Covid

Watch: Sajid Javid confronted by unjabbed NHS doctor

Since becoming Health Secretary there has been one big question Sajid Javid cannot answer: how can he justify firing a worker who has recovered from Covid, has antibodies and doesn’t want the vaccine? Javid first did this with unjabbed care home workers and now plans to fire unjabbed NHS doctors. Today he met one of them — and it didn’t go well. Javid’s answer? He didn’t have one During a visit to King’s College Hospital in south London, Javid was on camera talking to NHS staff asking them what they thought about his plans for compulsory vaccination. He presumably expected them to agree. But then along comes Steve James, an intensive care doctor who

Kate Andrews

Get ready to start paying the cost of Covid

Forget the desirability (or lack thereof) of tax hikes: can Britain survive them? That’s the economic question that kicked off the new year in cabinet this week when Jacob Rees-Mogg was reported to have encouraged the Prime Minister and his colleagues to roll back plans to bring in the new National Insurance levy this April. A recap on the proposals: the 1.25 per cent National Insurance hike will be paid by both employers and employees, and will eventually be funnelled into social care, we’re told. But for the first few years, most of the tax revenue it raises (roughly £12 billion) will go to addressing the NHS backlog and the millions

In praise of understudies

The actor Ronald Fraser was famous for two things: his comic timing and his liking for a drink. On one occasion in the 1960s, he was happily sitting three sheets to the wind in a local hostelry, when he remembered that he was supposed to be on stage at a matinee. After walking unsteadily to the theatre, he stood in the wings and heard someone else in his role: the understudy, holding the audience in the palm of his hand. His name was Donald Sutherland, and he was revealing the quality that took him from bit parts on the London stage to worldwide stardom. The importance of understudies and covers

Boris Johnson rejects lockdown (again)

Boris Johnson latest Covid press conference was slightly confusing. The Prime Minister spent nearly an hour saying nothing particularly new. He warned that there was ‘considerable pressure’ on the NHS at the moment and unveiled daily priority lateral flow testing for 100,000 essential workers so that key services, including healthcare, don’t seize up due to staff absences. But while he accepted that hospitals were feeling the heat, he also insisted that there was no data suggesting that a lockdown was necessary or helpful. Indeed, he argued:  ‘We have a chance to ride out this Omicron wave without shutting down our country once again. We can keep our schools and our

Robert Peston

Boris’s plan to test key workers daily

The Prime Minister is attempting to lessen the threat posed by Omicron to essential services by requiring around 100,000 workers in specified industries to take daily Covid tests. In order to keep the lights on, maintain the supply of food and keep aeroplanes flying, these workers will have to test five days a week —  so that infections are caught as early as possible, to minimise spread of the virus to colleagues. A government source said the requirement to test daily would apply to those in civil, nuclear and other power generation, air traffic control, meat processing and food supply chains. Boris Johnson concedes that the coming few weeks will see significant disruption

The problem with ‘vaccine equity’

‘A stain on our soul’. That was how Gordon Brown, in his latest missive on the subject, described the failure of the west to ensure that the whole world is vaccinated. In a previous attack on western policy — at the end of November, just as Omicron was emerging — he wrote of “hoarding” and ‘vaccine nationalism’. Take Africa: it is certainly true that vaccination rates in many countries are very low. While the UK has managed to deliver 195 doses per 100 people, Nigeria has only managed seven, Ethiopia and Somalia nine, and Chad and South Sudan two. Can all this be blamed on the failure of western nations to donate

Robert Peston

Is Boris feeling lucky?

The political and economic new year is all about surging Covid and a surging cost of living. The list of what families in particular will contend with in the coming weeks is enough to induce tears of exasperation. Take schools for starters. Staff absences, largely caused by coronavirus, were 8 per cent at the end of last term. On the Department for Education’s own projections, the Omicron surge means these absences will rise to between 9 per cent and 13 per cent at the beginning of this term, and it is not inconceivable the upward path in absences will peak at between 20 per cent and 25 per cent. The

Does Warwick’s Omicron modelling make restrictions more likely?

Two weeks ago, the London School of Hygiene and Tropical Medicine (LSHTM) and Imperial College both published modelling showing frightening scenarios if the government did not react to the Omicron variant by imposing immediate restrictions on our day to day lives. The former suggested that hospitalisations could peak at 7,190 a day in January in its most pessimistic scenario; the latter was reported as suggesting that deaths might peak at 5,000 a day in January. Both figures, however, were made on the assumption that Omicron was every bit as virulent as the Delta variant. Since then, several UK studies have suggested that this is not the case, with data showing

Simon Cook

Covid is surging. So why is intensive care bed usage falling?

Omicron is sending Covid case numbers surging ( a new high of 189,000 cases reported yesterday) and hospital admissions along with it. But another important piece of data, intensive care admissions, shows a significant fall. This is early data, but worth noting as it may be part of an important trend. And it adds context to comments by Chris Hopson, Chief executive of NHS Providers, that the system may be better prepared than case numbers suggest. First let’s look at London; the Omicron epicentre. Hospital figures are rising fast – in part due to patients who are being primarily treated for something else (blue, below – that is now true

Working out length of hospital stay for Covid patients: a technical note

Length of hospital stay is a crucial metric, but hard to do with much accuracy unless each patient is certified Omicron or Delta. The closest proxy we have right now is information on patient stay and there are graphs for two cohorts: those admitted from 1 May (third wave) and from 1 December. The graphs were published in the CO-CIN study dated 22nd Dec (Fig 8). The younger age groups are at the top. Those who were discharged on the left, those who died on the right. The line drawn on each chart shows 14 days on, and indicates what percent of patients were discharged or had died by that point.

Will Trump’s pro-vaccine stance prove his undoing?

Donald Trump famously boasted that he could ‘stand in the middle of Fifth Avenue and shoot somebody’ and still not lose voters. That was back in 2016 and the following years proved his point. We are now in the winter of 2021, however, and the 45th president may at last have stumbled across a way to alienate his fan base — by endorsing vaccines. Covid is today the most hostile frontline in America’s all-consuming culture war. Resistance to the national vaccination drive has become the stickiest point. You are either pro-freedom or in bed with the Great Globo Pharma Conspiracy. Trump has adopted a more middle-ground position: encouraging people to take the vaccines while

Ross Clark

Remember panic-buying? Here’s what will happen next time

It’s post-Christmas, and there are already murmurs about supermarkets with empty shelves. Just as with the petrol shortage in September and shortages of loo paper at the beginning of the first lockdown, these things can rapidly develop into major crises, purely as a result of panic-buying. Tesco, whose store on the Isle of Wight is reportedly especially empty post-Christmas, denies it has any problem with its supply chain — which had been threatened with disruption thanks to an industrial dispute involving the company’s lorry drivers in early December. People may, on the other hand, have stocked up more than usual in response to fears of a post-Christmas lockdown — a fear which

The churches must stay open

Hooray for Cardinal Vincent Nichols, who used the one day of the year when his pronouncements are amplified by the season to ‘sincerely appeal that [the government] do not again consider closing churches and places of worship.’ He said in a BBC interview he believed it had been demonstrated that the airiness of churches meant they are ‘not places where we spread the virus’. Mind you, Catholic churches weren’t as bad as the Church of England This is, of course, entirely sensible. It was nuts for churches to close at the start of lockdown, at least as spaces for prayer if not for communal worship. Pretty well any church is ‘Covid-safe’, in

The misery of Macron’s Covid clampdown

My daughter’s Christmas won’t quite be the same this year. She and I are in England but her French mother has been prevented from making the trip by her president. It’s a funny world when hundreds of people can quite easily cross illegally from France to England in small boats – 1,200 in four days last week – but a mother isn’t allowed to take a train to be with her daughter at Christmas. But that is France for you in what Macron’s opponents call his ‘Covid Dictatorship’. Even so his authoritarian measures are doing him and his country a fat lot of good. Yesterday France recorded 91,000 new cases

Will Omicron overwhelm the NHS? The crucial missing data

If you catch Omicron your risk of ending up in hospital is between 50 to 70 per cent less likely than if you’d had Delta. That’s according to a new analysis released this evening by the UK Health Security Agency. It’s another blow to the case for lockdown. That case for lockdown goes like this: Omicron is growing exponentially and its casualties will overwhelm the NHS unless action is taken to slow the growth. The cautious course of action is to wait until we know more about crucial unanswered questions, such as: What is the limit to Omicron’s growth? How much milder than Delta is it? Is Imperial’s figure of

Ross Clark

Sage modellers start to accept that Omicron is milder

Public health officials in Britain and South Africa were on different planets for about a fortnight. While those in South Africa kept presenting data suggesting that Omicron caused less severe disease than earlier variants, scientists in Britain continued to claim it was too early to say. Scenarios published by the London School of Hygiene and Tropical Medicine (LSHTM) last week pictured a frightening picture of January, suggesting that hospitalisations could peak above previous waves. An assumption was made that Omicron was just as likely to land you in hospital or kill you compared with Delta. As LSHTM admitted, quite a big assumption:- Due to a lack of data, we assume Omicron has the

Sage memo makes the case for lockdown

On Monday, Covid restrictions were rejected after the cabinet debated the issue robustly for the first time since the pandemic started. The Prime Minister said he’d revisit the decision, so the debate is very much still ongoing. But it wasn’t just ministers meeting that day. Sage assembled its experts as well, with over 70 scientists and government officials in attendance. The minutes, seen by The Spectator, give an interesting summary of the official case for more lockdown restrictions. Everyone is wrestling with two questions; if there are no more restrictions, how far will Omicron case numbers rise? And how will that translate into hospitalisations? If there is reason to believe

Should businesses receive more Covid support?

As government considers whether to lock us down once again, should it put economic support for businesses affected back on the table? The combination of Plan B and Boris Johnson’s insistence that we modify our social behaviour has led to empty cinemas, ghost trains, cancelled gigs and ‘postponed’ Christmas parties. Just as the economy was getting back on its feet, the unofficial guidance to avoid social events is knee-capping it once again, forcing the Chancellor to not only drop his December plans but to announce yet more taxpayer-funded business compensation. So far he’s fallen down on the side of more support, though nothing (yet) like last time. Businesses in England that

Patrick O'Flynn

It’s time to end the era of forced lockdown restrictions

Monday’s Cabinet meeting held over Zoom was a fraught affair by the sounds of it. Michael Gove and Sajid Javid were reportedly the leading voices calling for more restrictions on household mixing and on the hospitality sector, while the likes of Rishi Sunak and Liz Truss argued that the data did not warrant such a draconian and retrograde step. The Prime Minister seems to have been swaying somewhere in the middle. In the end it was agreed that no new restrictions would be imposed that day but the data would be constantly analysed with a view to imposing restrictions swiftly and before Christmas if alarming trends were picked up on

Is Omicron now falling in South Africa?

Man makes Covid predictions and God laughs. Yet with the stakes this high in Britain, every bit of real-world data is useful. That’s why South Africa is so important: it’s a country with a well-digitised healthcare sector that we have to thank for sequencing the Omicron variant, and has been first to experience the impact. That’s why its figures, released daily, are being watched so eagerly world over. Right now, there are two questions: is Omicron now falling? And if so, what conclusions can we draw? The epicentre is Gauteng province: home to Johannesburg, Pretoria and about a quarter of South Africans. The below chart adjusts for population and shows that