英国新冠疫情公开调查发现，政府在疫情初期的多项关键失误导致病毒在养老院中迅速传播。1调查主持人Heather Hallett指出，政府未能建议从医院出院的患者进行隔离，这是一个"重大遗漏"，同时也未提供充足的个人防护装备。1这些政策失败造成了严重后果：在2020年3月至2022年7月期间，超过43000名养老院居民死于新冠病毒。1
调查披露了具体的防疫政策缺陷。12020年3月和4月，约25000名医院患者在未接受强制检测的情况下被转入英国养老院，强制检测直到2020年4月15日才开始实施。1该政策后来被高等法院裁定为非法。1养老院工作人员在物资严重短缺的情况下开展防护工作，使用包括"节日防水雨衣、油漆工连衣裤和DIY店购买的手套"等自制或临时替代品。1前卫生大臣Matt Hancock为这一决定辩护，称其是对"可怕问题的最不坏的决定"。1
本次公开调查已耗资超过2亿英镑，是英国历史上最昂贵的公开调查。1调查共提出55项建议，目前发布的报告属其中一部分。1
A public inquiry into the UK's pandemic response has found that government failures left care home residents critically exposed to the coronavirus. More than 43,000 people died from COVID-19 in British care homes between March 2020 and July 2022 1. The inquiry, led by Heather Hallett, determined that the government's inadequate protective measures and flawed discharge policies directly contributed to the rapid spread of the virus through the sector.
The inquiry identified two principal failures. Approximately 25,000 hospital patients were transferred into care homes in March and April 2020 without undergoing mandatory testing 1, a gap that persisted until testing requirements began on April 15, 2020 1. Hallett criticized the government's decision not to recommend that discharged patients isolate from residents as a "significant omission" 1. Meanwhile, care home staff faced severe shortages of personal protective equipment, improvising with "holiday waterproof raincoats, painters' overalls and gloves purchased from DIY shops" 1. Former Health Secretary Matt Hancock defended the discharge decision as "the least bad decision to a terrible problem" 1.
The comprehensive inquiry, costing over £200 million—making it the most expensive public inquiry in British history 1—has issued 55 recommendations across its reports, with this being the sixth of ten planned reports 1. A higher court later ruled the testing policy unlawful 1.
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