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    Ex-banker NHS chair must ‘get up to speed’ on social care, MPs warn

    The new chair of the NHS must get up to speed on social care, MPs have warned as they approved the banking chief’s appointment.The appointment of Richard Meddings as new chair of NHS England has been approved by the government’s Health Committee, following an interview on Tuesday.Mr Meddings, former chair of the UK subsidiary of Credit Suisse and TSB bank, has been chosen at the government’s preferred candidate.His appointment comes as care watchdog the Care Quality Commission has appointed another former finance chief, Ian Dilks, as its new chair. Mr Dilks is the senior independent director of Royal London Insurance and has a background working with major accounting firm Price Waterhouse Coopers. The Health and Social Care Committee said in a report on Wednesday: “We recognise that Mr Meddings has an impressive professional background, but we were concerned about some of the answers he provided during the session, especially on social care. We approve the appointment of the candidate, although this was not a unanimous view across the Committee.”The report added: “We raised our concerns over Mr Meddings’ lack of specific experience of the health and social care sectors. Previous Chairs of NHS England have usually had experience working in health and social care, or in NHS Trusts.“Mr Meddings recognised his lack of direct experience but reasoned that the role was essentially a governance role. He also told us that he was keen to immerse himself in the issues to gain an understanding of the challenges the sector is facing.”In an answer to a questionnaire published by the committee describing his recruitment, Mr Meddings said: “I was approached by head hunters. I was initially apprehensive but it was explained that there was strong health knowledge and expertise around the board, and clearly in the senior management below board level, but the aim was to bring fresh insights, strong experience of board governance, digital and financial skills, and courage in adversity and strategic leadership.”During his reappointment hearing, Mr Meddings said he used private care in 2021 after being diagnosed with a DVT – a blood clot in a vein.However he stressed he was a user of the NHS and had private health insurance as part of the perks from his previous banking roles.He will be paid £63,000 per year for working two to three days a week. More

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    Covid plan B rules are scrapped — but NHS chief warns virus hasn’t ‘magically disappeared’

    Face masks won’t be required from next week and work-from-home advice is ending immediately after the prime minister announced the end of plan B rules in England.The legal duty to self-isolate with Covid-19 will also lapse from 24 March, Mr Johnson said, “just as we don’t place legal obligations on people to isolate if they have flu.”Face coverings will be scrapped in classrooms from this Thursday, with school communal areas to follow.The bonfire of Covid rules came after ONS data showed Covid-19 cases were falling in most parts of England and after government scientists judged the Omicron variant had “now peaked nationally”.But scrapping Covid measures “will do nothing to relieve the pressure” on hospitals and the virus hasn’t “magically disappeared,” nursing and NHS leaders warned.The NHS is still battling extreme pressures such as high levels of staff sickness, record-length delays in emergency care and a growing backlog that has left six million on waiting lists.The nation’s care watchdog, the Care Quality Commission, expressed particular concern over emergency departments and ambulance services.Matthew Taylor, chief executive of the NHS Confederation, which represents hospitals, said ministers needed to “be honest with the public that a decision to lift restrictions is a trade-off”.He said: “Covid-19 has not magically disappeared, and we are likely to have to learn to live alongside it for years to come. Lifting restrictions doesn’t mean a return to normality is inevitable.“We will have greater freedoms but the cost – at least in the short term – will be that more people are likely to get sick with Covid, and that the health service will continue to have to deal with the extra burdens that this creates.”Pat Cullen, chief executive of the Royal College of Nursing, said loosening restrictions “will do nothing to relieve the pressure on the NHS” and that ministers “will regret sending the wrong signal to the public for political expediency”.“With so many Covid-19 patients still in hospital, it would be very premature to conclude this wave is over,” she said. “That is not what our members are telling us.”Latest NHS figures show there are 16,218 patients with Covid-19 in hospitals across England – down from 10 January when 17,120 were recorded in hospital. Meanwhile, admissions to hospitals in the northeast, Yorkshire and the northwest continued to rise this week. Aris Katzourakis, an expert virologist at the University of Oxford, said: “While there are some encouraging signs, it is not yet entirely clear that it is safe to do so right now without risking further resurgence of the virus.“It seems a premature decision based on where we are now with case numbers and the stresses on the NHS.”Dr Michael Head, senior research fellow in global health at the University of Southampton, said: “The UK will have a long backlog of consequences to address that have emerged from previous decision-making, but there may at least be a component of looking forward, rather than back.“This includes the huge waiting list for both urgent and routine healthcare, that could not be addressed before due to the consequences of ‘too much covid’.”The ONS data shows that one in 20 people in private households in England – about 3 million – is estimated to have had coronavirus in the week to 15 January, down from 3.7 million in the week to 6 January.In Scotland, around one in 20, or 236,000 people, is estimated to have had Covid-19 last week, down from 297,400.For Northern Ireland, the latest estimate is also one in 20, but the number of people testing positive is up slightly from 99,200 to 104,300, with the ONS describing the trend there as “uncertain”.Meanwhile, in Wales, the estimate is one in 25, or 112,100 people, down from 169,100. More

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    Will the UK go into another lockdown in January?

    The emergence of the Omicron variant is causing concern around the world, not least because it is thought to be highly transmissible and because the 32 mutations of its spike protein suggest it might be able to resist current vaccines.The UK has recorded 246,780 confirmed cases of the strain so far and at least 75 deaths, prompting ongoing fears that more severe social restrictions could soon be imposed on the British public.Although many scientists believe the new variant is milder than previous mutations, it remains unclear how many of the record number of people infected will end up in hospital, severely ill or dying.Prior to Christmas, prime minister Boris Johnson said that no further restrictions would be introduced ahead of the holiday, explaining that “that people could go ahead with their plans”, a decision that allowed him to avoid a repeat of his notorious address of 19 December 2020, when he reluctantly imposed tough new measures at the last minute and dashed the festive hopes of millions.Since then, the UK has continued to experience extremely high levels of Covid infections across the festive period, with total daily cases in England rocketing to a pandemic high of 218,724 on 4 January, according to the UK Health Security Agency.But the government has so far stuck to its guns and refused to impose further Covid restrictions in England for now, with Mr Johnson insisting on Monday that the current “Plan B” restrictions in place remained the “right” course of action, adding: “The way forward for the country as a whole is to continue with the path that we’re on.“We’ll keep everything on the review course we keep all measures under review, but the mixture of things that we’re doing at the moment is I think, the right one.”That stance was supported by vaccines minister Maggie Throup the following morning, who told Sky News: “Plan B is working, as you can see from the number of hospitalisations – it’s far, far fewer than this time last year… It’s important that we follow the data.”The PM reiterated his hope that Britain would be able to “ride out” the assault from Omicron without further measures in a press conference from Downing Street on Tuesday evening, despite several NHS trusts reporting “critical incidents” of staff shortages. In Scotland, however, Nicola Sturgeon announced fresh restrictions on sporting events and large gatherings and cancelled Edinburgh’s annual Hogmanay street party prior to Christmas, having already asked Scots to keep household mixing to a minimum. Wales and Northern Ireland also imposed new curbs, closing nightclubs and limiting hospitality to the rule of six and returning to table service only. ‘Rule nothing out’In his video message from Downing Street on 21 December when he said the holiday season would be allowed to proceed unchecked, Mr Johnson said: “We can’t rule out any further measures after Christmas – and we’re going to keep a constant eye on the data, and we’ll do whatever it takes to protect public health.”He said ministers were monitoring the data “hour by hour” and that the arguments for taking further action were “very, very finely balanced”.“Unfortunately I must say to people that we will have to reserve the possibility of taking further action to protect the public, to protect public health, to protect our NHS,” he added. “We are looking at all kinds of things to keep Omicron under control and we will rule nothing out.”The prime minister is understood to have been waiting for more data on the variant to become available before he made a decision, a stance that saw him accused of “dithering” by scientists and his political opponents.By contrast, London mayor Sadiq Khan had been decisive when he declared a major incident over the extent of the outbreak in the capital on 18 December, while NHS England announced a return to its highest level of emergency preparedness, level four national incident, meaning that the health service’s response will be coordinated as a national effort, rather than led by individual trusts. Chief scientific officer Sir Patrick Vallance is said to have led the call for fresh measures to drive down infection rates and ease the pressure on the NHS, but these have so far been resisted by senior Cabinet ministers loath to further jeopardise the economy and constrain individual freedom without more data to justify it.Sir Patrick’s fellow advisers have been equally outspoken, with Professor Stephen Reicher, a member of the government’s Scientific Advisory Group for Emergencies (Sage), warning that Omicron is “coming at us like an express train” and insisting that the government must give the public a “good, clear message” about how “serious the crisis is”.The prospect of introducing a two-week circuit-breaker lockdown has been mooted – and appears to be broadly popular with the public – with plans made available to ministers for consideration and apparently including a ban on meeting others indoors except for work purposes and limiting pubs and restaurants to outdoor service only. But it is clear the PM hopes the take up of booster vaccines, along with the partial “Plan B” restrictions recently introduced, will be enough to see off the threat.As part of those measures, Britons are currently again being ordered to wear face masks in shops, cinemas, theatres and places of worship and on public transport and to work from home order where possible.The government has further revised its approach to vaccine booster jabs, planning to make them available to all over-18s by the end of December and halving the amount of time between second and third injections from six months to three, all in the hope of staving off the feared “tidal wave” of infections we are already beginning to see. According to official data, almost 34.4m people have received a booster jab to date. Some form of “Plan C” – a circuit-breaker, or tighter restrictions – could be necessary if Omicron starts to disrupt the NHS but there is clearly little political appetite for a fourth national lockdown.But Sage advisers remain unambiguous in calling for stricter curbs, with the influential Professor Neil Ferguson of Imperial College London openly entertaining the possibility for several weeks.The bigger pictureEven before Omicron began to cast its sinister shadow across the globe, many Britons were already glancing anxiously towards the continent as Austria and the Netherlands reintroduced lockdowns in response to spiking cases of Covid-19.The World Health Organisation (WHO) had said it was “very worried” about the spread in Europe and warned 700,000 more deaths could be recorded by March unless urgent action is taken, bringing the total to 2.2 million since the pandemic began.Omicron variant shows just how ‘perilous’ Covid situation is, WHO saysPrior to the latest worrying developments sparked by Omicron, Mr Johnson’s government had been deeply reluctant to reimpose restrictions at all, despite consistently high case numbers.While the vaccines have consistently kept death rates low since the spring, infection levels have remained consistently high, typically hovering around the 40,000-per-day mark but in recent days have been more than double that.Mr Johnson may also be concerned that further restrictions might lead to social disorder, having seen anti-lockdown protests – some of them violent – erupt in Austria, the Netherlands, Belgium, Switzerland, Denmark, Italy and Croatia.Londoners were certainly unhappy about the initial return of the mask mandate, accusing the PM of hypocrisy for declining to wear one himself at several public engagements.However, in other quarters, there appeared to be a clear appetite for new restrictions even before Omicron, at least according to the polls.A survey by Savanta ComRes revealed that 45 per cent of adults would be in favour of a selective lockdown targeting only those who had declined to get their Covid jabs and therefore could pose an ongoing risk to others.But, until Omicron threw a fresh spanner into the works, there was a credible case for believing that the UK was in such a strong position that it could avoid the worst of the outbreak marauding across Europe.Although Britain’s infection rate has remained high for months, it has also been highly stable until recently, lingering at a seven-day average of around 600 daily cases per million people, whereas Austria and the Netherlands have suddenly spiked to 1,500 and 1,250 respectively from well below that starting point since the beginning of October.Part of the reason for this is that the UK was hit by the more infectious Alpha and Delta variants of the coronavirus sooner and was therefore able to tackle them ahead of its European neighbours and unlock earlier. 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    Will the UK go into another lockdown as Omicron cases rise?

    The emergence of the Omicron variant is causing concern around the world, not least because it is thought to be highly transmissible and because the 32 mutations of its spike protein suggest it might be able to resist current vaccines.The UK has recorded 246,780 confirmed cases of the strain so far and at least 75 deaths, prompting ongoing fears that more severe social restrictions could soon be imposed on the British public.Although many scientists believe the new variant is milder than previous mutations, it remains unclear how many of the record number of people infected will end up in hospital, severely ill or dying.Prior to Christmas, prime minister Boris Johnson said that no further restrictions would be introduced ahead of the holiday, explaining that “that people could go ahead with their plans”, a decision that allowed him to avoid a repeat of his notorious address of 19 December 2020, when he reluctantly imposed tough new measures at the last minute and dashed the festive hopes of millions.Since then, the UK has continued to experience extremely high levels of Covid infections across the festive period, with total daily cases in England rocketing to a pandemic high of 162,572 on New Year’s Day, according to the UK Health Security Agency.But the government has so far stuck to its guns and refused to impose further Covid restrictions in England for now, with Mr Johnson most recently insisting on 3 January that the current “Plan B” restrictions in place remained the “right” course of action, adding: “The way forward for the country as a whole is to continue with the path that we’re on.“We’ll keep everything on the review course we keep all measures under review, but the mixture of things that we’re doing at the moment is I think, the right one.”That stance was supported by vaccines minister Maggie Throup the following morning, who told Sky News: “Plan B is working, as you can see from the number of hospitalisations – it’s far, far fewer than this time last year… it’s important that we follow the data.”In Scotland, however, Nicola Sturgeon announced fresh restrictions on sporting events and large gatherings and cancelled Edinburgh’s annual Hogmanay street party prior to Christmas, having already asked Scots to keep household mixing to a minimum. Wales and Northern Ireland also imposed new curbs, closing nightclubs and limiting hospitality to the rule of six and returning to table service only. ‘Rule nothing out’In his video message from Downing Street on 21 December when he said the holiday season would be allowed to proceed unchecked, Mr Johnson said: “We can’t rule out any further measures after Christmas – and we’re going to keep a constant eye on the data, and we’ll do whatever it takes to protect public health.”He said ministers were monitoring the data “hour by hour” and that the arguments for taking further action were “very, very finely balanced”.“Unfortunately I must say to people that we will have to reserve the possibility of taking further action to protect the public, to protect public health, to protect our NHS,” he added. “We are looking at all kinds of things to keep Omicron under control and we will rule nothing out.”The prime minister is understood to have been waiting for more data on the variant to become available before he made a decision, a stance that saw him accused of “dithering” by scientists and his political opponents.By contrast, London mayor Sadiq Khan had been decisive when he declared a major incident over the extent of the outbreak in the capital on 18 December, while NHS England announced a return to its highest level of emergency preparedness, level four national incident, meaning that the health service’s response will be coordinated as a national effort, rather than led by individual trusts. Chief scientific officer Sir Patrick Vallance is said to have led the call for fresh measures to drive down infection rates and ease the pressure on the NHS, but these have so far been resisted by senior Cabinet ministers loath to further jeopardise the economy and constrain individual freedom without more data to justify it.Sir Patrick’s fellow advisers have been equally outspoken, with Professor Stephen Reicher, a member of the government’s Scientific Advisory Group for Emergencies (Sage), warning that Omicron is “coming at us like an express train” and insisting that the government must give the public a “good, clear message” about how “serious the crisis is”.The prospect of introducing a two-week circuit-breaker lockdown has been mooted – and appears to be broadly popular with the public – with plans made available to ministers for consideration and apparently including a ban on meeting others indoors except for work purposes and limiting pubs and restaurants to outdoor service only. But it is clear the PM hopes the take up of booster vaccines, along with the partial “Plan B” restrictions recently introduced, will be enough to see off the threat.As part of those measures, Britons are currently again being ordered to wear face masks in shops, cinemas, theatres and places of worship and on public transport and to work from home order where possible.The government has further revised its approach to vaccine booster jabs, planning to make them available to all over-18s by the end of December and halving the amount of time between second and third injections from six months to three, all in the hope of staving off the feared “tidal wave” of infections we are already beginning to see. According to official data, more than 34.2m people have received a booster jab to date. Some form of “Plan C” – a circuit-breaker, or tighter restrictions – could be necessary if Omicron starts to disrupt the NHS, with reports already emerging of critical incidents at NHS trusts caused by “extreme and unprecedented” staff shortages, but there is clearly little political appetite for any kind of fourth national lockdown.But Sage advisers remain unambiguous in calling for stricter curbs, with the influential Professor Neil Ferguson of Imperial College London openly entertaining the possibility for several weeks.The bigger pictureEven before Omicron began to cast its sinister shadow across the globe, many Britons were already glancing anxiously towards the continent as Austria and the Netherlands reintroduced lockdowns in response to spiking cases of Covid-19.The World Health Organisation (WHO) had said it was “very worried” about the spread in Europe and warned 700,000 more deaths could be recorded by March unless urgent action is taken, bringing the total to 2.2 million since the pandemic began.Omicron variant shows just how ‘perilous’ Covid situation is, WHO saysPrior to the latest worrying developments sparked by Omicron, Mr Johnson’s government had been deeply reluctant to reimpose restrictions at all, despite consistently high case numbers.While the vaccines have consistently kept death rates low since the spring, infection levels have remained consistently high, typically hovering around the 40,000-per-day mark but in recent days have been more than double that.Mr Johnson may also be concerned that further restrictions might lead to social disorder, having seen anti-lockdown protests – some of them violent – erupt in Austria, the Netherlands, Belgium, Switzerland, Denmark, Italy and Croatia.Londoners were certainly unhappy about the initial return of the mask mandate, accusing the PM of hypocrisy for declining to wear one himself at several public engagements.However, in other quarters, there appeared to be a clear appetite for new restrictions even before Omicron, at least according to the polls.A survey by Savanta ComRes revealed that 45 per cent of adults would be in favour of a selective lockdown targeting only those who had declined to get their Covid jabs and therefore could pose an ongoing risk to others.But, until Omicron threw a fresh spanner into the works, there was a credible case for believing that the UK was in such a strong position that it could avoid the worst of the outbreak marauding across Europe.Although Britain’s infection rate has remained high for months, it has also been highly stable until recently, lingering at a seven-day average of around 600 daily cases per million people, whereas Austria and the Netherlands have suddenly spiked to 1,500 and 1,250 respectively from well below that starting point since the beginning of October.Part of the reason for this is that the UK was hit by the more infectious Alpha and Delta variants of the coronavirus sooner and was therefore able to tackle them ahead of its European neighbours and unlock earlier. 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    Will there be a lockdown in January 2022 as Omicron cases rise?

    The emergence of the Omicron variant is causing concern around the world, not least because it is thought to be highly transmissible and because the 32 mutations of its spike protein suggest it might be able to resist current vaccines.The UK has recorded more than 177,000 confirmed cases of the strain so far and at least 49 deaths, prompting fresh fears that more severe social restrictions could soon be imposed on the British public.Although many scientists believe the new variant is milder than previous mutations, it remains unclear how many of the record number of people infected will end up in hospital, severely ill or dying.Prior to Christmas, prime minister Boris Johnson said that no further restrictions would be introduced ahead of the holiday, explaining that “that people could go ahead with their plans”, a decision that allowed him to avoid a repeat of his notorious address of 19 December 2020, when he reluctantly imposed tough new measures at the last minute and dashed the festive hopes of millions.He spoke on the same day that chancellor Rishi Sunak announced £1bn in support for the hospitality industry after customers cancelled reservations en masse in response to the latest twist in the pandemic. Since then, the government has ruled out the possibility of imposing further Covid restrictions in England before the new year. On Monday 27 December, health secretary Sajid Javid confirmed that the prime minister had decided not to bring in any new measures this week, but said that ministers would continue to monitor the data carefully to determine whether more controls would be needed in January. He added that Omicron was now responsible for 90 per cent of new cases across the UK. Meanwhile, in Scotland Nicola Sturgeon announced fresh restrictions on sporting events and large gatherings and cancelled Edinburgh’s annual Hogmanay street party, having already asked Scots to keep household mixing to a minimum over the holidays. Wales and Northern Ireland have also imposed new curbs, closing nightclubs and limiting hospitality to the rule of six and returning to table service only. ‘Rule nothing out’In his video message from Downing Street on 21 December, Mr Johnson said: “We can’t rule out any further measures after Christmas – and we’re going to keep a constant eye on the data, and we’ll do whatever it takes to protect public health.”The announcement came a day after he told reporters that the government was still deciding whether or not to impose further additional measures.He said ministers were monitoring the data “hour by hour” and that the arguments for taking further action were “very, very finely balanced”.“Unfortunately I must say to people that we will have to reserve the possibility of taking further action to protect the public, to protect public health, to protect our NHS,” he added. “We are looking at all kinds of things to keep Omicron under control and we will rule nothing out.”The prime minister is understood to have been waiting for more data on the variant to become available before he made a decision, a stance that saw him accused of “dithering” by scientists and his political opponents.By contrast, London mayor Sadiq Khan was decisive when he declared a major incident over the extent of the outbreak in the capital on 18 December, while NHS England announced a return to its highest level of emergency preparedness, level four national incident, meaning that the health service’s response will be coordinated as a national effort, rather than led by individual trusts. Overall, the UK added another 129,471 infections in 24 hours on Tuesday, a record high for this pandemic. That compares to about 27,000 cases this time last year.Chief scientific officer Sir Patrick Vallance is said to have led the call for fresh measures to drive down infection rates and ease the pressure on the NHS, but these have so far been resisted by senior Cabinet ministers loathe to further jeopardise the economy and constrain individual freedom without more data to justify it.Sir Patrick’s fellow advisers have been equally outspoken, with Professor Stephen Reicher, a member of the government’s Scientific Advisory Group for Emergencies (Sage), warning that Omicron is “coming at us like an express train” and insisting that the government must give the public a “good, clear message” about how “serious the crisis is”.The prospect of introducing a two-week circuit-breaker lockdown after Christmas has been mooted – and appears to be broadly popular with the public – with plans made available to ministers for consideration and apparently including a ban on meeting others indoors except for work purposes and limiting pubs and restaurants to outdoor service only. It is clear the PM hopes the take up of booster vaccines, along with the partial “Plan B” restrictions recently introduced, will be enough to see off the threat.As part of those measures, Britons are currently again being ordered to wear face masks in shops, cinemas, theatres and places of worship and on public transport, to work from home order where possible.The government has further revised its approach to vaccine booster jabs, planning to make them available to all over-18s by the end of December and halving the amount of time between second and third injections from six months to three, all in the hope of staving off the feared “tidal wave” of infections we are already beginning to see. According to government data, nearly 32,700,000 people have received a booster jab to date. Some form of “Plan C” – a circuit-breaker, or tighter restrictions – could be necessary if Omicron starts to disrupt the NHS over the festive season, but there is little political appetite for any kind of fourth national lockdown.But Sage advisers remain unambiguous in calling for stricter curbs, with the influential Professor Neil Ferguson of Imperial College London openly entertaining the possibility for several weeks.The bigger pictureEven before Omicron began to cast its sinister shadow across the globe, many Britons were already glancing anxiously towards the continent as Austria and the Netherlands reintroduced lockdowns in response to spiking cases of Covid-19.The World Health Organisation (WHO) had said it was “very worried” about the spread in Europe and warned 700,000 more deaths could be recorded by March unless urgent action is taken, bringing the total to 2.2 million since the pandemic began.Omicron variant shows just how ‘perilous’ Covid situation is, WHO saysPrior to the latest worrying developments sparked by omicon, Mr Johnson’s government had been deeply reluctant to reimpose restrictions at all, despite consistently high case numbers.While the vaccines have consistently kept death rates low since the spring, infection levels have remained consistently high, typically hovering around the 40,000-per-day mark but in recent days have been more than double that.Mr Johnson may also be concerned that further restrictions might lead to social disorder, having seen anti-lockdown protests – some of them violent – erupt in Austria, the Netherlands, Belgium, Switzerland, Denmark, Italy and Croatia.Londoners were certainly unhappy about the initial return of the mask mandate, accusing the PM of hypocrisy for declining to wear one himself at several public engagements.However, in other quarters, there appeared to be a clear appetite for new restrictions even before Omicron, at least according to the polls.A recent survey of 900 managers and 1,200 employees carried out by Hack Future Lab found 53 per cent would welcome a “festive lockdown” for the sake of their own well-being after struggling to come to terms with the return to ordinary working conditions, often finding themselves forced to take on extra tasks to cover for absent colleagues.Another poll by Savanta ComRes revealed 45 per cent of adults would be in favour of a selective lockdown targeting only those who had declined to get their Covid jabs and therefore could pose an ongoing risk to others.But, until Omicron threw a fresh spanner into the works, there was a credible case for believing that the UK was in such a strong position that it could avoid the worst of the outbreak marauding across Europe.Although Britain’s infection rate has remained high for months, it has also been highly stable until recently, lingering at a seven-day average of around 600 daily cases per million people, whereas Austria and the Netherlands have suddenly spiked to 1,500 and 1,250 respectively from well below that starting point since the beginning of October.Part of the reason for this is that the UK was hit by the more infectious Alpha and Delta variants of the coronavirus sooner and was therefore able to tackle them ahead of its European neighbours and unlock earlier. 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    UK’s mismatched rules risk spreading Covid over new year, warns virologist

    A leading virologist has warned that the UK’s mismatched Covid restrictions risk spreading the virus further, after the government announced there will be no new measures in England before the new year.University of Brighton microbiology lecturer Dr Sarah Pitt said it did not make sense for the four nations to have different coronavirus rules as the Omicron variant infects record numbers of people every day.She told LBC Radio: “If people can’t go to a New Year’s Eve party in Wales or Scotland, they’ll just tip over the borders into England, won’t they, thus potentially taking the virus and spreading it … and then taking it back home.“So it makes sense to have one set of measures across the whole country and I think it does make sense to have some measures to try and stop the spread of the virus at this point.”She added: “I know personally more people who’ve been off sick with Covid in the last month than the whole of the pandemic put together.“So although there is a balance between the economy and health, they’re not mutually exclusive – it’s not one or the other.“We’ve actually got to take the virus seriously, and I’m not talking about full lockdowns, I’m just talking about a few measures for some things to just try and stop the spread of this really horrible, nasty virus, just at this moment.”On Monday, New Year’s parties were given the green light as ministers announced there will be no new coronavirus restrictions imposed before the end of 2021.The decision announced by Sajid Javid, the health secretary, leaves England out of step with the devolved administrations in Scotland, Wales and Northern Ireland, which have all brought in new post-Christmas controls.Environment Secretary George Eustice said that the early evidence suggested Omicron was not leading to a big increase in hospital admissions, as happened in previous waves.But some scientists have expressed concern about the lack of new restrictions following the surge in Covid cases.Government figures showed there were a record 113,628 new Covid cases in England on Christmas Day, with 1,281 new Covid-19 hospital admissions – up 74 per cent week on week and the highest number since 16 February.Paul Hunter, professor in medicine at the University of East Anglia, suggested people with Covid should be allowed to “go about their normal lives” as they would with a common cold.Asked on BBC Breakfast about NHS staff shortages due to workers having to isolate, he said: “This is a disease that’s not going away, the infection is not going away, although we’re not going to see as severe disease for much longer.“Ultimately, we’re going to have to let people who are positive with Covid go about their normal lives as they would do with any other cold. And so, at some point, we’ve got to relax this.“If the self-isolation rules are what’s making the pain associated with Covid, then we need to do that perhaps sooner rather than later. Maybe not quite just yet.” More

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    Invisible and unheard: how female veterans suffering trauma are let down by US healthcare

    Invisible and unheard: how female veterans suffering trauma are let down by US healthcareWomen suffer PTSD at twice the rate of men yet their symptoms and stories are often overlooked For Felicia Merkel, the PTSD trigger is any loud sound – an overhead speaker, a slammed car door – transporting her back to the blistering heat of Afghanistan. For Liz Hensel, it is looking into her daughter’s chestnut brown eyes, their color reminding her of those of a young Afghan girl named Medina, who lost her mother and leg at the trauma hospital in Kandahar. For Jen Burch, the intrusive memory is of the man who assaulted her before she deployed.More than a decade has passed since these three women were deployed to Afghanistan. It’s now almost four months since the US military withdrew from Kabul on 30 August. Still, specific memories consume them. Three hundred thousand female veterans served in the 19-year war, and as media coverage dwindles and the nation slowly forgets, Felicia, Liz and Jen continue to remember.Their experiences in Afghanistan differed from those of the male soldiers with whom they served. Now, their stateside lives do too. Being a woman in war comes with its own set of distinct traumas. While congressional legislation that has recently been proposed is welcome, essential bills are still being blocked that would help repair the suffering these women have endured for years.Gender differences exist in trauma exposure. PTSD is twice as common in women than in men, according to a study conducted by Kathryn Magruder at the University of South Carolina.Yet they face additional obstacles when seeking support after their deployment.The Deborah Sampson Act passed in January of this year made gender-specific services available at veteran medical centers across the country.However, on 6 December, House and Senate armed service committee leaders tried to block the Military Justice Improvement and Increasing Prevention Act, which would enable veterans to report sexual assault to a neutral third party.Felicia’s husband says she is a lot jumpier now than she used to be. Talking about Afghanistan makes her sad, but as she has gotten older, sounds, not memories, trigger her PTSD. The anxiety hits. She breathes deeply. Then tries, with difficulty, to get her heart rate down.It was December 2010, the year of her first deployment. She was lying in bed at the base at Kandahar, watching American television, when she heard those crashing bumps. Seconds later, the sirens sounded. A rocket had hit. Felicia fell to the floor with a thud and ran for the nearby bunker.It was cold and dusty in there; a dirt track enveloped in a hollow concrete shell. Just feet away, medics worked on a man wounded in the chest; he had no pulse in his left leg. They called for clothing, anything that might be used to stop the bleeding. As the yells of the medics got louder, Felicia’s mind traveled further away.She couldn’t do anything to help. Eleven years later, she still feels that guilt and hears those sounds.She had arrived in Kandahar energetic and excited. She returned to Minnesota a year later, distant and dejected. The months after coming home were the worst. Gritting her teeth through weekly therapy sessions, she insisted that everything was fine. The therapist believed her, even telling her not to come back.On 4 January 2012, Felicia tried to kill herself. She began with a single antidepressant. Then she took five more. Then the bottle. None of her co-workers, family or friends knew about her clinical depression. She spent her 22nd birthday in intensive care.Post-military support at the time, she maintains, was significantly lacking.“Female service members have much more to deal with in the complexity of trauma,” confirmed Jennifer Pacanowski, founder of the non-profit Women’s Veterans Empowered and Thriving. “They also have less access to services, which are not as specialized to their needs as those available to male veterans.”The Deborah Samson Act, a bipartisan bill passed by the Senate in January 2021, will establish a policy to end gender-based sexual harassment and assault by training employees and providing legal services for veterans at risk. It will also staff Veteran Affairs facilities with a permanent female health provider.Felicia wishes she had access to these sorts of resources when she came home. Instead, during a 10-minute evaluation, it was determined she did not have PTSD, and that her grief stemmed only from her mother’s death.She was furious and felt unheard.Looking back, she believes that better healthcare policies for female veterans would have encouraged her to open up about her experiences and struggles sooner. Instead, she dealt with her feelings alone until she needed life-saving help.After deploying in August 2010, Liz began volunteering at Kandahar’s trauma hospital. She had already witnessed death. Just weeks earlier, an injured soldier died with his head resting on her stomach. She dealt with this like any Marine had to do in any high-intensity combat situation: turn off emotion and focus.She could not, however, turn off the memories of the trauma hospital. As the mother of two young daughters, it tugged at every maternal instinct she had.American male service members were not permitted to work at the hospitals. Only because she was female could she see what she now can’t forget.The waiting room that November day was bustling with uncles, fathers, cousins and brothers.No one waited for Medina. Whoever brought the three-year-old Afghani girl had left. Her infected foot could not be saved, and Liz cradled the child as she came out of the anesthesia after the amputation. Rather than waking in familiar arms, Medina’s first sight was this stranger wearing desert camouflage with a pistol at her side. The anguish Liz felt reminded her that she could feel again after months surrounded by death.Now, Medina revisits Liz’s thoughts back in Virginia. She appears in flashbacks when Liz looks at baby photographs of her youngest daughter. She comes to mind when Veterans Day is celebrated on national television.Was the girl still alive? Could Liz have done more to help her? Was she attending school amid the Taliban’s ever-increasing restrictions on women’s freedom?Liz had flown to Afghanistan fearless and determined in 2010 but returned to the US four months later, injured and traumatized.In the weeks after her deployment, Liz felt as if she were watching someone else’s life in a movie. Physically, she was home, but mentally, she was in Kandahar.She tried going through the motions expected of her as a mother and a wife. Doing menial tasks – cooking dinner, hugging her child – things she had been so capable of doing before she left. But it felt to her like a tug of war, the past pulling her back, her mind fighting to remain present.It didn’t help that she felt her pain was invisible to the world. When attending Veterans Affairs medical appointments, the administration staff would sometimes ask her husband, who came along for support, who he was there to see. He would have to correct them and say the appointment was for his wife.It was only when they took the time to listen to Liz’s story that people validated her trauma. Research shows that post-traumatic stress in veterans varies by gender. If hers had been recognized earlier, she wonders, would she still be struggling with it 11 years later?Jen, like Liz, was working in Afghani hospitals because she was a woman. She, too, was haunted by a girl who had lost a foot. But, more, she was haunted by the long-term impacts of sexism and abuse in the military.Jen was sexually assaulted by her supervisor at a US military base, months before she was deployed to Afghanistan in 2010.She was made to report it through her chain of command, but was quickly stopped in her tracks. Everyone loved the man she was accusing.“We’re so glad to have him back,” said the male officer who handled her complaint.Jen wanted to deploy abroad. She knew no one would believe her. So she stopped, fearing that as a victim, she would be isolated.But trauma builds on trauma. This experience made Jen more vulnerable to the horrors she witnessed during her service in Afghanistan. Statistically, a history of sexual assault puts a veteran at higher risk for developing PTSD.Serving at Buckley Space Force Base in Denver, Colorado, when she returned stateside from August 2011 to 2014, things got worse.Jen started to go through some of the lowest moments of her life.Her co-workers assumed that she was being emotional about things because she was a woman. Someone she served with in Afghanistan observed that the only PTSD she had was from eating the bad food. This went on for a year and a half.Jen was assaulted before she arrived in Afghanistan. She worked overtime in the trauma hospital doing mortuary affairs; developed breathing problems; had glass nodules in her lungs. Yet she was perpetually made fun of. It was a very negative culture surrounding her post-deployment.No one wanted to hear her story.Although women are the fastest-growing veteran demographic, she believes that some men still don’t think of women serving in roles of high stress or exposure.Currently, the Military Justice Improvement and Increasing Prevention Act is being blocked. If the act had been passed when Jen was on active service, she would have reported her sexual assault.This is the same for many other women in the military, she believes. And while there is a mountain of legislation being passed to assist female veterans, this is still not enough.“If it means sharing the darkest details of my story, then I’ll keep doing this,” Jen said, “until the gendered gap in veteran healthcare is finally closed”.TopicsPost-traumatic stress disorderWomenUS militaryMental healthUS politicsHealthfeaturesReuse this content More

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    Huge rise in first Covid jabs as vaccine refuseniks come forward

    The number of people getting their first jabs of the Covid vaccine soared in the run-up to Christmas, the latest government figures show.Just over 221,000 first doses were administered in England in the week ending 21 December – a 46 per cent rise from the previous week, the Department for Health and Social Care said.The largest increase was seen among young people – one of the groups that the vaccine programme has found hardest to reach – with an 85 per cent increase in first doses for those aged 18 and 24, and a 71 per cent rise in first jabs for those aged 25 to 30.The latest data also showed progress in reaching older Britons who had not heeded the call for the Covid vaccine during 2021. In the week up to December 21, more over 60s had a first dose than during any seven-day period since early June.Just over 279,000 second doses of the vaccine were also administered in the expanded programme, a 39 per cent jump on the previous week, the figures showed.More than 30 million people have already had their third dose and all of those eligible will be offered a booster by the end of the year as part of the ‘Get Boosted Now’ campaign.Queues formed at pharmacies on Christmas Day as people were seen waiting for their “jingle jabs” as the vaccination booster programme continued over the festive period in England.NHS England has thanked health service staff who are working or volunteering on Christmas Day, while health secretary Sajid Javid urged people to “make the booster a part of your Christmas this year”.Dr Emily Lawson, head of the NHS Covid vaccination programme, said it was “fantastic” to see people coming forward at Christmas. In a message to vaccine refuseniks – as well as those still to get their boosters – she said: “It is never too late to get your first, second or booster dose.”Although millions of people have received a booster dose in the last few weeks, around 10 per cent of appointments have been missed nationwide. Hundreds of thousands of people have also been forced to delay their jab after testing positive for Covid.More than seven in 10 people aged 18 and over have now received their booster, with 27,127,951 people who are three months on from their second dose already boosted in England, as of 24 December.Boris Johnson and his wife Carrie have been pictured on a sofa at Chequers, his official country residence, speaking to NHS vaccination “heroes” on Christmas Day. The prime minister spoke to senior health staff in virtual calls.Mr Johnson is expected to examine the latest Covid data on Monday. He may have to decide whether to impose new restrictions by Tuesday at the latest if he wants to recall parliament and allow MPs to have their say on any curbs needed over New Year.Data suggesting that the Omicron variant might cause less severe illness than the Delta strain raised hopes that further restrictions may not be necessary after Christmas.The UK Health Security Agency estimated that someone with Omicron is 50 per cent to 70 per cent less likely to be admitted to hospital than an individual with Delta – something agency chief Jenny Harries referred to as a “glimmer of Christmas hope”.However, in a gloomy assessment published late on Christmas Eve, the government’s top advisers warned that a large wave of Covid hospitalisations should be expected “soon” and could be worse than last winter.The minutes from the Scientific Advisory Group for Emergencies (Sage) meeting on 23 December also warned that the peak in admissions this winter “may be comparable to or higher than previous peaks”. More