NHS chiefs call for return to WFH and compulsory facemasks as daily deaths rise again 

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Britain must immediately enforce a ‘Plan B’ which would bring back mandatory face masks and more working from home in order to avoid a ‘winter crisis’, a senior NHS boss has warned.   

Matthew Taylor, chief executive of the NHS Confederation, has urged the Government to implement the back-up strategy amid rising Covid-19 cases.

The NHS Confederation is the membership organisation that brings together, supports and speaks for the whole healthcare system in England, Wales and Northern Ireland.

Mr Taylor said the NHS is preparing for what could be ‘the most challenging winter on record’, and if the Government ‘fails to get a grip’ on rising coronavirus cases, the nation’s recovery from the pandemic could be ‘put at risk’.

The stark warning comes as coronavirus deaths in the UK rose to their highest daily level since early March, while cases are at their highest for almost three months.

Downing Street said it was keeping a ‘very close eye’ on rising case rates, but added the Prime Minister has ‘absolutely no plan to introduce Plan B’, which could also involve introducing vaccine passports for nightclub entry.

On Tuesday, the Government said a further 223 people had died within 28 days of testing positive for Covid-19 – bringing the UK total to 138,852.

While the numbers are often higher on Tuesdays because of a lag in reporting deaths and cases over the weekend, this is the highest figure for daily reported deaths since March 9.

Meanwhile, the seven-day average for cases is standing at 44,145 cases per day – the highest level for almost three months.

Mr Taylor urged the public to ‘show extra support for the NHS’ by ‘behaving in ways that will keep themselves and others safe’.

He added: ‘It is time for the Government to enact Plan B of its strategy without delay because without pre-emptive action, we risk stumbling into a winter crisis.

‘Also, health leaders need to understand what a ”Plan C” would entail if these measures are insufficient.

‘The Government should not wait for Covid infections to rocket and for NHS pressures to be sky high before the panic alarm is sounded.’

The Prime Minister’s official spokesman has previously said Plan B would only be used if there was a ‘significant risk of the NHS being overwhelmed’.

The spokesman said: ‘There are a number of different factors that would play into that decision.

‘Largely it would be required when there was a significant risk of the NHS being overwhelmed.

‘We are not at that point. Because of the vaccination programme, the levels we are seeing in both patients admitted to hospital and deaths are far lower than we saw in previous peaks.’

On Tuesday, Professor Neil Ferguson, a leading member of the Scientific Advisory Group for Emergencies (Sage), said he thinks ‘Plan B’ could be implemented in England this winter, but it is unlikely ‘we’ll ever get close’ to the lockdown the country experienced in January.

He added that the UK is no longer in the top rank of European countries in terms of overall vaccination coverage, particularly in vaccinating teenagers.

The UK now has one of the highest weekly rates of new reported cases in the world.

Just over 67% of the UK population has received two doses of vaccine, according to Government figures – compared with at least 75% in Denmark, 79% in Spain and 86% in Portugal.

The weekly rate of new reported cases of Covid-19 in the UK has jumped from 367 cases per 100,000 people at the start of October to its current level of 463 per 100,000.

By contrast, rates have dropped to very low levels in neighbouring countries such as Spain (24 per 100,000), France (48) and Germany (80).

Emergency Covid laws are renewed for ANOTHER six months unopposed amid fears of winter surge as UK records highest daily death count since March

Emergency Covid laws were renewed for another six months by Health Secretary Sajid Javid yesterdayMr Javid claimed extraordinary powers to impose restrict gatherings, were ‘still necessary and proportionate’Lockdown-sceptic Conservative backbenchers called the Coronavirus Act 2020 ‘dystopian’But Labour refused to oppose the renewal of the law, meaning the regulations were approved without a vote 

By Jack Wright for MailOnline 

Emergency Covid laws were renewed for another six months yesterday. 

Health Secretary Sajid Javid claimed extraordinary powers to impose house-arrest, close businesses and schools, and restrict gatherings, were ‘still necessary and proportionate to help with the pressure’ as 223 Covid deaths were recorded on Tuesday – the highest since March.

Though lockdown-sceptic Conservative backbenchers called the Coronavirus Act ‘dystopian’, Labour refused to oppose the renewal of the law until March next year, saying it pays statutory sick pay from day one rather than day four under previous measures. The decision meant that the draconian regulations were approved without a parliamentary vote.

A review by the Government published last month outlined how seven of the remaining 27 temporary, non-devolved provisions in the Coronavirus Act would expire as part of the latest six-month review.

These included powers to prohibit or restrict events and gatherings as ‘most legal restrictions have been achieved under the Public Health Act, and so these powers have not been required’, according to the review.

However, Office for National Statistics figures showed that Covid cases in England are now at their highest level since the darkest days of the second wave in mid-January, with one in 60 people infected on any given day last week.  

Top scientists have repeatedly warned of a fourth wave this winter, prompted by the return of pupils to classrooms and office workers, as well as the colder weather and darker evenings driving people to socialise inside where the virus finds it easier to spread.

Chief Medical Officer Professor Chris Whitty claimed this winter will be ‘exceptionally difficult’ for the NHS, even if there is not a surge of infections. He warned the health service faces tough months ahead due to a resurgence of flu and other seasonal viruses.

Though Transport Secretary Grant Shapps dismissed introducing another lockdown at Christmas, Downing Street has plans in place to bring back restrictions if the roll-out of booster vaccines and jabs to over-12s fail to curb the impact of Covid on hospitals. And Ministers have previously warned they could not rule out another lockdown as a last resort.    

Department of Health bosses yesterday posted 223 laboratory-confirmed fatalities, up 23.2 per cent on last Tuesday’s figure. It was the highest victim count since March 9, when 231 people died with the virus. 

In other Covid developments: 

Nearly 5million vulnerable adults have yet to have their Covid booster vaccine, official figures show;‘Professor Lockdown’ Neil Ferguson says it’s ‘critical we accelerate’ the booster drive with fears growing over  ‘challenging’ winter which could see return of face masks and work from home guidance;Professor Ferguson also called for return of face masks and for teenagers to get two Covid vaccines;The head of the NHS said the health service was never overwhelmed by Covid during the height of the pandemic;Amanda Pritchard also warned MPs pressures on the health service could see thousands more hospital treatments cancelled;Her comments were echoed by Health Secretary Sajid Javid, who told MPs there is ‘huge pressure’ on the health service in England. 

Cases also increased, with 43,738 new infections recorded – up 13.5 per cent on the 38,520 last week. And the number of people being hospitalised spiked to 921 on Friday, the latest date data is available for. It was an increase of 20.2 per cent on the previous week.

The troubling figures come as experts warned a subvariant of the Covid Delta strain could be more infectious than its ancestor on the back of data that revealed the proportion of cases linked to the strain has doubled in a month.

Mr Javid, opening a Commons debate on the Coronavirus Act 2020 (Review of Temporary Provisions) (No 3) regulation, told MPs: ‘We do certainly expect more pressure as we head into winter, we’ve been very open about that and that is why the vaccination programme, both the Covid vaccination programme, the boosters and the flu vaccination programme remain important.

‘But there are provisions in this Act which are still, I believe, still necessary and proportionate to help with the pressure… again that is for example the registration of healthcare and social care workers, also the power to discontinue healthcare assessments for people being discharged from the NHS.

‘I think it is wise especially heading into the winter when we don’t at this stage know just how significant the pressures will be to have that flexibility.’

Conservative former cabinet minister David Davis said: ‘This Act alone allows the Government to act without recourse to this House, not true of the Civil Contingencies Bill or indeed the 1984 Act. This is why it’s wrong, it’s because he doesn’t have to come back to the House every time he takes away another piece of British freedom.’

Mr Javid replied: ‘Now that this Act is in place, it is important that the Government acts properly and quickly at any time that it can retire measures under this Bill and expire them or in some cases suspend them and that there is regular scrutiny of this and the process and that ministers, myself and others come to the House whenever they can to expire provisions under this Bill and if they do continue, then to justify them.’

Health ministers also appeared to give differing commitments on whether MPs would have a vote prior to any implementation of vaccine passports.

The Government’s autumn and winter plan suggested that some measures including the mandatory use of vaccine passports for nightclubs and large events and face coverings could be required in England if cases were putting unsustainable pressure on the NHS.

Mr Javid initially confirmed said there it would be a ‘decision for the House’, adding: ‘We would have to, if that happened, justify that to the House.’

Conservative former minister Mark Harper, who chairs the lockdown-sceptic Covid Recovery Group, pressed the Government to commit to a vote on vaccine passports ahead of any proposed use.

Mr Harper said the Secretary of State ‘committed to the House having to make the decision about vaccine passports. And my question was about whether the House was going to be asked to make that decision in advance, not retrospectively.

‘So can she confirm that the House will be asked to make that decision in advance of any move to implement vaccine passports, not asked to approve it retrospectively?’

Health minister Maggie Throup said: ‘The Covid certification we’ve brought in under the Public Health Act 1984, which as my right honourable friend is aware, is emergency measures, so we will do our utmost to bring forward the vote in Parliament before any enactment of that, of the need for Covid certification.’ 

Dawn Butler (Brent Central) said: ‘Today does really feel like Groundhog Day. The Government is again pushing through the Coronavirus Act with no scrutiny from this Parliament.’

She described the Act as ‘authoritarian’ and said ‘ultimately it isn’t fit for purpose’, although added: ‘I am pleased that some of the most draconian parts of this Bill have now been expired’.

The Labour MP added: ‘I am clear that we need to repeal and replace the Coronavirus Act, not just because it is dangerous in regards to our rights and our liberties, but because it’s served the purpose that it was meant to do 18 months ago, but because we must do better. We must learn the lessons.’

Conservative MP David Davis (Haltemprice and Howden) also spoke out against the Act.

He said ‘some improvements have been made’, but said during the pandemic the Government has introduced ‘effectively house arrest for the whole population, schools shuttered, cancelled elections, lone doctors being allowed to section people – an astonishing removal of civil liberties’.

He mentioned the findings of a recent report from two select committees which he said ‘made the point that the Government has made mistake after mistake after mistake – mistakes that cost thousands of lives’.

He said: ‘Those mistakes might not have been made if the Government had to justify every element of its strategy throughout these last 575 days. The way to do this is to rewrite the whole thing from scratch.’

Conservative MP Steve Baker (Wycombe) criticised the Act as ‘dystopian’, but added: ‘Today I hope it just goes through because it is, as I say, relatively inoffensive legislation, but we are going to need to turn the corner, we are going to need to show the public that we do stand for freedom, that we have coped with the coronavirus crisis of course, but actually in the long run their rights are sacrosanct and we’re never ever going to do again to them what we have done over the past couple of years.’

Alba Party MP Neale Hanvey (Kirkcaldy and Cowdenbeath) said: ‘This Bill being brought forward is an indictment of the failure of this Government to manage Covid effectively.’

Health minister Maggie Throup said: ‘This pandemic is not yet over. And the steps we’re proposing would give us the support we need to continue our fight against the virus whilst restoring yet more of our precious freedoms.’

Official figures have shown cases are also being fuelled by youngsters returning to classrooms last month, with as many as one in 12 being infected.

The Prime Minister’s official spokesman said the Government is ‘keeping a very close eye on’ the subvariant. 

SAGE adviser ‘Professor Lockdown’  Neil Ferguson, an epidemiologist at Imperial College London, yesterday insisted it was ‘critical we accelerate’ the booster drive to give ourselves the best chance of avoiding having to bring back curbs.

And Sir David King, who was the Government’s chief scientific adviser from 2000 to 2007, criticised the rollout for moving ‘extremely slowly’.

Amanda Pritchard, chief executive of the NHS, insisted the health service has ‘plenty of capacity’ to vaccinate all eligible people immediately but said people are not coming forward quickly enough. She told MPs on the Health Committee: ‘It’s really important that we now absolutely do get the message out that is Covid is still with us.’

But some experts also say the booster programme is going slower because the UK is juggling administering first jabs to children in secondary schools and running the largest flu vaccination programme in history. 

Pictures today show clinics lying virtually empty, some of which are not open for booster jab walk-ins – further highlighting the complexity of Britain’s current rollout.

It comes against the backdrop of rising cases with 49,156 infections recorded on Monday – the highest daily figure in three months. Downing Street warned that Britons should prepare for a ‘challenging few months’ 

 Boris Johnson’s spokesman said there were ‘currently’ no plans to reintroduce Plan B restrictions – which include face masks and working from home guidance – but that ministers were keeping ‘a very close watch on the latest statistics’.

Britain led the world in the initial vaccine rollout, but it has now slumped behind Italy, Spain and France in terms of the percentage of the population to be double-jabbed. 

This is because it delayed rolling out jabs to healthy children, whereas most EU members approved those plans much quicker.

All over-50s and the clinically vulnerable can get a booster jab from six months after their second dose. 

But experts have warned that at the current rate the most vulnerable will not all receive their third vaccination until the end of January.

Asked if Covid booster jabs are the answer to waning immunity, Professor Ferguson told BBC Radio 4’s Today programme: ‘Absolutely, and there’s data coming through now, which is not completely clear cut, but good data coming through from Israel, which shows that, if you’ve had the third booster dose of the vaccine, then you get very high loads, better than even you had after the second dose.

‘And so I do think it’s critical we accelerate the booster programme.

‘The other thing is infection rates are highest in teenagers at the moment and most other European countries are ahead of us in vaccinating teenagers and giving them two doses, not just one dose.

‘Two doses really are needed to block infection and prevent transmission, so I think that’s the other problem, keep pushing on, getting coverage rates up higher in the teenagers who are driving a lot of this infection.’   

He also called for face coverings to be brought back to remind people to be cautious in everyday interactions and ‘remind people we’re not completely out of the woods yet’.

All legal Covid restrictions were lifted in England on ‘Freedom Day’ in July, bringing an end to mandatory coverings indoors. However, people are still required by some transport companies and in medical settings – and No10 still advises people wear them in crowded environments.  

Ministers are keeping masks, WFH guidance and controversial vaccine passports in their back pocket as part of the Government’s ‘Plan B’, if an expected surge in cases this winter heaps unsustainable pressure on the NHS. 

Professor Ferguson, an epidemiologist who sits on SAGE, admitted some measures have to be rolled back, in the event of an uptick in infections. 

But speaking to BBC Radio 4’s Today programme, he ruled out another blanket shut-down. He said: ‘I doubt we’ll ever get close to [the] lockdown we were in in January of this year.’   

Elderly ‘are too slow to get their booster jabs’: NHS boss blames complacency among older patients for slow rollout of Covid vaccine refresher

Amanda Pritchard warns complacency was to blame for low booster jab uptake Head of NHS says nearly two million over-50s will be invited for theirs next weekWeekly Covid cases up 16 per cent, with 43,748 cases recorded yesterday alone 223 deaths reported yesterday, the highest daily total in the last seven months 

Complacency among older patients is to blame for the slow Covid booster rollout, the head of the NHS said yesterday.

Amanda Pritchard insisted there was ‘no delay in sending out invitations’ and that nearly two million over-50s will be invited this week.

She added: ‘Whilst it’s great that people are coming forward… they are not coming forward as quickly when they receive their invitation as for the first jabs.

‘It is really important that we now absolutely do get the message out that Covid is still with us, it is serious, boosters really do make a difference in boosting immunity.’

Another 223 deaths were announced yesterday – the highest daily total in seven months. 

Weekly coronavirus cases are up by 16 per cent, with another 43,748 recorded yesterday alone. Hospitalisations are also rising.

Two thirds of care home residents have not yet had a booster jab according to the Daily Telegraph despite the Government setting a deadline of November 1.

And Professor Martin Marshall, chairman of the Royal College of GPs, said ‘quite a few GP vaccination centres have shut’ to allow doctors to tackle the treatment backlog. 

He said ease of access was a factor behind the sluggish rollout of booster jabs and first doses for children.

The chief executive of the NHS Confederation said the system was ‘right on the edge’ and a ‘plan B plus’ was needed.  

Matthew Taylor told The Guardian: ‘We should try to achieve the kind of national mobilisation that we achieved in the first and second waves.’

Mr Taylor said this could include the public being encouraged to use the NHS responsibly, volunteer, look out for neighbours or even re-enter the healthcare workforce. 

He added: ‘We need that same sense of pulling together over the next few months, trying to avoid risky behaviour. 

‘This is not a question of if we don’t do it, something might happen. 

‘If we don’t do it, it would take a miracle for us not to find ourselves in the midst of a really profound crisis in our health and social care systems.’ 

Despite rising case numbers the Sage scientific advisory committee is meeting only once a month when it used to do so weekly.

Sajid Javid admitted yesterday that the NHS was facing a ‘particularly tough’ winter. Raising the prospect of a return to Covid restrictions, the Health Secretary told MPs there was huge pressure on hospitals and too few staff to respond to 999 calls. 

He added: ‘Usually winters are tough for the NHS but this winter is going to be particularly tough. The pandemic is still ongoing, this flu season will be particularly tough.’

Boris Johnson has set out a ‘Plan B’ for further restrictions – including compulsory masks, vaccine passports and working from home. 

This is likely to be implemented if hospital admissions consistently top 1,000 a day. 

Yesterday’s figure was 921, up from 780 a week ago.

The PM’s spokesman said: ‘We have seen case rates rising, we’ve started to see some indications that hospitalisations and death rates are increasing also.

‘We’re keeping a very close eye on rising case rates. 

‘The most important message to understand is the vital importance of the booster programme and indeed for those children who are eligible to come forward and get our jab.’

England is one of the few countries in Europe to have completely scrapped all legal coronavirus restrictions, such as masks. 

Later this week the Government will launch a publicity blitz to drive booster uptake.

Latest Office for National Statistics data shows nearly one in ten children aged 12 to 15 have the virus. At the same time just 15 per cent of eligible pupils in England have had a jab.

MPs extended Covid emergency powers for another six months yesterday. Mr Javid told the Commons that the measures were ‘still necessary and proportionate’.