The issues I’ve found with the ventilators is that we have been using anaesthetic machine ventilation quite a lot , which is primarily used for parlayed patient through muscle relaxant drugs, so not advanced enough like the critical care ones for sedated patients who are trying to breath to ween off drugs, or have other advanced breathing needs. Not come across any other ventilator but I wouldn’t want my loved one on something that hasn’t been tried and tested.

What Supplychain do you work in BG?

I can`t really comment on Ventilators as I have not had any involvement in those and If I am honest I don`t know the supply chain well enough to comment on that, but I work for the NHS in a national procurement role so I am relatively close to the the action on this on PPE. I will not share anything that is not already in the public domain, instead just re-iterate the problems that have led us to the so called crisis.

The dedicated channel for the PPE has not been as successful as it should of been in terms of the distribution, IMO down to the management by Clipper in the first instance, an introduction that was made to ease the pressure on Unipart who have come in for some stick in there own part, this has just led to another cog to go through in the chain, another company not familiar with the NHS Procurement landscape so there has been an issue with distribution yes.

There were contingency stock, a great deal of contingency stock actually of PPE, but the increase in demand on some lines far outweigh what could of ever been planned for, believe me if you saw the uptake, you would think exactly the same thing - Lets not forget that Trusts have there own procurement teams so there is no control so to speak on limiting product going into the trust, in essence this means 200+ trusts in England alone acting as separate organisations and not singing from the same hymn sheet - Not only is there a massive demand of PPE going into the Nightingale hospitals in London, Harrogate, Birmingham, Manchester etc the actual issue itself is with the trusts stock piling PPE, panic buying in the first instance, not to mention the various different routes to market for a trust to procure product is massively diluting an already small pool of production in some areas, distributors bringing product in and product sitting there on a shelf until a trust decides that they have no other option other than to be pay through the roof to obtain this product and are willing to explain later down the line compliant routes to market.

Ohh you have woken up have you?! Not that long ago you found this debate tiresome, unless you were yawning for some other reason?! I couldn't care less whether the current health secretary was Tory, Labour, SNP, Monster raving loony party, I was pointing out his comments, which then were at odds with what he and others said just days later, but that's hypocritical, condescending, patronising, egotistical politicians for you.......

Come back when you have got something sensible to say instead of the rubbish you usually talk, and when the likes of you catch me asleep you can pee in my ear, and fwiw the yawn was for bren2k who not for the first time used this thread for political gain, and finally for someone who has no political agenda your not doing bad criticising the government of the day, I don't have a solution but with all the talking your doing perhaps you have, it would be interesting to hear them instead of the moans. HTH

When we cut through the politics and point scoring, I find this debate interesting. Especially from those who are part of the process.
My supply chain knowledge is through retail and technology.
The main thing to realise when planning is knowing what you need and getting what you need is not an easy or quick transition. Looking back and calling out the time things took very rarely come down to effort or lies or poor practise. It's usually a new thing that someone is learning or an extraordinary event that wasn't expected.
It's just the way it is.
The best people don't do it faster, they have contingencies for if it doesn't go fast enough. But when it's this new, you probably don't have much option.

I work for a medical equipment company HV.
As you have said, I will also not go into details re procurement etc.
I don't have the knowledge of PPE currently, but worked for a medical company in 2015-16 in which PPE was the lead product range.

The issue with PPE from my perspective, as a private provider, is that the Govt told us they would be making drops at every service in the early days of this crisis - and that simply didn't happen; some got a delivery, but it was a pathetically small amount - but most didn't. The procurement helpline they provided us either rings out, or has no stock. And to be clear - I'm not looking for freebies - I was quite happy to pay market rates - but they just didn't have it in the way they described - and having spoken to other providers, they have had the same experience. So on that basis, the whole care sector was behind the curve with PPE, because the Govt made early commitments that it couldn't meet - and still hasn't.

More recently, they've partnered with Ebay to provide the NHS PPE website - which is meant to be our one stop shop for all things PPE; 10 days post-launch, it's an absolute shambles. It doesn't work properly and just puts you in an infinite loop of registering - placing an order - registering - placing an order and never actually getting to confirmation. It's a joke.

I'm now buying PPE directly from a supplier who is shipping it in from China - and I'm paying about 4x what I would usually pay; my PPE bill is currently at £100k, and that will continue to rise at c£30k per month for as long as this goes on. The Govt claim to have provided £1.7 billion to LA's for 'resilience payments' to care providers to offset some of this cost - not a penny has reached the front line yet, and some LA's are offering just 1%; others are offering payment on production of fully evidenced accounts to demonstrate our additional costs - which is of course just what we need at a time like this.

Meanwhile, the Govt looks us in the eye and lies about the EU procurement scheme - with some 'missing email' cockamamy story that you would expect from the work experience kid at the office, but not from a Govt Minister.

Party politics aside, we've handled this really badly - our death toll per head of population will be amongst the highest in the world, and even now, we're still not accounting properly for deaths in non-hospital settings; care homes alone will probably add 20% to the total in one go when they finally get around to including them - and significant numbers of those deaths were unnecessary and preventable; we lost 2 weeks of preparedness due to the 'herd immunity' strategy, which is fast being revealed as a eugenicist fantasy with no basis in scientific fact, particularly given that there is still no evidence that immunity comes post-infection.

It's a tragedy - and for those of us on the front line, the sharp end is way worse than the daily press briefings would have you believe.

I presume the eBay system you are referring to is the one highlighted by the Army in today’s update however, he appeared to suggest it was a major success. I guess like most things coming out of these daily reports it will be disproved shortly after it finishes, like the Turkey supplies that were to arrive before they were ordered or why we claimed to have 30,000 respirators to arrive in the next few days that actually turned out to be about 30.
I guess we can see why they would not want a judge lead investigation into their actions. We know that a full test of the impact of a pandemic was undertaken in 2016 unfortunately the report produced was not released.
With regards the daily reports I presume they are aware of the journalist’s questions because they both appeared very knowledgable on the subject of Bristol in relation to the virus.

For someone who supposedly have facts on these accusations you make, you seem to be doing a lot of guessing, I'm sure the government have made mistakes just like the rest of the worlds governing bodies have, but now is not the time for recriminations, why not try and get behind them for once and play the blame game when it's all over.

I think now when people are dying is the time to hold the Government to account. Be a pointless otherwise when the population has been decimated to their favour.

If you are trying to score political points, people would have unfortunately died from this virus anyway.
If you want to hold a Government to account, then I suggest that you start with the Chinese one.
Also, despite other countries having different scenarios in place at the start, they have had numerous deaths.

This isn’t about political point scoring. This is surely a moral issue. If Labour or any other party in charge were just as lackadaisical as the Tories have been, my viewpoint would be the same.

Sorry but if you think the Government is doing a good job you’ve got your head in the sand.

What the hell does that mean??

Are you suggesting the Govt are deliberately killing people off??

Spot on and once the true death rate is established through testing i.e. when we get data on how many have actually had this thing I don't think the rate of death will differ much across 1st world countries. Different countries count them differently to some degree. if you look at the test in the USA the death rate there is 46,785 from 842,624 positive tests that's from a total of 4,482,434 tests carried out a rate of around 6% based on positive tests. Our death rate is 18,151 from 134,639 our rate is currently at 13% that's twice the rate of the USA at the moment but as testing ramps up outside of the hospital environment like the US and Germany that rate will drop.

I have lost my father in law recently cause of death probable corona virus on his death certificate with a couple of other causes, he is one of the stats but we will never know if he was truly positive or not! he died in hospital by the way. In my opinion the Govt is showing transparency around this subject I am not sure others around the world are as yet!

Sorry to hear that about your father-in-law.
I think the point is that a lot of deaths are being recorded with Corona as the cause when we're not actually sure, or where people were unfortunately already at death's door an so would probably have died even without Corona.

I dislike all politicians the same so don't feel the need to try and blame one party or another. I am just truly thankful that we have an NHS that is working tirelessly to get us through this situation. I have a number of relatives who are NHS workers and I know just what effort and strain all this is taking on them and their families. I salute them and all of their co-workers.