Downing Street has declined to apologise after Boris Johnson provoked anger when he suggested “too many” care homes did not properly follow procedures during the coronavirus pandemic.

The Prime Minister’s comments were branded a “real slap in the face” for care workers by the Independent Care Group, while another sector leader said they were “clumsy and cowardly”.

Mr Johnson’s official spokesman was asked during a Westminster briefing what the PM had meant by the remarks.

He said: “Throughout the pandemic, care homes have done a brilliant job under very difficult circumstances.

“The Prime Minister was pointing out that nobody knew what the correct procedures were because the extent of asymptomatic transmission was not known at the time.”

Asked if Mr Johnson would like to apologise or retract the comments, the spokesman said: “As I’ve just set out, the PM thinks that throughout the pandemic care homes have done a brilliant job under very difficult circumstances.”

The Prime Minister’s remarks came after he was asked what he made of NHS chief executive Sir Simon Stevens’ desire to see plans to adequately fund the adult social care sector within a year.

Mr Johnson said: “One of the things the crisis has shown is we need to think about how we organise our social care package better and how we make sure we look after people better who are in social care.

“We discovered too many care homes didn’t really follow the procedures in the way that they could have but we’re learning lessons the whole time.”

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(PA Graphics)

But sector leaders said the suggestion that care home workers were not following procedures was “totally inappropriate” and “hugely insulting”.

Vic Rayner, executive director of the National Care Forum, told the BBC: “Care homes across the country were dealing with an extraordinary amount of different guidance that was coming out from Government on an almost daily basis.

“So for the suggestion that they were not following procedures as laid out is totally inappropriate and, frankly, hugely insulting.”

The Independent Care Group’s chairman Mike Padgham said it was “upsetting” for the PM to make such comments, and described them as “a real slap in the face for those workers after they have given and sacrificed so much”.

He said: “We hope he will reflect on those comments and see the incredible work the care sector has done in the recent months to care for older and vulnerable people, with late and conflicting advice and poor support in terms of personal protective equipment (PPE) and testing during this awful pandemic.

“And we hope it will spur him into long-promised action to reform the sector and end the crisis in social care which left us so vulnerable to a virus like Covid-19.”

Mark Adams, chief executive of the charity Community Integrated Care, said he was “unbelievably disappointed” to hear the Prime Minister blaming care workers.

He told BBC Radio 4’s Today programme: “I think this – at best – was clumsy and cowardly, but, to be honest with you, if this is genuinely his view, I think we’re almost entering a Kafkaesque alternative reality where the Government set the rules, we follow them, they don’t like the results and they then deny setting the rules and blame the people that were trying to do their best. It is hugely frustrating.”

A paper prepared by Public Health England on whether asymptomatic people with coronavirus are infectious, which was considered at Sage on February 4, concluded that more data was needed to determine whether transmission can occur from asymptomatic individuals.

But until March 13, care home guidance said that for care staff visiting patients at home or providing care to residents there “is no need to change your approach” if the person they are visiting is asymptomatic. Guidance for symptomatic patients stated staff should “avoid any further physical contact with the person”.

In other developments:

– The Office for National Statistics said coronavirus is likely to have brought forward some deaths of older and vulnerable people which could prompt a period of below-average deaths.

– Health Secretary Matt Hancock said the seven-day infection rate in locked-down Leicester had fallen from 135 cases per 100,000 people to 117.

– A number of pubs which reopened their doors for the first time on Saturday announced they have had to close again due to people testing positive for coronavirus.

– The president of the Royal Society, Professor Venki Ramakrishnan, said everyone should wear a face covering in public to reduce the risk of a second wave of Covid-19 infections.

Chancellor Rishi Sunak prepares his statement
Chancellor Rishi Sunak prepares his statement (HM Treasury/PA)

It comes as Chancellor Rishi Sunak prepares to unveil a £3 billion green package with grants for homeowners and public buildings to improve energy efficiency as part of his coronavirus economic strategy.

Mr Sunak will set out a raft of measures in his Commons statement on Wednesday, including £2 billion for households to insulate their homes and make them more energy-efficient.

The funding aims to help the UK “build back greener” and meet its legally binding target to cut greenhouse gas emissions to net zero by 2050, but campaigners say it “doesn’t measure up to the economic and environmental crises”.