improvement for leading nhs ata england an improvement for leading nhs at a national level to make sure ppe is available. we have been assured by people who are buying and provide that stock centrally that the definitely will be sufficient stock to get us through the next period. as we know from the first phase, that is really important. we also had a projection using the data that we have now. this is the six—week projection that patrick valla nce six—week projection that patrick vallance was detailing. he made the point that we had the acute nhs beds and the ventilator beds as well, and he worked through the projections, and certainly for the acute beds, the critical date was the 20th of november. if you do not have enough beds, what happens then? how is that playing in your planning? that is one of the things that are slightly different from the first phase. the focus on the first phase was the number of ventilators. one of the things we have learned as a result of that first phase, is that actually the best treatment for many people is not to put them on mechanical ventilation,

the nhs foryou. on action that we can protect the nhs for you. on monday, action that we can protect the nhs foryou. on monday, i'm action that we can protect the nhs for you. on monday, i'm going to set out our plans to parliament. on wednesday, parliament will debate and vote on these measures which, if passed, will, as i say, come into force on thursday. we have updated the devolved administrations on the action we are taking in england and stand ready to work with them on plans for christmas and beyond. we should remember that we are not alone in what we are going through, our friends alone in what we are going through, ourfriends in alone in what we are going through, our friends in belgium, alone in what we are going through, ourfriends in belgium, france, germany have ta ken ourfriends in belgium, france, germany have taken very similar action and, so, as we come together now action and, so, as we come together now to fight this second wave, i wa nt to now to fight this second wave, i want to

beds in england by nhs region. currently, only in the north—west is this coming close to the peak that we previously had, but it is increasing in every area. and if we do nothing, the inevitable result will be at these numbers will go result will be at these numbers will 9° up result will be at these numbers will go up and they will eventually exceed the peak that we saw in the spring of this year. next slide, please. and therefore, if you look at the nhs as a whole, inpatient beds, dark blue is august, light blue september and purple is october. you can see it was still falling in august. in september initially flat and then a very gradual increase in numbers, but now it is going up steadily on an exponential curve. next slide, please. looking at individual hospitals, nhs hospitals, these are some hospitals, these are the hospitals with more than 100 covid in patients in them. this number will increase over the next weeks and in green are hospitals which have got below half of their previous peak. in orange is

as far as the nhs sees it? because there is a time lag of normally two weeks before we start seeing the impact? one of the obvious questions is, has this been clear enough, quick enough and decisive enough? i think the obvious answer to the question is it is actually in all our hands, which effectively is that this will only work if people comply with the rules. i think what we are nervous about is, as you can see from some of the local lockdowns, for example, we are beginning to see compliance with lockdown rules fraying at the edges. if we want to ensure that the nhs absolutely can treat every single patient that we would like to, both covid and non—covid, it's in our hands. we have to follow the rules. hopefully it will work, but obviously that remains to be seen. that was chris hopson there. this evening, local leaders in west yorkshire say plans to move to tier 3 tomorrow have been shelved. they say, following the prime minister's statement, the region will follow the national restrictions on thursday. i

steve has emphasised that the nhs is there for everyone and not just to that the nhs is there for everyone and notjust to treat covid, but to treat all the health problems we have and to stop us from becoming unwell. there is, nevertheless, a massive collective responsibility on every citizen now to play their part in defeating this a virus and getting it back under control. i think we are now going to have some questions, and fergus walsh from the bbc. hello. question first for stephen powis, which is the last time the nhs coped during the first wave by cancelling nonurgent surgery and pausing a lot of cancer screening. how close are you to having to do that, especially in these hotspot areas in the north—west? question for jonathan mann time, we have heard a lot that in liverpool — — mann time, we have heard a lot that in liverpool —— jonathan van tam, we have heard that in liverpool bars and pubs might have to shut, is the scientific evidence that that will slow transmission and if that is, can you share it with us questioning thank you, so if i take the first question. in the

change, i think the nhs will, under these conditions, the nhs will be under tremendous strain, maybe if this had been done earlier, as keir starmer asked... and i this had been done earlier, as keir starmerasked... and i am this had been done earlier, as keir starmer asked... and i am not making a political point here, the scientists were saying this, the other three nations were saying this, andi other three nations were saying this, and i feel for them other three nations were saying this, and ifeel for them because they were supposed to reopen in three weeks. so it is a mess, it is a real big mess. and when you look at this, rosamund, this could have been brought in three weeks ago, but the way the virus has come in has even chucked the scientists. really depressing line, it is worse than the worse scenario. absolutely, yes, but is not three weeks ago sage said we are going to need a circuit breaker lockdown, so can evan dunham even earlier, of course, —— so it could have been done even earlier. i think the difficulty is the tory party committed heavily to the idea that a seco

stay at home, protect the nhs and save lives. the prime minister didn't want to be back at the lectin that this is some of what confronted him in recent days. a range of projections from several groups of scientists made public tonight of the number of people who could die each day of nothing changed. one suggested more than 4000 people. all of the projection is more serious than what had been the current worst case scenario shown in black, dwarfing what happened first time round, shown here in blue. the fear shown in this separate document leaked to the bbc which suggests that the nhs in some parts of england could be full within a fortnight and if things continue unchecked, the nhs will not be able to accept any more patient by christmas week. you were told by your own scientists many weeks ago that you would have to ta ke weeks ago that you would have to take national action in order to save lives. prime minister, what took you so long? this is a constant struggle and a balance that any government has to make between lives and

today we formally launch nhs test and trace. the system will start tomorrow morning at nine o'clock in the first people who will be contacted will be those who received a positive result today. that is news to us, as far as we were concerned it was the ist ofjune and even that was in doubt. i'm worried i will not be ready because i'm having problems logging in and booking shifts. the system keeps crashing and we keep being told how important it is but they seem to not be able to get these glitches out of the system. two days after test and trace goes live i start my first shift. cases are not assigned to us but instead we have to press a button signalling that we are ready to take one. i press the button a lot. start tracing. currently no available records and that means i have no one to follow up with at the moment. i've reached the end of my shift, my first shift online and i had zero cases today. i've just finished my second shift, it was eight o'clock until two o'clock and i did not have a single case. yet again i have no ca

it‘s very hard to see what else the nhs could have done. if it would save lives, but also easily there are consequences that the long—term. i think the thing that is reassuring is the daily mail is trying to present it asa daily mail is trying to present it as a bit ofa daily mail is trying to present it as a bit of a trade—off, so we took the choice to to save lives of covid patients, putting other lives at risk. it is not quite as simple of that, because if you don‘t take restrictions or early enough, hospitals end up getting overwhelmed with covid patients. itjust kind of crowd everything else out. going into the autumn where we‘re already seeing a second wave, i think the key thing is to have the right level of restrictions done in a timely enough manner. so that you don‘t see the situation happening again in the nhs, and their people working very ha rd to nhs, and their people working very hard to ensure people are actually determined that elective care is not going to get cut to one side and the way that was necessitated dur

let me explain why the overrunning of the nhs would bea why the overrunning of the nhs would be a medical and amoral disaster beyond the raw loss of life. because the huge exponential growth in the number of patients by no means all of them elderly, by the way, would mean that doctors and nurses would be forced to choose which patients to treat, he would get oxygen and who would not, who would live and who would not, who would live and who would not, who would live and who would die. and doctors and nurses would be forced to choose between saving covid patients and non—covid patients, and the sheer weight of covid demand would mean depriving tens of thousands if not hundreds of thousands, if not millions, of non—covid patients of the care they need. it is crucial to grasp this, that the general threat to public health comes not from focusing too much on covid, but from not focusing enough, from failing to get it under control. if we let the lines on those graphs grow in the way that they could, in the way that they are projected to grow, then the risk is that for the first time in our

but we cannot let the nhs fall dilemmas. but we cannot let the nhs fa ll over dilemmas. but we cannot let the nhs fall over when lives are at stake, so fall over when lives are at stake, so let me repeat the offer that we are making to those local authorities. work with us on these difficult but necessary measures in the areas that are rated very high in return for more support for local test and trace, more funding for local enforcement, the offer of help from the services and the job support scheme as announced by the chancellor. i believe not to act would be unforgivable, so i hope rapid progress can be made in the coming days. regulations for all three covid local alert levels are being allayed today, they will be debated and voted on tomorrow before coming into force on wednesday. we will also keep these measures under consta nt will also keep these measures under constant review, including a four week sunset clause four interventions in very high areas. a postcode search on guv .uk as well as the nhs and covid will show which local alert level applies in each area

if we hadn't underfunded the nhs for the last 30 yea rs we underfunded the nhs for the last 30 years we would not be in this position. i'm certain in other countries, as many have pointed out, they have done better because they have better funded national they have done better because they have betterfunded national health systems and because they have better funded and more thoughtfully structured care home systems, so it is because of a lack of these social systems and lack of funding, especially at the level of the local councils, that we are in this mess now. and i think the way out of it is still to focus on protecting those who are vulnerable in those areas and let population level immunity build up so that we attain an endemic equilibrium level as we enjoy it right now with the other seasonal coronaviruses that are circulating. sorry to but in, but when you talk about protecting the vulnerable, are you talking about a return to shielding? yes, i should think so, for a short period of time. so between now and christmas, since christmas seems to be the goal, that we should enter

the story isjust saying that an e—mail was sent by an nhs trust chief to his staff, saying that the nhs is preparing for a national vaccination programme before christmas. all i have been reading about the oxford vaccine and others suggest that is not possible, but who knows? may be is a vanguard ofa but who knows? may be is a vanguard of a kind of vaccine that can be used. it's hopeful, it's interesting but i feel with every target that we read, including vaccines before christmas, it is a bit like the difference between telling a chihuahua that it can run a marathon and a horse. we seem to be led by chihuahuas at the moment. i do not believe this but i'm sure a lot of people well. i hope it may be true. we have just had anthony fauci, the us‘s guru on coronavirus, the infectious disease expert, he has been assisting the white house throughout the crisis, has said on andrew marr a few minutes ago we will know if a vaccine is safe and effective by the end of november or even early december. that is what they are saying in the united states. this is absolutely crucial for the governmen

let mejust say what an nhs spokesman told us. chc funding is available to a minority of people whose eligibility is assessed on an individual level. whilst most people are instead covered by the rules on social care eligibility, the parliament has established. you say these individual assessments, they are turning down people who are actually eligible. how can you know that? is this what this legal action is about? it is. it is notjust me that knows that, it is the experts that i have just described. the evidence and the nhs and the government are extremely disingenuous about this. since 2015, rather than the previous steady rise in eligibility rates, they have sharply fallen. when the ageing population would deter determine the fact that the eligibility would increase. the biggest element of this scandal is the postcode lottery, where the variation in the award rates across the country is huge and unexplained by socio— economic and health and wealth demographics. could it be, i will have to ask you to be brief, i am sorry, phi

how do you think the mood has changed among nhs workers? i think there is a feeling of impending doom, much like there was in the foothills of the first wave of it. i think there is a lot of frustration. everyone was shouting very loudly that the basics of public health, the basics of sorting out a pandemic are testing, tracing and isolating, and it's clear that testing isn't up to scratch. it's clear that the contact tracing isn't up to scratch, and fewer people are isolating than should, and, you know, you can quite easily point to very public government and associated figures who seemingly ignored their own advice, and that obviously makes it harder for people to want to isolate, so there is frustration. it's interesting you say that, because we've just been talking to george osborne, former chancellor, and i don't know if you heard our conversation, but one of the things he said when we asked him, look, public health had been very severely cut in his time in charge as chancellor, he said, i don't really think that's made much difference

nhs providers as a foundation for nhs providers as a foundation for nhs trust in england. chris hopson is their chief executive. joining us live now, certainly extremely challenging. we are hearing these discussions of potentially restrictions being tightened across england. something potentially the prime minister will be announcing on monday. is that something that your members will welcome? well, i thought your health correspondent‘s bit earlier was interesting, because what she was concentrating on where the national figures, but when you talk to chief executives of hospitals in the northeast, north—west and yorkshire asi northeast, north—west and yorkshire as i was doing today, what they are saying to us is, those figures are skewering the fact that actually come in their regions, they are as busyin come in their regions, they are as busy in terms of number of hospital admissions from coronavirus patients, some of them are as busy as they were in the peak of coronavirus. so we just need to be careful about just focusing on national averages or a national aggrega

i am joined stephen powis from nhs england. good afternoon. iam joined by stephen powis from nhs england. good afternoon. i am joined by steve powers of nhs england and jonathan van—tam, deputy chief medical officer. across the world, the countries that are waging the most successful fights against coronavirus are adopting regional and local measures to protect their populations, and that is why we launched the three local covid alert levels for england, with intervention based on the prevalence in local areas. since then, we've been undertaking discussions with local leaders in those parts of the country which are currently bearing the brunt of the second wave of this epidemic. before i update you on those discussions, i will ask jonathan van—tam to brief us on the latest data nationally, and in greater manchester. thank you, jonathan. thank you, prime minister. first slide, please. i am jonathan. thank you, prime minister. first slide, please. lam beginning today's data briefing with a slide i showed on the 12th of october, and i'm doing

that's something like one—in—ten, one—in—12 staff across the nhs. that's placing enormous pressure on existing staff and is contributing to the problem of chronic excessive workload. and i want to be really clear about the issue of excessive workload — i think the danger is we see it — well, we don't see it, it's like the pattern on the wallpaper that we no longer see. but it's the number one predictor of staff stress and staff intention to quit. the committee took the issue up with nhs england's chief people officer. do you accept that shortages of doctors, nurses, midwives, and other front—line workers contribute to burn—out amongst staff? yes. short answer is yes. and let me expand on that little bit more. what the pandemic has shown us, a once—in—100—years—event, is that nhs staff are really responding to pulling out all the stops. what it's shown us is that the health and well—being of our staff and the numbers of our staff, as well as the environment in which they work are the three mutually reinforcing elements that determin

te st people bizarrely referred to as nhs test and trace, it is nothing to do with nhs, it is a private company with nhs, it is a private company with a whitney of failures that is not tracing people as well as a chat. scotland's system traces around 99% of contracts. and this intestine trace system is reaching 5455% so this is obviously concerning but it is concerning in the much wider contests and that the tests and trace system in england is significantly underperforming and makes it very difficult to stop the virus because if you cannot trace anyone that has been in contact with someone anyone that has been in contact with someone i tell them they must self—isolate a method that is one of the major ways in which the pirates will spread around. it is called the nhs intestine trace app which is how we are all encouraged refer to it. but if we can't rely on the figures, we don't know how bad the virus is and what the real our rate is, caroline. we don't and as you say without that concrete pillar in the sand what do we base all the other things we hear about? do we have credibility f

despite that they have been bombarded with of the ten times a day from nhs test and trace. it is the same story of another constituents and his family who are so mostly because member has tested positive and in his words we are not stupid people, we don't need pointless telephone calls every other day. what a waste of time and money, says mrs perry. can i asked secretary of state when he will admit the national system has failed and wimberly handover test and more importantly tracing to local directors of public health who know their areas directors of public health who know theirareas and directors of public health who know their areas and note their communities and know how to do test and trace properly? the honourable gentleman is completely wrong on two fronts. this is been a very contentious statement so far and the gentleman has played a positive part in the giving of public health message across in northumberland but he is wrong on two fronts. the first point that he has got wrong is that when test and trace contacts people to re m ove when test and trace contacts pe

yes and the figures are a snapshot of where the nhs in england is right now. useful way to compare where we were before the pandemic and at this stage too, so if we take some of the figures like a&e attendances, 1.7 billion in september, still down 400,000 on where they were last year. in april 41,000 routine operations, now back up 41,000 routine operations, now back up to 156,000. but there were 275,000 routine operations in august last year. when we look at urgent cancer referrals in april, 80,000 of those,in cancer referrals in april, 80,000 of those, in august back up to 170,000 but still not quite where they should be. this is about clearing the backlog and a big emphasis on encouraging people that the nhs is open for business. the chair of the academy of the royal colleges has said today that unless everyone follows social distance and guidelines, there is a danger of the nhs being unable to cope and deliver the other services. we know more about what to expect with covid, like i mentioned the nightingale hospitals are on standby and there is widespread

a separate document circulating in government, based on nhs england modelling, warns that the nhs may be unable to accept any more patients by christmas, even if the nightingale hospitals are used and non—urgent procedures cancelled. this morning scotland's first minister nicola sturgeon advised people there not to travel to and from england unless essential. 0ur political correspondent, chris mason, reports. stay at home, protect our nhs and save lives... the stark message from spring, and the stark reality, a similar instruction for england appears imminent again. this is why. the lines here are the projections of different groups of scientists of what might happen if there aren't any further restrictions. the steadily climbing low black line is what was the so—called reasonable worst—case scenario, but all of the projections now suggest things could be much, much worse than that, and compare them with the blue shaded curve on the left of the graph. that is what happened earlier this year. we have been saying for about three or four weeks that it's really important the governm

to stay at home, protect our nhs and save lives. remember back in the spring? "stay at home" was the message and borisjohnson's now understood to be considering bringing in that instruction for england again. however, it wouldn't be the same overall. this time, schools, colleges and universities would stay open. official government documents seen by the bbc suggest the country is on course for a significantly higher death toll in the second wave of covid than the first, unless there are further restrictions. that is as cases continue to rise. because action wasn't taken earlier when it should have been, we are now in a harder place. the tier 3 approach levels us off at a bad place and the rest of the country is coming up to that bad place. it is the recognition of that scenario which is leading, i think, to what has been discussed today. downing street's understood to be looking at a month—long form of lockdown, in the hope restrictions could be eased in time for christmas. we've saying, and we have been saying it for about three or four weeks, that it's real

nhs staff know what's to come. they are better prepared than in the spring with my ppe treatment and better understanding of the virus. but this time hospitals are trying to keep other services running whilst seeing rising numbers of covid patients. in april they were nearly 20,000 patients with coronavirus in hospital across the uk. that dropped over the summer but numbers have climbed to nearly 11,000, and with hospital admissions currently doubling roughly every fortnight, hospital leaders are worried. we have been saying, and we have been saying it for about three or four weeks, that it is really important to the government moves quickly and does tough lockdown is as quickly as possible because otherwise the nhs will not have the capacity it needs. the latest estimates show even with the topic here three restrictions in parts of england, the epidemic is still growing with between 50 and 100,000 new infections every day. it is rising rapidly in the south. health officials want more hospital admissions and deaths

a separate document circulating in government, based on nhs england modelling, warns that the nhs may be unable to accept any more patients by christmas, even if the nightingale hospitals are used and non—urgent procedures cancelled. this morning scotland's first minister, nicola sturgeon, advised people there not to travel to and from england unless essential. 0ur political correspondent, chris mason, reports. stay at home, protect our nhs and save lives... the stark message from spring, and the stark reality, a similar instruction for england appears imminent again. this is why. the lines here are the projections of different groups of scientists of what might happen if there aren't any further restrictions. the steadily climbing low black line is what was the so—called reasonable worst—case scenario, but all of the projections now suggest things could be much, much worse than that, and compare them with the blue shaded curve on the left of the graph. that is what happened earlier this year. we have been saying for about three or four weeks that it's really important the gover

england and taken support is given over to nhs england and ta ken away support is given over to nhs england and taken away from the companies that have so far not been able to deliver, and then see that we engage top tier local authorities and, of course, gps. you are a former chief scientific adviser, you have set up independent sage, this alternative to sage, if you like. have you had any to sage, if you like. have you had a ny co nta ct to sage, if you like. have you had any contact with government, have you managed to speak to them about what you say? no, we put our reports in to government and, no, we don't actually speak to them except of course, every friday, we have a public meeting, a very large number of people now regularly attend our friday meetings and we are very happy to speak to anyone in government, but, really, the door has to be open at both ends for that discussion to take place. 0k. has to be open at both ends for that discussion to take place. ok. but sage and independent sage, over the last four to five weeks, have been singing from the same hymn sheet. in oth

the nhs is very keen to stress this. government spokesman has pointed out that right now they are doing more than 1 has pointed out that right now they are doing more than1 million routines and operations a week commencing more than three times the number of patients compared to april for routine surgery. so obviously we are improving, but there are things to think about here. these figures are for august. this is when generally the nhs is not under so much pressure in the summer and covid figures were very low. right now that picture has changed a lot, so now that picture has changed a lot, so let's look at where we are right now. hospitaladmissions, so let's look at where we are right now. hospital admissions, right so let's look at where we are right now. hospitaladmissions, right now, if you look at hospitals across england, about 3% of the beds are taken by covid patients. but we know that if you look at admissions, this is much lower than in april when we we re is much lower than in april when we were looking at 30

retired nhs staff. and of course, it‘s the combination of the three, the kits, the physical space and the staff you need to expand capacity. unlike in manchester, where we are having to stand up the nightingale hospital again already. we are not yet at the point where we have to do that in london and i hope that pulling together and following the level two rules that the people of london can avoid that in the future. many thank you. many staff have put themselves on the front line to protect the most vulnerable but have tragically lost their lives, leaving their families absolutely devastated. alongside support, appropriate tribute must be paid to the sacrifice. as chair of the all—party health group i have written to the prime minister and number of months ago asking for a memorial to be commissioned in their honour, but i have heard nothing back. will the secretary of state support bereaved families who have given their all and take this issue forward across government? of course, we have done a h

support the nhs, key children at school and shelter the economy as much as possible. and do this by suppressing the virus until a vaccine is available. it's been clear for until a vaccine is available. it's been clearfor some until a vaccine is available. it's been clear for some days now that further action is needed across parts of england. last monday, we we re parts of england. last monday, we were able to reach an agreement with the leadership of liverpool city region across party lines to take the action that is needed. with a package of financial support and cooperation. yesterday, he announced to the house a similar agreement reached in lancashire. and across the country, we continue to work closely with local leadership. mr speaker, and greater manchester, there have been more coronavirus infections already in october than injuly, august infections already in october than in july, august and infections already in october than injuly, august and september combined. the average daily hospital admissions and greater manchester are now higher than they were on th

nhs england waiting times, and they give us a snapshot of how the nhs is doing. we're looking at two different things, how it is doing usually and how it is recovering from the pandemic before we get into this second set of cases. figures for here. if we look in august when the figures happened, there were 11.2 million people on the waiting list for routine surgery and treatment. and just nearly half of them have waited longer than 18 weeks. to give you context, just over 100,000 people have been on a waiting list for over a year, the highest number in12 for over a year, the highest number in 12 years. for over a year, the highest number in12 years. a for over a year, the highest number in 12 years. a really specific illustration for you. this august there were about 276,000 people for routine operations, we are talking about knee and hip operations. that was august last year. in august this year, it had fallen to about 156,000. a drop of around 120,000 people. patients not getting the surgery people. patients not getting the surgery they need. but there is anoth

calls for borisjohnson to support front line workers — as an investigation by the paper reveals the nhs is battling a mental health crisis. so, let's begin. critical friend. criticalfriend. starting with critical friend. starting with the sunday telegraph, isolation could be haft. why? is it not working? it is a strange approach. this story, major story says that ministers are thinking about having the 1a days to maybe even seven, for the time spent in isolation if test and trace her to go there. we are scratching our heads, apparently we have been following the science all the way through the pandemic and so, suddenly, to remove from m days to seven days? and what has changed here? the reality of what has changed here is that people are getting tired. the government knows that people again exhausted by this whole process and the concern as well as to whether or not people really are of being these rules and there is an awful lot of pressure on there is an awful lot of pressure on the government and on the source from number ten, the source from number ten that clearly indicates that th

greater demands on the nhs, such as a flu outbreak, said the nhs, we can be complacent and we are very worried that we won't be able to provide the sort of level of care for everyone and therefore what we must do to try and therefore what we must do to try and prevent the nhs being challenged further is to drive down the infection now before we set into proper winter. the measures we are suggesting are exactly to try and achieve that. very briefly, if you can. we are talking about the same rule, if you are close to people over a face covering indoor or outdoors. we're not saying people cannot go for a walk in a park and have to wear a mask, but when you are have to wear a mask, but when you a re close have to wear a mask, but when you are close to people, we see people on the high street, congregating and talking and that masks. your point, well made. good to speak to you again. pubs and restaurants across central scotland have closed their doors for the next 16 days as part of new restrictions to curb rising coronavirus infections. in other parts of scotland, alcohol can only be serve

nhs leaders urge ministers to act quickly. it is really important that the government moves quickly and does tough lockdowns as quickly as possible because otherwise the nhs won't have the capacity it needs. scotland's first minister, nicola sturgeon, has issued new advice that people should not travel to or from england, except for essential purposes. as the government's furlough scheme ends, there's concern from business leaders on what a second lockdown would mean for jobs. hello and welcome to bbc news. the prime minister is set to announce a month—long national lockdown in england. borisjohnson will hold a downing street press conference in the next hour. the cabinet has met this afternoon to discuss how to tackle the rate of transmission, after one of its scientific advisers warned the virus was "running riot" in england. non—essential retail and hospitality will be forced to close, but schools and universities will be allowed to stay open. it comes as the uk records a further 326 deaths from coronavirus within 28 da

the nhs is a wonder. it is a glory. i go there now, and have been since i left hospital at the end ofjune, i'm going nearly every week for eye procedures, for scans on my chest, so, it's a glory that this thing can save our lives, can look after us, and of course, i'm 7a, i was born just before the nhs, but the whole of my conscious lifetime has been in the nhs, and it's a feeling that, it is how a government can act in a loving way, because what it's doing is caring for us, as you said in the cliche, from the cradle to the grave. that cliche is very powerful. the idea that we have a lifetime of health or illness, and this is for all of us, and it is a sense, a way in which we all care for each other, and i am overwhelmed by it, in the way it has acted on me, if you like, and save my life, as you say. how did they get you out of that induced coma in the end? they tried various things. my family could not visit because of the covid restrictions. they tried various things. so they did try various things, they celebrated m

why don't we give all this food away to the nhs beside us? i thought that was a fabulous idea, so we did it for a week. that week, we we re so we did it for a week. that week, we were giving those donations. we set upa we were giving those donations. we set up a go fund me page from march until august, about 16 or 17 weeks. how many meals do you think you provided? how many people came and went, any idea's well north of 100,000. at the very height of things, the nhs staff were able to... we were working with another fantastic lady called melody. she was kind of a guardian angel in glasgow for people who are homeless and, at the time of the lockdown, glasgow city council shepherded in about five or 600 homeless people into hotels and hostels, and provided accommodation for them, but none of those had any catering facilities. they couldn't get a hot meal. but this lady, melody, user organisation skills, which are phenomenal, and we gave her about 500 meals everyday and we continued to do thatjust now and we will continue to do that for as long

and the nhs is doing an incredible job, on the nhs and the nhs is doing an incrediblejob, but we on the nhs and the nhs is doing an incredible job, but we cannot forget about those people and not address their concerns. people with endometriosis taking high levels of painkillers, in normal times, endometriosis taking high levels of painkillers, in normaltimes, it endometriosis taking high levels of painkillers, in normal times, it was already a big challenge, covid added to that but in scotland and across the uk we have started up and restarted surgery and support for people with lots of different diseases and chronic illnesses. actually, i would argue that this is the perfect time to be looking at theseissues the perfect time to be looking at these issues because we need to be able to support people whether it is able to support people whether it is a global pandemic or another times or whatever that is going to be. when we are so consumed by those issues, this is something cross— party, issues, this is something cross—party, something positive to put a very clear pathway forwa

it's a brilliant idea, so brilliant that the nhs has spent the summer brilliant that the nhs has spent the summer working on this concept. we can't do it as perfectly as my honourable friend suggests and reason is the practicalities of treatment of treatment of covid. if you have covid and something else you have covid and something else you need an intensive care unit but the united hospitals are there. sadly the 90 care hospital in manchester is reopening and we are making sure that within all the rest of the hospitals, either different parts of the hospital are either deemed blue or green, or the different buildings are covid free or in some cases whole hospitals are covid green sites as in you can't go there, you can't go into it unless you have been tested and testing negative so you can have a high degree of confidence. if treating cancer patients you want to ensure there is no covid in there. there isn't any covid in there. and so we need these long—term solutions andi so we need these long—term solutions and i would say that like other liberal democracies around the world,

the daily telegraph reports the impact of efforts to protect the nhs from the pandemic, with hospital admissions for serious illnesses plummeting by up to 90%. the guardian says greater manchester could soon run out of beds to treat people left seriously ill with covid—19 and some of the region's 12 hospitals are already full. the times suggests borisjohnson is ready to offer tens of millions of pounds to head off a northern revolt against tougher coronavirus curbs in which key tories have sided with andy burnham, the mayor of greater manchester. while the metro reports andy burnham is asking that mps are allowed to vote on extra funding for any area moved into tier 3 in order to prevent "economic disaster". according to the financial times, europe's economy is sliding towards a double—dip recession, with economists warning that rising coronavirus infections and fresh government restrictions on people's movement are likely to cut short the region's recent recovery. and the daily mail says borisjohnson is on a collision course with the church over brexit as the uk's five anglican a

to stay at home, protect our nhs and save lives. remember back in the spring? "stay at home" was the message and borisjohnson‘s now understood to be considering bringing in that instruction for england again. however, it wouldn't be the same overall. this time, schools, colleges and universities would stay open. official government documents seen by the bbc suggest the country is on course for a significantly higher death toll in the second wave of covid than the first, unless there are further restrictions. that as cases continue to rise. because action wasn't taken earlier when it should have been, we are now in a harder place and the tier 3 approach just levels us off at a bad place. and the rest of the country's coming up to that bad place. it is the recognition of that scenario that is leading to what has been discussed today. downing street's understood to be looking at a month—long form of lockdown, in the hope restrictions could be eased in time for christmas. we've saying and we have been saying it for about three or four weeks that it's really imp

it is somehow knocking the nhs. and after 12 billion pounds, these track and trace system have gone so wrong. >> thanks to nhs test and trace, testing more than any other country in europe. you know where the disease is surging. it is regionally distributed rather than nationally distributed, that is a chance to do the right thing, he wants to close businesses in areas across the country where the incident is. he wants to do it now. and nothing in the areas where the instance is higher, calling for a national lockdown. to impose more stringent measures, he failed even to turn up. >> i know for someone who's been an opportunist all his life. it is difficult to understand but having read and considered the sage advice, the circuit break in the national interest. genuinely concluded, it is the failure of the prime minister's strategy that means tougher measures are unavoidable. sage advice that a circuit breaker should act to reduce, should reset the incidence of disease for a lower-level answer the epidemic back by ap

the nhs. 0f said, please don't hold back from contacting the nhs. of course, when there was the lockdown before, nonurgent surgeries were cancelled, waiting lists built up. across the board there was restricted access to medical services. what have they said about preparedness at this time around because obviously people will be concerned about the knock—on impact again? they are vowing that they do not want to have the kind of blunt lockdown that disrupted so many treatments, things like hip and knee replacements that have people ina lot knee replacements that have people in a lot of pain. they do not want to see all of that derailed like last time. so they are putting on stand by the nightingale hospitals in areas such as manchester, sunderland and harrogate that will help the nhs cope if they surge continues. also, they are doing more testing of nhs staff to pick up a symptomatic transmission and they hope there is that would mean you would be able to carry on with more regular treatment.

so what impact is this all having on nhs waiting times? because we also have figures on that today, haven't we? we have. it is really important to us say that those figures are for august. that's before things really started to climb but they are still very important. so if we look at them, one of the things we measure is routine surgery — how long people are waiting for operations like knee and hip replacements. in august 4.2 million people are on that waiting list now and about half of them have been on it for more than 18 weeks. more than 100,000 people have been on it for over one year, that is the highest number for more than 12 years. that is people getting these hip and knee replacements. this august and fell down... that is a fall of almost 120,000 people. which does sound really bad but i will give you anotherfigure to sound really bad but i will give you another figure to put it into slightly more positive context here. let's use that figure of this august about 156,000 people having this surgery. in april it was closer to 41,0

the welsh tory leader focused on the nhs. first minister, it's been reported today that the list of people waiting for routine surgery in wales is nearly six times longer than a year ago. and one orthopaedic surgeon has warned waiting times for things like knee and hip replacements could be three years. is he right, first minister? well, the member is right to point to the fact that coronavirus is having and has had a very serious impact on the ability of the health service to carry out activities that at any other time would have been central to the work of the national health service. that, i'm afraid, is inevitable. it's inescapable, and while the health service is working very hard to create the conditions in which as much activity as possible can be safely carried out while the coronavirus crisis continues, there is no escaping the fact that there will be longer waits for some procedures in wales than we have seen for some time. mark drakeford. back injune, a statue of a slave trader, edward colston, was thrown into bris

the daily telegraph reports the impact of efforts to protect the nhs from the pandemic with hospital admissions for serious illnesses plummeting by up to 90%. the guardian reports greater manchester could soon run out of beds to treat people left seriously ill with covid—i9, and some of the region's 12 hospitals are already full. the metro reports the mayor of greater manchester, andy burnham, is asking that mps are allowed to vote on extra funding for any area moved into tier three in order to prevent "economic disaster." the financial times says europe's economy is sliding towards a double—dip recession, with economists warning that rising coronavirus infections and fresh government restrictions on people's movement are likely to cut short the region's recent recovery. the daily mail says borisjohnson is on a collision course with the church over brexit as the uk's five anglican archbishops warn that controversial legislation would set a "disastrous precedent" and undermine britain's standing in the world. and according to the daily mirror, political leaders are united behind a

today the nhs trust that should have cared for him was charged over his avoidable death. i think we are really happy with the cqc decision. itjust shows that from day one we were put in a pretty terrible situation at the trust and the care both sarah and harry received was completely inadequate at the time. the problems occurred at this hospital in margate. staff delayed arranging a caesarean section, didn't carry out the operation properly, then made errors when resuscitating him. an inquest in january concluded that neglect had contributed to harry's death. we both blamed ourselves and we didn't know why this had happened and the more we realised the trust were at fault the less we blame ourselves and the more we can look at them as an organisation that failed us. the east kent trust is one of england's largest and these criminal charges are the first time an acute nhs trust has been charged with poor patient care. today it accepted it had failed to provide safe care and treatment to harry and his mother and apologised unreservedly. i think we wanted people to be held a

nhs labs shortage of vital kit and chemicals for a covid tests. pretty seriously bad news. especially in light of the problems we've been having with testing and tracing. yes, this is very worrying news. the ft reports that the swiss company is one of the big suppliers of coronavirus testing reporting serious disruption in the supply chain. which means it's already filtering to shortages in la bs already filtering to shortages in labs and nhs supplies. 0bviously very alarming afterjust days after the government reported the technical glitch of the tens of thousands of papers, individuals who had tested positive for the virus not having their contacts traced out. although the focus is on coronavirus i think that's what many people will be worrying about. the bad news is it goes a bit further than that because the swiss company it's a major supplier of other forms of testing including other test. in general this looks likely to put further pressure on the nhs at a time when heading into the winter season time when heading into the winter seasonis time when heading into the wi

let me explain why the overrunning of the nhs would be a medical and a moral disaster beyond the raw loss of life. because the huge exponential growth in the number of patients, by no means all of them elderly, by the way, would mean that doctors and nurses would be forced to choose which patients to treat, who would get oxygen and who would not, who would live and who would die. and doctors and nurses would be forced to choose between saving covid patients and non—covid patients, and the sheer weight of covid demand would mean depriving tens of thousands if not hundreds of thousands, if not millions, of non—covid patients of the care they need. it is crucial to grasp this, that the general threat to public health comes not from focusing too much on covid, but from not focusing enough, from failing to get it under control. if we let the lines on those graphs grow in the way that they could, in the way that they are projected to grow, then the risk is that for the first time in our lives, the nhs will not be there for us and for our families. and even if i could now double capacit

there was a real imperative to save the nhs and not overburden it. many people who had coronavirus were sitting at home, suffering, and not knowing, in a sense, not gaining help at that time. now, we certainly know that if you have more than five symptoms in your first week, especially if you are a bit older, then you are quite likely to go on to get long covid. if we can identify these people, maybe we can get preventative treatments in place, and also, importantly, we could be able to rehabilitate people, as they are going through the next few weeks. and that may reduce the length of illness that they have. do we know yet what kind of preventative treatment? we are seeing in the early stages, if you have a severe disease, also associated with multiple symptoms, you can respond to certain treatments that have been tried. we have all heard about dexamethasone being important in people who have breathing difficulties and low oxygen levels, which some people might not detect themselves, but they are there if you measure it. dexamethasone is one. the ot

now an nhs trust has been charged over his death. just over a week after being diagnosed with coronavirus, president trump says he might hold an election rally in florida tomorrow. and coming up on bbc news, fog and damp weather prevent a first practice session at the eifel grand prix in germany. good afternoon and welcome to the bbc news at one. the uk economy recovered more slowly than expected in august, growing by 2.1%. although this represents the fourth consecutive month of growth, it was considerably smaller than that seen injune and july, despite the introduction in august of the government's eat out to help out scheme, which boosted restaurants. the economy remains 9.2% smaller than before the pandemic struck. it comes as the chancellor rishi sunak is set to announce this afternoon more financial support for businesses forced to close when virus rules are tightened. an announcement of these new restrictions, which could see pubs and restaurants shut in the worst—affected parts of england, is expected on monday. here's our

it follows a dark warning from the nhs. if we do not take measures to control the spread of the virus, the death toll will be too great to bear. but in other areas with very high infection rates such as the north west, the prime minister hasn't put them in the most severe category. there are changes, though, to nottinghamshire, east and west cheshire and a small part of the peak district, which will have some additional restrictions. this is not how we want to live our lives, but this is the narrow path we have to tread between the social and economic trauma of a full lockdown and the massive human and indeed economic cost of an uncontained epidemic. the prime minister, back in the commons, with news he did not want to give, as cases continue to grow and grow, so limits on our lives increase. we report from one hospital on merseyside, an area where admissions could reach peak pandemic levels within 10 days. a—levels and gsces in england will go ahead next year, but most will be delayed by three weeks. and the royal academ