Measures that compromise individual freedom and wellbeing - especially those imposed "for the sake of others" - require careful cost-benefit analysis
Studies show that a number of different measures could have been taken to reduce COVID-19 cases and deaths in care homes.
All assessed studies report excess mortality during during waves one and/or two of the pandemic.
Care home deaths constituted an average of 30% of all COVID-19 deaths across 25 countries.
The COVID-19 pandemic disproportionately impacted those living in care homes at the highest risk for severe outcomes. However, the pandemic only highlighted and exacerbated a long-running problem: underfunding, poor structural layout, undertraining, under-skilling, under-equipping, and finally, lack of humanity in dealing with the most vulnerable members of society. Neglect, thirst, and hunger were - and possibly still are - the biggest killers.
We must mind the gap between reasonable restrictions and state paternalism
The Chairman of Bristol Care Homes reports on COVID-19 mitigation strategies, operational management, and outcomes for a small sample of care homes in southwest UK