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tv   Coronavirus  BBC News  July 17, 2020 10:45am-12:15pm BST

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this is bbc news. the headlines. the nhs in england is to get a £3 billion of extra funding to help it cope if there is a second wave of coronavirus this winter. they are dealing with a lot of ongoing pressures so dealing with a lot of ongoing pressures so while £3 billion sounds like a lot of money, we need to be absolutely clear how and where that money is going to be spent. the prime minister is shortly expected to set out the next steps on the road out of lockdown restrictions in england. it's not known if he is keen to encourage commuters to return to the workplace to help the economy recover. the health secretary calls for an urgent review into coronavirus death data in england following confirmation anyone who has tested positive for
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the virus is included in the figures. the uk tourism industry says since lockdown, there's been a near total shutdown in international tourism, to and from the uk. hundred year old captain tom moore who raised millions for the nhs will be knighted by the queen today in his own personal ceremony at windsor castle. good morning and welcome to this bbc news special. the prime minister borisjohnson is news special. the prime minister boris johnson is due news special. the prime minister borisjohnson is due to hold a news conference from downing street shortly, he is expected to set out a nine—month strategy for easing the coronavirus lockdown in england. amid signs of disagreement among
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some government experts. mrjohnson will also announce an extra £3 billion of funding for the nhs in england to prepare for next a possible second wave and help ease winter pressures on the health service. he is also expected to encourage people to return to work if they can although his chief scientific adviser sir patrick valla nce scientific adviser sir patrick vallance said yesterday there was no reason to change the official guidance. the prime minister is also likely to announce new powers for local authorities in england to impose lockdown. as the government seeks to reassure the public that coronavirus is under control. and in the last hour, the health secretary matt hancock is called for an urgent review into the compilation of death data by public health england. it comes following confirmation that the data in england included anyone who has ever tested positive for the virus. scotland and northern ireland only include people who died within 28 days of their coronavirus tests. our health editor reports on the extra funding pledges for the nhs in
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england. today boris johnson extra funding pledges for the nhs in england. today borisjohnson will set out plans aimed at preparing the nhs in england for the winter ahead. this will include funding to keep the nightingale hospital is open through to the end of the financial yearin through to the end of the financial year in march. their workload with covid i9 year in march. their workload with covid 19 patients was much less than expected and they were put on stand—by. some are now being used for scans for cancer patients. but spare capacity will be maintained in case there is a second wave of coronavirus infections. ideal will also be done with private sector hospitals which provided beds for nhs used during the crisis. funding will be allocated to cover routine operations for nhs patients. on top of the £3 billion for england, there will be money allocated proportionately to devolved administrations. the prime minister will also confirm plans to boost testing by the autumn and a new marketing campaign to raise awareness of the test and trace scheme. the british medical
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association representing doctors, said it was vital to understand with the money would be enough to boost capacity for a potential second wife and also meet the needs of millions of patients who had cared delayed during the pandemic. we can now speak to the chair of the british medical association, mentioned at the end of that report. thank you for joining the end of that report. thank you forjoining us. what do you make of the possible announcement of this extra funding, will it be enough? i'm not sure it is enough, we need to understand exactly how the money is going to be used, it sounds like a lot of money but remember it's less tha n a lot of money but remember it's less than 3% of the nhs budget. the most immediate priority that hasn't been mentioned, is the backlog of ca re been mentioned, is the backlog of care that has accumulated from april, may and june when the nhs, in effect, went into standstill to cope with the covid i9 pandemic. we've done analysis that shows around two and a half million fewer patients
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we re and a half million fewer patients were not seen in clinics, they are waiting to be seen and about one and a half million fewer operations. those patients are now wondering, they are anxious, many are suffering, they've been waiting months to be treated and some of those have conditions that are life—threatening, if they are not treated, or could become much more serious. we can't ignore that, that is something that has to be dealt with. £3 billion needs to cover that treatment of that backlog and as we do that, we will be entering winter and will have winter surges and the issue of seasonal flu outbreak nationally as well. what we need to see is exactly how this money will translate into the nhs being able to deliver that expanded volume of care and will it stretch to delivering that? it's not a huge sum, as i said, in terms of the nhs total budget. would you be able to put a
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figure on what you think might be needed? i think the way this needs to be done is transparent, about looking at millions of patients who have a backlog, looking at how much it would cost to be able to provide treatment to all of those and to factor in modelling of the likely winter pressures we ordinarily have and the possibility of a spike and i think that's what's important. up to this point we have always heard announcements from government about arbitrary figures, billions of ppe being deployed, numbers of tests but what we are not seen as practicalities and operational issues which are going to count and the same applies for the test entry system, whilst there may be a promise to increase the numbers of tests, we know what really counts is whether the system has the ability to process those tests in a timely way and whether we have the facilities to contact trace and isolate stop remember, the government approach to this programme was to rely on an app, at
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the moment we don't know whether that will be ready in the coming months. we have no further information so it's notjust about announcing greater numbers of tests, it's about what happens thereafter. as we speak, about a quarter of patients are not being isolated or contact trace. the other thing is we believe there needs to be a much greater focus on preventing a second spike. and it's important the government doesn't send out mixed messages, the virus is still rife, we are seeing far too many new messages, the virus is still rife, we are seeing far too many new cases every day, for higher than european nations which have brought down the infection rate. and that's why we are seeing increased local outbreaks, because the virus hasn't been suppressed. ultimately, the economy has to function. if the prime minister is urging everyone to go back to work from september, where possible and schools go back, what are the implicit risks in that, in view your view, as we head into
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winter? i think what's important is we ensure the easing of lockdown and activities are done safely, safety, it's clear what the public health measures art so that means being clear if we note that the virus is spread by being in close contact, those mitigating factors such as wearing face coverings should not just apply to public transport and shops, they should apply everywhere where that could occur. does that mean children in schools, people in offices? i think there are some exemptions and there are good scientific reasons why schools may not need to have the same issues around face coverings but certainly offices, we heard mixed messages from government about people who go to work. those people who go to work or mixing with others and we know for example factories have had outbreaks so we should make sure employers, in fact, outbreaks so we should make sure employers, infact, employers outbreaks so we should make sure employers, in fact, employers should have support from government to put
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in place any adaptations they need that could include for example perspex screens, certainly the use of face coverings when that is not possible, ultimately, it benefits employers and employees and for the nation not to have further outbreaks. it cannot help a city like leicester have a look at lockdown and so what we are saying, be clear about the messaging to prevent further spread. if someone really ca n prevent further spread. if someone really can be as productive in their home as an office, then i agree with the chief scientific officer, we shouldn't be adding risk to the system and i think with regard to government, even around face coverings, there has been a real mixed message. why is it going to ta ke mixed message. why is it going to take away is safe? it's not if you're mixing with others, next to someone you're mixing with others, next to someone in a you're mixing with others, next to someone in a queue you're mixing with others, next to someone in a queue you you're mixing with others, next to someone in a queue you are you're mixing with others, next to someone in a queue you are just as likely to be infected as being next to someone in a railway station. we need a much more robust approach to prevent spread, prevent outbreaks, a second spike, and enabling people to
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resume some activities but done in a safe and proper way and for the government to enable that to happen. doctor, thank you for your time. our health correspondent anna collinson joins me. we've been hearing this morning about matt hancock calling foran morning about matt hancock calling for an urgent review into the compilation of death data by public health england, confusion about how that has been assessed. really interesting. in recent weeks we've been seeing signs of recovery in wales, scotland, northern ireland when we've been getting those figures coming through, in some cases no covid i9 figures coming through, in some cases no covid 19 associated deaths on some days but that's not been happening in england. we've had weeks where on several occasions we had more than 100 deaths several times. now statisticians from oxford university appear to have found an explanation why that is happening. they say when recording data public health england looks at whether a
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person has ever tested positive for coronavirus and then, whether they are still alive at a later date so that means anyone who's ever tested positive for coronavirus is included in the death figures, even if they died from something else. one pretty startling example is a person could test positive, be successfully treated and discharged say in april and then injune, could be run over bya and then injune, could be run over by a bus and i stop that person would still count as a covid 19 death in england, meanwhile in scotla nd death in england, meanwhile in scotland and northern ireland they only include deaths in the daily death count if someone dies within 28 days of having a positive test. this team from oxford university argue the current definition in england means no one with covid 19 is allowed to ever recover from the illness the way that is currently processed so the health secretary matt hancock has called for an urgent review into how the data is processed in england. it implies the possibility the england numbers have
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been artificially inflated. do we have any idea by how much that might be? the story has only broken this morning so obviously that's going to be looked into but the important thing to point out, this doesn't mean most of the coronavirus deaths in england are counting errors. statisticians say it's better to look at that registration up coronavirus cases anyway and we've been that, looking at the figures from the office for national statistics and when you look at those figures, england still has one of the highest death tolls in the world. while the state it needs to be reconsidered, the overall theme doesn't seem to change that much. thank you. let's go to westminster, iain watson is there for us and if i could pick up on the story that's just been emerging, this looks pretty difficult, public health england criticised during this whole saga. yes, public health england has been criticised and there is some speculation certainly come around
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here about whether public health england will be made at least one of the scapegoats for the handling of the scapegoats for the handling of the crisis. this appears to be an error by public health england by effectively regarding some of the deaths that have happened this year is coronavirus even if people had recovered and died of a different cause. i think we should get it into perspective. the vast majority of deaths that have been recorded had been recorded as the result of positive tests in hospitals, so when it comes to international comparisons, for example, so is difficult to compare data accurately. we have to wait to see what the excess deaths look like but nonetheless, it is still the case the united kingdom has one of the worst mortality rates in europe and that won't have changed as a result of the public health england error but there is now going to be an inquiry into that and i suspect there will also be calls from the opposition to say let's have a wider inquiry into the handling of the
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coronavirus crisis if it is now appropriate to take a look at how public health england has been recording those debts, perhaps we should also look at some of the other decisions that have been taken earlier this year. just on the main message we are likely to get, we are waiting for the press conference from downing street in the next few minutes but what are we expecting?” think there will be three messages, talking about the health service, that's essential from the pi minister ‘s point if you do give people confidence, the government will get on top of any potential second wife. secondly i think he wa nts to second wife. secondly i think he wants to give people more confidence to return to work for it that's possible, where workplaces are as they call it, covid 19 secure. there will need to be some encouragement for people perhaps to go back to help the wider economy and also at the travel by public transport to get revenue there but the third area will be this question of controlling the virus, getting on top of it. more powers for local authorities to impose local lockdown, i think we've
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been talking about some of the powers local authorities have wanted so powers local authorities have wanted so they can't declare local lockdown is swiftly, they can impose restrictions, including fines on people who might break a lockdown. i think the reason for that is there has been criticism around what happened in leicester. did people get data quickly enough, when infections in leicester were going up, at too fast a rate, you had to effectively close down a city of 300000 and i think the emphasis is to try and make sure in a phrase, lightning lockdown, that can happen quickly in much smaller areas, more targeted, part of that will be driven by data which the department of health says has been improving in terms of what local authorities get, but also to stop confusion between central and local government and to give local government more of a site so give local government more of a site so they can act more swiftly and start imposing lockdown is if they need to without having to go back and forward to whitehall. to what degree is government united on this,
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we heard sir patrick vallance yesterday sent not necessarily any need to change in working from home, i was need to change in working from home, iwasa need to change in working from home, i was a department of health preparing for a second wave in winter and what is the logic of saying to everyone go back to work, go back to school. go back saying to everyone go back to work, go back to school in september? there are two things. the chief scientific adviser patrick vallance is at the centre of both of them. he published a report saying there could be 120,000 deaths if there is a second wave of the virus and if it went unmitigated. what we're seeing today, the mitigations from the government, there are attempts to try make sure the health services and overwhelmed. in addition to that, one of the big criticisms during the first wave has been that people suffering from other conditions including cancer, might have had some of their treatment stopped... i have to enter up to because boris johnson stopped... i have to enter up to because borisjohnson is at the podium. it's been two weeks since i last addressed you from this podium. i'm pleased to say we have continued to make steady progress in our
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collective effort to beat the coronavirus. for three weeks now, the number of new cases identified through testing each day has been below 1000. the latest sage advice is that across the uk, the r rate is between 0.7— 0.9. and the rate of infection is shrinking 5—10% each day. the latest ons data shows infections to be stable and low. the number of patients to hospital with coronavirus each day and a mechanical ventilation beds have fallen by more than 90% from their peak in early april. and while we mourn every death, the average daily death rate continue steadily to fall. this progress is testament to the phenomenal efforts of our nhs and social care staff working tirelessly on the front line. and it
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has only been possible thanks to the character and fortitude with which you, the british people, have made fundamental changes to the way you all live and work. when we set out our plan to rebuild on the 11th of may, we said our goal was to return to life as close to normal as possible for as many people as possible, as fast and as fairly as possible, in a way that is safe and continues to protect our nhs. that goal remains the same but the tools we use to achieve it are changing. at the start of the pandemic, we knew far less about the nature and the spread of the virus and we had to ta ke the spread of the virus and we had to take blanket national measures. national lockdown is undoubtably the right thing to do and has saved many thousands of lives. now, however, we know more about the virus, we understand the epidemiology better and our intelligence and where it is
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spreading is vastly improved. that means we can control it, through targeted, local action instead. in england, this work is led by nhs test and trace and within it, the joint biosecurity centre. my deep thanks go to dido harding who oversees this work and joins me today. this approach is already working. in weston—super—mare and kirklees we took swift and successful action to contain outbreaks at specific premises. in bradford and blackburn with dial when we identified troubling trends in the data and worked closely with respected local authorities to increase testing and take targeted action. that work continues. and in leicester, we instituted a local lockdown in order to bear down on stubborn rates of infection, as the health secretary announced last
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night, we will begin to relax the restrictions there next week. we can do so because the data is improving, with the percentage of people testing positive falling from a weekly rate of 12.2% onjune 29 to 4.8% yesterday. the approach varies in different parts of the uk but all parts of the uk benefit from the support of our armed forces, additional testing facilities and billions of pounds of support provided by this government. today, we are publishing our framework for containing and controlling future outbreaks in england, which will enable national and local government work closely together. from tomorrow, local authorities will have new powers in their areas. they will be able to close specific premises, shut public outdoor spaces and cancel events. these powers will enable local
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authorities to act more quickly in response to outbreaks where speed is paramount. action by local councils will not always be sufficient, so next week we will publish draft regulations which clearly set out how central government can intervene more effectively at a local level. where justified by the evidence, ministers will be able to close whole sectors or types of premises in an area, introduce local stay at home orders, prevent people entering or leaving defined areas, reduce the maximum size of gatherings beyond national rules or restrict transport systems serving local areas. i know it will be hard going for people affected by these local measures. it isn't easy and for some, it may seem unjust that people just a short distance away can live
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their lives closer to normal. but it has to be right that we take local action in response to local outbreaks. there is no point in shutting down a city in one part of the country to contain an outbreak in another part of the country. of course, this local approach relies on having an effective testing regime in place and here we have made substantial progress. anti—jen cat leek test capacity, that's the test that tells you if you currently have the virus, has increased 100 fold since the start of march, from fewer than 2000 tests a day to more than 200,000 tests a day now. publicly available data suggest we are carrying out our tests more than anywhere else in europe in total and more tests than germany, france, italy and spain per capita. we have set up testing sites around the uk
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are now have 200 mobile units which can be rapidly deployed where ever they are needed. it is now the case and has been for some time that anyone, anywhere in the uk with symptoms can get a test without delay. we are also testing increasing numbers of people who don't have systems but who are at higher risk. as we approach winter, we will need to go further, not least as many more people will show covid like symptoms as a result of seasonal illnesses and therefore require a test. so we will further increase testing capacity to at least 500,000 antigen test today, that is 3.5 million antigen tests a week by the end of october. demand for testing is not the only challenge that winter will bring. it is possible that the virus will be more virulent
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in the winter months and it is certain that the nhs will face the usual annual winter pressures. we have taken a number of steps to get the nhs ready for winter. we have massively increased the number of ventilators available to patients across the uk, up from 9000 before the pandemic to nearly 30,000 now. we have substantially increased the pipeline of personal protective equipment for the nhs and social care, constituting over 30 billion care, constituting over 31} bilt'rtrrr of 'da 
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