Jumat, 28 Mei 2021

Relations between Johnson and cabinet secretary fray over Cummings ties - Financial Times

Relations between UK prime minister Boris Johnson and Simon Case, the head of the civil service, have descended into “mutual mistrust” over the latter’s ties with Dominic Cummings, multiple senior Whitehall officials said.

Case’s position as the most senior civil servant in the British government is under intense scrutiny after Johnson’s former aide Cummings told MPs this week that he personally recruited Case to try and influence the prime minister’s views on tackling the coronavirus pandemic.

Case was appointed cabinet secretary in September 2020 after the working relationship broke down between his predecessor Mark Sedwill and the prime minister’s inner circle, which then included Cummings.

Five well-placed figures in the civil service said relations between Johnson and Case were precarious, in part due to his ties to the former Downing Street adviser. One government insider said: “Number 10 are deeply suspicious that he’s not on side.”

Those who have witnessed Johnson’s Number 10 operation at close quarters claimed that Case was sometimes excluded from key meetings.

Another Whitehall official said, “on the surface it looks fine and professional. But once you scratch beneath the surface, it’s clear that it is not harmonious. It’s better than Mark [Sedwill] but there are clearly feelings of mutual mistrust.”

Case was a surprise appointment to the role, having not previously run a major Whitehall department and being selected for the role at the relatively young age of 42. He emerged as Number 10’s favourite above several more established civil servants.

During Wednesday’s seven-hour testimony to two parliamentary select committees, Cummings told MPs he personally appointed Case to influence Johnson on the pandemic. “I brought in Simon Case to be permanent secretary at Number 10 because I thought the prime minister is not listening to me on this whole subject,” he said.

Cummings’s claim that he personally appointed Case has made his politically neutral position more difficult, according to colleagues. “Everyone knew it was true,” said one official. “But the fact that it’s in the public domain changes things.”

On Thursday, two officials said there were concerns across Whitehall over Case’s ties to Cummings. One government insider said “the mood in the cabinet secretary’s camp is very low” following the hearing. Another added that “he [Case] is clearly worried about what Dom might say next”.

But one senior Number 10 official said they “absolutely did not recognise that characterisation”, adding “the cabinet secretary and the prime minister have an excellent working relationship”.

Case, Downing Street and the Cabinet Office all declined to comment.

One friend of Case said: “Simon is happily getting on with the job and suggestions of a rift are well wide of the mark.” But officials sympathetic to Case report a “degree of frustration” on the part of the cabinet secretary as he attempts to forge a solid relationship with the prime minister.

There is speculation in Whitehall that Case might eventually return to royal duties and that he was not particularly enjoying the job. “The PM can’t fire two cabinet secretaries, but he could allow one to drift away,” said one Cabinet Office insider.

It is often suggested that Case is “unsackable” given that Johnson opted to change cabinet secretaries last year. But that is discounted by some senior officials who say Johnson would hardly pay a heavy political price if he removed someone seen as an acolyte of Cummings.

Case’s hesitant appearance at the public administration and constitutional affairs select committee last month was widely seen in Whitehall as confirmation that he lacked the experience of previous holders of the job. During that hearing Case was asked about how Johnson funded the refurbishment of his Downing Street flat — a matter he is overseeing a review into.

“He hasn’t run a department and he isn’t experienced in facing hostile questions from MPs,” said one.

One seasoned Whitehall observer described it as “an absolute disaster”.

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2021-05-28 08:54:10Z
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Covid: Surgery waiting times could be cut with specialist hubs, say surgeons - BBC News

Surgeon
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Surgeons are calling for specialist hubs in England to help tackle what they call a "colossal backlog" of non-urgent operations because of Covid-19.

The Royal College of Surgeons (RCS) wants a network of hospital sites focused on routine surgery, such as hip and knee replacements.

The government says it is working "to accelerate the recovery of services".

In March, around five million patients were waiting for surgery - the highest number since modern records began.

More than 436,000 were waiting more than a year, NHS England figures show - compared with just 1,600 before the Covid crisis.

A similar proportion of the population is on waiting lists in Scotland and a higher percentage in Wales and Northern Ireland.

Prof Neil Mortensen, president of the RCS, said the pandemic has had a devastating impact on surgical services - and that it must not be allowed to happen again.

"Surgery must be available on the NHS all year round, not stop and start," he said, adding that a "New Deal for Surgery" was required to help weather future pandemics.

"If a dangerous new variant of COVID-19 takes hold, or another bad flu arrives in the autumn, we cannot allow surgery to grind to a halt again or waiting lists will become insurmountable."

Prof Mortensen said patients and staff had already adapted to changes required because of the pandemic, such as flexible working and outpatient consultations by phone or video link.

He added that politicians needed to be open to change and accept that services available at their nearest hospital might not be the same as before.

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The RCS says there should be around 40 centres based in existing NHS buildings to carry out non-urgent surgery.

The idea is to reduce the risk of infections spreading from other parts of hospitals.

It is hoped that by bringing specialist teams together under one roof, there would be greater efficiency and better use of operating theatres.

Patients might need to travel further from their local hospitals, but the RCS says its own polling suggests most would support the idea if it reduced waiting times.

It wants to see an extra £1bn a year of government funding and a longer-term commitment to train more staff.

A Department of Health and Social Care spokesman said: "We have backed the NHS at every point in the pandemic, safeguarding urgent treatment such as cancer and emergency care, while protecting the NHS to ensure it was not overwhelmed."

He said the government was providing "an extra £7bn for health and care services" this year, and £1bn to tackle backlogs.

"We face an unprecedented challenge and will continue to work closely with the NHS to accelerate the recovery of services so everyone gets the care they need, including £160m to support hospitals to find innovative ways to carry out even more operations and cut waiting lists," he added.

It comes amid growing concern about the Covid-19 variant first identified in India.

Public Health England data shows cases of the variant have risen by 3,535 to 6,959 since last week.

Health Secretary Matt Hancock said up to three quarters of new UK Covid cases could be of the Indian variant, and that it was "critical" to monitor the link between cases and hospitalisations.

The prime minister said it was important to understand the extent to which the vaccine programme "interrupts the link" between infection, hospitalisation, serious illness and death.

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2021-05-28 02:42:02Z
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Covid-19: Up to 75% of new UK cases could be Indian variant, Matt Hancock @BBCnews live BBC - BBC

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2021-05-28 05:30:56Z
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Kamis, 27 Mei 2021

COVID-19: Ending lockdown on 21 June looks 'somewhat in doubt' as cases of Indian variant continue to surge - Sky News

Plans to fully reopen society on 21 June "look somewhat in doubt" after cases of the Indian COVID variant in England doubled in the space of a week.

Professor Danny Altmann of Imperial College London told Sky News that the final stage of the roadmap, which would see all limits on social contact lifted, are "balanced on a knife edge".

With the number of people who have the B.1.617.2 strain nearing 7,000, he said: "I'm not terribly surprised - I think we'd all seen it coming. Frankly, it's alarming isn't it?

"Because what we've essentially done is set back our clock… going back to the kind of figures we were last seeing about a month ago in terms of new cases. So I think it's troubling."

The four stages of England's lockdown lifting

When asked whether the final stage of England's roadmap for easing lockdown should go ahead next month, Prof Altmann added: "Hopefully there's some quite careful thought and mathematical modelling being done into this. For my taste at the moment, that looks somewhat in doubt.

"We really are balanced on a knife edge, but surely from all that we've all seen in the last 13 or 14 months we realise how unforgiving and relentless this virus is.

"And you can't joke around with it with half measures.

More on Covid-19

"And if it looks, for example, like you have a new variant in your country spreading and taking off, it probably is, and you probably want to take that into account."

On Thursday, Imperial College London's Professor Neil Ferguson had warned that the full reopening of society on 21 June "hangs in the balance" - adding that the data collected in the next two to three weeks will be "critical".

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'Up to 75% of new COVID cases are Indian variant'

Dr Jenny Harries, the chief executive of the UK Health Security Agency, said she agreed with his appraisal during a Downing Street news briefing later in the day.

Warning that the most recent data is worrying, she added: "The roadmap works on four principles to go forward, so it's on the cases, hospitalisations, the effectiveness of the vaccine programme and then new variants.

"So, in many ways we're looking at the first part and the last part."

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The growing threat of the Indian variant

Although COVID infection rates have risen across most age groups and regions, Public Health England said: "Encouragingly the number in hospitals across the country remains low."

The hospital admission rate for COVID-19 stood at 0.79 per 100,000 people in the week to 23 May, compared with 0.75 per 100,000 in the previous week.

Health Secretary Matt Hancock also said there were "early signs" that coronavirus rates in Bolton, one of the hotspots for the Indian variant, were starting to "cap out".

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How the Indian and Kent variants compare

Sky News political correspondent Joe Pike said the concerns "will be a worry for those in the arts, sport and hospitality industries ahead of 21 June".

When announcing his roadmap out of lockdown, Prime Minister Boris Johnson said he would follow "data, not dates".

Data suggests that as many as three-quarters of new cases are now of the Indian mutation, prompting the prime minister to warn that the final stage of easing lockdown in England may have to wait.

However, Sky's science correspondent Thomas Moore has said that the data provided by PHE isn't all bad.

He explained: "Firstly, two doses of the vaccine are really effective.

"Analysis of 5,600 cases of the Indian variant shows 60% were unvaccinated. Just 3% of them were fully vaccinated.

"Of the 43 people who needed hospital admission, 67% were unvaccinated, just 2% had received both doses.

And finally, eight of the 12 people who died were unvaccinated. All the more reason to get the jab."

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2021-05-28 01:06:15Z
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Boris Johnson backs Matt Hancock after Dominic Cummings's claims that he lied - The Times

Boris Johnson has given his full backing to Matt Hancock after the health secretary faced damaging accusations that he lied over the care home crisis at the start of the pandemic.

The prime minister initially declined to respond directly when asked if Hancock was the right person for the role, but Downing Street later issued a statement expressing full confidence in him.

Dominic Cummings, the prime minister’s former senior adviser, told MPs on Wednesday that Hancock should have been sacked for lying repeatedly during the pandemic. He claimed that Hancock gave Johnson false assurances that all hospital patients were being tested for coronavirus before being discharged back into care homes.

Boris Johnson initially failed to give Hancock his support

Boris Johnson initially failed to give Hancock his support

GLYN KIRK

Johnson said on Thursday that the claims by Cummings, who labelled the prime minister

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2021-05-27 23:00:00Z
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Covid-19: Up to 75% of new UK cases could be Indian variant - Matt Hancock - BBC News

Up to three quarters of new UK Covid cases could be of the Indian variant, Health Secretary Matt Hancock has said.

Public Health England data shows cases of the variant have risen by 3,535 to 6,959 since last week.

Mr Hancock told a Downing Street briefing that the government had always expected cases to rise as restrictions were eased.

But he said it was "critical" to monitor the link between cases and hospitalisations.

On Thursday, a further 3,542 coronavirus cases and 10 deaths within 28 days of a positive test were reported in the UK.

It is the second day in a row the number of new Covid cases has topped 3,000 - the first time infections have reached this level since mid-April.

Over the last seven days, cases are up 20.5% compared with the week before.

'Remain vigilant'

Mr Hancock told the briefing on Thursday: "The latest estimates are that more than half and potentially as many as three-quarters of all new cases are now of this variant.

"As we set out our roadmap we always expected cases to rise - we must remain vigilant."

Mr Hancock said the increase in cases was still focused in hotspots.

The PHE data found the worst-affected areas continue to be Bolton, Bedford, and Blackburn with Darwen, which have seen 1,354, 366 and 361 confirmed cases, respectively.

PHE added, however, that there are small numbers of cases of the variant in most parts of the country.

But the health secretary said there were "early signs" rates in Bolton are starting to "cap out".

If surge testing and vaccinations are effective against the Indian variant in Bolton, this could be used as a model to prevent local lockdowns, he said.

Mr Hancock said vaccines were "severing the link between cases and hospitalisations and deaths from coronavirus".

But he urged people to get both doses, saying that of the 49 people in hospital with Covid in Bolton only five had received two vaccinations.

Dr Jenny Harries, chief executive of the UK Health Security Agency, told the briefing that many of the outbreaks were centred on "focal points", such as community centres, schools or faith buildings.

She added: "The cases actually do look as though they are starting to plateau out but the spill-over into community transmission in local areas is an important one."

She said it was "on the cusp at the moment" over whether rising cases reflected the variant taking off or whether there was a rise because more cases were being hunted for and detected by public health experts.

Increasing cases numbers were not "generally translating into increased cases of hospitalisation and definitely not into deaths," she said.

"So the key message there is... if we can hold it while the vaccination programme gets rolled out, we stand a much better chance of getting through this session."

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Analysis box by Nick Triggle, health correspondent

The Indian variant is clearly becoming dominant in the UK, replacing the Kent variant that caused the deadly winter surge.

The figures quoted by the health secretary are skewed by the fact that the testing of positive cases for variants is heavily targeted towards areas where the variant is known to be spreading.

The bigger question, though, is to what extent the rise of this variant matters.

Overall, cases are going up - but this was expected at this stage of the easing because of the green light for indoor mixing.

A more infectious variant - as this one seems to be - will put even more upward pressure on infections.

So it comes down to two things - how much more infectious it is, and to what extent the vaccination programme has weakened the link between cases and hospitalisations - given over half of adults are still waiting for their second dose and a quarter have not had their first.

A very rapid surge in infections has the potential to cause real problems as it will allow the virus to find those that are still at risk.

There are plenty of reasons to hope that will not happen given how well advanced the vaccine programme is, how low infection levels are (we have one of lowest rates in Europe) and the arrival of warmer weather which should mean more time outdoors.

But as always with this virus nothing can be taken for granted.

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It comes after Prime Minister Boris Johnson said England "may need to wait" for the lifting of all Covid restrictions, which is currently planned for 21 June.

The PM said he saw nothing "currently in the data" to suggest the government would have to delay unlocking.

But he added there were signs of an increase in the number of cases of the Indian variant.

Mr Johnson said it was important to understand to what extent the vaccine programme "interrupts the link" between infection, hospitalisation, serious illness and death.

Government scientists had always made clear that infection levels would increase as restrictions eased, particularly the resumption of indoor mixing.

But epidemiologist Prof Neil Ferguson, whose modelling was crucial to the decision to go into the first lockdown in March 2020, said the Indian variant meant the reopening of society was now "in the balance".

He told the BBC: "The key issue as to whether we can go forward is: will the surge caused by the Indian variant... be more than has been already planned into the relaxation measures?"

On 21 June, the government hopes to move to the final stage of its roadmap for lifting lockdown.

Step four would see all legal limits on social contact removed, nightclubs would reopen, and restrictions on large events and performances would be lifted.

Scientists advising the government are currently studying all relevant data since the last set of lockdown relaxations on 17 May.

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2021-05-27 19:33:47Z
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PM’s office summoned Hancock last May to explain care homes 'negligence' - ITV News

The health secretary Matt Hancock today insisted he promised the prime minister and his former chief aide Dominic Cummings only that all elderly and vulnerable patients would be tested for Covid on discharge to a care home when there was adequate testing capacity, and not with immediate effect. This is Hancock’s defence to Cummings’s charge that he lied to him and the PM when promising to test patients prior to them going to a care home. But I understand Cummings has documentary evidence that as late as May last year he and the PM feared they had been misled by Hancock about how he would protect the elderly in care homes, and that he was guilty of “negligence”.


ITV News Political Editor Robert Peston explains how 'if MPs think Matt Hancock has been fast and loose with the truth then that is a big problem'

Cummings says Hancock made an unconditional promise not to send potentially infected patients into care homes. The problem for Hancock is - I understand - that Dominic Cummings has documents showing Matt Hancock was summoned by the prime minister’s office to 10 Downing Street on 3 May, for a meeting on 4 May, to explain whether he had misled Cummings, the PM and the then cabinet secretary Mark Sedwill on testing patients before discharge into care homes and also about further testing of residents and staff in care homes.

A source says there was a fear in Downing Street that Mr Hancock’s “negligence” had “killed people in care homes” (a charge which the Department of Health has denied). The term “negligence” is used in the documents. Downing Street officials asked for information from the Department of Health to understand what had gone wrong. Cummings was and is convinced Hancock had misled him and the PM about how he was planning to keep infected patients out of care homes - where there have been more than 40,000 deaths involving Covid19 according to the Office for National Statistics.


Listen to the Calling Peston podcast

Hancock however said at a press conference today that it was only possible to test those leaving hospitals when he had hit the target he had set of hitting 100,000 tests per day by the end of April. But Cummings says the precise opposite is true, that Hancock’s obsession with hitting the testing target distracted from the imperative of protecting the elderly and vulnerable in care homes. He also argues that Hancock’s fixation on that target was counter-productive to expanding testing capacity in a more sustainable way. Cummings told MPs yesterday that an SAS commanding officer Alex Cooper had been drafted in to expand testing capacity, but that Hancock’s 100,000 target undermined Cooper’s work. I asked the Department of Health for a comment on the Downing Street care homes meeting. They have so far declined to give one. Hancock said all these issues would eventually be examined by the promised public inquiry.

UPDATE 9:45pm I have now had this non-committal response from a source close to the health secretary. It does not add to our sum of knowledge. “We do not recognise this at all. The Health Secretary has had many meetings with the PM across a range of issues throughout the pandemic as you would expect“.


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2021-05-27 21:53:43Z
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