To tackle this virus, local public health teams need to take back control

A massive increase in testing and tracing should be the next phase, but decades of cuts and reorganisations have whittled away the necessary regional expertise

Perhaps, the most surprising aspect of the British Covid-19 crisis is the extent to which the Scottish, Welsh and Northern Irish governments, and the English regions, have allowed strategy to be decided by Westminster.

Health and social care are devolved, and this national epidemic is not homogenous. It is made up of hundreds, if not thousands, of outbreaks around the country, each at a different stage . England had its first confirmed case on 30 January, Wales on 28 February and Scotland on 1 March. Some areas – such as Rutland, Hartlepool, Blackpool, Isle of Wight, Tyneside, Durham, Orkney, Western Isles – had no reported cases until late March, and some even now have relatively few cases.

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Matt Hancock can count on powerful support if not 100,000 tests a day

NHS chiefs and No 10 endorse the health secretary as flaws emerge in the structure he leads

Matt Hancock sounded tetchy and exhausted on Friday morning as he took to the airwaves once again to explain the latest swerve in the government’s strategy for tackling coronavirus: recruiting an army of contact-tracers in an attempt to track its spread.

Asked whether his self-imposed target of testing 100,000 people a day by the end of next week would be met, he let out a self-deprecating laugh. The health secretary knows there’s a lot in the balance: the health of millions, his standing among the public and colleagues, perhaps even his career.

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Welsh first minister to set out plans for lifting country’s lockdown

Mark Drakeford will announce proposals to ease restrictions as number of new cases stabilises

The Welsh first minister, Mark Drakeford, is due to set out plans on how the nation will aim to lift its coronavirus lockdown.

The Labour politician will announce on Friday a new framework for easing restrictions and seven questions that need to be addressed to help lead Wales out of the pandemic.

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Why the UK is finding it so hard to reach 100,000 Covid-19 tests a day

A slow start, a top-down approach and long-term cuts to local services meant target was always going to be ambitious

On 2 April, the day he emerged from quarantine after testing positive for Covid-19, Matt Hancock stood at the Downing Street podium for the daily coronavirus press conference and made an announcement that was greeted in some quarters by a sharp intake of breath.

“I’m now setting the goal of 100,000 tests per day by the end of this month. That is the goal and I’m determined we’ll get there,” said the health secretary, who had tested positive around a week earlier.

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NHS urged to avoid PPE gloves made in ‘slave-like’ conditions

In securing PPE for NHS staff working on coronavirus frontline, government must not ignore abuse of factory workers, warn activists

The government must not ignore the “slave-like” conditions of migrant workers making rubber medical gloves in Malaysia in its rush to source protective equipment to keep frontline NHS staff safe from coronavirus, human rights groups say.

Malaysia is the world’s largest producer of rubber gloves, but the industry has been accused of grossly exploiting its workforce, mostly impoverished migrants from Bangladesh and Nepal.

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EU turns up pressure on Matt Hancock over Covid-19 PPE scheme

Brussels says UK was briefed on bulk-buying plan and given ‘ample opportunity’ to join

The health secretary, Matt Hancock, is facing fresh pressure over the protection offered to NHS staff after the European commission said the UK had been given “ample opportunity” to join an EU scheme bulk-buying masks, gowns, gloves and goggles.

After a day of confusion in Westminster over the UK’s lack of involvement in the EU’s joint procurement of equipment, a spokesman for the commission appeared to bolster the claim that ministers had taken a “political decision” to opt out.

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What is the EU medical equipment scheme and why did UK opt out?

British government is facing criticism for not taking part in joint purchase of supplies amid the coronavirus pandemic

The British government is coming under fire for failing to join the EU’s procurement scheme for medical equipment, including masks, gloves, goggles, gowns, testing kits and ventilators, at a time when NHS health workers across the country are crying out for more supplies. In the latest twist, the health secretary, Matt Hancock, was forced to deny claims, later retracted, by the government’s senior diplomat that it had been a “political decision” to opt out of the scheme.

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Nurse shortage causes Nightingale hospital to turn away patients

Exclusive: Covid-19 patient transfers to new London facility cancelled owing to lack of ICU nurses

Dozens of patients with Covid-19 have been turned away from the NHS Nightingale hospital in London because it has too few nurses to treat them, the Guardian can reveal.

Epidemics of infectious diseases behave in different ways but the 1918 influenza pandemic that killed more than 50 million people is regarded as a key example of a pandemic that occurred in multiple waves, with the latter more severe than the first. It has been replicated – albeit more mildly – in subsequent flu pandemics.

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Our hospital, our NHS: what it was like to photograph an ICU in the Covid-19 crisis | Jonny Weeks

A week in a Coventry hospital documenting the work of NHS staff brought the human dimensions of this crisis home to me

Like many people around the country, I stand on my front doorstep at 8pm every Thursday to clap for carers during the Covid-19 pandemic. Yet when I did so for the first time last month, not knowing for sure if my neighbours would join me, I realised I knew little of the people for whom I was clapping.

Who are the nurses, doctors, cleaners, clerks, porters, researchers and consultants on whom so many lives depend?

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Hospital leaders hit out at government as PPE shortage row escalates

Health managers in England voice ‘intense frustration’ in unprecedented intervention

Hospital leaders have directly attacked the government for the first time during the coronavirus crisis over the shortage of personal protective equipment (PPE) after a desperately needed consignment of surgical gowns that had been announced by ministers failed to arrive.

In an unprecedented intervention, which hospital leaders privately say is the result of “intense frustration and exasperation”, the organisations representing NHS trusts in England urged ministers to “just focus on what we can be certain of” after weeks of “bitter experience” with failed deliveries.

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More than 15,000 people have died from Covid-19 in UK

Death toll rose by 888 to 15,464, according to health department figures on Saturday

More than 15,000 people have died from coronavirus in UK hospitals, figures from the Department of Health and Social Care show.

The death toll rose by 888 from 14,576 on Friday, taking the total to 15,464 as of 9am on Saturday.

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Failure to record ethnicity of Covid-19 victims a ‘scandal’, says BMA chief

Dr Chaand Nagpaul says data must be gathered now to save lives of UK BAME citizens

The government’s failure to record and publish real-time data on the ethnicity of Covid-19 patients is a scandal that is endangering lives, according to the chair of the British Medical Association.

Speaking to the Observer, Dr Chaand Nagpaul said: “This is not an issue that should require further campaigning. It would be a scandal if it requires further lobbying as data recording needs to start now, not tomorrow. When you have stark statistics like this, it is an instruction for government to act.”

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‘I accepted the very first patient’: one nurse’s first week at NHS Nightingale – video

Jo, a nurse practitioner, documents her first week at one of the largest field hospitals in the world: the Nightingale at the London ExCeL centre. The hospital was built in nine days with a capacity for up to 4,000 patients in reaction to the global coronavirus outbreak

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Refugees among hundreds of overseas medics to respond to NHS call

Scheme allowing doctors to join as medical support workers is welcomed but calls to ‘permit doctors to work as doctors’ persist

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  • Hundreds of foreign-born doctors, including refugees, have signed up to become medical support workers as part of a new scheme aimed at helping the NHS tackle the coronavirus pandemic.

    NHS England launched the initiative for international medical graduates and doctors after calls to fast track the accreditation of overseas medics.

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    Covid-19 appeal to benefit NHS staff through array of charities

    Fundraisers for NHS Charities Together aim for £100m goal

    The fundraising effort of Tom Moore, the 99-year-old who inspired many with his sponsored garden walk, drawing in £15m on behalf of the NHS, has focused attention on the health service charities which stand to benefit.

    Captain Moore’s 100 laps of his garden began on 8 April with a target of £1,000 which snowballed rapidly as his efforts received national TV and social media exposure. The £15m he has raised dwarfs the £10m donated to the fund by the Duke of Westminster, and the £5m given by the Rausing family, and puts the Covid-19 Appeal, launched Monday,well on the way to its £100m target.

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    ‘I feel fear and guilt’: an NHS junior doctor on the effect of getting Covid-19

    Rosie Hughes has tested positive for the coronavirus that has killed so many of her patients

    I am a junior doctor. In the past few weeks I have seen dozens of people die from Covid-19. I am 25 years old. I’ve been working in the NHS for just over eight months at a major metropolitan hospital. When my colleagues and I decided to apply for medical school six years ago, we knew that we were signing up for a challenge. We were under no illusion that it would be an easy ride. But I don’t think any of us imagined that we would be on the frontline of a pandemic less than a year into our careers.

    I have cared for patients from admission until death and I have held their hands when they have been too breathless to speak. I have fought hard for a patient to be considered for ventilation despite knowing that they didn’t meet the criteria. I stayed with them after my shift had ended, gowned and gloved, and watched them take their last breaths, knowing that a few months ago they might have stood a chance. I ring families to tell them that their loved one who came into hospital for something totally unrelated now has coronavirus and will not survive.

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    Parents of nurse who treated Boris Johnson ‘exceptionally proud’ – video

    The parents of a New Zealand nurse working in the NHS who cared for Boris Johnson while he was in hospital with coronavirus have said they are ‘exceptionally proud’ of their daughter. Jenny McGee’s parents, Mike and Caroline, said: ‘She has told us it doesn't matter what patient she's looking after, this is what she does and I just find it incredible.’

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    UK missed three chances to join EU scheme to bulk-buy PPE

    Exclusive: Britain did not take part in €1.5bn order for kit to protect against Covid-19 despite shortages in NHS

    Britain missed three opportunities to be part of an EU scheme to bulk-buy masks, gowns and gloves and has been absent from key talks about future purchases, the Guardian can reveal, as pressure grows on ministers to protect NHS medics and care workers on the coronavirus frontline.

    European doctors and nurses are preparing to receive the first of €1.5bn (£1.3bn) worth of personal protective equipment (PPE) within days or a maximum of two weeks through a joint procurement scheme involving 25 countries and eight companies, according to internal EU documents.

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