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Vulnerable face shielding with Covid curbs for MONTHS, likely through April, to stop NHS "imploding".


Ministers have admitted that the spread of the coronavirus in hotspot areas is "spiraling out of control" as Tory MPs warned against imposing local lockdowns at the "Hotel California" that never end.

Boris Johnson is expected to officially announce plans to split the country into three tiers on Monday. The hardest hit areas are on the top level and are expected to close pubs and restaurants to help slow the spread of the disease.

Pressure on the government to take tough action is mounting after infection rates continued to rise, with the north of England particularly hard hit.

About 609 coronavirus patients were hospitalized yesterday – an increase of a fifth per day – and another 17,540 cases and 77 deaths have been reported.

Skills Minister Gillian Keegan told the BBC's Question Time program last night that two-thirds of hospitalizations are in the north-west and north-east of England and Yorkshire.

She said, "This is serious, it's getting out of control and we have to do something to get it back under control."

Her strong admission came amid reports that experts from the Government's Scientific Advisory Group on Emergencies (SAGE) fear that Mr Johnson's proposed animal system does not go far enough.

According to the Guardian, members of SAGE believe the proposed closings of pubs and restaurants in hotspot areas will not be enough to bring the virus under control.

Some believe that two or three weeks ago when it was first discussed, ministers should have pulled the trigger for a nationwide breaker shutdown in England.

The review of the Prime Minister's plans only increased after Nicola Sturgeon yesterday imposed a two-week alcohol ban in pubs and restaurants across Scotland while bars closed entirely in coronavirus hotspots.

However, the prospect of new draconian rules across England has sparked a backlash from the Tory. MEPs asked the government to detail how areas subject to the strictest restrictions can be lifted.

Jake Berry, the former Northern Powerhouse minister, told the Telegraph, "The point is that they show not only how to enter a step, but also how to exit a step, because nobody is in a" Hotel California " Lockdown "wants to be implicated in the damage that will cause the local economy. & # 39;

Mr Johnson is due to meet at Downing Street today to work out the final details of his plans.

It came as Chancellor Rishi Sunak was preparing today to announce a new local vacation program to create jobs in restricted areas and when ministers released Mr Johnson's plans to the press four days prior to their announcement.

Economy Minister Nadhim Zahawi said such leaks are "corrosive" and create "confusion" as he insisted that "the right thing is to wait for a decision".

Meanwhile, it emerged overnight that hundreds of thousands of vulnerable Britons may need to shelter indoors for months. Fresh coronavirus curbs are likely to last until at least April to prevent the NHS from collapsing.

It is believed that advice to the clinically vulnerable to avoid contact with others could be included in the top tier of the PM's local traffic light lockout system.

Skills Minister Gillian Keegan said yesterday evening that the spread of the coronavirus in hotspot areas in England is "getting out of hand".

Hundreds of thousands of British at risk may need to shelter indoors for months, and measures to contain the coronavirus are expected to be in place by at least April to keep the NHS from imploding during the upcoming winter

Hundreds of thousands of British at risk may need to be screened indoors for months, and measures to contain the coronavirus are expected to be in place by at least April to keep the NHS from imploding in winter

England's Deputy Chief Medical Officer Jenny Harries is to lead work on a “bespoke shielding scheme” to replace blanket rules with personalized advice, depending on a person's vulnerability

Boris Johnson, spotted outside Downing Street yesterday, is under pressure to take action to stop the growing second wave

England's Deputy Head Physician Jenny Harries is to lead work on a “bespoke shielding scheme” to replace blanket rules with personalized advice, depending on a person's vulnerability. An announcement from the Boris Johnson administration is expected soon (Mr Johnson seen on Downing Street yesterday).

Sir Keir: The public just wants one plan – tell us what it is

Union leader Sir Keir Starmer re-attacked Boris Johnson and the government's handling of the coronavirus crisis today when he said the public just wanted to know the prime minister has a plan.

Sir Keir said the country was at a crossroads in its national efforts to beat the pandemic with rising infection rates and hospital infections.

He added families were concerned about the threat of another full lockdown and whether they could enjoy Christmas.

Sir Keir told the Telegraph, “This is the moment when we needed maximum confidence in the government. People don't ask for miracles – they just want to know that the Prime Minister has a plan and a strategy. What we have seen, however, is a government that has lost control: lost control of its embassy; lost control of testing; and – crucially – lost control of the virus.

& # 39; We are a great country. We shouldn't have one of the highest death rates in the world or one of the worst recessions. Nor should it be inevitable that we will have to impose further restrictions. However, due to the serial incompetence of the government, further restrictions are becoming increasingly likely and unfortunately necessary.

“First, we need to ensure that the local executives are in the room and are involved in making decisions about restrictions in their area. The government operates under the misguided, arrogant and counterproductive view that "Whitehall knows best" that decisions can be made behind closed doors without real consultation or the phone going to the frontlines.

“We have to fix the tests. We can only control the virus if we know where the virus is.

“For too long the government has not acknowledged obvious problems, treated the challenge with contempt, moved on with disastrous consequences, and then tried to blame others for their own mistakes. If we want to find a constructive way through this pandemic, that has to change. "

A decision on shielding is pending, according to The Times, and there are fears that such a move could harm the mental health of people who would be forced to spend months at home alone.

England's assistant chief physician, Jenny Harries, is to lead work on a “bespoke shielding system” to replace blanket rules with personalized advice, depending on a person's vulnerability.

Chris Whitty, chief medical officer, said lockdown measures could be required for an additional six months amid fears the number of people in intensive care could top the April high in the north of England by early next month.

And senior physician Katherine Henderson, director of the Royal College of Emergency Medicine, warned the NHS against imploding this winter if "effective precautions" are not taken.

When the coronavirus lockdown began in March, 2.2 million people were classified as "extremely vulnerable" due to health problems. You should stay at home and avoid any contact with others.

Studies then found that depression and anxiety were far more common among shielders than those who did not.

People at risk were also more concerned about food and other essentials.

A source in Whitehall told The Times that a new, more personal approach was planned.

"The intent is not to bring the same program back, but to be more focused in the actions and what you ask people to do," they said.

"It is a great request to cocoon people up because of a potentially long winter."

Instead, people might be asked to take personal precautions, such as: B. Avoid shopping during busy times.

An algorithm developed by Oxford University could be used to decide who should take the strictest precautions.

In a presentation to more than 130 MPs, Professor Whitty said new vaccines and treatments might be available in January, but added that the crisis would not subside until April.

He did the briefing as part of preparing for new lockdown measures due to be imposed on Monday.

Professor Whitty said the number of people in intensive care in the north of England could go up to 304 in 22 days. That would be two more than the original high in April.

When asked how long the restrictions would last, Professor Whitty said it could be anywhere from five to six months.

One MP told The Times: “He said April would really get better if the seasons worked in their favor. The message was: "It hasn't been like this for five years."

Sir Graham Brady, who spoke out against the government in the parliamentary vote on the six-rule restrictions earlier this week, warned of new measures.

He said he hoped any new measures would be "proportionate" and backed up by "the right evidence".

The influential MP added that if the government wanted to introduce further restrictions on the North and Midlands, it would be "essential" that Parliament "approve or reject" the plans.

Boris Johnson (pictured on Downing Street yesterday) will ignore critics and impose Tier 3 restrictions - the highest level of a new alarm system - in Covid-hit areas of the north

Boris Johnson (pictured on Downing Street yesterday) will ignore critics and impose tier three restrictions – the highest level of a new alarm system – in Covid-hit areas of the north

Two-thirds of the public would support the Scottish-style lockdown of circuit breakers across the country

An exclusive survey for MailOnline by Redfield & Wilton Strategies has found strong support for a nationwide "brief sharp shock" of tough restrictions across the country to break transmission chains

An exclusive survey for MailOnline by Redfield & Wilton Strategies has found strong support for a nationwide "brief sharp shock" of tough restrictions across the country to break transmission chains

Almost two-thirds of the public would support a Scottish-style shutdown if Boris Johnson prepares to close pubs and restaurants in the north.

An exclusive survey for MailOnline has found strong support for a "brief sharp shock" of harsh restrictions across the country to break transmission chains.

Redfield & Wilton Strategies' research also uncovered widespread confusion and dissatisfaction with the currently complex local curbs.

Around a third of the birtons aren't sure they know the rules in their area, while half admit they didn't follow them completely.

Housing Secretary Robert Jenrick almost confirmed yesterday that action was imminent in pubs and restaurants.

"It is correct to say that the number of cases is rising rapidly in the northwest and northeast, as well as in a number of cities, particularly the Midlands like Nottingham, and this is a serious situation," he said.

& # 39; We are currently considering what steps to take, apparently under the advice of our scientific and medical advisors, and a decision will be made shortly.

"But I can't tell you exactly what's going to happen right now."

When asked if there will be an announcement related to the hospitality industry next week, Jenrick said, “We're looking at the evidence. In some parts of the country the number of cases is increasing very quickly and we take this very seriously.

"If we have to take further steps, we will of course take very seriously how we can help and support these individual companies."

Dr. Commenting on the need to press ahead with lockdown measures, Henderson said: "If we don't take effective precautions, Covid will continue its explosion across the country, a devastating consequence of which could be the implosion of our NHS this winter."

Mr Hancock reiterated their concern when he said at the annual NHS providers conference on Wednesday, “We are at a dangerous moment in the course of this pandemic.

"I am very concerned about the increase in cases, particularly in the north west and north east of England, parts of Wales, Scotland and Northern Ireland and parts of Yorkshire."

He added: “In parts of the country the situation is getting very serious again.

Hospital stays in the Northwest double roughly every two weeks. They are up 57 percent in the last week alone.

"Unfortunately, hospital stays are increasing sharply in those over 60, and the number of coronavirus deaths is also increasing."

Mr Hancock suggested that localized raids will be a part of life until a working vaccine is found and can be rolled out on a large scale.

He said: "We know from bitter experience that the more the coronavirus spreads, the more difficult it is to do all the other important work of the NHS."

He continued, “The message to the public must be that we all have a role to play in fighting this virus.

The slide above shows that, according to Public Health England, 41 percent of coronavirus infections in the UK have been linked to pubs, bars or restaurants

The slide above shows that, according to Public Health England, 41 percent of coronavirus infections in the UK have been linked to pubs, bars or restaurants

These graphics were also shown at the briefing. Suggested infections in all age groups are higher in the north of England than in the rest of the country

These graphics were also shown at the briefing. Suggested infections in all age groups are higher in the north of England than in the rest of the country

Coronavirus cases are on the rise across much of Europe - although Spain, once the hardest hit country on the continent, is now seeing a decline in its infection rate

Coronavirus cases are on the rise in much of Europe – although Spain, which used to be the hardest hit country on the continent, is now seeing a decline in the rate of infection

Official data also shows how the number of patients admitted to the intensive care unit has remained stable over the past three weeks

Official data also shows how the number of patients admitted to the intensive care unit has remained stable over the past three weeks

Separate numbers show that the number of patients who die from Covid-19 within 28 days of testing positive has increased sharply since June, while the same number has not increased as much for 60 days

Separate figures show that the number of patients who die from Covid-19 within 28 days of testing positive has increased sharply since June, while the same number has not increased as much for 60 days

Who Kills Covid-19: Most of the victims since June were over 80 years old, followed by patients in their 70s, 60s and then 50s

Who Kills Covid-19: Most of the victims since June were over 80 years old, followed by patients in their 70s, 60s and then 50s

A heat map shows which areas of England have suffered the most Covid-19 victims since June, with the north-east, north-west, Birmingham and parts of east London being hit hard. The data is based on patients who died within 28 days of testing positive

A heat map shows which areas of England have suffered the most Covid-19 victims since June, with the north-east, north-west, Birmingham and parts of east London being hit hard. The data is based on patients who died within 28 days of testing positive

Statistics based on patients who die of Covid-19 within 60 days of testing positive show that most of the victims are in the northwest

Statistics based on patients who die of Covid-19 within 60 days of testing positive show that most of the victims are in the northwest

Separate data shows how different the death rate is in England. The death rate shows how many Covid-19 patients have died per 100,000 people in each agency since June

Separate data shows how different the death rate is in England. The death rate shows how many Covid-19 patients have died per 100,000 people in each agency since June

Schools carry the most Covid-19 outbreaks, according to PHE data. Cases diagnosed in university students are also increasing

Schools carry the majority of Covid-19 outbreaks, according to PHE data. Cases diagnosed in university students are also increasing

PHE data released today showed that infected people were most likely to come into contact with the family they live with, followed by friends who visited and people during their leisure time - including pubs and restaurants

PHE data released today showed that infected people were most likely to come into contact with the family they live with, followed by friends who visited and people during their leisure time – including pubs and restaurants

PHE data shows that some areas of the northwest have seen more than 1,000 confirmed Covid-19 cases per 100,000 people since June - that's 1 percent of those who tested positive

PHE data shows that some areas of the northwest have recorded more than 1,000 confirmed Covid-19 cases per 100,000 people since June – that's 1 percent of those who tested positive

How the rate of Covid-19 increases the most in people aged 20 and over from every socio-economic background (bottom left). They rise most in the most deprived people in their thirties and in children aged 10-16 (bottom right and top left) - but the opposite is true for people aged 17-19 (top right).

How the rate of Covid-19 increases the most in people aged 20 and over from every socio-economic background (bottom left). They rise most in the most deprived people in their thirties and in children aged 10-16 (bottom right and top left) – but the opposite is true for people aged 17-19 (top right).

Data from PHE shows how Covid-19 infection rates are increasing in different regions between different races

Data from PHE shows how Covid-19 infection rates are increasing in different regions between different races

Separate data shows how infection rates are increasing between different age groups in different regions of England

Separate data shows how infection rates are increasing between different age groups in different regions of England

"Our strategy is simple: quell the virus and support the economy, education and the NHS until a vaccine can keep us safe."

Mr Hancock said his "message to everyone in the NHS is that we can and we will".

"Unfortunately there will be more difficult times but we will do it together," he added.

His comments led to allegations that he tried to get Mr Johnson to shut down the hospitality sector in the north.

Dr. Helen Stokes-Lampard, chair of the Academy of Medical Royal Colleges, which represents the 24 Medical Royal Colleges in the UK and Ireland, said people must adhere to strict restrictions or the NHS "may not be able to handle".

She told BBC Breakfast: "Given the recent dramatic increase in both the number of cases and hospital admissions, it is clear that we could soon be back where we were in April if we are not all extremely careful."

Professor John Edmunds, a member of the Scientific Advisory Group on Emergencies (Sage), denied that scientists were imposing any measures on Mr Johnson.

He said a brief, sharp shock was needed to "prevent the epidemic from spiraling out of control and overwhelming the health service in the next few weeks or months."

“We are not far from that. I hate to be gloomy, but in the north of England we are not far from the health system becoming overloaded, ”he said in a webinar for the Royal Society of Medicine.

Prof. Edmunds denied that scientists would "put a gun to the Prime Minister's head". "It's the virus that puts a gun to the prime minister's head," he said.

Leaked documents suggest the Prime Minister is ready to introduce a new three-tier system of lockdown measures designed to make the system more understandable.

Areas with relatively low infection rates are placed in the first tier, where only national restrictions such as curfew of 6 p.m. and 10 p.m. apply.

Tier 2 also includes bans on house calls and contact with other households indoors.

Tier 3 options include a total hospitality closure, a ban on overnight stays, and the closure of venues such as movie theaters.

A Treasury Department source said the measures should be "as cautious as possible".

There have also been reports of a rift between Mr Hancock and Rishi Sunak, with the Chancellor reportedly furious that the government is pushing its "traffic light" system of restrictions on 13 million people in the north of England.

Rather than introducing even more complicated curbs, Sunak believes the government should be on a clear path back to "normalcy" to prevent further destruction of the economy.

On Monday afternoon, the Chancellor decided not to attend the cabinet subcommittee meeting to discuss a revision of the local lockdown rules on Monday afternoon.

Instead, he sent a junior minister, John Glen, to reiterate his vehement objections to the "traffic light system".

Rather than introducing even more complicated curbs, Sunak believes the government should be on a clear path back to "normalcy" to prevent further destruction of the economy.

The argument went back and forth for an hour, with Cabinet Minister Michael Gove presiding over the virtual trial from his office. When the meeting ended, Glen told his boss that "there had been a good and lively discussion," but no decision had been made.

So it came as a surprise to the Treasury Department on Tuesday morning to see headlines and hear news of the government trumpeting that the government is pushing its traffic light system despite the objections of some senior ministers.

The Chancellor was furious. "If a decision were made at this meeting, it would be fair to assume that Rishi would have gone in person," confided a senior Tory MP.

So what went wrong?

Westminster sources point a finger at Health Secretary Matt Hancock, who has done a lot since the pandemic began to put the nation's health above economic prosperity.

Had he informed journalists that the traffic light system was a fait accompli and was outmaneuvering the Chancellor?

Leaked government slides claim 41% of under 30s were caught by Covid in a pub, bar or restaurant in England

At least 41 percent of people under 30 who have coronavirus in England contracted the disease in a pub, bar or restaurant.

And a quarter of Covid-19 infections in all age groups have been linked to restaurants.

The shocking numbers are in stark contrast to official data from Public Health England, which suggests that only four percent of Covid-19 outbreaks are company-related.

Presented at a press conference by Public Health England, the films marked as "officially sensitive" warned the north of England that as many people in intensive care could suffer from Covid-19 as in April – at the height of the pandemic . within three weeks.

It warned that further tightening of lockdown restrictions would be needed to contain the current surge in infections. The meeting was chaired by Chris Whitty, UK Chief Medical Officer, and Ed Argar, Minister of Health.

The move is believed to signal the impending tightening of restrictions in northern England and Nottinghamshire, although few details have been offered on it.

However, it is believed that pubs, bars and restaurants will be closed to slow the wave of infections.

One MP who attended the meeting said, “The really scary thing for the Northwest and the Northeast is that after three weeks – actually 22 days – there are supposed to be more people in the ICU than in the first wave.

"Although the numbers are determined by the under-30s, Whitty and Co are clearly very concerned."

ENGLAND: PHE data shows hospitality establishments such as pubs and restaurants represented only a small percentage of officially reported coronavirus outbreaks in August and September. Many other outbreaks - reports to Public Health England that two or more people got sick and at least one of them tested positive for Covid - have been linked to educational institutions and workplaces

ENGLAND: PHE data shows hospitality establishments such as pubs and restaurants represented only a small percentage of officially reported coronavirus outbreaks in August and September. Many other outbreaks – reports to Public Health England that two or more people got sick and at least one of them tested positive for Covid – have been linked to educational institutions and workplaces

Whatever the truth, the rift between Sunak and Hancock is increasingly being felt throughout the cabinet. Economic Secretary Alok Sharma and International Trade Minister Liz Truss are just two of those who line up behind the Chancellor.

The new traffic light measures are set to cover Manchester, Liverpool and Newcastle – three cities where infection has continued to rise despite other restrictions.

Hospitality businesses are to be closed as part of the new measures, which are expected to be confirmed on Monday and imposed from Wednesday. However, shops, offices and schools will remain open.

Ministers are still pondering the fate of hairdressers and leisure facilities – but Chancellor Rishi Sunak will propose a special vacation-style compensation system for workers and companies hit by the curb.

Conservative MPs and local leaders in the north have expressed anger at the government's stance. Former minister Jake Berry accused the prime minister of being "London-centered" and enjoying "a little too much" his comprehensive emergency powers.

Politicians in Manchester, Liverpool, Newcastle and Sheffield raged over “dictations announced without notice”, saying ministers treated the north like a “petri dish to experiment” while the south stepped out lightly.

But Health Minister Nadine Dorries warned those who told the government not to impose further restrictions that otherwise hospital admissions would be "at a critical stage" in 10 days.

The level of anger among Tories – and especially the "Red Wall" MPs of former Labor seats who gave Mr Johnson an impressive majority in December – was evident last night as the Commons debated local restrictions.

Rossendale and Darwen MP Mr Berry, who was Minister for Northern Powerhouse under Theresa May, said: "I think the government has fallen into the dire trap of making national decisions based on a London-centered view with London data . "

He raised concerns about the freedoms and freedoms, adding, “Day in and day out we see these freedoms and freedoms being returned to the government on behalf of Covid.

"Ich fürchte, das muss aufhören, denn sobald wir diese aufgeben, werden sie nicht zu uns zurückkehren, die Regierung wird sie uns nicht zurückgeben."

Er fügte hinzu: „Das Schlimmste in der Gesellschaft ist, dass die Regierung diese neuen Befugnisse etwas zu sehr genießt.

"Polizisten, die Menschen dafür bestrafen, dass sie in ihren Vorgärten sind, ein bizarres Verbot, sich auf öffentlichen Plätzen selbst zu sonnen."

Der konservative Abgeordnete für Crewe und Nant, Dr. Kieran Mullan, forderte die Regierung auf, "härter zu arbeiten", um zu beweisen, dass ihre Politik evidenzbasiert und effektiv ist.

Dehenna Davison, die zum ersten Mal in der Geschichte den Wahlkreis Bishop Auckland in die Hände von Tory nahm, hob die Schwierigkeiten für einen Wirt hervor, der seine Räumlichkeiten Covid-sicher machte, aber seine Einnahmen dramatisch sinken sah.

Frau Davison sagte: „Letztes Wochenende sagte er mir, dass er anstelle seiner üblichen Samstagseinnahmen von 5.000 bis 6.000 Pfund den ganzen Tag nur 128 Pfund einnahm – nicht einmal genug, um seine gesamte Personalrechnung zu decken.

"Zwischen der Ausgangssperre um 10 Uhr und dem Mangel an Haushalten, die in der Lage sind, sich zu treffen, bin ich wirklich besorgt, dass diese Einschränkungen ohne zusätzliche finanzielle Unterstützung die Gesamtwirkung haben könnten, Pubs nicht nur wegen Sperrung, sondern für immer zu schließen."

Der Labour-Bürgermeister von Liverpool, Steve Rotheram, erklärte gegenüber dem GMB-Programm von ITV: „Wir haben gesehen, dass die Maßnahmen zwischen Nord und Süd immer größer werden.

"Ganz einfach, der Norden sollte keine Petrischale für Experimente der Zentralregierung sein."

Der Bürgermeister von Manchester, Andy Burnham, sagte: „Keine Diskussion. Keine Beratung.

'Millionen von Leben von Whitehall Diktat betroffen. Es erweist sich als unmöglich, mit dieser Regierung umzugehen. & # 39;

Daten des Gesundheitsministeriums zeigen, dass die Zahl der Personen im Krankenhaus im Norden Englands etwa ein Drittel des Niveaus erreicht hat, das sie während des Höhepunkts der Epidemie im April erreicht hatten. In diesen Regionen steigen die Zulassungen, während die Steigerungsrate in den meisten anderen Bereichen viel langsamer ist (siehe Grafiken).

Daten des Gesundheitsministeriums zeigen, dass die Zahl der Personen im Krankenhaus im Norden Englands etwa ein Drittel des Niveaus erreicht hat, das sie während des Höhepunkts der Epidemie im April erreicht hatten. In diesen Regionen steigen die Zulassungen, während die Steigerungsrate in den meisten anderen Bereichen viel langsamer ist (siehe Grafiken).

(tagsToTranslate) Dailymail (t) Nachrichten (t) Coronavirus (t) NHS