We didn't have a plan.....
and
The failure is not a failure to prepare. I don't think anyone could have anticipated a global pandemic of something so infectious that would require so many respirators.
This makes me so furious. When I worked in private sector healthcare, 15 years ago I led business continuity planning for a 50-bedded hospital. Our insurance company required robust, realistic plans in order to provide business interruption cover. They suggested we get an expert member from the Business Continuity Institute to help draw it up and they got their own in to evaluate the plans.
The very first thing that any ground up planning starts with is an analysis of risk, and the very first thing that anyone remotely connected to healthcare starts with is the risk of pandemic flu. It is absolute nonsense that no-one could have anticipated this... everyone involved in continuity planning anticipates this day in, day out, and has done for decades.
SARS was a big wake-up call, or it should have been. The 2009-10 swine flu should have sent red flags flying up everywhere. By then I was in the NHS, in the second of two Trusts which refused to do pay anything more than lip-service to planning for it.
If I wasn't under an NDA about this very subject I'd say a lot more, but I would nevertheless testify under oath that NHS directors in my first Trust wilfully ignored concerns I raised about business continuity planning, specifically relating to what would happen if a pandemic prevented staff getting to work or caused long-term disruption to supplies. One was then a COO and is now CEO of a large Trust in the North West and I hope she is choking on it. Her words were "we have a perfectly good major incident plan which worked last year". Not the same thing!!!!!!!!!!!!!!!
By the time I was at my second NHS body, a document on a shelf that had "business continuity plan" in the title that was enough. That it was written by someone recalled from gardening leave after being made redundant, with absolutely no buy-in from any of the senior management says it all. If it doesn't, the fact that I submitted it with "alien invasion" as risk number one in the accompanying risk register and was never questioned about this says slightly more.
If it didn't meet targets or whatever was top of the NHS Bullshit Bingo list of the moment then people did not want to know about it. That has been the culture in the NHS for years. I have every sympathy for front-line staff slogging their guts out (or up) in this, but I have not believed in the NHS as a sensible way of organising health care provision for as long as I've known it, and I am sad to say that there are a great many people drawing vast, vast salaries from the exchequer without taking any responsibility or accountability for anything in return.