Last night, BBC's Panorama exposed the truth behind the government's claims that it had provided sufficient PPE. If you have not watched this programme, please do. A full transcript is not yet available, but will be posted here when it is.
Stockpiles that should have existed, didn't. The government knew they were needed, but didn't spend the money. Some items weren't bought at all - swabs for testing, visors, gowns, body bags.
Equipment that did exist was not kept up to date - one NHS worker was shown in the film peeling off a date expiry sticker that read November 2019 (therefore out of date anyway) to reveal underneath one that said November 2016.
When we were told that "a billion items of PPE have been supplied to the NHS," that may have been the actual number. What it doesn't represent is how many of those items were functional PPE of the type required.
Here's the BBC, reporting on its own programme:
"One billion items of PPE have been delivered across the UK, the Department of Health and Social Care (DHSC) has said.
However, according to the BBC's Panorama programme, more than half of all the PPE items are surgical gloves - and in most cases, each individual glove is counted rather than pairs.
According to the DHSC, the protective gear sent out in England by 26 April, included:
143 million masks
163 million aprons
1.8 million gowns
547 million gloves
The figure also includes (now) body bags, swabs, clinical waste containers, cleaning equipment and detergent."
That's right, over half of those billion articles were gloves. Not PAIRS of gloves. Single gloves. Also, anyone who has ever worn blue nitrile gloves of the type surgeons use knows two things about them. Firstly, that they come in sizes, and if you haven't got the right size, they're unwearable. Secondly that they are extremely easy to tear if they're old. The material degrades and brittles over time. Then they're useless.
The second biggest item is plastic aprons - the type dinner ladies wear. They are useless against droplet contamination, because they don't cover everything.
And the rest? The list mentions "clinical waste containers, cleaning equipment, (paper towels are on Panorama's list but not mentioned in the BBC's article) and detergent." By no stretch of the imagination whatsoever can those be called "PPE". They are adjuncts to PPE, but in themselves they do not provide direct barrier protection to staff in danger of infection from fluid spray or virus-laden air.
But did the government know what was needed?
Just last year, says the Panorama programme,, the minutes of a NERVTAG meeting in June 2019 warned that gowns were needed. Who or what is "NERVTAG"? The Government's own website provides the answer:
"NERVTAG (the New And Emerging Respiratory Virus Advisory Group) is an expert committee of the Department of Health (DH), and advises the Chief Medical Officer (CMO) and, through the CMO, to ministers, DH and other Government departments.
It provides scientific risk assessment and mitigation advice on the threat posed by new and emerging respiratory virus threats and on options for their management."
Setting aside the fact that the name of the group (like SAGE) appears to have been dreamed up by someone nostalgic for James Bond films (remember SMERSH?) and with a loose connection to the gravity of the situation the group was supposed to be preparing for, if the government didn't even take its own advice in its frantic drive to dethrone May and push for a no-deal Brexit, how can it possibly be deemed worthy of trust?
Masks? Apparently, 33 million of them were on "the original shopping list". Panorama claims that only 12 million of them have been handed out, and the government refuses to explain what has become of the rest.
But even if we didn't have enough PPE already stockpiled, could we have done something about it?
Panorama claims that we could. At the beginning of February, the European Centre for Disease Control issued a warning that respirator masks, visits, gowns and gloves would be needed. For the most serious cases it recommended that between 15 and 24 FULL SETS of PPE per patient per day would be needed based on the experiences and information coming from the beginnings of the big outbreaks in Europe.
So the information was there, but the government chose not to act on it, instead dithering with concepts of "herd immunity", not taking the pandemic seriously, and allowing its scientific committee - SAGE - to be infiltrated by behavioural scientists, data geeks such as Ben Warner, and politically motivated SPADs such as Cummings. (And then of course one has to remember the "missed email" that supposedly led to the the government not being involved in the drive, coordinated by the ECDC and under the auspices of the EU, to source ventilators and other protective equipment - a lack of involvement which is surprising, given that British civil servants attended meetings about that drive in January, February and early March.)
Where there's a will, there's a way, it is often said. Clearly, there was no governmental will to redress the deficiencies in stockpiling. Political ideology drove every decision that was made, and the welfare of this country's citizens does not appear to have been even a minor consideration in the decision making processes.
The Panorama programme details the type of opportunity that the government missed in its drive to help its own people and its politically important friends to profit from our deaths. It outsourced the contract for ventilators to Tory party donor and Brexiteer, James Dyson. PPE was sourced from Turkey, a country run by the illiberal, retrogressive, but ideologically similar Erdogan - and remember that despite being paid for up front, it has not all arrived.
Meanwhile, Panorama interviewed the manager of a small factory in Bolton that makes fabric for hazmat suits, gowns and masks of the type worn by medics seen in videos of Covid19 sufferers being cared for in China - the type of protective gear recommended by the WHO. The government did not approach the factory in February, during the preparation opportunity, themselves and finally in March the factory owner contacted the government. The owner claimed to have written to "the government, to MPs and to Public Health England." He goes on to say "at this stage we haven't had a response." That was in March.
Panorama filmed "ten days after the company had contacted the government." The company still hadn't had a response - and the fabric order being processed on its machines was for the USA. The machines were running "five to six days a week at 80 to 90% capacity, and as the managing director pointed out "Trump is buying this UK capacity."
Apparently, the company is now providing material for the NHS "through a private supplier" (whatever that means) but, Panorama claims, could have provided the material for 300,000 gowns in the missing weeks of February and March when the government did nothing. The government, according to its own information has provided just over 1.3 million gowns during the entire crisis. If this factory alone had been working for our NHS rather than for Johnson's crony, Trump, then that figure could have been increased by nearly 25%.
There is more, and it is shameful. NHS trust managers, none of whom were prepared to be identified, said "the supply chain isn't right even now." These are voices heard in the programme:
"The supply chain is erratic, unpredictable and incompetent. We might ask for 10,000 gowns and instead be sent 5,000 aprons."
"We have been told not to talk about the shortages outside of meetings and calls. They don't want people to know how bad it is."
"There is a complete lack of transparency from the government. They are creating panic, because we don't know if they can supply us, so we're scrambling to get it elsewhere."
The programme goes on to discuss both the lack of PPE, and the government's spin and lies about it. It mentions the lack of PPE for GPs and social care workers. It gives details too on the health of the social care and medical workers, and on their morale. It discusses the "clap for the NHS" movement, and how health workers fear that it simply plays into the government's narrative.