The UK chief physicians have warned of a "material risk of excessive demands on the NHS" in the next 21 days as the mutated Covid strain wreaks havoc across the country.
Parts of the healthcare system are under "immense pressure," said chief medical officers for England, Scotland, Wales and Northern Ireland – and NHS England's national medical director, Professor Stephen Powis – in a joint statement on Monday.
In her letter, for the first time since the pandemic began, the UK's Covid alert level was raised to five – the highest – meaning transmission is high or growing exponentially and there is a significant risk that health services will be overwhelmed.
Boris Johnson warned that hospitals are 40 percent busier than the virus' first peak in April 2020 – as doctors compare working in the NHS to a war zone.
The analysis found that the UK could suffer 100,000 deaths as early as February – while the number of people in hospital beds in London and the east has increased by 68 percent since December 25.
The British Medical Association (BMA) welcomed the lockdown announced on Monday evening and warned that hospitals would be “stretched to the point of rupture”.
In his address to the nation, Mr Johnson said, “Our hospitals are under more pressure from Covid than they have ever been since the pandemic began.
In England alone, the number of Covid patients has risen by almost a third to almost 27,000 in the last week.
"That number is 40 percent higher than the first high in April."
He said a record number of people tested positive for coronavirus across the UK on December 29 – around 80,000 people.
Mr Johnson said the death toll had risen 20 percent in the past seven days – and "unfortunately it will continue to rise".
There are currently 26,626 Covid patients in hospital in England, an increase of 30 percent compared to the previous week.
The highest level of approvals in the first wave of coronavirus was 18,974 on April 12, 2020.
The patients who occupy more than a fifth of all beds – compared to a sixth in 2020. The staff shortage caused by the recent wave has meant that hospitals have been able to reach their capacities earlier than before.
The 3,145 people admitted today are 40 percent higher than the 3,099 admitted on April 1.
Medics transport a patient from an ambulance to the Royal London Hospital as coronavirus disease spread in London last week
The extent of the problem was underscored when the last dismal daily record of 58,784 new cases was released on Monday – a 42 percent increase on the same day a week earlier.
This means the UK passed the 50,000 daily infection milestone for a week, suggesting that the easing of restrictions this Christmas fueled the outbreak.
Health ministry chiefs recorded 407 more deaths, up 14 percent from the previous week.
However, it can take several weeks for infected patients to become seriously ill and succumb to the disease, meaning deaths have not yet peaked and will continue to increase.
RECORD NUMBER OF VERY SICK PATIENTS WAITING FOR MORE THAN 12 HOURS FOR A STRETCHER
Yesterday's NHS figures showed a record number of very sick patients were waiting for carts in A&E in December.
Health Service Journal data shows that at least 2,930 people have spent at least 12 hours in A&E departments.
Almost half of them were in London.
The highest number of 12-hour trolley waits to date – the time between arriving at A&E and receiving a bed – was 2,847 in January 2020.
The preliminary numbers – which are likely to rise – are expected to be officially released by NHS England next week.
Adrian Boyle, vice president of the Royal College of Emergency Medicine, told The Times, “Nobody has to spend 12 hours in an emergency room.
"Not only is it unworthy of patients, but studies have shown that the longer a patient waits to be admitted to a hospital bed, the greater the risk of death."
He added: “These waiting times usually result from a lack of inpatient beds and staff and, in addition to endangering the patient, lead to further dangerous overcrowding and corridor supply in the emergency room.
He said the more patients there are on stretchers, the more difficult it is to deliver care in an already strained A&E.
The UK recorded nearly 1,000 deaths twice in the past week, with the gruesome tolls slipping since the darkest days of spring.
A letter written by the four UK GMOs prior to Mr Johnson's address stated: “On the advice of the Joint Biosecurity Center and given the latest data, the four UK Chief Medical Officers and the NHS Medical Director recommend England the United Kingdom The alert level should be moved from level 4 to level 5.
“Many parts of the health system in the four countries are already under immense pressure. There are currently very high transmission rates in the community, with significant numbers of Covid patients in hospitals and intensive care units.
“In large parts of the country there are almost everywhere cases that are driven by the new, more transferable variant. We are not confident that the NHS can handle another sustained surge in cases and, without further action, there is a substantial risk of the NHS becoming overwhelmed in several areas over the next 21 days.
“While the NHS is under immense pressure, significant changes have been made to ensure that people can continue to receive life-saving care.
“It is absolutely essential that people still call in for emergency care. If you don't need urgent medical attention, please contact your GP or call NHS 111. & # 39;
The medical officers are Professor Whitty (England), Dr. Frank Atherton (Wales), Dr. Gregor Smith (Scotland) and Dr. Michael McBride (Northern Ireland).
Level five indicates the risk that health services will be overwhelmed within 21 days without urgent action. This doesn't mean the NHS will be overwhelmed in three weeks' time. However, there is a risk that this will happen if no action is taken.
Senior doctors warned yesterday that the NHS could soon peak as infections continue to rise. An all-time high of 58,784 positive cases was recorded yesterday.
Dr. Yvonne Doyle, Medical Director for Public Health in England, said: "The continued rise in cases and deaths should be a bitter warning to all of us."
NHS chiefs said pressure on hospitals will continue to increase in January because infection rates are so high.
ICUs say they are already "stretched past the break," with the usual ratio of one nurse per patient relaxed, allowing nurses to care for up to three patients.
The shortage of nurses also means that in some hospitals, including the Royal London, NHS counselors have entered shift work as nurses in the intensive care unit.
Danny Mortimer, chairman of the board of directors of the NHS confederation, which represents hospitals, said staff "compromised" standards of care due to "relentless" pressure.
He told the Post: '(Hospitals) are taking their staff and distributing them thinner. There will be two or three nurses attending an outpatient unit, when there are usually five or six.
“There is probably no ICU in the country where the nurse-to-patient ratio in the ICU is one-to-one. We had to change that to cope with extra beds. The employees make compromises. & # 39;
Thousands of non-urgent surgeries such as knee or hip surgeries have been canceled to make room for virus patients.
Mr Mortimer added, “The pressure is affecting other services as we need to protect the sickest and most urgent cases.
& # 39; The election work will be canceled first. It stopped in London because the physical space is needed for Covid patients.
“We now had more than 50,000 confirmed infections for six days (in a row). Our members are very, very concerned.
“They know that increasing infections lead to increased intakes, resulting in death and harm to patients.
“You have to ask the staff and compromise on the standards of service that the NHS can provide.
& # 39; We assume that January and February will keep getting worse. The current experience in London will be felt in the rest of the country.
“The NHS can handle this, but we won't be able to meet the standards of service that we would want in normal times.
& # 39; There will be fewer staff, people will wait much longer and emergency services will be significantly delayed. Our teams are not going to let the NHS collapse, but we need public help. & # 39;
Dave Carr, an intensive care nurse in London, said there were "scenes of real chaos, confusion and pressure in hospitals".
He added: “Right now in the NHS in the ITUs, certainly in London, we are overloaded.
& # 39; Our intensive care units are stretched beyond breaking. In ITUs across London, these nurses look after three patients with ventilators. It's absolutely devastating, it breaks us. & # 39;
Dr. Nick Scriven, President of the Society for Acute Medicine, said, “Covid patients need more and longer hospital treatments, not necessarily in intensive care units. As a result, beds fill up and stay filled longer than in spring / summer and if you add a fraction of the “normal” winter pressure it can get bad quickly.
After Mr Johnson's earlier address, Professor Whitty tweeted: “Covid cases are increasing rapidly across the UK, in large part due to the new variant
London Ambulance staff are taking a patient from the ambulance to the Royal London Hospital in east London on Saturday
Downing Street released a series of slides showing the country's problem due to the new variant of the virus
"When you take into account that a 'spike' due to Christmas mixes may have just started it can become extremely difficult over the next 10 to 21 days as the effects of people catching Covid over Christmas / New Years become apparent.
& # 39; Covid also appears to be sweeping the country up and down in waves – first wave of spring in London / Midlands, second wave of autumn in the north and now again the third wave in London and the south-east.
"The new variant seems to be creeping into the country week after week, and it's a race against time to get the vulnerable (and employees) vaccinated before the rolling waves come up north." “Although I think the NHS could reach a“ maximum ”stage, this will actually manifest itself in the cancellation of all non-acute work (surgeries / clinics), which creates further chaos for those waiting.
"I hope and think that acute care will be provided, but it can and will be like April and May again before the vaccine hopefully mitigates this by Easter."
After Mr Johnson's earlier address, Professor Whitty tweeted: “Covid cases are increasing rapidly across the UK, in large part due to the new variant.
& # 39; The NHS is treating a lot more COVID patients and vaccinating vulnerable citizens. The NHS staff deserve our deep gratitude. But we have to act now, otherwise the NHS will come under even more pressure. & # 39;
Boris Johnson was visiting Chase Farm Hospital in north London on Monday when the Oxford University / AstraZeneca vaccine hit the market
Dr. Chaand Nagpaul, Chair of the BMA Council, said: “It is clear that we need extensive intervention to contain the spread of this virus, especially the new more aggressive variant, as the NHS is on the verge – currently with an exponential demand for it Care beyond what can be delivered in many places.
“Hospitals have stretched to the brink of the crisis, and doctors are reporting unbearable workloads as they receive more Covid-19 admissions in addition to the growing backlog of people who need other, non-covid care.
“Doctors are desperate, and some even compare their work environment to a war zone, as the wards overflow, waiting lists grow and ambulances line up in front of hospitals because there are now so many people with Covid-19.
As a result, the NHS is currently facing a perfect storm of immense workloads and downsizing, and more cases are expected as we see the impact of Christmas on infection rates.
“Vaccination of healthcare workers needs to be sped up significantly so that health and care workers across the country receive both first and second doses of the Covid-19 vaccine as a priority to keep it virus-free that so many urgently need to provide required care. & # 39;
Chris Hopson, chief executive of the NHS provider group of hospitals, told The Times, "Hospitals are filling with Covid patients at an alarming rate," pointing out that 8,925 more are being treated than on Christmas Day.
“That corresponds to 18 hospitals with new Covid patients in just ten days.
& # 39; When we speak to NHS ’leaders across the country today and look at today's statistics on the number of beds occupied by Covid-19 patients, it is clear that we have reached a critical point where we are immediate and determined Measures are needed to contain the rapidly increasing rate of infections, hospital admissions and deaths. & # 39;
Yesterday's NHS figures showed a record number of very sick patients were waiting for carts in A&E in December.
Health Service Journal data shows that at least 2,930 people have spent at least 12 hours in A&E departments. Almost half of them were in London.
The highest number of 12-hour trolley waits to date – the time between arriving at A&E and receiving a bed – was 2,847 in January 2020. The waiting time is usually due to a lack of staff due to a lack of space.
It was announced on Sunday that trusts in London and the south-east in the center of the UK epidemic were preparing to move patients to hospitals in the south-west, while patients in the east of England were being transferred to the Midlands.
The huge Nightingale Hospital in London's Excel Center, which was set up in record time at the start of the pandemic to be quickly mothballed, is set to reopen within 14 days, according to the Times.
National mating agreements have been made and hospitals across the UK should prepare for the same covid pressures as the NHS in, amid doctors' warnings that hospitals in the south have come under "immense pressure" due to a surge in "mutant" Covid cases the capital.
Chris Hopson, executive director of NHS Providers, said only a small number of patients would be moved from London to the Southwest and the Midlands when space in neighboring hospitals was exhausted.
He said: “Hospitals are doing an excellent job of providing additional capacity to treat the critically ill in London and the South East. When things get tougher we will find other ways to treat people in the area, but we know there are some patients who can be taken where the pressures are a little less such as the Southwest and the Midlands. & # 39;
Dr. Alison Pittard, the dean of the department of intensive care medicine, hinted today that the NHS may collapse because "very, very tired staff" may not have the energy to deal with the tide of "mutated" virus cases.
She also claimed on the BBC's Andrew Marr Show that she had heard of cases of people aged 30 and over suffering from coronavirus in intensive care units, claiming that "younger people will die from Covid".
Although the ICU capacity was increased, three ICUs were full every day last week: the Walton Center in the north-west of England and the Maidstone and Tunbridge Wells hospitals and Portsmouth University in the south-east.
Fourteen intensive care units were at least 95 percent full throughout Christmas week, five of them in London, according to the Times.
Doctors, speaking on condition of anonymity, told the newspaper how counselors chose who should be admitted to the intensive care unit by assessing which patient "has the best chance of survival".
A general practitioner at a hospital in west London claimed: “We could be like Lombardy (northern Italy) next week. It is very likely that we will experience a disaster. & # 39;
Dr. Megan Smith, consultant anesthetist with the NHS Foundation Trust of Guy and St. Thomas, said health professionals are faced with "terrible" decisions with patients competing for ventilators.
She told ITN, "It's not a position any of us would ever want to be in, and we're used to making tough decisions as doctors, but deciding the outcome of a ventilator contest is just not what someone has signed for.
& # 39; In terms of emotional trauma to these people, it's terrible. We shouldn't have to do it, but we are. & # 39;
When asked about the crisis facing hospitals in and around London, Dr. Pittard, the trusts are "under immense pressure".
"It's really difficult for the staff because of course we want to make sure everyone is looked after, but we also have to look after the staff," she said. "So it's very difficult for anyone currently working in NHS hospitals, especially in my critical care area."
She also admitted that the NHS needed to postpone “some of the more non-urgent things”, adding, “Obviously, this was one of the ways the NHS managed in the first wave to reduce normal activity so we could focus in Covid patients.
It comes as a nurse outlined the desperate situation in hospitals where patients run out of oxygen and are left behind in ambulances and corridors. Pictured: The Royal London Hospital
“One of the things we have done now during the second wave is to continue normal activity among other Covid-related activities. And we want to continue at all costs … but of course some of the less urgent things need to be postponed. & # 39;
Dr. Pittard also announced that more younger people are being admitted to treatment in NHS hospitals than during the first wave of the epidemic last spring.
“The age group is much lower than it was during the first wave, and I think that's probably because more people are getting Covid and it affects younger people. Maybe younger people are realizing how serious it is and they need to look for input well, ”she told the Andrew Marr Show.
"It affects younger people. Just because you're not of older age doesn't mean you're immune."
She continued, “One of the downsides is that we went through it all before the staff are very, very tired, and that's about me.
“We can't just create employees overnight. We can get more drugs. We can get more beds and equipment, but we can't just get more staff, that's the real problem this time. & # 39;
After addressing the first wave of the virus, staff are now better prepared for how to treat patients when they come to the hospital and how they will be treated in the intensive care unit, she said.
"It's almost like we know what's coming, so we know how to deal with it."
And hospitals across the country are being told they should be ready to face the same pressures as the NHS in London and the south east of England.
Professor Andrew Goddard, president of the Royal College of Physicians, said the highly contagious new variant of the virus had spread across the country.
He said the 50,000 a day numbers were "mild" compared to what he expects for next week, and warned doctors were "really concerned" about the months ahead.
“There is no doubt that Christmas will have a big impact. The new variant will also have a big impact. We know this is more contagious and transferable. I think the big numbers we're seeing in the South East, in London, in South Wales will now be reflected in the rest of the country for the next month, even two months, ”he told BBC Breakfast yesterday.
Prof. Goddard added, “Any hospitals that haven't had the great pressure they had in the South East, including London and South Wales, should expect to find their way.
& # 39; This new variant is definitely more contagious and is spreading across the country. It is very likely that we will see more and more cases wherever people work in the UK and we need to be prepared for that. & # 39;
What you can and can't do during national lockdown: Government guidelines in full
You have to stay home. The most important action we can all take is to stay home to protect the NHS and save lives.
You should follow these instructions immediately. The law will be updated to reflect these new rules.
You are not allowed to walk or be outside your home unless you have to. You can leave the house to:
- Buy for basic needs, for you or a vulnerable person
- Go to work, or do volunteer or community service when you cannot adequately do so from your home
- If you are exercising with your household (or support bladder) or someone else, it should be limited to once a day and you shouldn't travel outside of your area.
- Hit your support or childcare bubble if necessary, but only if you are legally entitled to create one
- Seek medical attention or avoid injury, illness, or the risk of harm (including domestic violence).
- attend training or childcare – for those entitled
Universities, elementary and secondary schools will only remain open to vulnerable children and children of critical workers. All other children study until the half year of February. The settings for the first few years remain open.
The university offering will remain online until mid-February for all but future courses for critical workers.
If you leave home for a valid reason, you should always stay in the village, town, or part of the town where you live. You can leave your region for any reason permitted by law; B. because of work.
If you are at extreme clinical risk, only go out for medical appointments, exercise, or when it is important to go out. You shouldn't take part in work
You can't leave home to socialize with someone who you don't live with or who you're not in a support bubble with (unless you are legally allowed to form one).
You can exercise alone, with someone else, or with your household or your support bladder.
You shouldn't meet anyone else you don't live with or with whom you've formed a support bubble unless there is a valid reason why you can.
Stay 2 meters away from people who are not in your household.
Detailed instructions on national blocking
Who this guide is for
These instructions are aimed at people who are fit and healthy. There is additional advice for people who are clinically extremely susceptible to coronavirus and for households with possible or confirmed coronavirus infection. If you are at extreme clinical risk, avoid going to work, school, college, or university and limiting the amount of time you spend outside the home. You should only go out on medical appointments, exercise, or when it is important.
Hands. Face. Room.
About 1 in 3 people with coronavirus have no symptoms and could spread it without realizing it.
Remember – 'hands. Face. Space. & # 39;
- Hands – Wash your hands regularly for at least 20 seconds
- Face – Wear face covering indoors where social distancing can be difficult and you will come into contact with people you would not normally meet
- Space – If possible, stay 2 meters away from people you do not live with, or 1 meter if additional precautions have been taken (such as wearing face coverings).
At all costs, follow the directions to meet others safely.
If you can leave the house
You must not leave your home or be outside your home unless you have a "reasonable excuse". This is regulated by law. The police can take action against you if you leave the house without a “reasonable apology” and impose a fine (permanent complaint).
You can get a fixed penalty of £ 200 for the first offense, which doubles to a maximum of £ 6,400 for further offenses.
A "reasonable apology" includes:
- Work – You may only leave home for work if it is inappropriate for you to do your work from home, including but not limited to those who work in critical national infrastructure, construction, or manufacturing, and require personal presence
- Volunteering – You can also leave home to do volunteer or community service.
- Essential Activities – You can leave home to buy things in stores or get services. You can also leave home to do these things on behalf of a disabled or vulnerable person, or someone who is self-isolating.
- Education and Childcare – You can only leave home for education, registered childcare, and supervised activities for children that you are eligible to attend. Access to education and activities for school-age children is limited. You can find more information on education and childcare here. People can continue existing arrangements for contact between parents and children in whom they are separated. This includes childcare bubbles.
- Meeting with Others and Care – You can leave home to visit people in your support bubble (if you are legally allowed to form one), to informally care for children under the age of 14 under a child care bubble (e.g. to To enable parents to work and not allow social contact between adults), to look after disabled or vulnerable people, to provide emergency aid, to participate in a self-help group (with up to 15 people) or to take a care break if this care is for a vulnerable person or a person with a disability or is taking a short break in relation to a cared child.
- Exercise – You can continue to exercise alone, with someone else, or with your household or support bladder. This should be limited to once per day and you shouldn't travel outside of your area. You should keep social distance. See train and meet other people.
- Medical Reasons – You can leave your home for medical reasons, including a COVID-19 test, for medical appointments and emergencies.
- Harm and Compassionate Visits – You can leave the house to be with someone who is giving birth, to avoid injury or illness, or to avoid the risk of harm (such as domestic violence). You can also leave the house to visit someone who is dying, someone in a nursing home (if this is permitted under the guidance of the nursing home), a hospice or hospital, or to accompany them to a doctor's appointment.
- Animal welfare reasons – You can leave your home for animal welfare reasons, e.g. B. To contact a veterinary service for advice or treatment.
- Communal Worship and Life Events – You can leave your home to attend or attend a place of worship for communal worship, funeral or event related to a death, burial site or memorial garden, or to attend a wedding ceremony. You should follow instructions on how to use places of worship safely and should not mix with anyone outside of your household or support bubble when visiting a place of worship. Weddings, funerals, and religious, belief-based, or memorial services associated with the death of an individual are all subject to attendance restrictions, and weddings and civil ceremonies are exceptional.
There are other reasonable excuses. For example, you may leave your home to comply with legal obligations or to engage in activities related to buying, selling, renting or renting residential property, or when it is reasonable to vote in an election or referendum.
Train and meet other people
You should minimize the amount of time you spend outside your home.
It is against the law to socialize with family or friends unless they are part of your household or your support bubble. You can only leave your home to play sports and not for recreation or recreation (e.g. a picnic or social gathering). This should be limited to once per day and you shouldn't travel outside of your area.
You can exercise in a public place outdoors:
- of yourself
- with the people you live with
- with your support bubble (if you are legally entitled to create one)
- in a childcare bubble where childcare is offered
- or, if you are alone, with 1 person from another household
- Public outdoor spaces are:
- Parks, beaches, publicly accessible landscape, forests
- public gardens (whether or not you pay to enter)
- the site of a cultural heritage
Outdoor sports venues, including tennis courts, golf courses, and swimming pools, must be closed.
When around other people, stay 2 meters away from people outside your household – that is, the people you live with – or your support bubble. If this is not possible, maintain a distance of 1 meter with additional precautions (e.g. wearing a face covering).
They have to be used in many indoor spaces, e.g. For example, wear face-covering in shops or places of worship that remain open and on public transport unless you are exempt. That's the law. Read the instructions for face coverings.
Support and child care bubbles
You must meet certain eligibility requirements in order to create a support or childcare bubble. This means that not everyone can form a bubble.
A support bubble is a support network that connects two households. You can only form a support bubble with another household of any size if you meet the eligibility requirements.
It is against the law to create a support bubble if you don't follow these rules.
You're allowed to leave home to visit (and stay with) your support bubble. However, if you are creating a support bubble, it is best if it happens with a household that lives locally. This will prevent the virus from spreading to an area where more people are infected.
If you live in a household with anyone under the age of 14, you can create a childcare bubble. This allows friends or family members from another household to offer informal childcare.
You are not allowed to socialize with your child care bubble and are allowed to avoid seeing members of your child care and support bubbles at the same time.
There are separate instructions for support bladders and childcare bladders.
Where and when you can meet in larger groups
There are still circumstances in which you can meet other people outside of your household, childcare or support bubble in larger groups. However, this should not be for socializing and should only be for permissible purposes. A full list of these circumstances is included in the regulations and includes:
- for work or for voluntary or charitable services, if this is not reasonable from home. This may include working in other people's homes, for example, nannies, cleaners, social workers supporting children and families, or tradespeople, if necessary. See Instructions for Working Safely in Other People's Homes. If a work meeting doesn't need to be in a private home or garden, it shouldn't be. For example, although you can meet a personal trainer, do so in an outdoor public place.
- in a child care bubble (only for child care purposes)
- If authorized, use these services for education, registered childcare, and supervised activities for children. Access to educational and childcare facilities is restricted. You can find more information on education and childcare here.
- for agreements in which children do not live in the same household as their parents or legal guardians
- To enable contact between birth parents and cared for children as well as between cared for siblings
- for potential adoptive parents to meet a child or children who can be placed with them
- to enable or facilitate the placement or relief of a child or children in the care of another through social services
- for birth partners
- Providing emergency assistance and preventing injury or illness or the risk of injury (including domestic violence)
- to see someone dying
- to fulfill a legal obligation, such as B. participation in a court or jury service
- for meetings in prisons or immigration detention centers
- To provide care or support for vulnerable people or to give a caregiver a break
- for a wedding or an equivalent ceremony in exceptional cases and only for up to 6 people
- for funerals – up to 30 people. Wakes and other related ceremonial events can continue in a group of up to 6 people.
- visiting someone at home who is dying, visiting someone receiving treatment in a hospital, hospice, or nursing home, or taking a family member or friend to a doctor's appointment
- for elite athletes (and their coaches if required, or parents / guardians if under 18) – or for those who are on an official elite sports path – to compete and train
- to facilitate a move
Support groups that need to be delivered in person can continue with up to 15 participants formally organized to provide mutual help, therapy, or other forms of support. However, they must take place in a room other than a private household.
Generally, if a group includes someone for whom an exception applies (such as someone who works or volunteers), they are not counted as part of the gathering limit. This means, for example, that a trader can go into a household without exceeding the limit when he is there for work, and the officer at a wedding would not count towards the limit.
If you break the rules
The police can take action against you if you meet in larger groups. This includes breaking up illegal gatherings and imposing fines (fixed criminal charges).
You can get a fixed penalty of £ 200 for the first offense, which doubles to a maximum of £ 6,400 for further offenses. If you hold or are involved in an illegal gathering of over 30 people, the police can impose a fine of £ 10,000.
Protection of people at risk from coronaviruses
If you are clinically prone, you may be at greater risk of developing serious illness from the coronavirus. There is additional advice for those who are extremely clinically susceptible to coronavirus. Those who are at extreme clinical risk should not go to work, school, college, or university and limit the amount of time they spend outside the home. You should only go out on medical appointments, exercise, or when it is important.
You are not allowed to leave your home unless you have a reasonable excuse (e.g. for work or educational purposes). If you do need to travel, stay local – that is, you shouldn't travel outside of your village, town, or part of a town you live in – and try to limit the total number of trips you make to reduce. The list of reasons why you can leave your home and region includes, among others:
- work where you cannot reasonably work from home
- Access to education and caring responsibilities
- Visit the ones in your support bubble – or your childcare bubble for childcare
- Visiting a hospital, family doctor and other medical appointments or visits where you have had an accident or are worried about your health
- Buying the goods or services that you need, but should be near you wherever possible
- Exercise outdoors. If possible, this should be done on site. However, if necessary, you can travel a short distance near you to do so (e.g. to gain access to an open space).
- Caring for and exercising an animal or veterinary services
If you need to travel, walk, or bike, plan ahead and avoid busy times and public transit routes. This is a great way to practice social distancing while traveling.
Avoid car sharing with anyone outside your household or support bubble. See the instructions for car sharing.
If you need public transportation, be sure to follow the safer tour guides.
You can only travel internationally or within the UK if you have a legal reason to leave for the first time. In addition, you should consider the public health advice in the country you are visiting.
If you need to travel overseas (and it is permitted by law, e.g. because it is a job), you should check the rules that apply, even if you are returning to a place where you have previously visited the destination and travel advice of the Foreign, Commonwealth and Development Office (FCDO).
UK residents currently abroad do not need to return home immediately. However, you should check with your airline or tour operator about return shipping arrangements.
Foreigners are subject to the rules for staying at home. You should not travel abroad unless permitted. That means you are not allowed to go on vacation.
When you visit the UK, you can return home. You should check to see if there are any restrictions at your destination.
Stay away from home overnight
You cannot leave your home or where you live for a vacation or to stay overnight unless you have a reasonable excuse to do so. This means that holidays in the UK and abroad are not allowed.
This includes staying in a second home or caravan if this is not your main residence. This includes staying with someone you don't live with unless they're in your support bubble.
You can stay away from home overnight if you:
- visit your support bubble
- cannot return to their primary residence
- need accommodation when moving
- need accommodation to attend a funeral or similar memorial service
- require accommodation for work or voluntary service
- are a child who needs housing for school or care
- are homeless, seeking asylum, a vulnerable person seeking refuge, or when escaping harm (including domestic violence)
- are a top athlete or their support staff or parent if the athlete is under 18 and needs to be outside the home for training or competition
If you are already on vacation, you should return to your home as soon as possible.
Providers of guest accommodation such as hotels, B & Bs and caravan parks can remain open for reasons specified by law, e.g. B. If guests cannot return to their main residence, use this guest accommodation as their main residence and need accommodation while moving. are self-isolating as required by law or would otherwise become homeless due to the closure of the accommodation. For a full list of reasons, see the UK Closing Guidelines for Certain Businesses and Venues.
Accommodation providers are also encouraged to work with local authorities to provide shelter to vulnerable groups, including the homeless.
Go to work
You are only allowed to leave home to work if you cannot adequately work from home.
When people cannot work from home – including, but not limited to, people working in critical national infrastructure, construction or manufacturing – they should continue to travel to work. This is essential to keep the country running and to support sectors and employers.
Public sector workers engaged in essential services such as childcare or education should continue to work.
You can do so wherever you have to work in other people's homes – for example, for nannies, cleaners, or traders. Otherwise, avoid meeting for work in a home or garden where safe COVID-19 measures may not be in place.
Employers and employees should discuss their working arrangements, and employers should take all possible steps to make it easier for their employees to work from home, including providing adequate IT and equipment to enable remote working.
The risk of transmission can be significantly reduced if the COVID-19 security guidelines are followed closely. People at higher risk should be given special consideration.
Go to school, college and university
Universities, primary schools (from reception) and secondary schools remain open to vulnerable children and children of critical workers. All other children study until the half year of February.
Under these circumstances, we do not believe it is possible that all summer exams will go ahead as planned. We will accordingly work with Ofqual to consult quickly and make alternative arrangements that will enable students to make fair progress.
Public exams and professional assessments scheduled to take place in January are proceeding as planned.
Those undergraduate and graduate students studying for the following courses should resume face-to-face learning as planned and be tested twice upon arrival or self-isolated for ten days:
- Medicine & Dentistry
- Topics related to medicine / health
- Veterinary medicine
- Training (initial teacher training)
- Social work
- Courses that require Professional, Legal and Regulatory (PSRB) Assessment and / or Compulsory Activities scheduled for January that cannot be postponed (your university will notify you if this applies to you).
Students who are not studying these courses should stay where they are wherever possible and begin their semester online, as allowed by their university until at least mid-February. This includes students from other practical courses not on the list above.
We have already published guidelines for universities and students on how to safely return to higher education in the spring semester. In diesem Leitfaden wird dargelegt, wie wir Hochschulanbieter dabei unterstützen werden, dass Studierende, die nach der Winterpause zurückkehren müssen, dies so sicher wie möglich tun können.
Wenn Sie an einer Universität leben, sollten Sie während der Semesterzeit nicht zwischen Ihrem ständigen Zuhause und Ihrem Studentenheim hin und her wechseln.
Für diejenigen Schüler, die Anspruch auf Präsenzunterricht haben, können Sie sich bei Bedarf im Rahmen Ihrer formalen Bildung oder Ausbildung in Gruppen von mehr als Ihrem Haushalt treffen. Die Schüler sollten erwarten, die Anweisungen und Einschränkungen zu befolgen. Sie sollten sich sozial von jemandem distanzieren, mit dem Sie nicht leben, wo immer dies möglich ist.
Es gibt verschiedene Möglichkeiten, wie Eltern und Betreuer weiterhin auf die Kinderbetreuung zugreifen können:
- Die Einstellungen für frühe Jahre (einschließlich Kindergärten und Tagesmütter) bleiben offen
- Gefährdete Kinder und Kinder kritischer Arbeitnehmer können weiterhin registrierte Kinderbetreuung, Tagesmütter und andere Kinderbetreuungsaktivitäten (einschließlich Rundumbetreuung) nutzen.
- Eltern können mit einem anderen Haushalt eine Kinderbetreuungsblase zum Zwecke der informellen Kinderbetreuung bilden, wenn das Kind unter 14 Jahre alt ist. Dies dient hauptsächlich dazu, den Eltern die Arbeit zu ermöglichen, und darf nicht dazu verwendet werden, den sozialen Kontakt zwischen Erwachsenen zu ermöglichen
- Einige Haushalte werden auch von einer Unterstützungsblase profitieren können
- Kindermädchen können weiterhin Dienstleistungen erbringen, auch zu Hause
Besuche in Pflegeheimen können mit Vorkehrungen wie großen Bildschirmen, Besuchskapseln oder hinter Fenstern erfolgen. Innenbesuche mit engem Kontakt sind nicht gestattet. Im Falle eines Ausbruchs sind keine Besuche gestattet.
Sie sollten die Anleitungen zum Besuch von Pflegeheimen während COVID-19 lesen, um herauszufinden, wie Besuche durchgeführt werden sollten. Die Bewohner können bei einem Besuch im Haus keine Menschen treffen (z. B. um ihre Verwandten im Haus der Familie zu besuchen). Es gibt separate Richtlinien für diejenigen, die ein unterstütztes Leben führen.
Hochzeiten, Lebenspartnerschaften, Gottesdienste und Beerdigungen
Hochzeiten, standesamtliche Trauungszeremonien und Beerdigungen sind mit strengen Teilnahmebeschränkungen gestattet und dürfen nur an sicheren Orten von COVID-19 oder in öffentlichen Außenbereichen stattfinden, es sei denn, es liegen außergewöhnliche Umstände vor.
Beerdigungen können von maximal 30 Personen besucht werden. Verknüpfte religiöse, glaubensbasierte oder Gedenkveranstaltungen wie Steinfassungen und Aschestreuungen können auch mit bis zu 6 Teilnehmern fortgesetzt werden. Wer arbeitet, wird in diesen Grenzen nicht berücksichtigt. Die soziale Distanzierung zwischen Menschen, die nicht zusammenleben oder eine Unterstützungsblase teilen, sollte aufrechterhalten werden.
Hochzeiten und standesamtliche Trauungen dürfen nur mit bis zu 6 Personen stattfinden. Wer arbeitet, ist nicht enthalten. Diese sollten nur in Ausnahmefällen stattfinden, z. B. in einer dringenden Ehe, in der einer der Heiraten schwer krank ist und keine Genesung erwartet wird oder sich einer schwächenden Behandlung oder einer lebensverändernden Operation unterziehen muss.
Places of worship
Sie können Kultstätten für einen Gottesdienst besuchen. Sie dürfen sich jedoch nicht mit Personen außerhalb Ihres Haushalts oder der Unterstützungsblase unterhalten. Sie sollten jederzeit eine strikte soziale Distanzierung einhalten.
Sie sollten die nationalen Richtlinien zur sicheren Nutzung von Kultstätten befolgen.
Sport und körperliche Aktivität
Turnhallen und Sportanlagen bleiben geschlossen. Sportplätze im Freien, Fitnessstudios im Freien, Golfplätze, Außenpools, Bogenschießen / Fahren / Schießstände und Reitplätze müssen ebenfalls geschlossen sein. Der organisierte Outdoor-Sport für behinderte Menschen darf fortgesetzt werden.
Nach Hause ziehen
Sie können immer noch nach Hause ziehen. Personen außerhalb Ihres Haushalts oder Ihrer Unterstützungsblase sollten beim Umzug nur dann helfen, wenn dies unbedingt erforderlich ist.
Immobilien- und Vermietungsfirmen sowie Umzugsunternehmen können weiterarbeiten. Wenn Sie umziehen möchten, können Sie zu den Besichtigungen von Immobilien gehen.
Befolgen Sie die nationalen Richtlinien zum sicheren Umzug nach Hause, einschließlich Ratschlägen zur sozialen Distanzierung, zum Einlassen frischer Luft und zum Tragen einer Gesichtsbedeckung.
Wo immer Sie leben, können Sie möglicherweise finanzielle Hilfe erhalten
Unternehmen und Veranstaltungsorte
Unternehmen und Veranstaltungsorte, die schließen müssen
Um den sozialen Kontakt zu verringern, schreiben die Vorschriften vor, dass einige Unternehmen schließen und Beschränkungen für die Bereitstellung von Waren und Dienstleistungen durch einige Unternehmen auferlegen müssen. Die vollständige Liste der zur Schließung erforderlichen Unternehmen finden Sie in den Leitlinien zur Schließung bestimmter Unternehmen und Veranstaltungsorte in England, umfasst jedoch:
- Nicht unbedingt benötigte Einzelhandelsgeschäfte wie Bekleidungs- und Haushaltswarengeschäfte, Fahrzeugausstellungsräume (außer zur Vermietung), Wettbüros, Schneider, Tabak- und Vape-Läden, Geschäfte für elektronische Waren und Mobiltelefone, Auktionshäuser (außer für Auktionen von Vieh oder landwirtschaftlichen Geräten). und Marktstände, an denen nicht wesentliche Waren verkauft werden. Diese Veranstaltungsorte können weiterhin Click-and-Collect-Dienste (bei denen Waren vorbestellt und außerhalb des Betriebsgeländes abgeholt werden) und Lieferservices ausführen.
- Gaststätten wie Cafés, Restaurants, Pubs, Bars und Vereine; mit Ausnahme der Bereitstellung von Speisen und alkoholfreien Getränken zum Mitnehmen (bis 23 Uhr), Click-and-Collect und Durchfahrt. Alle Speisen und Getränke (einschließlich Alkohol) können weiterhin per Lieferung bereitgestellt werden.
- Unterkünfte wie Hotels, Herbergen, Pensionen und Campingplätze, außer unter bestimmten Umständen, z. B. wenn diese als Hauptwohnsitz einer Person fungieren, wenn die Person nicht nach Hause zurückkehren kann, um Obdachlosen Unterkunft oder Unterstützung zu bieten oder wenn es wichtig ist, zu bleiben dort für Arbeitszwecke
- Freizeit- und Sporteinrichtungen wie Freizeitzentren und Fitnessstudios, Schwimmbäder, Sportplätze, Fitness- und Tanzstudios, Reitplätze in Reitzentren, Kletterwände und Golfplätze.
- Unterhaltungsstätten wie Theater, Konzertsäle, Kinos, Museen und Galerien, Kasinos, Spielhallen, Bingohallen, Kegelbahnen, Eisbahnen, Go-Kart-Veranstaltungsorte, Indoor-Spiel- und Softplay-Zentren und Bereiche (einschließlich aufblasbarer Parks und Trampolin-Zentren) , Zirkusse, Messegelände, Jahrmärkte, Wasserparks und Themenparks
- Tierattraktionen (wie Zoos, Safariparks, Aquarien und Wildreservate)
- Indoor-Attraktionen an Orten wie Botanischen Gärten, historischen Häusern und Sehenswürdigkeiten müssen ebenfalls geschlossen werden, obwohl das Außengelände dieser Räumlichkeiten für Übungen im Freien geöffnet bleiben kann.
- Körperpflegeeinrichtungen wie Haar-, Schönheits-, Bräunungs- und Nagelstudios. Tattoo-Studios, Spas, Massagesalons, Piercing-Dienste für Körper und Haut müssen ebenfalls geschlossen sein. Diese Dienstleistungen sollten nicht in den Häusern anderer Personen erbracht werden
- Gemeindezentren und -hallen müssen geschlossen werden, mit Ausnahme einer begrenzten Anzahl von freigestellten Aktivitäten, wie unten angegeben. Bibliotheken können auch offen bleiben, um Zugriff auf IT- und digitale Dienste zu gewähren – beispielsweise für Personen, die diese nicht zu Hause haben – und für Click-and-Collect-Dienste
Einige dieser Geschäfte und Orte dürfen auch für eine kleine Anzahl von freigestellten Aktivitäten geöffnet sein. Eine vollständige Liste der Ausnahmen finden Sie in den Leitlinien zur Schließung bestimmter Unternehmen und Veranstaltungsorte in England, einschließlich:
- Bildung und Ausbildung – damit Schulen Sport-, Freizeit- und Gemeinschaftseinrichtungen nutzen können, wenn dies Teil ihrer normalen Versorgung ist
- Kinderbetreuungszwecke und beaufsichtigte Aktivitäten für die teilnahmeberechtigten Kinder
- Ausrichtung von Blutspendensitzungen und Lebensmittelbanken
- medizinische Behandlung zu bieten
- für Spitzensportler zum Trainieren und Wettkämpfen (in Innen- und Außensportanlagen) und für professionelle Tänzer und Choreografen zum Arbeiten (in Fitness- und Tanzstudios)
- für Training und Probe ohne Publikum (in Theatern und Konzertsälen)
- zum Zwecke von Film- und Fernsehaufnahmen
Unternehmen und Veranstaltungsorte, die offen bleiben können
Andere Unternehmen und Veranstaltungsorte dürfen gemäß den Sicherheitsrichtlinien von COVID-19 geöffnet bleiben. Unternehmen, die wichtige Güter und Dienstleistungen anbieten, können offen bleiben. Die vollständige Liste dieser Unternehmen finden Sie in den Leitlinien zur Schließung bestimmter Unternehmen und Veranstaltungsorte in England, enthält jedoch:
- Wichtiger Einzelhandel wie Lebensmittelgeschäfte, Supermärkte, Apotheken, Gartencenter, Bauhändler und Lieferanten von Bauprodukten und Off-Lizenzen
- Marktstände, an denen wichtige Einzelhandelsgeschäfte verkauft werden, können ebenfalls geöffnet bleiben
- Unternehmen, die Reparaturdienste anbieten, können auch offen bleiben, wo sie hauptsächlich Reparaturdienste anbieten
- Tankstellen, automatische (aber nicht manuelle) Autowaschanlagen, Fahrzeugreparatur- und TÜV-Dienste, Fahrradgeschäfte sowie Taxi- und Fahrzeugvermietungen
- Banken, Bausparkassen, Postämter, kurzfristige Kreditanbieter und Geldtransferunternehmen
- Waschsalons und chemische Reinigungen
- medizinische und zahnmedizinische Dienstleistungen
- Tierärzte und Einzelhändler von Produkten und Lebensmitteln für den Unterhalt und das Wohlergehen von Tieren
- Tierrettungszentren, Internate und Tierpfleger (können weiterhin eher zum Tierschutz als zu ästhetischen Zwecken verwendet werden)
- Geschäfte für landwirtschaftliche Produkte
- Geschäfte zur Unterstützung von Mobilität und Behinderung
- Lager- und Vertriebseinrichtungen
- Parkplätze, öffentliche Toiletten und Autobahnraststätten
- Spielplätze im Freien
- Außenbereiche von botanischen Gärten und Kulturerbestätten zum Trainieren
- Places of worship
- Krematorien und Grabstätten
Der Großteil der öffentlichen Dienste wird fortgesetzt und Sie können das Haus verlassen, um sie zu besuchen. These include:
- der NHS und medizinische Dienste wie Hausärzte und Zahnärzte. Wir unterstützen den NHS bei der sicheren Durchführung dringender und nicht dringender Dienstleistungen, und es ist wichtig, dass jeder, der glaubt, irgendeine medizinische Versorgung zu benötigen, sich meldet und Hilfe sucht
- Jobcentre Plus-Websites
- Gerichte und Bewährungshilfe
- Pass- und Visa-Dienstleistungen
- Dienstleistungen für die Opfer
- Abfall- oder Recyclingzentren
- einen TÜV bekommen, wenn Sie fahren müssen, wenn Sie das Haus legal verlassen
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