Health leaders have urged the government to introduce “some kind of Plan B” with emergency departments in a “terrible place” amid rising levels of coronavirus infections.
Dr Katherine Henderson, president of the Royal College of Emergency Medicine, warned ministers that hospitals are “already struggling to cope” and that medical professionals are worried about the winter months ahead.
Meanwhile, Professor Adam Finn, who is on the Joint Committee of Vaccination and Immunisation (JCVI), told Sky News’ Trevor Phillips on Sunday that COVID-19 hospital admissions and deaths are rising and the government must not be “complacent”.
Prof Finn added that vaccines are not going to be enough to keep the spread of coronavirus under control and said people need to make an effort to avoid contact in order to slow transmission rates.
Advertisement
Their comments come as the government faces increasing pressure to enact what is known as “Plan B”, which includes working from home guidance and the mandatory use of face masks in some settings.
More on Covid-19
Related Topics:
Health Secretary Sajid Javid said this week that new cases could reach 100,000 a day, but Downing Street insisted there was spare capacity in the NHS and that the fall-back Plan B would only be triggered if it came under “significant pressure”.
Mr Javid said the focus was on delivering the booster jab programme successfully.
Earlier this week, it was announced that the former head of England’s coronavirus vaccine delivery drive is returning to the NHS to lead the booster rollout, amid growing concerns about COVID-19’s impact this winter.
Experts on the Scientific Advisory Group for Emergencies (SAGE) also said, in minutes of a meeting published on Friday, that early intervention “would reduce the need for more stringent, disruptive, and longer-lasting measures”.
Speaking to Sky News’ Trevor Phillips on Sunday, Dr Henderson said: “Every bed that gets filled by a patient with COVID in a sense is in a hospital bed with a potentially avoidable disease.
“The problem is that things are worse at the moment so we need everybody to be as careful with the healthcare resources as they possibly can be, and try and minimise the need for healthcare resources.”
Dr Henderson continued: “So if we can get COVID levels down, if we can make sure that the vulnerable don’t get infected and then need hospital care, if we can make sure that we don’t have people who are severely ill because they catch it when they’re unvaccinated, all of that will help, we’re all in this together to try and make it better.”
Prof Finn called for “a very different kind of message coming from the government now that there is a serious problem”.
He told Sky News’ Trevor Phillips on Sunday that he wants to “avoid lockdowns”, but added that “we can’t avoid it if we all just go back to normal now”.
On vaccines, Prof Finn said “they’re not by themselves going to be enough at the present time to keep the spread of the virus under control”, adding: “We do need to see people continuing to make efforts to avoid contact, to avoid transmission, and to do other things as well as get vaccinated if we’re going to stop this rise from going up further.”
The warnings from health professionals came as Labour’s shadow chancellor Rachel Reeves suggested the government should look at implementing Plan B.
“Labour as a responsible opposition have always said that we would follow the science, and we’ve seen today that SAGE are saying that some aspects of Plan B, like wearing masks on public transport and in shops, and also working from home more flexibly should be introduced,” she told the BBC’s Andrew Marr Show.
“I think the first thing is, the government have got to do more to make Plan A work. If the scientists are saying work from home and masks, we should do that. So get A working better because the vaccination programme has been stalling, introduce those parts of Plan B.”
Meanwhile, Chancellor Rishi Sunak said on Sunday that a return of the furlough scheme is “not on the cards”, adding that the vaccine rollout is the “best line of defence against having to move to put in place any restrictions”.
Prime Minister Boris Johnson has said there are no plans for another lockdown and that “vaccines are our way through this winter”.
The latest data released on 23 October showed that the UK had recorded a further 180 COVID-related deaths and 49,298 in a 24-hour period.
A 32-year-old woman is cancer-free after undergoing the UK’s first liver transplant for advanced bowel cancer.
Bianca Perea, a trainee lawyer from Manchester, was diagnosed with the most advanced kind of bowel cancer in November 2021, with doctors telling her they aimed to prolong her life rather than find a cure.
But, alongside other treatments including targeted drug therapy, chemotherapy and surgery, the transplant has been a huge success and Ms Perea now has no signs of cancer anywhere in her body.
Ms Perea first visited her GP in Wigan after feeling constipated and bloated. After tests, a colonoscopy and a biopsy, she was diagnosed with stage four bowel cancer, which had spread to all eight segments of her liver.
Ms Perea accepted the diagnosis, but said she refused to believe the outlook was so bleak.
“I don’t want to sound kind of ignorant or arrogant or anything like that but I just didn’t feel in my gut that that was going to be it,” she said.
Her mother asked about a possible transplant at that stage but was told it was not a feasible treatment.
More on Health
Related Topics:
Ms Perea had 37 rounds of a targeted drug called panitumumab plus chemotherapy for two and a half years.
She had an excellent response to the treatment, which meant she was able to have an operation in May 2023 to remove the bowel tumour.
But scans showed she still had tumours in her liver, which could not be operated on.
Nevertheless, because her response to chemotherapy had been so good and her bowel cancer was seemingly gone, doctors began to look at liver transplants.
Ms Perea was added to the transplant list in February 2024 and was lucky enough to find a donor last summer.
She said: “Within four weeks of going under the knife, I was able to drive and walk the family dogs, it was really quite incredible.
“To go from being told I’d only have a short time to live to now being cancer-free is the greatest gift.
“I’ve been given a second chance at life and I’m going to grab it with both hands. I am so grateful to the family who agreed to donate their loved one’s liver.
“I do believe this is a cure. They’re always hesitant to say that, obviously, but I am cancer-free right now.”
Now, Ms Perea is looking forward to going on holiday this year and is working on improving her fitness.
“My liver is doing really well,” she said. “I get tests on that, and I’ve just had my second scan and that’s all clear, so it’s really good.”
Dr Kalena Marti, Ms Perea’s oncologist, said: “To see that Bianca has had such a positive outcome is wonderful.
“When we looked at the tumour cells in her liver after it had been removed, they weren’t active.
“This is excellent news, and we hope that this means that the cancer won’t come back.”
She added: “Advanced bowel cancer is complex and there are lots of different types of the disease, so what works for one person might not work for another. As a result, it’s important that we continue to develop new treatments.
“Thanks to the generosity of organ donors and their loved ones, we can now access liver transplants for some patients, which is fantastic.”
You can watch a full interview with Ms Perea at 8.30am this morning on Sky News Breakfast.
Millions of commuters returning to work and school this morning will face more snow, ice and rain, as several weather warnings remain in place across the UK.
More travel disruption is likely due to flooding from heavy rain and thawing snow, the Met Office said, with 97 flood warnings and 262 flood alerts in place.
It comes after most of the country saw heavy snow or icy rain fall over a wintry weekend.
Major airports closed their runways for several hours due to snow, while stranded vehicles and collisions blocked key roads across England.
An amber weather warning remains in place until 6am this morning across parts of Lancashire, Cumbria and the Lake District.
Travel delays, stranded vehicles and power cuts are all likely under the warning – while rural communities could be cut off with up to an additional 15cm of snow falling during the period, the Met Office said.
More on Weather
Related Topics:
Leeds Bradford Airport warned passengers last night that disruption caused by the bad weather is likely to continue into Monday.
Several yellow weather warnings for snow, ice and rain will remain in place across Britain and Northern Ireland until this afternoon.
The Environment Agency said a combination of melting snow and rain could lead to “significant river flooding”, and advised people to stay away from swollen rivers and not drive through flood water.
Cold air will return and remain across the whole country from Monday onwards after a brief spell of milder conditions in southern areas, the Met Office said.
Deputy chief forecaster Mike Silverstone said: “The low pressure that brought the snow and heavy rain in the south will move out to the east by Monday. This will allow a cold northerly flow to become established again for much of next week.
“This will bring further sleet, snow and hail showers to northern Scotland in particular, but possibly to some other areas, especially near western coasts, with a fair amount of dry and bright weather elsewhere.”
Please use Chrome browser for a more accessible video player
He added: “Temperatures will remain below average, with widespread frost and the threat of ice at times. Some areas, especially in the north, may struggle to get above freezing for several days.”
Further weather warnings could be issued with the potential for some snow to fall in southern and central England and Wales around the middle of the week, Mr Silverstone said.
You can stay up to date with the latest forecasts and warnings by clicking here.
Sir Keir Starmer will launch his plan to deliver millions more appointments across the NHS and to reduce waiting times to 18 weeks over the next five years.
The prime minister will lay out how greater access to community diagnostic centres (CDCs) will help deliver up to half a million more appointments, alongside 14 new surgical hubs and three expanded existing hubs.
Up to a million appointments could be freed up by giving patients the choice to forego follow-up appointments currently booked by default, the government says.
Overall, the plan will involve a drive to deliver two million extra appointments by the end of next year.
The aim of the reforms is that by the end of March 2026, an extra 450,000 patients will be treated within 18 weeks.
Figures published by NHS England last month showed an estimated 7.54 million treatments were waiting to be carried out at the end of October – the lowest figure since March 2024.
According to the Institute for Fiscal Studies (IFS), the last time the NHS met the target of 92% of patients receiving treatment within 18 weeks was in 2015.
More on Keir Starmer
Related Topics:
The reforms for England will also see an overhaul of the NHS app to give patients greater choice over where they choose to have their appointment and will also provide greater detail to the patient including their results and waiting times.
The first step in the digital overhaul will be completed by March 2025, when patients at over 85% of acute trusts will be able to view their appointment details via the NHS app, the government said.
They’ll also be able to contact their provider and receive updates, including how long they are likely to wait for treatment.
In the effort to free-up one million appointments, patients will be given more choice over non-essential follow up appointments, while GPs will also be given funding to receive specialist advice from doctors before they make any referrals.
Sir Keir is expected to say: “This government promised change and that is what I am fighting every day to deliver.
Please use Chrome browser for a more accessible video player
1:37
Streeting: ‘We’re going as far and as fast as we can’
“NHS backlogs have ballooned in recent years, leaving millions of patients languishing on waiting lists, often in pain or fear. Lives on hold. Potential unfulfilled.
“This elective reform plan will deliver on our promise to end the backlogs. Millions more appointments. Greater choice and convenience for patients. Staff once again able to give the standard of care they desperately want to.”
The CDCs will be open 12 hours a day and seven days a week wherever possible. Patients will be able to access a broader range of appointments in locations that are more convenient for them and which may speed up the pace of treatment.
There have been some concerns that giving patients choice of the location of their treatment may see some hospitals in greater demand than others – but Health Secretary Wes Streeting said this was a “matter of principle”.
“When I was diagnosed with kidney cancer, I was inundated with colleagues in parliament who were asking who my surgeon was, whether I was going to the best place for treatment, whether I was exercising my right to choose in the NHS,” he said.
“Now, it turned out I had one of the best kidney cancer surgeons in the country assigned to me by the NHS, so I was lucky.
“But frankly, someone like my mum as a cleaner should have as much choice and power in the NHS as her son, the health secretary.”
NHS chief executive Amanda Pritchard said the government’s plan was an “ambitious blueprint”.
“The radical reforms in this plan will not only allow us to deliver millions more tests, appointments and operations, but do things differently too – boosting convenience and putting more power in the hands of patients, especially through the NHS app.”