Sabtu, 02 Januari 2021

Oxford vaccine arrives in UK hospitals: First batches will be ready for use on Monday - Daily Mail

First doses of Oxford coronavirus vaccine arrive in hospitals as Hancock says inoculation drive is 'accelerating' and AstraZeneca promises 2m doses a week - after claims government is going FAR too slowly

  • Some 530,000 doses of jab will be available for rollout across UK from Monday
  • Vulnerable groups have already been identified as the priority for immunisation
  • Sir John Bell warned lack of investment in vaccine capacity left UK unprepared
  • Oxford and AstraZeneca rely on outsourced companies to help create doses
  • Chris Whitty said vaccine availability issues will 'remain case for several months' 
  • Government have pledged to give single doses of Pfizer jab to ration supplies
  • But manufacturers of Pfizer and Oxford/AstraZeneca jabs have rubbished claims

The first batches of the newly-approved coronavirus vaccine from Oxford University and AstraZeneca have started arriving at UK hospitals ahead of the jab's rollout. 

Vulnerable groups have already identified as the priority for immunisation and some 530,000 doses of the jab will be available for rollout across the UK from Monday. 

One of the first hospitals to take delivery of a batch on Saturday morning was the Princess Royal Hospital in Haywards Heath, West Sussex, which is part of Brighton and Sussex University Hospitals NHS Trust.

However scientists have blamed the vaccine's slow roll-out on the government's lack of investment and neglect of manufacturing. 

A member of the Oxford/AstraZeneca team has said that two million doses of the vaccine will be available per week in more than a fortnight, after AstraZeneca boss Pascal Soriot promised to deliver the mid-January target - meaning 24million could be immunised by Easter.  

A vial of doses of the Oxford University/AstraZeneca Covid-19 vaccine is checked, as the first batch arrives at the Princess Royal Hospital in Haywards Heath, West Sussex

A vial of doses of the Oxford University/AstraZeneca Covid-19 vaccine is checked, as the first batch arrives at the Princess Royal Hospital in Haywards Heath, West Sussex

In other Covid news:

  • Pfizer and AstraZeneca rejected Government warnings of months-long vaccine supply gaps, claiming there will be enough doses to hit the ambitious targets;
  • Coronavirus vaccine makers blasted the EU for being too slow to secure stocks of the jab as pressure mounts on France and Germany to speed up immunisation;
  • A teaching union has called for all schools across the country to be closed for the start of the new term;
  • Health Secretary Matt Hancock thanked 'everyone playing their part' as he revealed more than one million people have been vaccinated;
  • The UK yesterday announced another 53,285 people had Covid-19, marking four days in a row that there have been more than 50,000 positive tests.  

Sir John Bell, a Regius professor of medicine at Oxford University and member of SAGE (Scientific Advisory Group for Emergencies), said that insufficient investment in the capacity to make vaccines has left Britain unprepared.  

He accused successive governments of failing to build onshore manufacturing capacity for medical products, with Oxford/AstraZeneca counting on outsourced companies to help create doses, such as Halix in the Netherlands, Cobra Biologics in Staffordshire and Oxford Biomedica.

Technical Officer Lukasz Najdrowski unpacks doses of the Oxford University/AstraZeneca Covid-19 vaccine as they arrive at the Princess Royal Hospital in Haywards Heath, West Sussex

Technical Officer Lukasz Najdrowski unpacks doses of the Oxford University/AstraZeneca Covid-19 vaccine as they arrive at the Princess Royal Hospital in Haywards Heath, West Sussex

After the vaccine is produced by those companies, it is transported to a plant based in Wrexham that is operated by an Indian company, Wockhardt, where it is either sent to another plant in Germany or transferred to vials.   

Dr George Findlay, chief medical officer and deputy chief executive at the trust, said the Oxford vaccination programme gives NHS staff 'more confidence' coming into work.

The vaccine can be kept at normal fridge temperature which he said is 'much easier' to administer when compared with the jab from Pfizer and BioNTech, which needs cold storage of around -70C.

Doses of the Oxford University/AstraZeneca Covid-19 vaccine at the Princess Royal Hospital in Haywards Heath, West Sussex

Doses of the Oxford University/AstraZeneca Covid-19 vaccine at the Princess Royal Hospital in Haywards Heath, West Sussex

One of the first hospitals to take delivery of a batch on Saturday morning was the Princess Royal Hospital (pictured) in Haywards Heath, West Sussex, which is part of Brighton and Sussex University Hospitals NHS Trust

One of the first hospitals to take delivery of a batch on Saturday morning was the Princess Royal Hospital (pictured) in Haywards Heath, West Sussex, which is part of Brighton and Sussex University Hospitals NHS Trust 

The rollout of the Pfizer/BioNTech vaccine began almost a month ago with more than a million people having already received their first coronavirus jab.

Second doses of either vaccine will now take place within 12 weeks rather than the 21 days that was initially planned with the Pfizer/BioNTech jab, following a change in guidance which aims to accelerate immunisation.

Hundreds of people are expected to be vaccinated per day at the Princess Royal Hospital site, with efficiency expected to increase after the first few days of the programme, according to Dr Findlay.

The rollout of the Pfizer/BioNTech vaccine began almost a month ago with more than a million people having already received their first coronavirus jab. Pictured: People queue to receive a Covid-19 vaccine at Sussex House in Brighton

The rollout of the Pfizer/BioNTech vaccine began almost a month ago with more than a million people having already received their first coronavirus jab. Pictured: People queue to receive a Covid-19 vaccine at Sussex House in Brighton 

Second doses of either vaccine will now take place within 12 weeks rather than the 21 days that was initially planned with the Pfizer/BioNTech jab. Pictured: People queue to receive a Covid-19 vaccine at Sussex House in Brighton

Second doses of either vaccine will now take place within 12 weeks rather than the 21 days that was initially planned with the Pfizer/BioNTech jab. Pictured: People queue to receive a Covid-19 vaccine at Sussex House in Brighton

'We've got a delivery hub set up in the grounds of this hospital, so we've got the infrastructure there to invite people in for booked appointments,' he said.

'And we will make sure those booked appointments are full every day from Monday going forward.'

Among those to be vaccinated with the Oxford/AstraZeneca jab from next week will be vulnerable NHS staff and social care workers who are at risk.

'We started vaccinating on our other hospital site a few weeks ago, it's been seen as a really positive step, something that gives staff more confidence to come to work,' Dr Findlay said.

People queue in face masks as they stand in line and wait for their Covid-19 jab at Sussex House in Brighton

People queue in face masks as they stand in line and wait for their Covid-19 jab at Sussex House in Brighton

Doses of the Oxford University/AstraZeneca Covid-19 vaccine are logged as they arrive at the Princess Royal Hospital

Doses of the Oxford University/AstraZeneca Covid-19 vaccine are logged as they arrive at the Princess Royal Hospital

The vaccine can be kept at normal fridge temperature which he said is 'much easier' to administer when compared with the jab from Pfizer and BioNTech, which needs cold storage of around -70C. Pictured: Assistant Technical Officer Lukasz Najdrowski unpacks doses of the Oxford University/AstraZeneca Covid-19 vaccine

The vaccine can be kept at normal fridge temperature which he said is 'much easier' to administer when compared with the jab from Pfizer and BioNTech, which needs cold storage of around -70C. Pictured: Assistant Technical Officer Lukasz Najdrowski unpacks doses of the Oxford University/AstraZeneca Covid-19 vaccine

'You only have to look at the statistics over the last 10 months about how many staff have suffered illness, or sadly lost their lives.

'This gives staff the confidence to come to work to be able to look after patients.'

Dr Findlay said the hospital has been under 'quite a lot of pressure' since the start of December due to a rise in cases amid a new variant of the virus.

'And that's increased over the past few weeks as cases in the community increase, and then hospitalisations increase, and critical care requirements increase,' he said.

Dr Findlay (pictured) said the hospital has been under 'quite a lot of pressure' since the start of December due to a rise in cases amid a new variant of the virus

Dr Findlay (pictured) said the hospital has been under 'quite a lot of pressure' since the start of December due to a rise in cases amid a new variant of the virus

'Staff are coping amazingly well, they are working incredibly hard, and we are increasing capacity to deal with the most sick patients.

'So whilst it's really difficult, and staff are under pressure, the hospitals are coping and we are still providing care to everybody who needs it.'

He said the hospital had decreased planned care, with some routine operations postponed to enable staff to focus on the Covid-19 response.

On potential staff burnout, Dr Findlay said he worries about the physical and mental wellbeing of workers, calling it an 'incredibly difficult year'.

Hundreds of people are expected to be vaccinated per day at the Princess Royal Hospital site, with efficiency expected to increase after the first few days of the programme, according to Dr Findlay

Hundreds of people are expected to be vaccinated per day at the Princess Royal Hospital site, with efficiency expected to increase after the first few days of the programme, according to Dr Findlay

'We have gone through wave one, which was unknown and hugely pressured,' he said.

'We then tried to focus on recovery, so deliver care to the patients that were postponed, and people worked really hard at that.

'And then we're straight into the next wave so nobody has had a break really for pretty much all year, so we are really worried about fatigue, stress, strain, and we're doing everything that we can to try and support our staff. But it's just always a worry.'  

It comes after England's chief medical officer Professor Chris Whitty this week warned that vaccine availability issues will 'remain the case for several months' as firms struggle to keep up with global demand. 

Among those to be vaccinated with the Oxford/AstraZeneca jab from next week will be vulnerable NHS staff and social care workers who are at risk. Pictured: Assistant Technical Officer Lukasz Najdrowski unpacks doses

Among those to be vaccinated with the Oxford/AstraZeneca jab from next week will be vulnerable NHS staff and social care workers who are at risk. Pictured: Assistant Technical Officer Lukasz Najdrowski unpacks doses

In a bid to ration supplies, the Government has pledged to give single doses of the Pfizer vaccine to as many people as they can - rather than give a second dose to those already vaccinated.

But manufacturers of both the Pfizer and Oxford/AstraZeneca jabs have rubbished concerns, saying there is no problem with supply.

Sir Richard Sykes, who led a review of the Government's Vaccines Taskforce in December, added that he is 'not aware' of a shortage in supply.   

The comments come after 57,725 had positive test results in the last 24 hours, meaning 2,599,789 have had the disease in the UK since the pandemic began.

The country also saw an additional 445 deaths, taking the grim official count to 74,570 - but 90,000 people in total have died with Covid-19 on their death certificate.

At least one million Pfizer doses and some 530,000 Oxford doses will likely be given to patients across the country next week, The Daily Telegraph reports. 

Vaccine firms have rejected the Government's warnings of jab supply gaps lasting months, claiming there will be enough doses to hit the Government's ambitions targets (file image)

Vaccine firms have rejected the Government's warnings of jab supply gaps lasting months, claiming there will be enough doses to hit the Government's ambitions targets (file image)

Referring to governments over the past ten years, Sir Bell told The Times: 'The government has been completely disinterested in building onshore manufacturing capacity for any of the life-sciences products.' 

On vaccine production, he added: 'When the pandemic started, we were not in great shape and I think we are probably paying the price for that.

'It's not AstraZeneca's fault - it's a national legacy issue, and it's one of the things we've got to fix.' 

The scientist mentioned that Britain struggles to produce other medical commodities, including monoclonal antibodies, to an extensive scale.

An Oxford/AstraZeneca source also told the newspaper that two million doses per week should be available rather quickly, by the third week of January.

Meanwhile, Health Secretary Matt Hancock tweeted this morning: 'Huge THANK YOU to everyone playing their part in the national effort to beat coronavirus. 

Margaret Keenan returned to hospital this week to receive her second round of the Covid-19 vaccine, but thousands of other patients are set to see their appointments delayed under a new scheme aimed at getting more people to receive their first dose

Margaret Keenan returned to hospital this week to receive her second round of the Covid-19 vaccine, but thousands of other patients are set to see their appointments delayed under a new scheme aimed at getting more people to receive their first dose

'Over a million people have been vaccinated already. With the vaccine roll-out accelerating, the end is in sight & we will get through this together.'

The intervention by Pfizer and Oxford/AstraZeneca, the developers of the UK's only two approved Covid vaccines, came amid a row over ministers' decision to ration vaccine supplies. 

Officials have said patients who already had one dose of the vaccine should have their second one - which they were told they'd get three weeks later - postponed for up to 12 weeks. 

In a statement published on Thursday night, the UK's chief medical officers said the decision had been made on a 'balance of risks and benefits'. 

Chief medical officer Professor Chris Witty, who warned that vaccine availability issues will 'remain the case for several months', pictured speaking during a coronavirus media briefing

Chief medical officer Professor Chris Witty, who warned that vaccine availability issues will 'remain the case for several months', pictured speaking during a coronavirus media briefing

Matt Hancock tweeted this morning: 'Over a million people have been vaccinated already. With the vaccine roll-out accelerating, the end is in sight & we will get through this together'

Matt Hancock tweeted this morning: 'Over a million people have been vaccinated already. With the vaccine roll-out accelerating, the end is in sight & we will get through this together'

The medical officers are Professor Whitty (England), Dr Frank Atherton (Wales), Dr Gregor Smith (Scotland) and Dr Michael McBride (Northern Ireland). 

They said: 'We have to ensure that we maximise the number of eligible people who receive the vaccine. 

'Currently the main barrier to this is vaccine availability, a global issue, and this will remain the case for several months and, importantly, through the critical winter period. 

'The availability of the AZ vaccine [Oxford/AstraZeneca] reduces, but does not remove, this major problem. Vaccine shortage is a reality that cannot be wished away.'

PFIZER HITS BACK AT UK PLAN TO GIVE PEOPLE ONE DOSE NOT TWO

Pfizer warned yesterday there is 'no data' to show a single dose of its coronavirus vaccine provides long-term protection after the UK scrapped its original jab rollout plan.

The UK medical regulator is now recommending Covid jabs are given in two doses three months apart, rather than four weeks apart, to allow millions more people to be immunised over a shorter time period.

The strategy will apply to both Pfizer/BioNTech's vaccine and the newly approved jab by Oxford/AstraZeneca, despite limited data around the effectiveness of the initial doses.

It is a direct response to spiking Covid cases and hospitalisations across the UK that are being driven by a new, highly infectious strain that emerged in the South East of England in September.

Virtually the whole of England is facing brutal lockdown until the spring, with Covid vaccines the only hope of ending the devastation.

Health bosses now want to give as many people as possible an initial dose, rather than holding back the second doses, so more of the population can enjoy at least some protection.

AstraZeneca praised the move and revealed it had tested the three-month strategy on a small sub-group of trialists in its studies.

But Pfizer said there was 'no data' in its studies to show its vaccine protects against Covid when taken 12 weeks apart.

In a thinly-veiled swipe at the UK, the US firm warned that any 'alternative' dosing regimens should be closely monitored by health authorities.

'Data from the phase three study demonstrated that, although partial protection from the vaccine appears to begin as early as 12 days after the first dose, two doses of the vaccine are required to provide the maximum protection against the disease, a vaccine efficacy of 95 per cent,' Pfizer said in a statement.

'There are no data to demonstrate that protection after the first dose is sustained after 21 days.' 

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And they said there is no reason to suggest the vaccines will be any less effective if doses are given further apart than intended. 

The report added: 'With most vaccines an extended interval between the prime and booster dose leads to a better immune response to the booster dose.

'There is evidence that a longer interval between the first and second doses promotes a stronger immune response with the AstraZeneca vaccine.

'There is currently no strong evidence to expect that the immune response from the Pfizer-BioNTech vaccine would differ substantially from the AstraZeneca and Moderna vaccines.' 

But doctors have revolted and said they won't deny vulnerable patients the vaccines they promised them amid concerns the jabs won't work as well with just one dose. 

GPs blasted the policy as 'grossly unfair' and frustrated scientists warned that clinical trials of the vaccine only tested how well it worked with a three-week gap, so there is no evidence the new regime would work long-term.

Sir Sykes, chairman of the Royal Institution and Imperial College Healthcare, also told BBC Radio 4's Today Programme this morning: 'I wasn't aware there was a shortage.

'I thought the difficulty was getting people vaccinated, and with the Pfizer vaccine that is quite difficult because of the conditions in which the vaccine has to be stored. 

'But with the rollout of the AstraZeneca vaccine, that should be very, very straightforward. 

'Going to pharmacists, going to care homes, going to GP surgeries, there should be no restriction on the distribution of that vaccine.'

He added: 'If the Government said that there's a shortage then that must be the fact. If there is a shortage, that's a problem.'  

Experts backing the policy change, however, have hit back and said every second dose that gets given is one more person missing out on their first, potentially life-saving vaccine. 

Former Department of Health vaccination chief Professor David Salisbury said: 'Every time we give a second dose right now, we are holding that back from someone who is likely, if they get coronavirus, to die.' 

The Government has not yet laid out whether there will be sanctions for doctors who refuse to switch to the one-dose policy, with one doctor saying NHS bosses had told her to use 'clinical discretion'.  

Margaret Keenan, the first person in the world to receive a Covid-19 vaccine, received her second jab earlier this week.

But thousands of others across Britain will see their second appointment delayed so the NHS can focus on delivering jabs to more people.

A total of 944,539 people across the UK had received the first dose of a Covid-19 vaccine by December 27, according to the Department of Health.

The Hospital Consultants and Specialists Association (HCSA) warned the 'ill thought-out' plan to delay the second dose would leave many vulnerable staff in limbo.

GPs working for Black Country and West Birmingham NHS boards, as well as a doctor in Oxford, said they would honour the commitments they had made to patients.

No10 has pinned its hopes on the Oxford vaccine - which was approved this week - finally putting an end to the perpetual cycle of locking down and opening up, which has devastated the economy and wider healthcare.

But life is unlikely to go back to normal by Easter even if 24million people are vaccinated because two-thirds of the population will still be vulnerable to the disease. 

Scientists say herd immunity — when enough of a population becomes immune that the virus fizzles out — will only be achieved when 70 per cent of people are protected. Some experts in the US have warned the figure could be as high as 90 per cent. 

Teaching union calls for ALL primary and secondary schools to stay closed because of Covid 'tsunami' - after primaries are shut across London in latest government U-turn

A teaching union has called for all schools across the country to be closed for the start of the new term after the government U-turned on its decision to keep some primaries in London open despite rising Covid cases.

The government bowed to protests, legal pressure and scientific advice on New Year's Day after it initially omitted a number of the capital's boroughs from the forced closures.

But Dr Mary Bousted, joint general secretary of the National Education Union, questioned why the same restrictions are not being rolled out across the rest of the country.

Gavin Williamson had this week released a list of London primary schools in coronavirus 'hotspots' that would stay shut for two weeks after the start of term next week.

The list did not include areas where Covid rates are high such as Haringey whose leaders said they would defy the government and support schools that decided to close. 

All primary schools in London will now close for the start of the new term after the government U-turned on its decision to keep some open despite rising Covid cases

All primary schools in London will now close for the start of the new term after the government U-turned on its decision to keep some open despite rising Covid cases

The government bowed to protests, legal pressure and scientific advice on New Year's Day after it initially omitted a number of boroughs from the forced closures

The government bowed to protests, legal pressure and scientific advice on New Year's Day after it initially omitted a number of boroughs from the forced closures

Many of the London boroughs which had been told to keep primary schools open are experiencing a surge in Covid cases

Many of the London boroughs which had been told to keep primary schools open are experiencing a surge in Covid cases

Under the Government's initial plan, schools in the City of London and Kingston were set to reopen but those in 22 other London boroughs would have remained closed.

The leaders of Camden, Islington, Greenwich, Haringey, Harrow, Hackney and Lewisham boroughs, and the City of London, said in a letter to Education Secretary Gavin Williamson: 'We ask in the strongest terms that your recommendation is urgently reviewed and our primary schools are added to the list of those advised to move learning online.'

The action prompted an emergency Cabinet Office meeting today where they decided to abandon the original plans and order the remaining area to close their primary schools.  

The move is expected to see similar arrangements to the spring lockdown when schools continued to accept children from key worker families but moved to online learning for the vast majority of pupils. 

But a teaching union has slammed the decision not to apply the same measures to schools across the country, due to the Covid 'tsunami' rocking the country.

Labour's London Mayor Sadiq Khan and party colleagues running the city's councils had been pushing for all schools in London to shut

Labour's London Mayor Sadiq Khan and party colleagues running the city's councils had been pushing for all schools in London to shut

Sadiq Khan responded to the news, saying: 'This is the right decision - and I want to thank education minister Nick Gibb for our constructive conversations over the past two days.'

Mr Khan previously branded it 'nonsensical' for some primary school pupils to be told to return next week and wrote to the Prime Minister about his anger that local leaders had not been consulted. 

Mr Williamson said: 'Children's education and wellbeing remains a national priority. Moving further parts of London to remote education really is a last resort and a temporary solution.

'As infection rates rise across the country, and particularly in London, we must make this move to protect our country and the NHS. We will continue keep the list of local authorities under review, and reopen classrooms as soon as we possibly can.' 

The Tier 4 areas initially excluded from the closures but now added are Camden, City of London, Greenwich, Hackney, Haringey, Harrow, Islington, Kingston upon Thames, Lambeth and Lewisham. 

According to Covid rates compiled by the PA news agency, Greenwich had 2,176 new cases recorded in the seven days to December 26 compared to list-featuring Kensington and Chelsea's 768 new cases in the same period. 

On December 15, Greenwich was forced to withdraw advice asking schools to switch to online learning amid rising coronavirus rates following threats of legal action by the Education Secretary.

Labour's shadow education secretary Kate Green said the last-minute nature of the London schools decision had caused 'huge stress' for pupils, families and staff, with only a matter of days to go before the new term was due to commence.

But health secretary Matt Hancock said: 'Over the past week we have seen infections and hospitalisations rise sharply across London and hospitals are coming under increased pressure.

Health Secretary Matt Hancock said the government has to 'strike a balance' between education and infection rates

Health Secretary Matt Hancock said the government has to 'strike a balance' between education and infection rates

'While our priority is to keep as many children as possible in school, we have to strike a balance between education and infection rates and pressures on the NHS.

'The situation in London continues to worsen and so today we are taking action to protect the public and reduce the spread of this disease in the community.

'Everyone across London must take this situation incredibly seriously and act responsibly to minimise the spread of this deadly disease.'

The previous decision had left many baffled, with schools ordered to remain open just yards away from other schools forced to close. 

Two schools in Islington, North London, had been given different advice about whether they could open or close despite being just 700 yards apart. 

Councillor Richard Watts, leader of Islington Council, slammed the government for their last-minute decision.

He said: 'It's unacceptable that the Government has waited until Friday night on New Year's Day, with just a weekend before pupils were due to go back, to make a decision that should have been made weeks ago, as the public health situation became clear.

'The Government has taken the right decision only after previously threatening schools with legal action if they did not reopen in January, after Islington and other councils advised last month that this had to be done, following public health advice.

'The Government has left schools and parents with very little time to prepare and make arrangements.' 

Schools are already converting sports halls and setting up marquees in playgrounds to prepare for the mass testing programme which will be manned by alumni volunteers. 

All secondary schools have been asked to carry out tests for five million people from next week. 

Pupils will take the tests themselves but former pupils will be on hand to help the operation. 

Dr Patrick Roach, NASUWT union general secretary, agreed, saying: 'Yet again, parents, pupils and staff are having to deal with the consequences of yet more last-minute chaotic announcements from the Government.

'The Government has bowed to political pressure and has once again shown its disregard for the scientific advice which increasingly suggests that the delayed reopening of schools across all areas of the country is essential in breaking the chain of coronavirus transmission.'

The Tier 4 areas initially excluded from the closures but now added are Camden, City of London, Greenwich, Hackney, Haringey, Harrow, Islington, Kingston upon Thames, Lambeth and Lewisham

The Tier 4 areas initially excluded from the closures but now added are Camden, City of London, Greenwich, Hackney, Haringey, Harrow, Islington, Kingston upon Thames, Lambeth and Lewisham

Scientific advisers had warned that more school closures are necessary to control rising infections.

The Government's Sage committee said it was 'highly unlikely' the pandemic could be managed effectively if schools were free to open next week. 

Paul Whiteman, general secretary of the National Association of Head Teachers, said: 'Just at the moment when we need some decisive leadership, the government is at sixes and sevens. 

'The Government cannot expect to command public confidence with such a confusing and last-minute approach.'  

Meanwhile Dr Mary Bousted, joint general secretary of the National Education Union, said: 'It is welcome that, albeit in their usual last-minute fashion, ministers have corrected an obviously nonsensical position - one that it could not justify by evidence or sense.

'But the question has to be asked: why are education ministers so inadequate and inept? Who is advising them?

'And what is right for London is right for the rest of the country. With the highest level of Covid-19 infection, and hospitals buckling under the tsunami of very ill patients, it is time for ministers to do their duty - to protect the NHS by following Sage advice and close all primary and secondary schools to reduce the R rate below 1.

'It is time for the Government to protect its citizens, and in particular its children, by shutting all primary schools for two weeks in order for the situation to be properly assessed, schools made much safer and children and their families protected.' 

A businessman whose daughter attends a primary school in a Covid hotspot had blasted the 'absurd' decision to keep it open before the latest U-turn.

Stephen Cook was left baffled by the decision as his London council told head teachers to defy ministers and remain closed over the coming weeks. 

Mr Cook, 55, who runs a building firm told MailOnline: 'It's all very confusing and totally absurd. But then you could say that we live in very confusing and absurd times.

'None of it makes any sense because there are kids that come from the London Borough of Barnet to my daughter's school and she also has friends from there. Haringey's infection rate is higher than Barnet's so why are not all schools in the area closing?;

Mr Cook lives with his family on Coppetts Road, a busy thoroughfare which divides the London Borough of Haringey on one side and Barnet on the other.

He said: 'Kids who live in the borough of Barnet attend Coldfall and Haringey kids go to Coppetts Wood. And when they are out and about in local parks, they are constantly mixing and playing.

Stephen Cook and daughter Holly were left baffled by the initial decision as his London council told head teachers to defy ministers and stay closed

Stephen Cook and daughter Holly were left baffled by the initial decision as his London council told head teachers to defy ministers and stay closed

'We are in an incredibly difficult situation and I'm glad that I'm not in charge, but we need greater clarity because a lot of people don't understand what's going on.

'I live in a Covid hotspot but if I cross the road, I'm in the London Borough of Barnet so why is there not more consistency?'

According to the Government's latest figures, in the week leading up to December 25, Haringey registered 2,120 cases of coronavirus with infections running at 789.14 per 100,000.

For the same period, Barnet registered 2,751 with infections running at 694.13 per 100,000.

Haringey councillor Joseph Ejiofor wrote to head teachers outlining the fact the area's Covid case rate is higher than the London average and that officials weren't consulted before the decision was made.

He wrote: 'We are part of the same integrated care system as two boroughs where primaries have been told to stay closed (Barnet and Enfield) and the North Middlesex, a hospital under significant pressure, serves the populations of both Haringey and Enfield.

'We believe that all primary schools in Haringey should therefore open only to the children of key workers and vulnerable children next week and we will support all our schools in this approach.' 

Jenny Batt, Lib Dem councillor for Worcester Park in Sutton, south-west London, said local people were 'confused and worried' about what was going on and did not understand how officials were reaching their decisions. 

Medics are pictured collecting a patient from an ambulance at the Royal London Hospital this morning, January 1

Medics are pictured collecting a patient from an ambulance at the Royal London Hospital this morning, January 1

'They don't understand what the criteria is,' she told BBC London. 'I've got residents who live in Sutton whose children go to a Kingston school and are told that it is safe. 

'And then they've got their neighbours' children who can't go to school because theirs isn't safe.' 

Secondaries also face an anxious wait to find out whether they will be able to reopen fully on the new target date of January 18. 

The Department for Education is racing to put a mass testing system in place, but has warned the curbs could need to be even wider than for primaries as older children are more likely to spread the disease. The situation is not expected to become clear until the next review date of January 13.

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2021-01-02 16:30:00Z
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COVID-19: UK records 57,725 new coronavirus cases - its highest ever daily total - Sky News

The UK has recorded another 57,725 COVID-19 cases - its highest daily total since the start of the pandemic.

A further 445 coronavirus-related deaths were also reported on Saturday.

The total number of people who have died within 28 days of a positive coronavirus test in the UK now stands at 74,570, according to government figures.

Saturday is the fifth day in a row that new cases have topped 50,000 in the UK.

Among the latest figures, NHS England reported 383 people had died after testing positive for COVID-19 - most of them occurring on New Year's Eve.

In England, those who died were aged between 27 and 100, with all but 11 (aged between 36 and 95) having known underlying health conditions.

Yvonne Doyle, the medical director for Public Health England, said: "These numbers are a stark reminder that, as we leave 2020 behind, we are not yet of the woods - transmission is very high and many lives are still tragically being lost.

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"It is more important now than ever that we don't waste the huge sacrifices we all made last year - we must continue keeping our distance from others, washing our hands and wearing a mask to help stop the spread of the virus."

Saturday's UK-wide data does not include deaths from Scotland, which have not been reported by Public Health Scotland.

The record number of daily cases comes days before schools will begin to reopen across the country - a move being challenged by teaching unions.

The National Education Union has said all primary schools should remain closed for at least two weeks following the Christmas break, and has urged Education Secretary Gavin Williamson to move all learning online as infections continue to rise.

However, the Oxford/AstraZeneca vaccine is being rolled out next week, significantly increasing the NHS's capacity to offer jabs across the country.

Public Health England have warned against mixing vaccines from different suppliers, after the government advised doctors they could give patients a different booster if their original vaccine is not available or is unknown.

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2021-01-02 17:15:00Z
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COVID-19: UK records 57,725 new coronavirus cases - its highest ever daily total - Sky News

The UK has recorded another 57,725 COVID-19 cases - its highest ever daily total.

A further 445 coronavirus-related deaths were also reported.

The total number of people who have now died with COVID-19 in the UK now stands at 74,570.

Among the figures, NHS England reported 383 people had died after testing positive for COVID-19 - most of them occurring on New Year's Eve.

In England, those who died were aged between 27 and 100, with all but 11 (aged between 36 and 95) having known underlying health conditions.

Saturday's UK-wide data does not include deaths from Scotland, which have not been reported by Public Health Scotland.

Yvonne Doyle, the medical director for Public Health England, said: "These numbers are a stark reminder that, as we leave 2020 behind, we are not yet of of the woods - transmission is very high and many lives are still tragically being lost.

More from Covid-19

"It is more important now than ever that we don't waste the huge sacrifices we all made last year - we must continue keeping our distance from others, washing our hands and wearing a mask to help stop the spread of the virus."

The record number of daily cases comes days before schools will begin to reopen across the country - a move being challenged by teaching unions.

The National Education Union (NEU) says all primary schools should remain closed for at least two weeks following the Christmas break, and is urging Education Secretary Gavin Williamson to move all learning online as infections continue to rise.

However, the Oxford/AstraZeneca vaccine is being rolled out next week, significantly increasing the NHS's capacity to offer jabs across the country.

Public Health England have warned against mixing vaccines from different suppliers, after the government advised doctors they could give patients a different booster if their original vaccine is not available or is unknown.

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2021-01-02 16:07:30Z
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COVID-19: Teachers told they have right to stay away from schools - as legal proceedings launched - Sky News

Staff at schools have a legal right not to return to classrooms due to the spread of COVID, a leading union has said - while another has started legal proceedings against the Department for Education.

The National Education Union (NEU) has said all primary schools should remain closed for at least two weeks following the Christmas break, and is urging Education Secretary Gavin Williamson to move all learning online as infections continue to rise.

And the government's handling of the situation has prompted the National Association of Head Teachers (NAHT) union, along with the Association of School and College Leaders, to make preliminary steps in legal proceedings.

Follow live COVID-19 updates from the UK and around the world here

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Primary schools to remain shut in London

The NASUWT union has also called for an "immediate nationwide move to remote education" for all pupils.

It comes after an embarrassing government U-turn, which means all primary schools in London will remain shut next week to contain the new, highly transmissible variant of the coronavirus.

Paul Whiteman, general secretary of the NAHT, said: "We have asked the government to share the evidence justifying distinctions drawn between primary and secondary schools, the geographical distinctions they have made and the evidence justifying the compulsory introduction of mass-testing."

The union said it is now waiting for the government's response.

Kevin Courtney, the NEU's joint general secretary, said its members have "a legal right to refuse to work in unsafe conditions which are a danger to their health and to the health of their school communities and more generally".

He said: "We are calling on Gavin Williamson to actually do what he professes he does - to follow the science and announce, now, that primary schools in England should move learning online - apart from key worker and vulnerable children, for at least the first two weeks of January."

"Whilst we are calling on the government to take the right steps as a responsible Union we cannot simply agree that the government's wrong steps should be implemented."

Full list of areas where primary schools face delayed return

Mr Williamson said on Friday that primary schools in all 32 London boroughs will remain shut next week - rather than just those in certain boroughs as he had announced days earlier.

He also signalled more schools outside London could close by warning that the list of closures is being kept under review.

Announcing his climbdown, Mr Williamson said: "Children's education and wellbeing remains a national priority. Moving further parts of London to remote education really is a last resort and a temporary solution.

"As infection rates rise across the country, and particularly in London, we must make this move to protect our country and the NHS. We will continue to keep the list of local authorities under review, and reopen classrooms as soon as we possibly can."

Dr Mary Bousted, joint general secretary of the NEU, suggested that a two-week closure could allow viral levels to go down after a period over Christmas when mixing may have raised infections.

Dr Bousted also cast doubt on plans to roll out mass testing in secondary schools, describing preparations as "chaotic".

"Schools are going to find this incredibly difficult to get this up and running in time and to do it as well as public health would be doing it because they're health professionals," she said.

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2021-01-02 14:19:48Z
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Hospitals across UK 'must prepare for Covid surge', senior doctor warns - BBC News

Doctors transport a patient from an ambulance to the Royal London Hospital
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Hospitals across the UK are being told to prepare to face the same Covid pressures as the NHS in London and south-east England.

London's weekly rate is 858 per 100,000 people, double the rest of the UK.

Professor Andrew Goddard, president of the Royal College of Physicians, said the new more-infectious variant of the virus was spreading across the country.

Case numbers were "mild" compared to where they would be in a week, he said, and doctors were "really worried".

It comes as almost half of the major hospital trusts in England are said to be dealing with more Covid-19 patients than at the peak of the first wave in April, with the NHS having its "busiest winter ever".

On Friday, hospital bosses warned the next few weeks would be "nail-bitingly difficult" as cases of the new variant - which is up to 70% more infective - topped 50,000 for the fourth consecutive day.

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Prof Goddard told BBC Breakfast: "There's no doubt that Christmas is going to have a big impact, the new variant is also going to have a big impact, we know that is more infectious, more transmissible, so I think the large numbers that we're seeing in the South East, in London, in south Wales, is now going to be reflected over the next month, two months even, over the rest of the country."

He said hospitals in London and the South East were "really feeling" the pressure, and healthcare professionals feared there was "still a long way to go".

"It seems very likely that we are going to see more and more cases, wherever people work in the UK, and we need to be prepared for that."

Pressure has been so great on hospitals in London and south-east England that some patients have been moved out of the area.

Dominic Harrison, director of public health for Blackburn and Darwen, said a decision on a new lockdown had to be decided "in the next week" - instead of waiting for the North to get to the same rates as London and the South East "and 'call it late' which has been our pattern of response too often".

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London's Nightingale emergency hospital is ready to admit patients, the NHS has said, while other sites currently not in use are being readied.

Prof Goddard said it was vital the public did not "let their guard down" and continued to follow government guidelines, including wearing a face mask, maintaining social distancing and washing hands.

"Until the vaccination hits and does its job - that's what our best defence is going to be," he said.

Dr Ami Jones, an intensive care consultant in Wales, told BBC Breakfast that "hospitals are absolutely bursting", adding that a quarter of her staff were currently off sick or self-isolating, making managing patients even more challenging.

"We don't have the support we had in the first wave," she added. "I've just got my bare bones staff now.

"When we see the daily figures - we know that will sting us in about 10-12 days' time in the hospital. We are not even at day 10 post-Christmas yet and it's already exceedingly busy.

"We are going to get to the point where we physically don't have the staff to look after people safely anymore."

Dr Jones also urged the public to "please just obey the rules", adding: "Stop mixing with other households because it is spreading like wildfire - and we haven't got much more space in the hospitals left."

'All in this together'

Meanwhile, the US government's top infectious diseases expert, Dr Anthony Fauci, has said he does not agree with UK plans to give as many people as possible a first dose of the Pfizer/BioNTech coronavirus vaccine, while delaying second doses.

Dr Fauci said the US would not be adopting a similar strategy.

But Prof Anthony Harnden, deputy chair of the Joint Committee on Vaccination and Immunisation, defended the move.

He told BBC Radio 4's Today programme the vaccine "offers 90% protection for one dose" and that patients he had seen had accepted the decision, as the priority was "to get as many people vaccinated in the elderly and vulnerable community as possible".

He said: "I think the country is all in this together. And, I think we really, really want to pull together to try and do the best strategy possible."

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2021-01-02 12:59:00Z
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COVID-19: 'Mixing coronavirus vaccines is not recommended', health agency warns - Sky News

Public Health England (PHE) has said it does not recommend mixing COVID-19 vaccines from different suppliers.

The warning comes as distribution of the Oxford/AstraZeneca vaccine is due to start in the UK next week, the second roll-out following the launch of the Pfizer/BioNTech vaccine in December, with both requiring two doses.

On New Year's Eve, the UK government issued guidance to NHS medics saying that if a person who has received their first jab goes back for their second but the same type is not available, or the first vaccine type is unknown, then it is "reasonable" to offer a dose of another vaccine.

Follow live COVID-19 updates from the UK and around the world here

"This option is preferred if the individual is likely to be at immediate high risk or is considered unlikely to attend again," the guidance adds.

After questions were raised about the risks, Dr Mary Ramsay, head of immunisations at PHE, told Sky News that mixing is not recommended and should only happen on "rare occasions".

"We do not recommend mixing the COVID-19 vaccines - if your first dose is the Pfizer vaccine you should not be given the AstraZeneca vaccine for your second dose and vice versa," she said.

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"There may be extremely rare occasions where the same vaccine is not available, or where it is not known what vaccine the patient received.

"Every effort should be made to give them the same vaccine, but where this is not possible it is better to give a second dose of another vaccine than not at all."

Each of the approved vaccines uses different technology to induce an immune response to COVID-19.

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NHS staff 'strained to the point of exhaustion'

The Pfizer vaccine uses mRNA technology - a first for a vaccine - which introduces into the body a messenger sequence that contains the genetic instructions for the vaccinated person's own cells to produce the antigens and generate an immune response.

The Oxford vaccine uses the same technology as other vaccines by introducing the coronavirus gene into human cells to make the unique COVID-19 spike protein which the immune system builds up a response to if the real virus enters the body.

Dr Simon Clarke, associate professor of cellular microbiology at the University of Reading, said mixing the vaccines without any data is a "huge gamble".

"It's completely unproven, while it might work it also might not," he told Sky News.

"The consequences for getting this wrong are huge, this is the most important thing in the world right now.

"It could mean the whole vaccine programme failing just as we have this new variant. The chances that it won't work are really, and nobody knows."

Margaret Keenan, 90, who was the first patient in the United Kingdom to receive the Pfizer-BioNtech Covid-19 vaccine, reacts as she talks with Healthcare assistant Lorraine Hill, while preparing to leave University Hospital Coventry, in Coventry on December 9, 2020, a day after receiving the vaccine. - Britain on December 8 hailed a turning point in the fight against the coronavirus pandemic, as it begins the biggest vaccination programme in the country's history
Image: Margaret Keenan, 90, was the first patient in the UK to get the Pfizer vaccine and has had her booster

Dr Julian Tang, a consultant virologist at Leicester Royal Infirmary, said there is a plan to test mixing the vaccines but does not think it is a major issue as vaccines are often mixed between doses.

"We do this quite a lot anyway, especially with the child immunisation programme," he told Sky News.

"My son got one type of pneumococcal vaccine (pneumonia) then another one for the booster and it was fine.

"Busy healthcare workers often get a different type of vaccine for their booster as they forget or are too busy.

"Hepititis B vaccines are regularly different because they are given years apart but this does not stop them working."

Dr Tang said he understands why people would be concerned about the Pfizer and Oxford vaccines using different technology.

"But actually, the vaccines aren't that different, they both induce the immune response for the spike protein," he said.

"I think the risk of people getting the virus before they're vaccinated and then dying is higher than mixing vaccines.

"If it's MHRA and government sanctioned it should be ok - I don't always agree with them, but on this I do."

He added that the US may be more wary of this approach because the medical legal risks are much higher than in the UK.

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2021-01-02 12:08:31Z
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