Presumably; he said he’d actually ID’d seven NHS staff whose image had been misused.
Hopefully it'll all come out in the wash. It's somewhat surprising though to say the least. Most of the government departments I've had experience with were hardly at the cutting edge digitally, and would have thought sock puppets were something you used to entertain the children during lockdown. Maybe they've come on since then and are more familiar with digital dark arts, but if I was a betting man, I wouldn't suggest these kind of things came from in house at the Department of Health.