NHS trusts in England declare critical incidents amid Covid staff crisis

At least six trusts in have issued alerts as fears grow vital care will be compromised by workforce absence

Multiple NHS trusts across England have declared “critical incidents” amid soaring staff absences caused by Covid-19, with health leaders saying many parts of the service are now “in a state of crisis”.

Boris Johnson on Monday ruled out the introduction of new curbs “for now” but said he recognised that the pressure on the NHS and its hospitals, was “going to be considerable in the course of the next couple of weeks, and maybe more”.

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NHS faces significant pressure in coming weeks, says Boris Johnson

PM rejects claim relative lack of restrictions in England is a gamble but says it would be ‘absolute folly’ to believe threat has passed

The NHS will face significant pressure in the coming weeks from the nationwide spread of the Omicron variant, Boris Johnson has said, while rejecting the idea that England’s relatively limited Covid restrictions amounted to a gamble.

Speaking to reporters on a visit to Buckinghamshire, the prime minister also had strong words for Conservative MPs and others seeking a swift relaxation of the rules, saying it would be “absolute folly” to believe the threat had passed.

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Up to 90% of Covid patients in ICU are unboosted, says Boris Johnson

Prime minister urges people to get third jab during visit to a vaccination centre in Milton Keynes

Boris Johnson has urged people to get their booster vaccine as he said up to 90% of those in intensive care had not had their third Covid jabs.

On a visit to a vaccine centre in Milton Keynes, the prime minister said people should enjoy their new year celebrations while taking extra precautions such as ventilation and testing, and he urged people to take up the offer of a third dose.

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England reports record 113,638 new Covid cases on Christmas Day

Official data also shows 98,515 cases on Monday, but experts say figures may not reflect true trends

Covid cases in England reached a new high of 113,628 on Christmas Day and 1,281 people were admitted to hospital – the highest daily figure since mid-February.

Official data on new Covid cases, which was delayed over the festive period, also showed 98,515 new confirmed cases reported in England on Monday. Data for Boxing Day from England and Wales combined revealed 108,893 daily cases reported.

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Voices of Covid doctors: ‘It was always about trying to save you’ – video

Healthcare workers around the world have been on the frontline of the coronavirus pandemic for almost two years, which put them through the darkest days of their careers. Five doctors who have worked in hospitals in Uganda, New Zealand, the US, India, the UK and Brazil told the Guardian about how the pandemic had tested them personally and professionally, but how they continue to find hope and resolve to keep working.

Thanks to Dr Peter Kavuma, Dr Dalilah Restrepo, Dr Yogesh Kalkonde, Dr Anne Menezes and Dr Megan Smith, who is also a spokesperson at the campaigning organisation EveryDoctor

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London hospital staff speak out: ‘We’re not here to judge, but please get your Covid vaccines’

Health workers at King’s College hospital fear a surge in admissions as the Omicron wave gathers force, but are cautiously optimistic

On the third floor of one of the country’s biggest hospital trusts, a team of intensive care specialists in masks and visors huddle around a screened bay where a critically ill patient lies unconscious surrounded by cables and tubes.

The elderly man’s breathing is supported by a ventilator and he is connected to an arterial line to measure blood pressure. He is fed by a gastric tube, and a nearby stack of six monitors provide updates on his condition, from oxygen levels to heart rate.

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It’s beginning to look a lot like last Christmas: why the UK has Covid deja vu

Omicron cases are soaring, experts want curbs and Boris Johnson is dithering. Sound familiar?

That old adage of Marx insists that historical events occur first as tragedy, then as farce. The government’s handling of the pandemic in the UK long ago undermined that progression: tragedy and farce have, since the very beginning of the crisis, always been a double act.

The clashing tone of current events feels like a dispiriting festive repeat of all-too-familiar dramas. A week that began with the exposed scandal of Downing Street lockdown parties, and ended with chief civil servant Simon Case stepping down as investigator of those scandals, because of a party in his own office, was also yet another week in which the alarming progress of the virus outpaced government rhetoric and claimed another thousand lives.

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Adam Kay: ‘Game-playing is a great way of getting yourself to face a challenge’

The doctor turned comic and bestselling author on writing children’s books, hiding useful facts in disgusting jokes and how bad at Scrabble he is

Adam Kay, 41, trained as a doctor and worked for the NHS for six years before quitting to become a writer and comedian. Both his memoirs, This Is Going to Hurt: Secret Diaries of a Junior Doctor and Twas the Nightshift Before Christmas, were bestsellers, with several million copies sold, making him the first author to have simultaneous No 1s for hardback and paperback nonfiction titles. He turned both books into hugely successful standup shows. Twas the Nightshift Before Christmas is touring the UK and a BBC Two series of This Is Going to Hurt, adapted by Kay and starring Ben Whishaw, is coming in 2022. He has also started writing children’s books, publishing Kay’s Anatomy last year and, in September, Kay’s Marvellous Medicine.

What made you want to write children’s books?
I have always been fascinated by the human body; I think it is the most extraordinary bit of kit ever. But it’s never had the same cool billing among kids as outer space and dinosaurs, probably because they’re forced to do biology in a rather dry way at school. So I thought I’d have a go at getting across my enthusiasm for the topic, with some jokes thrown in.

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Why a UK Omicron wave is dangerous – even if we see mostly mild cases

Analysis: If the spread continues at this rate, a small proportion of Covid hospitalisations is a serious matter

With the booster programme at full tilt across the UK, immunity against Covid is rising – so it is perhaps not surprising that the concern shown by experts over the steep rise in Omicron infections has left some bemused.

For while the new variant is believed to dodge Covid vaccines to some degree, it is thought the jabs still offer good protection against severe disease – particularly after a booster. And greater levels of immunity mean a lower ratio of hospitalisations to cases – something we have seen before in the UK, where about 22% of cases in those aged 65 and older ended up in hospital in early 2021, when Alpha was dominant but few had received a vaccine, compared with about 6% after the vaccine rollout was well under way.

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Covid live: half of UK adults receive booster vaccine; Ireland sets 8pm curfew for hospitality venues

Half of UK adults receive booster vaccine; Ireland will also face 50% capacity limit on events

Here is a bizarre story out of the US to add a little light relief to an otherwise sombre news day.

A Florida man wearing a red thong as a face mask was forced off a United Airlines flight after failing to comply with the federal mask mandate.

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What Omicron’s Covid ‘tsunami’ could mean for the UK

Will the NHS cope? What’s the worst case scenario? The key questions on the fast-spreading variant’s impact

The rapid spread of Omicron across the UK has led public health officials and ministers to warn that, without action, the country will see 1 million infections a day by the end of the month. The consequences of the Omicron “tsunami” are far from clear, but a picture is beginning to take shape.

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Housebound elderly people waiting weeks for Covid boosters

Charities say vulnerable older people ‘overlooked’ amid pressure to meet target of 1m top-up jabs a day

Housebound elderly people are having to wait weeks to get their booster vaccine, despite being a key priority group for top-up jabs, raising fears about them being left at risk.

Charities have warned that older people are being “overlooked” in the NHS’s rush to deliver the 1m boosters a day that Boris Johnson has ordered to reduce the threat posed by the Omicron variant.

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Coronavirus live: US Covid deaths surpass 800,000; Omicron poses real threat, says Moderna chief

The United States has surpassed 800,000 coronavirus-related deaths; Moderna chief cautions against assumptions Omicron is milder than Delta

United States secretary of state Antony Blinken says by the end of next year, the US will have donated more than 1.2b Covid-19 vaccine doses to the world, Reuters is reporting.

The US air force has discharged 27 people for refusing to get the Covid-19 vaccine, making them what officials believe are the first service members to be removed for disobeying the mandate.

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UK’s 1m a day booster rollout is strategy of short-term pain for long-term gain

Analysis: next few weeks will be tough for anyone who relies on the health service as well as those who work in it

The wording of the four home nations’ chief medical officers joint statement on Sunday was undramatic but still ominous. “Transmission of Covid-19 is already high in the community, mainly still driven by Delta, but the emergence of Omicron adds additional and rapidly increasing risk to the public and healthcare services.”

Given that “vaccine protection against symptomatic disease from Omicron is reduced … hospitalisations from Omicron are already occurring and these are likely to increase rapidly”, they added.

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Scientists fear falling trust in Boris Johnson could harm bid to curb Omicron surge

Researchers say new rules may be needed to cut deaths, but there are concerns that ‘fed-up’ people will ignore government

Ministers announced a huge expansion of the booster vaccine campaign on Saturday night, amid warnings that further restrictions will be needed imminently to prevent tens of thousands of deaths.

With new Covid measures being discussed in Whitehall and claims of people being turned away from booster walk-in centres, third jabs will be opened up to those in their 30s from Monday in England. Those who had their second jab three months ago or more will be eligible.

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Confusion over booster eligibility in England as people in 30s book Covid jabs

Apparent glitch allows younger people to book vaccinations before they were expected to qualify

There was confusion on Saturday about which age groups in England are now eligible to book a booster jab with the NHS, after an apparent glitch allowed younger people to book before they were expected to qualify.

People aged 30 and over in England were expected to be able to book a Covid-19 booster from Monday as long as it has been three months since their second vaccine dose, but many 30-somethings reported on social media on Saturday that they had been able to book their appointments already.

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Javid advised to take ‘stringent’ Covid measures within a week, leak reveals

Exclusive: Health officials say urgent action needed to avoid mass hospitalisations and overwhelming the NHS

Britain’s top public health officials have advised ministers that “stringent national measures” need to be imposed by 18 December to avoid Covid hospitalisations surpassing last winter’s peak, according to documents leaked to the Guardian.

Sajid Javid, the health secretary, received a presentation from the UK Health and Security Agency (UKHSA) on Tuesday warning that even if the new Omicron variant leads to less serious disease than Delta, it risks overwhelming the NHS with 5,000 people admitted to hospital a day.

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Act now against Omicron to stop new Covid wave, UK ministers warned

Government privately being urged by advisers to tell people to work from home as UK cases of variant hit 134

UK ministers have been warned they cannot wait for new research on the Omicron variant and must act now to prevent a potentially “very significant wave of infections” that risks overwhelming the NHS.

A 75 further cases of the variant have been identified in England, the UK Health Security Agency (UKHSA) said on Friday night, bringing the total number of UK confirmed cases to 134. The head of the agency, Dr Jenny Harries, said: “We have started to see cases where there are no links to travel, suggesting that we have a small amount of community transmission.”

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Covid: UK aims for 500,000 jabs a day in bid to outpace Omicron variant

Ministers to ramp up vaccinations to 3.5m a week as minimum gap for boosters is halved to three months

Ministers are targeting a return to half a million UK Covid jabs a day as the waiting time for boosters was cut to three months in a bid to outpace the Omicron variant that scientists believe is already spreading in the community.

Confirmed Omicron cases rose to 11 in England and Scotland on Monday, with scientific advisers braced for hundreds more to be detected in the next week or so.

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ICU is full of the unvaccinated – my patience with them is wearing thin | Anonymous

Most of the resources we are devoting to Covid in hospital are being spent on people who have not had their jab

In hospital, Covid-19 has largely become a disease of the unvaccinated. The man in his 20s who had always watched what he ate, worked out in the gym, was too healthy to ever catch Covid badly. The 48-year-old who never got round to making the appointment.

The person in their 50s whose friend had side-effects. The woman who wanted to wait for more evidence. The young pregnant lady worried about the effect on her baby.

The writer is an NHS respiratory consultant who works across a number of hospitals

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