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Tuesday, April 14, 2020

Ideology must not get in the way of safety

On the same day that the Doctors Association UK has warned that supplies of protective gowns used to safely treat coronavirus patients have become so depleted that they are no longer available to many doctors in high-risk roles, the Guardian reports that Britain missed three opportunities to be part of an EU scheme to bulk-buy masks, gowns and gloves and has been absent from key talks about future purchases.

The paper says that European doctors and nurses are preparing to receive the first of €1.5bn (£1.3bn) worth of personal protective equipment (PPE) within days or a maximum of two weeks through a joint procurement scheme involving 25 countries and eight companies, according to internal EU documents:

The EU’s swift work has led to offers of medical equipment, including masks, overalls and goggles, in excess of the number requested, a spokesman for the European commission said. The EU is separately establishing stockpiles within member states, with the first being set up in Romania.

The development comes as anger grows over PPE shortages in Britain, with particular concerns at the weekend over stocks of full-sleeve gowns running out. The gowns are designed to resist droplets which can spread coronavirus and were shown to be highly effective at protecting medics in Italy.

A survey by the Doctors’ Association UK found that only 52% of clinicians carrying out the highest-risk procedures said they had access to the correct full-sleeve gowns, while the Guardian understands that a consignment of at least 100,000 gowns from China had to be rejected when it was found to be substandard. Other consignments thought to be gowns had been mislabelled and were other equipment.

The paper adds that The UK government has previously said it was unable to join the EU’s procurement schemes as it had not received an email of invitation:

As a result, the government missed out on mass procurement of medical ventilators, and has called on UK manufacturers to build tens of thousands more. But it has also not been involved in two rounds of bulk purchasing of PPE, which were launched by the EU on 28 February and 17 March.

The EU’s procurement of 28 February initially failed due to a lack of interest from suppliers but was relaunched on 15 March, providing additional time for the UK to get involved if it had chosen to do so. It is understood that officials in Whitehall only realised after those three rounds had been put out to tender that they had not received invitations to join the Joint Procurement Agreement steering committee where the orders are organised.

The UK only took part in its first meeting on joint procurement on 19 March after informing the commission that emails of invitation were being sent to an outdated address, the Guardian has learned. Despite that belated show of interest, British officials did not attend a separate meeting of health officials on 25 March where participants were invited to spell out their requirements for future purchases to the commission by the next day.

The UK is also not involved in joint procurement of laboratory equipment. The EU is also planning joint procurement of therapies for coronavirus, but the UK is yet to state its position on its involvement.

It is not entirely clear why the UK is missing out on these bulk purchases, whether it is incompetence or ideology. Let's hope that it is the former and that they can put things right quickly.
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