating a queuing system to make sure only a limited amount of customers are allowed in at anyone time Angela Christofilou 18/29 ‘Stay Safe’ – Curzon cinemas are temporarily closed under the new measures Angela Christofilou 19/29 Pubs, restaurants and bars were ordered to shut as part of the lockdown Angela Christofilou 20/29 Camden High Street There are fears that coronavirus could lead to permanent closure of struggling shops Angela Christofilou 21/29 Camden Town is eerily silent on a normal working day Angela Christofilou 22/29 Shops and supermarkets ran out of hand sanitisers in the first week of the lockdown. As we approach the end of the second week most shops now have started to stock up Angela Christofilou 23/29 Empty streets around Soho Angela Christofilou 24/29 A noticeboard on Camden High Street urges the public to stay at home Angela Christofilou 25/29 Camden High Street, one of London’s busiest tourist streets turns quiet Angela Christofilou 26/29 Thriller Live confirmed its West End run ended in the wake of the coronavirus outbreak Angela Christofilou 27/29 Empty and eerie Soho streets after stricter rules on social distancing announced Angela Christofilou 28/29 A woman pauses for a cigarette on Hanway Street, behind Tottenham Court Road Angela Christofilou 29/29 A man steps outside onto Hanway Street, that sits behind what is usually a bustling retail hub Angela Christofilou 1/29 A man walks down a deserted Camden High Street Photos Angela Christofilou 2/29 Goodge Street Station is one of the many stations closed to help reduce the spread Angela Christofilou 3/29 An empty street in the heart of Chinatown Angela Christofilou 4/29 People in masks in Chinatown a day after the lockdown Angela Christofilou 5/29 A near-empty Piccadilly Circus during the first week of lockdown Angela Christofilou 6/29 Sonja, my neighbour, who I photographed while taking a short walk. It was nice to briefly chat even from a distance Angela Christofilou 7/29 A couple sit on the empty steps of the statue Eros in Piccadilly Circus Angela Christofilou 8/29 Making sure I stay two-meters apart – D’Arblay Street, Soho Angela Christofilou 9/29 A mannequin behind a shop window. UK stores have closed until further notice Angela Christofilou 10/29 A notice displayed on a shop window in Camden Angela Christofilou 11/29 As part of the lockdown, all non-essential shops have been ordered to close.Image from Camden High Street Angela Christofilou 12/29 A skateboarder wearing a mask utilises his exercise allowance in the Camden area Angela Christofilou 13/29 Communities have been coming together in a time of need Angela Christofilou 14/29 A woman stands alone in a deserted Oxford Street. Up until a few weeks ago, on average, half a million people visited the street per day Angela Christofilou 15/29 A couple walk hand in hand down a street in Soho, a day before the stricter lockdown was announced Angela Christofilou 16/29 During the first week of March, shoppers focused on stockpiling necessities ahead of a countrywide lockdown Angela Christofilou 17/29 Many supermarkers are operating a queuing system to make sure only a limited amount of customers are allowed in at anyone time Angela Christofilou 18/29 ‘Stay Safe’ – Curzon cinemas are temporarily closed under the new measures Angela Christofilou 19/29 Pubs, restaurants and bars were ordered to shut as part of the lockdown Angela Christofilou 20/29 Camden High Street There are fears that coronavirus could lead to permanent closure of struggling shops Angela Christofilou 21/29 Camden Town is eerily silent on a normal working day Angela Christofilou 22/29 Shops and supermarkets ran out of hand sanitisers in the first week of the lockdown. As we approach the end of the second week most shops now have started to stock up Angela Christofilou 23/29 Empty streets around Soho Angela Christofilou 24/29 A noticeboard on Camden High Street urges the public to stay at home Angela Christofilou 25/29 Camden High Street, one of London’s busiest tourist streets turns quiet Angela Christofilou 26/29 Thriller Live confirmed its West End run ended in the wake of the coronavirus outbreak Angela Christofilou 27/29 Empty and eerie Soho streets after stricter rules on social distancing announced Angela Christofilou 28/29 A woman pauses for a cigarette on Hanway Street, behind Tottenham Court Road Angela Christofilou 29/29 A man steps outside onto Hanway Street, that sits behind what is usually a bustling retail hub Angela Christofilou

RCN chief executive Dame Donna Kinnair rejected Mr Hancock’s claim, telling BBC Radio 4’s Today programme: “There is no PPE equipment that is more precious a resource than a healthcare worker’s life, a nurse’s life, a doctor’s life.

“Any suggestion that nurses are overusing personal protection is absolutely something we would like to dismiss.”

And Dr David Wrigley, a member of the British Medical Association’s council, said that more than 50 per cent of doctors responding to a survey said they did not have the supplies they need.

“We want to be there on the front line tackling this virus, helping our patients,” said Dr Wrigley. “But we are hearing from doctors – over 2,000 doctors responded to us and over half of them said they haven’t got the right facemarks to work in high risk environments. That is ITU [intensive treatment unit] environments. That’s a shocking indictment.”

Sir Keir said in a tweet: “It is quite frankly insulting to imply frontline staff are wasting PPE. There are horrific stories of NHS staff and care workers not having the equipment they need to keep them safe. The government must act to ensure supplies are delivered.”

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Dame Donna warned that nurses were under threat from infection in services outside intensive care unit, such as community care, mental health and midwifery, where protective equipment was in shorter supply.

“We know actually the health care workers that are dying aren’t the ones that are working in intensive care, they are working in other services such as the community, such as mental health,” she said.

“We don’t know how they contracted Covid-19 but we do know their places of work and we know they are not the intensive care units, we know they are midwives, they are people who are mixing or who are delivering care in the community and in other services that we haven’t prioritised for the equipment.

“It’s easy to work in a place where the risk is identified and you have got the right equipment. What we do know is that Covid-19 patients are coming into contact with healthcare workers anywhere. It is being passed on in hospitals but we also know it is being passed on in communities.

“We can see that from our prime minister – he was not in a hospital [when he contracted Covid-19]. Protective equipment is needed in all of these places.”

Mr Hancock said it was “humbling” to see more than 1 million NHS and social care staff go to work every day during the pandemic despite the risks they face.

Asked whether they should continue to work if they feel they have not been provided with adequate safety equipment, he told Today: “They shouldn’t be faced with that choice. The honest truth is that you have got to make the judgement in the circumstances of the time. My job is to make sure people don’t have to make that judgement.”

Mr Hancock stood by his plea for staff not to make excessive use of PPE, urging them to stick to guidelines drawn up in consultation with bodies including the BMA and RCN which meant gear could now be used for a whole shift, rather than being changed after every patient.

“It is really important that people don’t overuse PPE,” he said. “It is a precious resource.

“I don’t want to impute blame on people who have used more PPE than the guidelines suggest, because I understand the difficulties and circumstances, but it is important to use PPE as the guidelines say.”

The health secretary said that 761 million pieces of PPE have been distributed since the start of the outbreak and said those involved should be proud of their efforts.

But he added: “There’s clearly more to do to make sure that every single person who needs it gets what they need.”

And Dame Donna said she was still fielding frequent calls from nurses saying they did not have enough.

“In recent days we are improving the deliveries, but the safety of nurses and doctors and other health care workers must not be compromised,” she said. “Basic equipment to deliver care must be provided.

“We are all petrified about going out on the front line but we do it because that’s what we are trained for.

“But it’s beholden on those in offices of power to make sure they are looking after our physical welfare and psychological welfare. If a nurse does not feel safe she or he is not going to be able to provide good care.”

Dr Jenny Vaughan, of the Doctors Association UK, said that more than 1,000 healthcare workers had signed up to its NHS PPE app in just 10 days to report the situation on the ground, with more than 40 per cent saying they had experienced shortages of long-sleeved gowns and eye protectors.

Dr Vaughan told Sky News: "We absolutely acknowledge that things have improved, but there are still many, many gaps and we can't afford gaps when it comes to people's lives."