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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”.

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Shoppers wearing face masks on Oxford Street, in central London, as the Department of Health and Social Care is calling upon eligible people to get their covid-19 booster vaccinations. Picture date: Friday October 22, 2021.
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Plan B would see the return of face masks in some settings

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.

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.

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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.

Scientific advisers have told the government preparations for Plan B restrictions should be made now so that measures “can be ready for rapid deployment if required”.

NHS workers walk next to a cue of ambulances outside the Royal London Hospital, in London, Britain January 12, 2021. REUTERS/Henry Nicholls
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Prof Finn said vaccines alone will not combat rising infection rates at present

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.”

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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”.

Doctor Abhi Mantgani administers a Covid-19 vaccine booster to Shirley Davies at Birkenhead Medical Building in Birkenhead, Merseyside. Picture date: Saturday October 23, 2021.
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Health Secretary Sajid Javid has said the government is focusing on rolling out its booster jab programme

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.

EMBARGOED TO 0001 FRIDAY APRIL 9 File photo dated 04/03/20 of a woman using a laptop on a dining room table set up as a remote office to work from home. Fewer than one in seven leaders in some of the UK's biggest companies have said they expect a full-time return to offices by the end of this year, according to a new survey. Issue date: Friday April 9, 2021.
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Some scientists have suggested work from home guidance should be implemented once more

“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.

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Two men charged over migrant crossing deaths

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Two men charged over migrant crossing deaths

Two men have been charged in connection with the small boats crossing that led to the deaths of five people on a beach in France.

A seven-year-old girl, a woman and three men died in the incident off the coast of Wimereux in northern France.

Both men have been charged with immigration offences as part of an investigation into the deaths of the migrants, who died trying to cross the English Channel, the National Crime Agency (NCA) said.

Yien Both, a 22-year-old from South Sudan, has been charged with assisting unlawful immigration and attempting to arrive in the UK without valid entry clearance.

Tajdeen Adbulaziz Juma, a 22-year-old Sudanese national, has been charged with attempting to arrive in the UK without valid entry clearance.

The pair have been remanded in custody and are expected to appear before Folkestone Magistrates later today.

A third man, an 18-year-old from Sudan, was also arrested over the incident and has been bailed pending further enquiries.

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A dinghy carrying more than 100 people set off from the French coastal town of Wimereux at around 6am on Tuesday but got into difficulty.

The boat, which launched with 112 people on board, stopped on a sandbar only a few hundred metres from the shore.

Around 49 people were rescued – but 58 others refused to leave the boat and continued their journey towards the UK, the coastguard said in a statement.

The NCA is working with Kent Police, Immigration Enforcement and Border Force to support the French-led investigation into the incident.

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Rwanda Bill causing migrants to head for Ireland instead of UK, deputy PM says

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Rwanda Bill causing migrants to head for Ireland instead of UK, deputy PM says

The threat of deportation to Rwanda is causing migrants to head for Ireland instead of the UK, Ireland’s deputy prime minister has said.

The Rwanda Bill, which will see asylum seekers “entering the UK illegally” sent to the central African nation – regardless of the outcome of their application – was passed on Tuesday, despite human rights concerns.

Micheal Martin told The Daily Telegraph that the policy was already affecting Ireland, as people were “fearful” of staying in the UK.

The former Taoiseach said: “Maybe that’s the impact it was designed to have.”

Mr Martin, who is also Ireland’s foreign secretary, said asylum seekers were seeking “to get sanctuary here and within the European Union as opposed to the potential of being deported to Rwanda”.

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His words follow those of justice minister Helen McEntee, who told a scrutiny committee in the Irish parliament earlier this week that migrants and refugees were crossing the border with Northern Ireland.

Ms McEntee said “higher than 80%” of people seeking asylum in Ireland entered the country through Northern Ireland, a border crossing that is open as guaranteed under a UK-EU Brexit treaty.

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It comes amid increasing tension over immigration levels in Ireland, which is grappling with a housing crisis that has affected its own people as well as asylum seekers.

Overnight, six people were arrested during a protest at a site earmarked to house asylum seekers in Newtownmountkennedy in Co Wicklow.

Gardai said officers came under attack after workers were brought onto the site, suffering “verbal and physical abuse throughout the day, which escalated into rocks and other missiles being thrown this evening”.

Fires were lit, an axe was found and officers were “forced to defend themselves” with incapacitant spray, helmets and shields.

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Three patrol cars were also damaged.

Irish broadcaster RTE said protesters accused gardaí of using unnecessary force, and intimidating and aggressive tactics against a legitimate and peaceful protest.

According to RTE, there have been protests during the past six weeks at the site, known as Trudder House or River Lodge.

It is reportedly being considered as a site for 20 eight-person tents housing asylum seekers but some locals have said it is unsuitable and the village’s resources are already over-stretched.

Ms McEntee said there was “a lot of misinformation about migration at the moment”.

She tweeted late on Thursday to promote the EU Migration and Asylum Pact, which she described as “a real game changer” and “something we must opt into”.

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Rishi Sunak will feel ‘reset week’ was job well done – but a horrible reality check awaits

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Rishi Sunak will feel 'reset week' was job well done - but a horrible reality check awaits

Call it the Rishi Sunak reset week or, to borrow from The Spectator’s Katy Balls, the shore-up Sunak week – the prime minister will be going into this weekend feeling the past few days have been a job well done. 

He has got his flagship Rwanda bill through parliament and is promising a “regular rhythm” of flights will be getting off the ground from July.

He has also got off the ground himself, with a dash to Poland and then Germany, in a show of strength with European allies in the face of Russian aggression.

As the US finally approved a $61bn military aid package for Ukraine, our prime minister announced he’d lift the UK’s defence spending to 2.5% of GDP by 2030.

That would amount to £87bn a year by the start of the 2030s, with the UK spending a cumulative extra £75bn on the military over the next six years.

That of course all hinges on winning an election, which I’ll come to soon, but it is a commitment that throws a challenge to Labour and will delight those in his party who have been calling for increased defence spending for months in the face of growing global threats from Russia, China and Iran.

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‘Fully funded’ defence plan

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In Electoral Dysfunction this week, we discuss whether Rishi Sunak, having been battered for much of his premiership, is finally having a week on top?

There is after all a longstanding tradition in this country that when the chips are down, you jump on a plane to try to go somewhere where you’re more appreciated.

And Ruth agrees this week that this has been “one of the better weeks that he’s had in his premiership” and is fully behind his defence spending pledge, while Jess points out that Labour is committed to the “exact same plan for upping defence spending”.

The difference between the two parties is that Rishi Sunak set out in some detail how he plans to get to that point over the course of the next parliament, while Sir Keir Starmer has said only he wants to get to 2.5% “when resources allow”.

Pic: Ben Birchall/PA
An Ajax Ares tank, an armoured personnel carrier, on the training range at Bovington Camp, a British Army military base in Dorset, during a visit by Defence Secretary Ben Wallace, who is viewing Ukrainian soldiers training on Challenger 2 tanks. Picture date: Wednesday February 22, 2023.
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Keir Starmer only wants to spend 2.5% of GDP on defence ‘when resources allow’. Pic: PA

And that matters because, as it stands, it’s very likely that it will be Sir Keir who is having to decide whether to increase defence spending levels in the next parliament rather than the incumbent.

Cue an election debate on which leader really cares more about defence and, if Sir Keir really does want go toe-to-toe with Mr Sunak on the 2.5%, how does he pay for it?

That will be a discussion for many other days (Labour’s line on this is that the party will hit the 2.5% “when circumstances allow” rather than setting a firm date) as we head into the general election.

But I had to ask Ruth and Jess, why was he on a publicity blitz announcing it now? Was it something to do with the rather large matter of the local elections?

‘Sunak needs to look big’

At this, both furiously shook their heads and looked at me with a touch of derision. “When it comes to the local elections, I want my bins done, I want my schools to be good, and I want my potholes done. That’s what I care about,” says Ruth.

“The people in Birmingham Yardley speak of nothing else but the 2.5% defence spending,” jokes Jess.

“I see why [he’s doing it this week] but actually I don’t think he’s doing for just another example of doing it this week. He needs to look big in front of his party.”

And there are a couple of things to explore in that.

First, the party management issue of a PM very likely to get completely battered in the local elections throwing his party some red meat ahead of that slaughter to perhaps try to protect himself.

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German Chancellor Olaf Scholz and British Prime Minister Rishi Sunak attend a press conference, at the Chancellery in Berlin, Germany, April 24, 2024. REUTERS/Annegret Hilse
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Mr Sunak met German Chancellor Olaf Scholz this week

Because the local elections could be bad, very very bad. And that throws up questions about Rishi Sunak’s future and also the date of the next general election.

There is a reason why the prime minister will not be drawn on the timing of the election beyond the “second half of the year”.

While it’s true he doesn’t want to have to “indulge in a guessing game”, as one of his allies put it to me, it’s also true that he can’t rule out a summer election given the unpredictability of next week’s local elections and what could follow.

The Armageddon scenario of losing 500-plus seats, alongside the West Midlands and Teeside mayors, could propel his party into fever pitch panic and possibly trigger a vote of confidence in Rishi Sunak.

Does he then decide to call a general election instead of allowing his party to try to force him out?

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‘A man enjoying himself’

For what it’s worth, he did not appear, in any way to me, as a prime minister on that plane over to Berlin from Warsaw, who wanted to give up the job. He seemed, for the first time in a long time, a man enjoying it and getting on with the stuff he wants to get done.

There is also the small matter of being 20 points behind in the polls. I suspect his instinct is very much to hold on in the hope that things begin to turn in his favour.

Because, despite what the critics say, he does seem a man who genuinely believes his Rwanda plan, welfare reforms, defence spending and economic management are all stepping stones on his path to perhaps winning back some support in the country.

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“June [or July] is just party management,” says one former cabinet minister. “They are not ready for it and the polling doesn’t work obviously.”

Jess sees the flurry as a “his last ditch attempt” of another reset, and says “the Labour party is not worrying” as the PM tries to pin them on Rwanda or defence spending: “Whatever he goes on is absolutely pilloried within seconds,” she says.

But Ruth argues the defence spending was “actually authentic and a real thing”, and says of the expectations for the local elections that “it’s not just going to be a rout, but an apocalypse, that actually at this point in the cycle it works quite well for Sunak in terms of keeping his job at the back end”.

Observing his various grip and grins this week as I trailed after him meeting the Polish PM, the German chancellor and the NATO secretary general, he is a man that really does want to hold on to that job.

The local elections then are probably going to come as a horrible reality check in just a week’s time as this prime minister, riding high from his European tours, is reminded that his time in office looks like it will be coming to an end – and perhaps even sooner than he might have initially planned.

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