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At the start of 2021, the UK coronavirus vaccine rollout was one of the fastest in the world.

While the European Union launched legal action over supply shortfalls and several member states battled widespread vaccine hesitancy, by 20 March, Britain was handing out more than 800,000 doses a day.

But now it has fallen to 13th in the rankings of percentage of population vaccinated, with just 63.8% double jabbed.

And EU countries such as Malta, Portugal, Spain, Ireland, and Belgium have now overtaken, as their rollouts gain momentum and the UK loses pace.

Here Sky News looks at why the UK COVID vaccine rollout appears to have slowed down.

Children not included in UK count so far

The government’s chief medical officers only agreed to start offering the vaccine to all 12 to 15-year-olds on 13 September.

This means that until that rollout begins, a significant part of the population will not appear in vaccination statistics, putting the UK behind other countries who have been immunising schoolchildren such as Portugal and Ireland.

Dr Al Edwards, of the University of Reading’s school of pharmacy, described the concept of the UK’s rollout being ‘behind’ as “artificial”.

“In the UK we started vaccinating the really vulnerable groups first and that has had a really significant effect,” he told Sky News.

“The benefit of vaccination is different for different age groups,” he said.

“So any country that can vaccinate their most vulnerable 30% will have huge benefits because that will help prevent serious disease and death.

“When you get to between 30 and 60% those benefits become marginal.

“And then when you get to around 80%, you are really just arguing about the benefits, because they have significantly diminished.”

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Professor Andrew Preston, of the University of Bath’s department of biology and biochemistry, added that avoiding lockdowns and being able to live with the virus matters more than the numbers.

“The end game of the vaccine programme was never to vaccinate 100% of the population, it was to overcome the pandemic”, he told Sky News.

“Vaccinating children will boost the numbers, but it all depends on whether we can move back to a pre-COVID existence or not – whether that’s by vaccinating 20%, 40% or 60% of the population.

“We need to move away from just looking at the percentage vaccinated and instead at what we are actually achieving in terms of this moving towards being an endemic virus in future years.”

Tough restrictions on unvaccinated in Europe and elsewhere

Malta has vaccinated more of its population than any other country.

One of the reasons for this is its tough restrictions on those who are unvaccinated.

Since the beginning of July, people can only remove their face masks in public places if they’ve been double jabbed.

This can be proven by an official Maltese vaccine certificate or the EU ‘digital pass’.

Although France’s vaccine programme is still behind the UK’s, it has caught up significantly since the introduction of its ‘health pass’ in late July.

Its daily vaccination rate almost doubled in the weeks following, with nearly eight million getting their first dose in the first six weeks.

People now have to show a health pass to go to cafes, bars, restaurants, museums and other indoor spaces.

Similar digital passes have been introduced across Europe and beyond and have helped boost vaccination rates.

In the UK however, the government has rejected the idea of vaccine passports apart from in nightclubs and says it will only bring them in more widely if hospitalisations rise this winter.

“Other countries seem quite happy to use a more authoritarian system without batting an eyelid,” Professor Preston said.

“Italy, for example, have their green pass and it seems to be working, but here we have a very vocal minority defending those civil liberties.”

UK vaccine messaging is ‘wearing off’

Vaccine uptake in the UK is still lowest in the under-30s.

Only 48.9% of 18 to 24-year-olds and 51.8% of 25 to 29-year-olds had received two doses in England by 12 September.

Although they were last to be offered a jab, the government promised to have invited everyone over 18 to get their first by mid-July and shortened the gap between first and second from 12 to eight weeks.

Professor Sharifah Sekalala, an expert in public policy and global health at the University of Warwick, says the overall vaccine rollout has suffered from a lack of engagement with young people.

“Because of the way we banded ages at the beginning, and we reopened before they were vaccinated, people of university age feel as though their vaccinations are not as important as others,” she told Sky News.

“There has been very little consultation with them. They don’t see their GPs as much as the rest of the population, so very little community work has been done and we need to do more to address that,” she said.

Professor Sekalala also claims public messaging on the vaccine has slowed down in general, particularly with regards to underprivileged groups.

“If we’re comparing ourselves to Europe, we have massive social inequalities already, so more community work on vaccines is required,” she said.

“But it’s wearing off – it was very strong in the beginning – but now some people just think it’s all done because we’re not talking about it anymore.”

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NHS facing ‘worst case scenario’ December amid ‘super flu’ surge

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NHS facing 'worst case scenario' December amid 'super flu' surge

NHS England has warned the health service is facing a “worst case scenario” December with a surge of “super flu”.

The warning comes as new figures revealed the number of people in hospital with flu have increased by more than half in just one week.

Catch up as it happened: NHS warns of ‘worst-case scenario’ as ‘super flu’ surges

Latest figures show:

• An average of 2,660 patients were in hospital per day with flu last week

• This is the highest ever for this time of year and up 55% on last week

• At this point last year the number stood at 1,861 patients, while in 2023 it was just 402

Health service bosses are warning the number of flu patients in hospital has already increased sharply since the week covered by this data – with no peak in sight.

Read more: Why is flu season worse this year?

Virus outbreaks coincide with doctors’ strikes

Weekly flu numbers in England peaked at 5,408 patients last winter and reached 5,441 over the winter of 2022/23, the highest level since the pandemic.

Alongside rocketing flu, the number of norovirus patients in hospital has also risen by 35%.

The NHS is now warning winter viruses are starting to “engulf hospitals”.

Demand for A&Es and ambulance services is also soaring.

New monthly figures show A&E attendances were a record for November at 2.35 million – more than 30,000 higher than November 2024.

In addition, there were 48,814 more ambulance incidents (802,525) compared with last year (753,711).

Some hospitals across the country have asked staff, patients and visitors to wear face masks to cut the spread of flu, while others have gone in and out of critical incident status due to the high number of people attending A&E.

What are the symptoms of flu?

  • Sudden high temperature
  • Achy body
  • Feeling tired or exhausted
  • Dry cough
  • Sore throat
  • Headaches
  • Difficulty sleeping
  • Loss of appetite
  • Diarrhoea
  • Feeling or being sick

The record-breaking demand on the NHS coincides with a resident doctors’ strike from 17 to 22 December over pay and jobs – sparking fears of major disruption for patients in the run up to Christmas.

People are being advised to attend any planned appointments scheduled during the strikes unless they have been contacted to reschedule.

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Will doctors accept late deal to avoid strikes?

Flu vaccinations on the up… who can get one?

The NHS is urging anyone eligible to get their flu vaccination to help prevent them getting seriously ill.

Latest figures show more than 17.4 million people have been vaccinated so far this year, more than 381,000 higher than last year.

You can get it if you:

• Are 65 or over in England, Scotland, Wales and Northern Ireland

• Are pregnant

• Live in a care home

• Are the main carer for an older or disabled person, or receive carer’s allowance

• Live with someone who has a weakened immune system

• Are a frontline health and social care worker

• Are of school age

• Have certain medical conditions (the NHS has a full list)

Wes Streeting, the health secretary, warned of a “tidal wave of flu tearing through our hospitals”.

“We are working with the NHS to make sure it is able to cope with this as best as possible,” he said.

Analysis – Why these flu figures are so troubling

NHSE press releases can be prone to hyperbole: a “tsunami of infections, worst case scenarios” and “tidal wave of flu surging through hospitals” are recent examples.

But the health service’s headline writers can be allowed this excess right now.

The latest flu numbers are bad. Really bad and could get worse. One recent projection was 8,000 patients, before this wave subsides.

But that’s where the problem lies. There is no peak in sight.

We know flu season has come early. It’s going to last longer. But there’s uncertainty over when we expect to see infections falling.

Hospitals are at capacity. Most of those receiving care are elderly or have underlying health conditions.

But younger, fitter people can’t afford to be complacent.

This is a particularly nasty strain that is highly infectious. Nobody is immune. Except those people who have protected themselves with a vaccine.

Warning ‘extremely challenging few weeks ahead’

Professor Meghana Pandit, NHS national medical director, warned the health service faces “an extremely challenging few weeks ahead” with “staff being pushed to the limit”.

She said: “With record demand for A&E and ambulances and an impending resident doctors’ strike, this unprecedented wave of super flu is leaving the NHS facing a worst-case scenario for this time of year – with staff being pushed to the limit to keep providing the best possible care for patients.

“The numbers of patients in hospital with flu is extremely high for this time of year. Even worse, it continues to rise and the peak is not in sight yet, so the NHS faces an extremely challenging few weeks ahead.”

She added: “We have prepared earlier for winter than ever before, and stress-tested services to ensure people have a range of ways to get the help they need and avoid needing to go to A&E.

“For non-life-threatening care, people should call NHS 111 or use 111 online, which can direct you to the most appropriate place, and use A&E and 999 for life threatening conditions and serious injuries.”

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Mr Streeting has offered the British Medical Association (BMA) a last-minute deal in the hope doctors will call off the walkout, which starts next Wednesday.

The doctors’ union has agreed to put the offer to members over the coming day, and is expected to announced a decision on Monday, just two days before the planned strike.

The offer includes a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees, but does not include extra pay.

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Super flu strikes during perfect storm for NHS

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Super flu strikes during perfect storm for NHS

The spread of subclade K, the super flu, is picking up – and it’s not looking good for the NHS.

An average of just under 2,700 hospital beds a day in England were occupied by patients with flu last week.

There are fears that could jump to somewhere between 5,000 and 8,000 by the end of this week.

That’s on top of COVID and RSV.

And with the possibility of a five-day strike by resident (junior) doctors next week, it’s a perfect storm for hospitals.

An NHS hospital ward at Ealing Hospital in London. Pic: PA
Image:
An NHS hospital ward at Ealing Hospital in London. Pic: PA

Christmas flu

Children are the super-spreaders of flu. It races around classrooms and some schools have temporarily shut because of the impact.

More on Health

The Christmas holidays aren’t far off. They are likely to put the brakes on children passing around the virus.

But it’s also a time of year when families mix with elderly relatives, who are more likely to be hit hard by the infection – perhaps even needing hospital care.

So while the holidays may temporarily slow the overall rise in infections, the impact on hospitals could get much worse.

File pic: PA
Image:
File pic: PA

Subclade K

Flu is spreading so rapidly at the moment because immunity to subclade K from previous infections and vaccinations is low.

The virus – a variant of the H3N2 flu strain – suddenly acquired seven new mutations in late summer.

Every 100 people infected with seasonal flu would typically pass the virus on to 120 others.

With subclade K, it’s 140.

And that’s why cases are rising so quickly on the charts.

At the moment, 18 in every 100,000 patients in England are consulting their GP with flu-like symptoms. That’s still well short of the peak of around 50 in every 100,000 in 2017/18, the worst flu outbreak in recent years.

File pic: PA
Image:
File pic: PA

The grim reality of flu

Flu is a really unpleasant disease, nothing like a cold. I’ve had it twice in my life and it physically hurt to get out of bed. It’s grim.

Most people get over it with a few days’ rest and paracetamol to take the edge off the fever.

But vulnerable people can become seriously ill. In the outbreak of 2017/18, around 22,000 died.

Read more:
Nurses ‘deeply concerned about what lies ahead’
NHS braced for ‘toughest winter’ after record-breaking month

That’s why the NHS is urging people in certain groups – the over 65s, those with underlying health conditions, pregnant women, carers and children – to get the jab.

The vaccine isn’t a great match for subclade K, but still reduces the chance of hospital admission by 30-40% in adults.

It’s impossible to say when the spread will peak, but the latest figures suggest the outbreak is far from over.

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Hundreds of ‘high-value’ artefacts stolen from museum in Bristol as police issue appeal

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Hundreds of 'high-value' artefacts stolen from museum in Bristol as police issue appeal

More than 600 artefacts have been stolen from a building housing items belonging to a museum in Bristol.

The items were taken from Bristol Museum’s British Empire and Commonwealth collection on 25 September, Avon and Somerset Police said.

The force described the burglary as involving “high-value” artefacts, as they appealed for the public’s help in identifying people caught on CCTV.

It is not clear why the appeal is being issued more than two months after the burglary occurred.

The break-in took place between 1am and 2am on Thursday 25 September when a group of four unknown males gained entry to a building in the Cumberland Road area of the city.

Detectives say they hope the four people on CCTV will be able to aid them with their enquiries.

This breaking news story is being updated and more details will be published shortly.

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