Senin, 12 Oktober 2020

Covid: Nightingale hospitals in North told to get ready - BBC News

NHS Nightingale hospitals in Manchester, Sunderland and Harrogate are being asked to get ready to take patients.

Government advisers say admissions are rising, with more elderly people needing urgent treatment for Covid.

More people are now in hospital with Covid than before restrictions were announced in March.

England's deputy chief medical officer said a "marked pick-up" in cases would lead to more deaths.

Prof Jonathan Van-Tam said: "Already, with the cases that we know about, we have baked in additional hospital admissions and sadly we also have baked in additional deaths that are now consequent upon infections that have already happened."

He warned that coronavirus was spreading from younger age groups into the over 60s who are more vulnerable.

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Hospitals have not yet reached capacity, but he said the NHS may have to use some of the temporary critical care Nightingale hospitals if demand continues to rise.

Cases of coronavirus are going up across most of England, but the North West is the worst affected.

New local lockdown rules for England are due to be announced later, with the Liverpool City Region expected to face the tightest restrictions under a three-tier system according to risk.

Boris Johnson will set out the changes in the Commons on Monday afternoon, before speaking at a Downing Street press conference later.

NHS England's medical director Prof Stephen Powis cautioned that it would take "a number of weeks" before the benefit of any extra measures - such as shutting pubs - would be seen in bringing hospital admissions down.

"In the over-65s - particularly the over-85s - we are seeing steep rises in the numbers of people being admitted to hospital so the claim that the elderly can somehow be fenced off from risk is wishful thinking," he said.

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2020-10-12 10:38:46Z
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Coronavirus: More COVID deaths 'baked in' due to 'creep' from young to old, deputy chief medical officer warns - Sky News

An "incremental creep" of coronavirus infections from young to old people has already "baked in" more deaths, a senior government adviser has warned.

Professor Jonathan Van-Tam, England's deputy chief medical officer, revealed there has been a "marked pickup" of COVID-19 cases since early September.

He said given more people have caught the disease, "we have baked in additional hospital admissions and sadly we also have baked in additional deaths".

Presenting a new "heat map", Prof Van-Tam said cases in northwest England rose first among those aged 16-29, but are now beginning to spread to more vulnerable age groups.

Coronavirus age group heat map
Image: Prof Van-Tam showed a heat map of coronavirus cases by age

That pattern is "likely to be followed" in the North East and Yorkshire and the Humber, he cautioned at a Downing Street news briefing on Monday.

Meanwhile NHS Nightingale hospitals in Manchester, Sunderland and Harrogate have been told to prepare to start accepting patients again.

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Nightingale hospitals put on standby

This is because around 40% of all cases are concentrated in the North West, according to Prof Jane Eddleston, who also spoke at the news conference.

More from Covid-19

Northern England has particularly high case numbers because there they "never dropped as far as they did in the south", added Prof Van-Tam.

But he said it was a "concern" that bigger increases in the weekly case rate had spread south "in a matter of a few days" and that "pretty much" every area is seeing cases rise.

Map showing weekly coronavirus case rate (left) and the rate change (right)
Image: Case rate increases are also growing in the south

"The COVID situation is building nationally, particularly in the North West and the North East," Prof Van-Tam said.

"There is a massive collective responsibility on every citizen now to play their part in defeating this virus and getting it back under control."

It comes ahead of Boris Johnson preparing to carve England into three tiers depending on their coronavirus prevelance, with some areas set for further restrictions expected to include the forced closure of pubs and bars.

The prime minister will lay out his plans in a statement to parliament at 3:30pm, then hold a news conference at around 6pm.

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2020-10-12 10:41:15Z
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Coronavirus: More COVID deaths 'baked in' due to 'creep' from young to old, deputy chief medical officer warns - Sky News

An "incremental creep" of coronavirus infections from young to old people has already "baked in" more deaths, a senior government adviser has warned.

Professor Jonathan Van-Tam, England's deputy chief medical officer, revealed there has been a "marked pickup" of COVID-19 cases since early September.

He said given more people have caught the disease, "we have baked in additional hospital admissions and sadly we also have baked in additional deaths".

Presenting the latest statistics, Prof Van-Tam said cases in northwest England rose first among those aged 16-29, but are now beginning to spread to more vulnerable age groups.

Coronavirus age group heat map
Image: Prof Van-Tam showed a heat map of coronavirus cases by age

"That pattern is likely to be followed" in the North East and Yorkshire and the Humber, he cautioned at a Downing Street news briefing on Monday.

Meanwhile NHS Nightingale hospitals in Manchester, Sunderland and Harrogate have been told to prepare to start accepting patients again.

This is because around 40% of all cases are concentrated in the North West, according to Prof Jane Eddleston, who also spoke at the news conference.

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2020-10-12 10:33:38Z
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London faces Tier Two lockdown: Boris Johnson to bring in 'ban on meeting others indoors' - Daily Mail

London faces Tier Two lockdown: Boris Johnson is expected to bring in tighter curbs on capital's 9m residents with ban on meeting others indoors - but pubs, restaurants and gyms stay open (provided you're not with friends)

  • Londoners are to be told they cannot mix households indoors from today
  • Pubs, restaurants and gyms will be allowed to open but under same restrictions
  • Tier Two  for the capital will be revealed by PM at 3.30pm then in 6pm speech

London's nine million-strong population is to be banned by the government from seeing their friends and family indoors - as Boris Johnson prepares to stop households mixing, while still keeping pubs, restaurants and gyms open.

The capital is expected to be hurled into Tier Two of the new restrictions drawn up by the Tories to try and stem the spread of coronavirus infections.

It prohibits households from mixing indoors, although up to six from different homes will still be allowed to meet up outside.

The tier level also sees pubs, restaurants and gyms still permitted to open up their doors.

They will still have to obey the current 10pm curfew rules.

Professor Karol Sikora slammed the way the authorities were allowing the news to trickle out before official announcements, questioning the science for the rules. 

London this weekend saw the streets busy with shoppers, many of whom were in masks

London this weekend saw the streets busy with shoppers, many of whom were in masks

A shopper walks past a London advertising hoarding showing masked-up model

A shopper walks past a London advertising hoarding showing masked-up model

He said: 'I can fully understand the frustration and fury. We've got a whole new lockdown system apparently and yet no official word or details from Government.

'How must pub owners feel in those areas? Reading about their futures on Twitter without the full details. Not good enough.

'Can we go on like this for months, maybe longer? Arguments about the fundamental strategy aside - this is utter chaos.

'We all want policies to based on science and data, communicated transparently. That isn't happening. Trust is easy to lose and very difficult to get back.'

The strictest form of the restrictions - Tier Three - will see pubs, gyms and casinos forced to close and all but essential travel to and from coronavirus hotspots. 

The new Tier 2 regulations will mean to households cannot mix indoors anymore

The new Tier 2 regulations will mean to households cannot mix indoors anymore

Today Mr Johnson will later spell out his three-tier strategy with areas in England labelled as medium, high or very high risk.

Merseyside is expected to be among the areas subjected to Tier 3 restrictions - but there is still disagreement about a financial support package for the area should harsh measures be imposed.

A statement from seven local leaders, including Metro mayor Steve Rotheram and Liverpool Mayor Joe Anderson, said: 'We made it clear we do not feel that the Furlough scheme announced recently is adequate and that businesses in the Region especially those in the hospitality sector and those serving it will be damaged and many will suffer long term damage or close for good.

'Government made it very, very clear they would not shift and improve the scheme.'

A further 12,872 people have tested positive for coronavirus in the UK as the country's daily case total stays above the 10,000 mark for an entire week

Some 65 more people have died after testing positive for Covid-19 - nearly double the 33 deaths recorded last week

Some 65 more people have died after testing positive for Covid-19 - nearly double the 33 deaths recorded last week

No bubble trouble for the those living alone

Support bubbles are when a household with only one adult links with one other household of any size.

It is understood this grouping will still be allowed under the new tier system, which will help loneliness for millions.

Once the ‘bubble’ is established it should not be changed and you have to keep social distancing with people outside of it.

The allowance is designed for people who live by themselves as well as single parents with children under 18.

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Under the furlough scheme, the government paid 80% of workers' wages until August, with the scheme winding down until it is closed at the end of the month.

A separate Job Support Scheme, which launches on November 1 and lasts for six months, will involve the Government paying two thirds of each employee's salary - up to a maximum of £2,100 a month - if their employer is legally required to close their premises because of restrictions.

Mr Rotheram told Channel 4 News: 'We have a huge number, a disproportionate number, working in the visitor economy who are on less than £9 an hour.

'If he (Chancellor Rishi Sunak) thinks that this is something that we will accept, well it's not.'

According to the statement, the Government has said pubs and bars, betting shops, casinos, adult gaming centres and gyms will close, while The Sun reported overnight stays in the worst-impacted areas would also be prevented and all-but-essential travel bans put in place.

The paper said Liverpool, Leeds and Newcastle may also be subject to the toughest of lockdown measures which will be implemented four weeks at a time.

WHAT DO THE TIERS MEAN?

TIER ONE  

Tier one restrictions are believed to mirror those already in place across England.

These include the rule of six, a 10pm curfew, group sport to be played outdoors only and a maximum of 15 guests at wedding ceremonies.  

TIER TWO 

Tier two restrictions are expected to be similar to rules currently in place in Middlesbrough and Hartlepool, where indoor mixing of households is prohibited.

Two households may be allowed to meet in a private garden, as long as the rule of six and social distancing are followed.

TIER THREE 

Locals will only be allowed out of their areas for essential travel such as work, education or health, and must return before the end of the day.

Overnight stays by those from outside of these 'high risk' areas will also be banned. 

Households are expected to be told not to mix either indoors or outdoors.  

From 5pm on Wednesday, hundreds of pubs in the northwest will be closed. 

Restaurants will be limited to takeaway services only, the BBC says, and bookies, casinos, gyms, beauty salons and hairdressers could all be shut.

It is believed that these measures will be imposed for four weeks before they are reviewed.

If a business is closed due to third tier restrictions, the Government will pay two thirds of each employee's salary, up to a maximum of £2,100 a month. 

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Knowsley and Liverpool, two of the affected areas, are in the top three for infection rates in England - at 669.5 per 100,000 people and 598.5 respectively.

In the seven days to October 8, the areas reported nearly 4,000 new cases.

The north-west had 180 hospital admissions for Covid-19 on Friday and, as of Sunday had a total of 1,218 patients in hospital.

Meanwhile, night-time economy adviser for Greater Manchester Sacha Lord has started legal proceedings to challenge the Government's impending lockdown of hospitality and entertainment venues.

Mr Lord said leaders had not seen 'any tangible scientific evidence to merit a full closure' of hospitality in the area and said lawyers had been engaged for a Judicial Review into the emergency restrictions due to be imposed on the sectors.

Mr Johnson, who held a telephone conference with Cabinet colleagues on Sunday, will chair a COBR emergency committee meeting on Monday 'to determine the final interventions' which he will then announce to Parliament.

MPs will be asked to debate and vote on the measures later this week.

The Prime Minister will hold a press conference in Downing Street with Chancellor Rishi Sunak and chief medical officer Professor Chris Whitty later on Monday.

A Downing Street spokesperson said: 'Our primary focus has always been to protect lives and livelihoods while controlling the spread of the virus and these measures will help achieve that aim.

'We must do everything we can to protect the NHS and make sure it can continue to deliver the essential services that so many people rely on.

'This is a critical juncture and it is absolutely vital that everyone follows the clear guidance we have set out to help contain the virus.'

Number 10 stressed the extent of discussions with local leaders over the weekend following criticism from some Northern authorities and mayors that not enough consultation had taken place since the Covid crisis began.

Downing Street said senior Number 10 advisers and Communities Secretary Robert Jenrick held discussions local authority chiefs and mayors from 'the highest areas of concern'.

The local authorities have also expressed concern about the impact of harsher restrictions on their own finances, with the statement saying they are existing 'hand to mouth'.

It said: '(We) are currently unable to plan for the medium or long-term.

'A clearer funding settlement must be achieved that enables us to forward plan, continue to deliver essential public services, avoid large scale redundancies for Local Authority key workers and set a budget for next year with confidence.

'Therefore, we are seeking assurance from Treasury that, in coming to that national position, no local authorities placed on Tier 3 measures will be put in a position where they are unable to balance their budget this year or cannot set a legal budget next year.

'In this respect we have agreed that a further discussion with Treasury will take place on this matter.'

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2020-10-12 09:26:48Z
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Coronavirus: Three-tier lockdown system aims to get COVID-19 under control by Christmas, says minister - Sky News

The aim of the government's new three-tier coronavirus lockdown system is to get the virus under control by the new year - and hopefully before Christmas - a minister has told Sky News.

Speaking to Kay Burley, Culture Secretary Oliver Dowden said: "The purpose of doing this is to ensure that we get the virus under control so that by the time we get through to after Christmas we are in that position where it's under control.

"Indeed I hope it will be sooner than that."

Live updates on coronavirus from UK and around world

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Public 'tired' of lockdown measures

Mr Dowden said the government had to act to control "rapidly rising cases" of COVID-19 in parts of the country.

"The point of moving to this tiered system is so that in those most highly affected areas, we've got measures in place to control the virus," he said.

"If those measures are successful, we hope to be able to take areas out of those higher levels of restrictions."

More from Covid-19

Prime Minister Boris Johnson will set out details of the new system in a statement to MPs at around 3.30pm this afternoon, after chairing a meeting of the government's emergency COBRA committee.

He will then address the nation at a Downing Street news conference from 6pm, alongside Chancellor Rishi Sunak and Professor Chris Whitty, the chief medical officer.

Areas in England will be labelled as "medium", "high" or "very high" risk under the new system.

In the worst affected areas, pubs, gyms and casinos are expected to be required to shut and all but essential travel banned, but restaurants and pubs offering "substantive meals" would stay open.

A senior government source has said there will be a "degree of discretion" for local leaders within the tiers.

Talks with local leaders are continuing to decide which parts of the country will face which restrictions.

Merseyside is expected to be among the areas put under Tier 3 restrictions, but there has yet to be an agreement on a financial support package for the area.

Mayor of Liverpool Joe Anderson told Sky News that the government had decided on closures without consulting local leaders.

He told Kay Burley: "To have a blanket approach (to restrictions) that doesn't provide us with any evidence and talks about the fault of the increase in the virus being restaurants and pubs alone is an insult to our intelligence without giving us any data."

Mr Anderson added: "Why are we having this blanket approach? It's going to damage our economy."

Sacha Lord, the night-time economy adviser for Greater Manchester, has started legal proceedings to challenge the looming closure of hospitality and entertainment venues.

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Burnham: Government measures will 'widen North-South divide'

He said local leaders had not been presented with "any tangible scientific evidence to merit a full closure" of hospitality in the area.

The culture secretary said ministers have "robust evidence for doing this", adding: "The evidence shows that there is a higher risk of transmissions in hospitality settings. There is academic evidence from the United States."

Labour's Lucy Powell, MP for Manchester Central, disputed this, saying: "Government and scientists still haven't produced this evidence.

"The big problem for them is local leaders have all the same data (in fact better data for their areas) and they know hospitality settings make up a very small proportion of infection transmission."

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2020-10-12 07:25:26Z
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Coronavirus: Three-tier lockdown system aims to get COVID-19 under control by Christmas, says minister - Sky News

The aim of the government's new three-tier coronavirus lockdown system is to get the virus under control by the new year - and hopefully before Christmas - a minister has told Sky News.

Speaking to Kay Burley, Culture Secretary Oliver Dowden said: "The purpose of doing this is to ensure that we get the virus under control so that by the time we get through to after Christmas we are in that position where it's under control.

"Indeed I hope it will be sooner than that."

Live updates on coronavirus from UK and around world

Mr Dowden said the government had to act to control "rapidly rising cases" of COVID-19 in parts of the country.

"The point of moving to this tiered system is so that in those most highly affected areas, we've got measures in place to control the virus," he said.

"If those measures are successful, we hope to be able to take areas out of those higher levels of restrictions."

More from Covid-19

Prime Minister Boris Johnson will set out details of the new system in a statement to MPs at around 3.30pm this afternoon, after chairing a meeting of the government's emergency COBRA committee.

He will then address the nation at a Downing Street news conference from 6pm, alongside Chancellor Rishi Sunak and Professor Chris Whitty, the chief medical officer.

Areas in England will be labelled as "medium", "high" or "very high" risk under the new system.

In the worst affected areas, pubs, gyms and casinos will be required to shut and all but essential travel will be banned, but restaurants and pubs offering "substantive meals" would stay open.

Talks with local leaders are continuing to decide which parts of the country will face which restrictions.

A senior government source has said there will be a "degree of discretion" for local leaders within the tiers.

Merseyside is expected to be among the areas put under Tier 3 restrictions, but there has yet to be an agreement on a financial support package for the area.

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2020-10-12 06:52:57Z
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Minggu, 11 Oktober 2020

Covid: New local lockdown restrictions in England to be unveiled - BBC News

Liverpool recorded 600 cases per 100,000 people in the week ending 6 October. The average for England was 74.

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2020-10-12 03:44:00Z
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