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“Plan B” coronavirus restrictions must be enforced immediately to prevent the UK “stumbling to a winter crisis”, an NHS leader has warned.

NHS Confederation chief executive Matthew Taylor has urged the government to bring back certain measures, including mandatory face coverings in public places.

His remarks came as the UK recorded 223 COVID-related deaths on Tuesday – the highest number of daily fatalities since 9 March.

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Why are COVID cases rising in the UK?

A further 43,738 coronavirus cases were also reported in the latest 24-hour period, and on Monday, the UK saw the highest number of new infections since mid-July.

Although Downing Street has said it is keeping a “very close eye” on rising case rates, a spokesperson warned the prime minister has “absolutely no plan to introduce Plan B”.

If this strategy was enforced, people could be asked to work from home again and vaccine certificates would be required for nightclubs, while large indoor and outdoor venues could be forced to close.

Last month, Health Secretary Sajid Javid also confirmed that lockdowns would be considered as a “last resort” if this plan did not work.

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Mr Taylor said the NHS is now preparing for what could be “the most challenging winter on record”, and encouraged Britons to support the health service by “behaving in ways that will keep themselves and others safe”.

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Scientist’s winter COVID warning

Warning that the nation’s recovery from the pandemic could be put at risk if pre-emptive action is not taken, he added: “The government should not wait for COVID infections to rocket and for NHS pressures to be sky high before the panic alarm is sounded.”

Boris Johnson’s official spokesman has previously said that Plan B would only be activated if there was a “significant risk of the NHS being overwhelmed”.

But No 10 says that the UK is not at this point, and the vaccine rollout means “the levels we are seeing in both patients admitted to hospital and deaths are far lower than what we saw in previous peaks”.

Professor Neil Ferguson – a leading member of the Scientific Advisory Group for Emergencies – said yesterday that he thinks Plan B could be implemented in England this winter, but a return to the type of lockdown seen back in January is unlikely.

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Why aren’t more getting booster jabs?

The UK now has one of the highest weekly rates of new reported cases in the world, and vaccination rates have fallen behind other European countries.

Data shows that approximately 67% of the population has received two doses of a COVID-19 jab, compared with 75% in Denmark, 79% in Spain and 86% in Portugal.

While the weekly rate of new reported cases stands at 24 per 100,000 people in Spain and 48 per 100,000 people in France, this figure currently stands at 463 per 100,000 people in the UK.

In other developments, the government has said it is also keeping a “close eye” on a new mutation of the Delta variant, which has been called AY.4.2 by scientists.

The UK Health Security Agency warned this variant is now making up 6% of new cases and could be up to 10% more transmissible.

Adam Finn, a professor of paediatrics at the University of Bristol and a member of the Joint Committee on Vaccination and Immunisation (JCVI), says the “very rapid rise” in the number of cases in the UK is a “reflection of how people are behaving”.

He told Sky News “nobody” appears to be wearing masks inside anymore, adding he doubts people are doing lateral flow tests.

Professor Finn said: “There’s a general sense that life’s gone back to normal and as a result the infection is being passed around.”

He added that unless there is a “clear message put out that we’ve got more infection going on now than at any point in the pandemic”, despite fewer hospitalisations, people are “not really going to take precaution”.

Meanwhile, Health Secretary Sajid Javid said that the government is “ramping up” its vaccination programme in a bid to encourage eligible children to get jabbed.

He added children aged between 12 and 15 would be able to use the national booking service to secure their COVID-19 vaccines “to make the most of half-term next week”.

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‘Wonderful’ British man, 31, killed in New Orleans attack is named

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'Wonderful' British man, 31, killed in New Orleans attack is named

A 31-year-old British man is one of 14 people who were killed when an alleged Islamic State supporter drove a truck into crowds celebrating the New Year in New Orleans.

Edward Pettifer, from Chelsea, west London was killed in the attack, the Metropolitan Police confirmed.

His family said it was “devastated” by his death.

“He was a wonderful son, brother, grandson, nephew and a friend to so many,” the family said in a statement.

“We will all miss him terribly. Our thoughts are with the other families who have lost their family members due to this terrible attack. We request that we can grieve the loss of Ed as a family in private.”

New Orleans’ coroner said the preliminary cause of death for Mr Pettifer was blunt force injuries.

Dozens of people were injured when 42-year-old army veteran Shamsud-Din Jabbar‘s rented truck rammed into people in New Orleans’ famous Bourbon Street in the early hours of New Year’s Day.

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The Federal Bureau of Investigation (FBI) said the attack was “premeditated” and an “evil” act of terrorism, and added Jabbar was “100% inspired by ISIS”, also known as Islamic State.

The Foreign, Commonwealth and Development Office told Sky News: “We are supporting the family of a British national who has died in New Orleans and are in contact with local authorities.”

The coroner has also identified the majority of the victims in the attack.

They are:

  • Andrew Dauphin, 26, from Montgomery, Alabama
  • Kareem Badawi, 23, from Baton Rouge, Louisiana
  • Brandon Taylor, 43, from Harvey, Louisiana
  • Hubert Gauthreaux, 21, from Gretna, Louisiana
  • Matthew Tenedorio, 25, from Picayune, Mississippi
  • Ni’Kyra Dedeaux, 18, from Gulfport, Mississippi
  • Nicole Perez, 27, from Metairie, Louisiana
  • Reggie Hunter, 37, from Prairieville, Louisiana
  • Martin Bech, 27, from New York City, New York
  • Terrence Kennedy, 63, from New Orleans, Louisiana
  • Elliot Wilkinson, 40, from Slidell, Louisiana
  • William DiMaio, 25, from Holmdel, New Jersey
Victims of the New Orleans attack, clockwise from top left: Reggie Hunter, Martin 'Tiger' Bech, Nicole Perez and Matthew Tenedorio
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Some of the victims of the New Orleans attack, clockwise from top left: Reggie Hunter, Martin ‘Tiger’ Bech, Nicole Perez and Matthew Tenedorio

Billy DiMaio (L) and Terrence Kennedy
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William DiMaio (left) and Terrence Kennedy

The identity of one other victim is unknown, with efforts to identity the female continuing.

The preliminary cause of death for all the victims is blunt force injuries, according to the New Orleans coroner.

The FBI has also revealed that before his attack, Jabbar set fire to a house he had rented in an effort to destroy evidence.

He had placed accelerants throughout the house in his effort to destroy it, according to the Bureau of Alcohol, Tobacco, Firearms.

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But the fire, which was started in the hallway, had extinguished itself before spreading to other rooms.

Bomb-making materials were found both at the rented accommodation in New Orleans and Jabbar’s home in Houston, Texas. A home-made device suspected of being a rifle silencer was also found in the New Orleans home.

Federal authorities also revealed on Friday that Jabbar had reserved the vehicle used in the deadly attack more than six weeks earlier.

The FBI has said 35 people were injured in the attack, but it expects this number to rise in the coming days as more people go to hospital or contact the bureau.

The University Medical Centre New Orleans said it treated 30 patients who were injured in the attack. Some 13 remain in the hospital’s care, including eight in the intensive care unit.

Meanwhile, federal investigators say Jabbar used a very rare explosive compound in the two functional improvised explosive devices (IEDs) placed by him before the attack, according to Sky’s US partner network NBC News.

The explosive has never been used in any US or European terror attack, officials said. Authorities are now investigating how Jabbar knew how to make this homemade explosive, and why the IEDs did not go off.

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Nigel Farage rejects Tommy Robinson after support from Elon Musk

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Nigel Farage rejects Tommy Robinson after support from Elon Musk

Nigel Farage has said Tommy Robinson “won’t be” joining Reform UK after Elon Musk showed support for the jailed far-right activist on social media.

The billionaire owner of X, who has spoken positively about Reform UK and is reportedly considering making a donation to the party, has been critical of the government’s handling of child sexual exploitation across a number of towns and cities more than a decade ago.

While the Reform UK leader described the billionaire owner of X as “an absolute hero figure, particularly to young people in this country”, he distanced himself and his party from Robinson, who is currently serving an 18-month prison sentence for contempt of court.

Mr Musk endorsed the far-right activist and claimed Robinson was “telling the truth” about grooming gangs, writing on X: “Free Tommy Robinson”.

Speaking to broadcasters ahead of the start of Reform UK’s East Midlands Conference tonight, party leader Mr Farage did not directly address Mr Musk’s comments, but said: “He has a whole range of opinions, some of which I agree with very strongly, and others of which I’m more reticent about.”

He went on to say that having Mr Musk’s support is “very helpful to our cause”, describing him as “an absolute hero figure, particularly to young people in this country”.

He continued: “Everyone says, well, what about his comments on Tommy Robinson? Look, my position is perfectly clear on that. I never wanted Tommy Robinson to join UKIP, I don’t want him to join Reform UK, and he won’t be.”

Reform UK leader Nigel Farage speaking to broadcasters
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Reform UK leader Nigel Farage has said that Tommy Robinson will not be joining the party

Read more:
Musk’s comments ‘misjudged’ and ‘misinformed’, says health secretary

Later on GB News, Mr Farage added that Mr Musk “sees Robinson as one of these people that fought against the grooming gangs”.

“But of course the truth is Tommy Robinson’s in prison not for that, but for contempt of court,” he said.

Mr Farage added: “We’re a political party aiming to win the next general election. He’s not what we need.”

How did Elon Musk become involved?

The online campaign from Mr Musk began after it emerged that Home Office minister Jess Phillips had denied requests from Oldham Council to lead a public inquiry into child sexual exploitation in the borough, as the Conservatives had done in 2022.

In a letter to the authority in Greater Manchester, Ms Phillips said she believes it is “for Oldham Council alone to decide to commission an inquiry into child sexual exploitation locally, rather than for the government to intervene”.

An Oldham Council spokesman previously said: “Survivors sit at the heart of our work to end child sexual exploitation. Whatever happens in terms of future inquiries, we have promised them that their wishes will be paramount, and we will not renege on that pledge.”

Read more:
Is Kemi Badenoch dancing to Elon Musk’s tune?
Labour lose control of council as 20 councillors quit

Mr Musk posted on X multiple times about the scandal, and claimed Sir Keir Starmer had failed to bring “rape gangs” to justice when he led the Crown Prosecution Service (CPS). In 2013, Sir Keir introduced new guidelines for how child sexual abuse victims should be treated and how a case should be built and presented in court.

The SpaceX and Tesla boss also endorsed posts about Robinson.

Robinson, who is 42 years old and whose real name is Stephen Yaxley-Lennon, admitted at Woolwich Crown Court in October to breaching an injunction banning him from repeating libellous allegations against a Syrian refugee schoolboy, after he was successfully sued for libel in 2021.

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Calls for more research into flat head syndrome in babies and whether helmet therapy works

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Calls for more research into flat head syndrome in babies and whether helmet therapy works

A specialist team in Bristol says more research is needed into flat head syndrome, a condition which is thought to affect up to 40% of babies.

Southmead Hospital runs the only NHS clinic offering helmet therapy for infants with flattened heads.

The advice to lie babies on their backs to prevent cot deaths is one of the most successful public health interventions, but can cause babies to develop a flat head.

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3D software is used to help create bespoke helmets with a 3D printer

Most cases are mild and self-correct over time, but babies with moderate to severe cases can be referred to experts in Bristol for cosmetic treatment.

The reconstructive science team takes photos of babies’ heads which are run through 3D software, to help create bespoke helmets with a 3D printer.

Babies usually from the age of six months are advised to wear the helmets for 23 hours a day.

The helmet corrects the condition by relieving pressure on the flat side.

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It is a unique clinic; the only NHS trust in the country offering helmet therapy for babies with flat heads, known as plagiocephaly or brachycephaly.

Elsewhere, parents have to go privately, and at a cost of £2,500, it can be prohibitively expensive.

Mum Becky Darby and baby Leo
Image:
Mum Becky Darby and baby Leo

‘There’s not a lot of information out there’

We met mum Becky Darby and her one-year-old son Leo at the Bristol clinic.

Becky says she became worried about the shape of his head when he was four months old. “One side of his head was flat and the rest was perfectly round, but where he was constantly lying on it, it was getting flatter,” she said.

Becky was frustrated by the lack of guidance.

“I didn’t know what I was doing, and there’s not a lot of information out there,” she said.

Leo has been wearing his helmet for five months, and his progress is regularly monitored.

Disputed evidence

Data around flat head syndrome is scarce, and scientists at the clinic are carrying out research to investigate further.

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Becky Darby said getting the helmet treatment was the ‘best decision’ she has made

The NHS has said the evidence that the helmets work is “not clear”, and that they can cause other problems like skin irritation and rashes.

“These helmets and headbands generally are not recommended,” according to the NHS.

Senior reconstructive scientist Amy Davey wants to increase awareness and is creating a tool to assess babies, which will help find the “right treatment pathway” for infants.

“There certainly needs to be more research into providing understanding behind when and where we can go and help with helmet therapy, and where there are alternatives,” she said.

Clinicians agree that more research is needed but warn parents should not be put off lying sleeping babies on their backs.

Read more from Sky News
UK’s first drug consumption room announces opening date
Nigel Farage rejects Tommy Robinson after support from Elon Musk

Leo and mum Becky Darby

Parents still advised to lie babies on their backs

Dr Joanna Garstang is a community paediatrician and adviser for the cot death charity the Lullaby Trust.

She told us that while flat head syndrome is common, “in nearly all cases it just resolves spontaneously as the baby grows and begins to sit up and crawl”.

Lying babies on their backs is a public health success story, reducing the number of sudden infant deaths by 90% since the late 1980s.

“Even if parents are worried about flat head, putting the baby on the back to sleep is by far the safest way for the baby to sleep. If they’re worried about flat head they should talk to their GP or health visitor,” Dr Garstang said.

Becky Darby says choosing helmet therapy is “the best decision” that she took.

As for Leo, his helmet is working and should be off soon.

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