Extra Covid restrictions could be needed ‘at pace’ as NHS prepares for surge

·4-min read
Ministers have been warned they must be ready to apply restrictions ‘at pace’ as the NHS puts itself on an emergency footing to deal with a possible surge in Covid-19 patients (Dominic Lipinski/PA) (PA Wire)
Ministers have been warned they must be ready to apply restrictions ‘at pace’ as the NHS puts itself on an emergency footing to deal with a possible surge in Covid-19 patients (Dominic Lipinski/PA) (PA Wire)

Ministers have been warned they must be ready to apply restrictions “at pace” as the NHS puts itself on an emergency footing to deal with a possible surge in Covid-19 patients.

Chris Hopson chief executive of NHS Providers, said trust leaders recognise that the UK Government’s threshold for introducing extra measures in England “hasn’t been crossed yet” but that additional capacity is being created in case hospital pressures increase.

The number of coronavirus patients in UK hospitals has jumped by more than 40% in a week to the highest number since March 2, according to Government data up to December 29.

(PA Graphics) (PA Graphics)
(PA Graphics) (PA Graphics)

In England alone, the number of patients in hospital has climbed to its highest level since February, relating to when the country was under a strict lockdown.

Dr Chaand Nagpaul chairman of the council at the British Medical Association, said there is concern over the “significant increase” of people in hospital with the virus.

Speaking to Sky News, he said: “While the proportion of people who end up in hospital as a result of Omicron is smaller, we are definitely seeing significant increases.”

In Scotland and Wales, nightclubs are closed to New Year’s Eve partygoers, and restrictions have been placed on hospitality.

But in England, ministers have opted to forgo measures beyond the UK Government’s Plan B which includes mandatory Covid passes for large events, increased mask-wearing in public places and work from home guidance.

Mr Hopson, chief executive of the group which represents health trusts in England, said even if extra restrictions are put in place to control the Omicron variant, it will take two weeks to reduce the hospital admission rate.

He told BBC Radio 4’s Today programme that additional restrictions “may be needed at pace if the evidence warrants it”.

“It is the Government who sets the rules on restrictions, not the NHS, and we know that the Government has set a high threshold on introducing new restrictions,” said Mr Hopson.

“So, on that basis, trust leaders can see why the Government is arguing that, in the absence of a surge of seriously ill older patients coming into hospital, that threshold hasn’t yet been crossed.

“But we still don’t know if a surge will come, and indeed we are exactly talking about the preparations we are making for that surge right now.

The Government needs to be ready to introduce tighter restrictions at real speed should they be needed

Chris Hopson, NHS Providers

“So, in terms of restrictions, I think we are in exactly the same place we’ve been for the past fortnight, which is the Government needs to be ready to introduce tighter restrictions at real speed should they be needed.”

So-called “Nightingale” hubs are being established at some hospitals to deal with a “super-surge” in Covid patients in a move that Mr Hopson said would require the NHS to “go into an emergency mode” amid staff shortages, partly due to high coronavirus infections.

He said recently retired health workers and volunteers would be asked to staff the Covid hubs, which would be used for patients “who are effectively over the worst” and being readied for discharge.

It came as a leading scientist said it is likely that the NHS will be overwhelmed by the spread of Omicron.

Professor Peter Openshaw, who sits on the New and Emerging Respiratory Virus Threats Advisory Group (Nervtag), told BBC Breakfast: “I think we haven’t quite reached the threshold that was set by Government in terms of the NHS being overwhelmed, but it looks like that will be reached quite quickly.

“What I’m very concerned about is our NHS staff, my dear colleagues who have worked so, so hard all through the repeated waves of this infection. How are they going to cope?”

New Year’s Eve celebrations will be able to take place in England without added restrictions (Anthony Devlin/PA) (PA Archive)
New Year’s Eve celebrations will be able to take place in England without added restrictions (Anthony Devlin/PA) (PA Archive)

The BMA’s Dr Chagpaul said 25,000 patients were admitted to hospital with Covid-19 in a four-week period before Christmas, but added that he does not have the data on whether all of those were being treated for their symptoms or were admitted with other ailments before testing positive.

Separate data on hospital admissions suggests that 71% of Covid patients in hospitals in England on December 21 were primarily being treated for the virus.

The remaining 29% were there “with Covid”, suggesting they tested positive on arrival for another ailment or tested positive during their stay.

More up-to-date figures are expected from NHS England on Friday.

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