Babak Belurs

Rabu, 05 Januari 2022

COVID: Are hospitals a hotbed for transmission? - Sky News

The NHS is under pressure from COVID-19 hospitalisations, acute staff shortages and the normal strain from winter illnesses.

Data from NHS England shows that this crisis in the health service is being exacerbated by the number of patients catching the virus after being admitted for a different reason.

The percentage of patients in hospital with COVID-19 that tested positive after admission doubled over the course of December.

As of the start of this year, one in five COVID-positive patients tested positive between day one and seven of their hospital stay.

London has been the worst affected over the past month, with the proportion of patients testing positive after arrival peaking at more than 27% on Christmas Day.

The numbers in London have since started to decline, but other regions are still experiencing a steady increase.

Since the start of the year, the North West has had the highest levels of in-hospital transmission. According to the NHS England data, one in four COVID-positive patients in the region tested positive after admission.

This tracks with the overall infection rates, which are highest in the North West at almost 300 cases per 100,000 people.

This is not the first time that there have been such high transmission levels in hospitals.

The proportion of patients with COVID-19 testing positive after admission peaked in December last year. At that point, almost one quarter of patients caught the virus after being admitted for another illness.

However, unlike this time last year, new restrictions have not been introduced to curb the rampant spread of the virus.

As transmission within the community continues to rise, so too will the spread of COVID-19 within hospitals.

An NHS spokesperson said: "The ONS and other data conclusively demonstrates that the root cause of rising infection rates in hospitals is rising rates in the community and actually, analysis shows that COVID-19 hospital infection rates account for less than 1% of all cases since the pandemic began - with cases reducing significantly since the vaccination rollout.

"NHS staff rigorously follow UKHSA infection prevention control guidance, and weekly reports have consistently shown that outbreaks in hospitals are less common than in other settings."

The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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2022-01-05 18:52:33Z
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How unrelenting and unsustainable pressure is sweeping the NHS - as COVID staff crisis intensifies - Sky News

Staff shortages because of COVID infections or isolation are driving the current crisis in the NHS.

And the emergency has been exacerbated by the record surge in COVID infections.

It is not just the rising numbers of patients being admitted but the difficulty in trying to manage bed capacity.

One NHS Trust leader told me his hospital still had beds available but that these could not be given to non-COVID patients as every other patient on the same ward had tested positive.

COVID news live: Boris Johnson to make coronavirus statement at 3.30pm - as new IHU variant discovered in France

He also said staff shortages had become so bad over Christmas and into the New Year that he was sending his staff home for a short break between shifts and asking them to return for a double shift to cover absent colleagues.

Hospital capacity is also being impacted by COVID outbreaks in care homes. Patients who might have been discharged into a community setting are having to stay longer in hospital.

The pressure is unrelenting and unsustainable. At least 12 NHS Trusts have declared a critical incident and 17 hospitals across Greater Manchester are pausing non-urgent care.

This is a devastating blow to long-suffering and long-waiting patients, and also to the healthcare staff.

Nobody wants this to happen. The only, very small, consolation is that some hospitals plan fewer non-urgent surgeries and procedures through the winter to help them better cope with seasonal pressure.

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Trusts will only declare a critical incident as a last resort. It means their hospitals are unable to function normally without compromising patient safety. A critical incident can be called at any time and there is no fixed duration.

People who test positive on lateral flow tests won't need follow-up PCR, govt to announce - as 'around a million' isolating

Over the peak of the pandemic, some Trusts were reporting critical incidents for less than 24 hours before de-escalating.

It sends a message to partner health agencies, primary care networks and Ambulance Trusts, that the hospital at that particular time is struggling to cope. The situation remains fluid and can change at any time.

Another Trust leader told me the timing of the decision was important. If the critical incident is declared in the late afternoon or evening that means it is more serious as it impacts emergency admissions, which are busier in the evenings and at night.

The prime minister is fond of his combat metaphors and his latest one describes the NHS as being on a "war footing". Exhausted frontline staff will agree with the battle analogy. They have been fighting for over two years.

Are we at a record level for critical incidents?

by Daniel Dunford, senior data journalist

Different trusts have different thresholds for what constitutes a critical incident.

Some trusts will only declare a critical incident because of an external event - Grenfell for example caused several London hospitals to declare critical incidents temporarily.

Unfortunately it’s difficult to compare year-on-year how many trusts had declared an incident due to winter demand because there is no central database.

Even Chris Hopson, chief executive of a membership organisation for NHS services and one the best sources for current information on trusts under pressure, doesn’t know exactly how many are declaring right now.

By doing a Google search for “NHS Trusts critical incident” and excluding recent results, you can see that there were at least 15 trusts declaring incidents due to "unprecedented demand" at this time seven years ago, according to research at the time from the Guardian.

At the moment we know about 12.

In terms of putting these incidents into context, it’s interesting that the A&E response times that sent the hospitals into critical measures seven years ago would be among the best in the country now.

They quote 88.8% of people arriving at A&E being seen within four hours as a record low, compared to the target of 95%.

In November 2021 it was 61.9%, more than three times as bad.

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2022-01-05 11:52:25Z
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Boris Johnson: We can ride this out without new Covid curbs - The Times

Boris Johnson has ruled out a lockdown as he said the country could “ride out” Omicron without further restrictions.

The prime minister will extend the plan B measures today but will not go further as he expressed hope of dealing with the surge “without shutting down our country once again” despite a record 218,724 cases reported yesterday and estimates that around one million people are self-isolating at present.

However, his scientific advisers warned that it was not clear when the peak would be or how many older people would end up in hospital. Health service leaders were also divided, with some saying that a surge of elderly patients was not materialising while others suggested that hospitals were starting to be overwhelmed.

• Cause for optimism

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2022-01-05 11:30:00Z
1228321941

Selasa, 04 Januari 2022

COVID-19: 100,000 critical workers to take daily tests in bid to ease Omicron shortages - Sky News

Key workers across several industries that keep the country running will be required to take COVID tests daily, the prime minister has announced.

Boris Johnson said 100,000 workers in England, "from food processing to transport to Border Force", will have to test every day they are working from 10 January.

The government will send lateral flow tests to those industries directly and will help organise the logistics.

Its aim is to ensure infections are caught as early as possible to minimise spreading COVID to colleagues, which has been causing major staff shortages.

Follow live COVID updates from the UK and around the world

'Ride out Omicron wave without shutting down'

Announcing the new testing measure at a Downing Street news briefing, the prime minister said that the UK "has a chance to ride out the Omicron wave without shutting down our country again".

Mr Johnson said despite record daily coronavirus cases over the past week he will keep plan B in place and not immediately bring in more restrictions in England.

England's Chief Medical Officer Professor Sir Chris Whitty said that last week one in 25 people - "extraordinarily high levels" - in England had COVID but there has been no surge in mortality, although there are now 15,000 daily hospital admissions for people with the virus.

Sir Chris added that data now show the booster jab has 88% efficacy against severe infection and there is now 50%-70% less chance of being admitted to hospital with Omicron than with previous variants.

Explainer: Why cutting self-isolation to five days would be 'counterproductive'

Record cases but different position from previous waves

Mr Johnson said in previous waves cases have not reached more than 100,000 a day but today there were 218,000 cases.

The PM added: "This is a moment for the utmost caution but our position today differs from previous waves in two crucial aspects."

He said Omicron is milder and while hospital admissions are rising quickly, they are not translating into the same numbers being admitted to intensive care and the massive numbers of people who have had a booster means the UK will "find a way to live with the virus".

Mr Johnson added that it is "absolutely crazy" there are two million vaccine appointment slots this week "yet the majority of people in ICU for COVID are not vaccinated - 61%".

Omicron now reaching older people

Chief Scientific Adviser Sir Patrick Vallance said Omicron has been a "virus of the young" so far but is now reaching older people - however, we cannot say a peak has been reached until cases in older age groups come down.

On Tuesday afternoon, Health Secretary Sajid Javid said the government is not looking at cutting the self-isolation period for those who test positive to five days.

Just before Christmas, the isolation period was cut to seven days if people test negative with a lateral flow on days six and seven - but must remain for 10 days if they test positive then.

There have since been calls to cut it further to five days, like the US, but the UK Health Security Agency explained the US starts counting the first day later than the UK so it would not be appropriate and is not a like-for-like comparison.

Hospitals under pressure

Mr Javid also confirmed as of Tuesday morning, six hospital trusts had declared critical incidents over the past two days but it could be more as it "is a very fast-moving situation".

When asked if the military could help with staff shortages, Mr Javid said it is already helping in vaccination centres.

He added that volunteers are also helping with NHS deliveries, as well as an emergency list of workers developed during the pandemic.

The health secretary said they may call on retired clinicians and other NHS staff to "come back and help".

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2022-01-04 19:11:37Z
1239569469

Senin, 03 Januari 2022

Boris Johnson admits Omicron is putting NHS under pressure - Financial Times

Boris Johnson has admitted the NHS is coming under major pressure because of the Omicron coronavirus variant, but said England would stick with existing Covid-19 restrictions for now.

The prime minister is due to take a decision on Wednesday about whether to tighten curbs amid opposition from some of his ministers and Conservative MPs, and he said on Monday that Omicron was “plainly milder” than previous variants.

His comments came as ministers faced more criticism for failing to provide enough rapid Covid tests for people to use at home over the Christmas holiday period. The wholesaler contracted by the government to distribute these lateral flow tests to pharmacies in England, Alliance Healthcare, closed on Christmas Day and only resumed deliveries on December 29.

The government on Monday reported 157,758 coronavirus cases in England and Scotland in the latest 24 hour period, meaning almost 1.2m people across the UK have tested positive for Covid-19 over the past seven days, up 50 per cent compared with the previous week. But scientists warn that trends over the Christmas period are less reliable than usual because of incomplete reporting during the festive season.

The number of patients in UK hospitals with Covid increased by almost 50 per cent in the week to December 29, reaching nearly 12,000, as the NHS also contends with significant staff shortages as workers catch Omicron.

Johnson said: “I think we’ve got to recognise that the pressure on our NHS, on our hospitals, is going to be considerable in the course of the next couple of weeks, and maybe more.”

But he added Omicron “does seem pretty conclusively to be less severe than Delta or Alpha”.

He said the government would continue to keep relevant data under review, and would stick with its so-called plan B restrictions for England for the time being, which include wearing masks in public places and work from home guidance.

Nadhim Zahawi, education secretary, said there was “nothing in the data” to suggest the need for new measures in England in the coming weeks.

Chris Hopson, chief executive of NHS Providers, which represents hospital trusts, said data from London, the centre of the Omicron outbreak, was encouraging because daily growth in the number of people being admitted with Covid-19 was slowing.

He added the other “positive news” was that “hospitals are still not seeing large numbers of seriously ill older people. CEOs across the country are echoing London colleagues in pointing to the fact that care-home Omicron outbreaks are not translating into hospital admissions.

“The issue for the NHS is not the size of [the] very ill older people [with] Covid, but the number of staff absences and general admissions with Covid on top of existing pressures,” said Hopson.

Hospitals in Lincolnshire have declared a major incident because of “unprecedented” staff shortages related to coronavirus, and Hopson said a “number of trusts have declared internal critical incidents over the last few days”.

United Lincolnshire Hospitals, which runs four sites in the county, said it was taking “additional steps to maintain services” owing to significant staffing issues.

Meanwhile, Labour seized on the disclosure that Alliance Healthcare, the only wholesaler contracted by the government to distribute lateral flow tests to pharmacies in England, had shut for four days over the Christmas period.

Wes Streeting, shadow health secretary, said: “The government has been asleep at the wheel when it comes to England’s supply of Covid tests.”

Leyla Hannbeck, chief executive of the Association of Independent Multiple Pharmacies, a trade body, accused the government of not planning properly for the surge in public demand for tests following the Omicron outbreak.

“Why one wholesaler?” she asked. “It doesn’t make sense when you have such a big demand,” Hannbeck said, adding that other companies had applied for the contract.

Alliance said it had, on December 24, distributed more than 2m lateral flow tests to support community pharmacies that remained open over the Christmas bank holiday.

On the same day the company received 2.5m tests from the UK Health Security Agency for distribution after it resumed operations on December 29. “We continue to distribute around 2m lateral flow tests daily,” said Alliance.

The UKHSA said more than 8m test kits were made available to pharmacies between December 29 and New Year’s Eve.

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2022-01-03 19:17:39Z
1228321941

Covid: Classroom masks in England for no longer than necessary, Nadhim Zahawi says - BBC News

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Secondary students in England will wear masks in classrooms "not for a day longer than necessary", Nadhim Zahawi has said.

The education secretary defended the requirement to wear masks during lessons, as Omicron cases surge.

He added ministers are determined to keep schools open after learning a "painful lesson" from earlier closures.

Mr Zahawi also repeated assurances that nothing in recent Covid data suggests new curbs are needed.

He confirmed all secondary pupils in England will be tested before returning this week.

After days of inconsistent supply of rapid tests, ministers assured schools that testing kits will be provided as needed and urged pupils to test twice weekly.

On Sunday, Mr Zahawi announced face coverings will be required during lessons in England's secondary schools until 26 January, when Plan B measures are due to expire.

He explained the move had been recommended by experts after the surge in Omicron cases.

The minister told BBC Radio 4's Today programme the government had conduced a study with 123 schools which suggested mask wearing "made a difference" to transmission.

Mr Zahawi added he did not intend to have pupils wear masks "not for a day longer than necessary" as Covid in the UK hopefully transitions "from pandemic to endemic".

Speaking on BBC Breakfast, he also said: "The painful lesson we learnt was when children weren't in school, the impact on their mental health and, of course their education, was quite substantial.

"Which is why I'm so determined, as is the prime minister, to make sure education remains open and children are in the best place when they're in the classroom, with their friends, learning in front of a teacher."

The new on-site testing rules will be limited to England, where pupils will begin returning to schools for the new term later this week.

Mr Zahawi said the government had set up a "different supply route" for tests to give to school children early in early 2021 than those offered to the general public.

He added the government has been communicating with schools about the testing plans since "late last year" to allow them to prepare.

Staffing fears

Asked about further restrictions, Mr Zahawi said there is "nothing in the data that gives me any concern that we need to go beyond where we are at" - adding existing Plan B curbs would be reviewed on Wednesday.

Fears have been raised in recent days that a wave of illness and isolation among staff caused by the Omicron coronavirus variant could make it "impossible" for schools to deliver face-to-face teaching to all pupils.

In Scotland - where older pupils already wear masks in lessons - and Northern Ireland, students also asked to test twice every week.

In Wales, the government has urged staff and students to test three times per week before the start of the new term.

Health Secretary Sajid Javid said "regular testing is a key way to support schools and protect face-to-face teaching".

Ministers have also urged pupils to come forward for a Covid vaccine, second dose or booster, depending on their age.

As well as testing, Mr Zahawi promised 7,000 more air-cleaning units on top of the 1,000 already announced, as well as 350,000 CO2 monitors for schools.

The education secretary said he had also asked teachers who had left the profession or retired to come back as temporary support and urged all 12-15 year olds to get both doses of the Covid vaccine and for older children to get their booster jabs.

But Labour's shadow education secretary, Bridget Phillipson, criticised ministers for the slow rollout of jabs to schoolchildren.

She said almost two million students aged 12-17 remain completely unvaccinated and the government had missed "the chance to get ahead of the virus, and is letting down our children".

Meanwhile, government ministers pushed back over the weekend against suggestions that fresh coronavirus restrictions will be necessary in the coming weeks amid a surge of new infections caused by the Omicron variant.

Cabinet Office minister Steve Barclay said the government believes that significant behaviour changes among members of the public mean further restrictions are not necessary.

"The widespread use of testing is an illustration that the British public are taking sensible steps to keep themselves safe to keep their friends and family safe," Mr Barclay said.

England's current restrictions are due to expire on 26 January, although a review is expected in the next few days.

On Sunday, England and Wales recorded 137,583 daily cases and 73 deaths within 28 days of a positive Covid test. Data for Scotland and Northern Ireland is due to be updated after the bank holiday weekend.

The latest figures for England are down on the 162,572 new cases reported on Saturday, which had been a record number for the fifth day in a row.

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2022-01-03 10:26:45Z
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COVID-19: Concern as number of over-50s in hospital rises - but 'data does not support more restrictions' - Sky News

Ministers are "concerned" that the number of over-50s being admitted to hospital with COVID is rising, the education secretary has said.

Despite the increase, Nadhim Zahawi became the second minister in two days to tell Sky News that coronavirus data does not currently suggest further restrictions are needed in England this week ahead of a review on measures on Wednesday.

The education minister's assurance today, following cabinet minister Stephen Barclay's confidence on Sunday, follows warnings from Chris Hopson, chief executive of NHS Providers, which represents NHS trusts.

He said all hospitals outside London are now coming under "significant pressure" but those in the capital are seeing a significant drop in admissions.

On Sunday evening a hospital trust in Lincolnshire declared a critical incident because of "significant staffing pressures due to absence related to COVID-19".

Rise in over-50s in hospital with COVID

Mr Zahawi told Sky News that hospital numbers would continue to be monitored: "The numbers of people in hospital with coronavirus have begun to rise in the over-50s, which we are concerned about, but on the whole, actually the number of people in ICU [intensive care] has come down, which is good news."

He added: "If we see more leakage of infection in the over-50s - because most of the surge in infections from the Omicron variant has been in the under-50s - then that is more likely that those people end up with severe infection and hospitalisation.

"But the good news is obviously that 90% of those people over 50 have had the booster jab - that is the real protection against severe infection and hospitalisation.

"So, at the moment there's nothing in the data to suggest we need to go further but of course, we will look at the Wednesday review and then beyond that keep monitoring the data very carefully."

Latest data

The latest data publicly available from the Office for National Statistics (ONS), released on 31 December, shows hospital admission rates increased in people aged 75 years and over and those aged 15-24, but decreased or remained similar in all other age groups, in the week up to 19 December.

Data for the public is normally released on Fridays and covers the week beforehand, but Mr Zahawi said he sees the daily figures.

Explainer: Why cutting self-isolation to five days would be 'counter-productive'

The latest ONS COVID infection survey data shows that on 20 December, people over 50 were less likely to test positive for COVID in household settings compared with younger age groups.

It found one in 50 people aged 50 to 69 were testing positive and one in 140 people aged 70 and over were testing positive.

That is compared with one in 20 aged 35 to 49, one in 15 aged 25 to 34, one in 20 from school year seven to age 24, and one in 15 aged two to school year six.

Increasing pressure on all hospitals but slight optimism in London

Chris Hopson, chief executive of NHS Providers, said it is clear hospitals outside London are now experiencing the "significant pressure" those in London have been, with a 10-day lag.

He said the latest daily data shows that over the past seven days there has been a 75% increase in patients with COVID-19 in hospital, with the North East and Yorkshire seeing the largest rise of 119%; the South West has seen the smallest rise, with 37%.

Mr Hopson said London COVID hospital admissions are very important as they indicate how the rest of the country will look.

He said the last two days' London admissions data are "more encouraging" as the growth rate has "dropped significantly", with just a 2% rise on 2 January compared with 15% on 28 December.

London hospitals "should be able to cope this week", he said, although "coping under-plays the degree of pressure trusts and their frontline staff are under", with many trusts having to delay planned care cases.

And he warned a "very close eye" will need to be kept on the effect on London from New Year celebrations and schools returning this week.

Omicron has different pattern to Delta

Mr Zahawi added that Omicron is producing a different pattern to Delta in terms of people needing ventilators and time spent in intensive care.

He said: "On the whole, we are not seeing the same pattern as with Delta, where we had much greater numbers of people on ventilators.

"And there seems to be a shorter period of time with people in ICU as well, and those who are being admitted with COVID rather than for COVID is also about a third of that number."

The latest data shows a further 137,583 new COVID cases and 73 coronavirus-related deaths were reported in England and Wales yesterday.

That is a drop from the previous day's record number of daily cases at 162,572 in England alone.

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2022-01-03 09:14:39Z
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Rabu, 05 Januari 2022

More on Covid-19

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Are we at a record level for critical incidents?

Selasa, 04 Januari 2022

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Senin, 03 Januari 2022

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Staffing fears

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