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For more than two years, the NHS COVID App dictated the lives of those living in the UK – it told us which counties were safe to travel into, who people could spend Christmas with, and how close the public could get to their loved ones.

But now, on Thursday 27 April 2023 it is being switched off for the final time.

No more “getting pinged“, or needing a bar code to enter a restaurant. The app is estimated to have saved thousands of lives and stopped millions of infections but now the fight against the virus enters a new phase and it is no longer needed.

Germany’s health minister has already declared the pandemic over, while the US president has signed a bill terminating the country’s national emergency response to the virus.

But while some may hail it as another step on the road to the end of the pandemic, for half a million clinically vulnerable people in the UK, COVID can still be life-threatening.

From tennis prodigy to long COVID sufferer

Three years ago, Tanysha Dissanayake was a tennis prodigy who played alongside Emma Radacanu in junior Wimbledon.

Then the COVID virus forced her into early retirement, and out of education: “It was stripped away from me overnight,” she said.

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Long Covid: ‘I’m grieving my life’

At one point, her heart rate reached 150bpm when just walking up the stairs.

“I have come a long way since a year ago. A year ago I couldn’t even open my eyes to watch Netflix,” Tanysha said.

“But in terms of my life, and my full recovery, I am still so far away from where I need to be.”

The virus has left her unable to study, read and socialise and grieving the loss of her former, very active, life.

“I can’t walk more than 2m, I need my little brother to push me around in a wheelchair,” she said.

“That was not a life I was ever prepared for. I was 19 and healthy.”

How the NHS COVID app came to dominate British life

The app was touted as an integral part of the UK’s Test and Trace but experienced a series of setbacks prior to its launch.

Development began in March 2020, but after an initial trial run on the Isle of Wight in May 2020, the first version of the app was abandoned due to technical failings.

The government announced it would work with Apple and Google to develop a new version of the app. This was finally launched to the wider public in September 2020 and was downloaded more than 21 million times, with 1.7 million users advised to self-isolate following close contact with someone with COVID.

At the height of the “pinging”, businesses complained it was causing severe staff shortages and unnecessary chaos, but expert analysis found the app to largely be effective in telling people to self-isolate. It was eventually tweaked to ‘”ping” fewer people.

It soon became integral to British pandemic life – it was needed to board flights, enter bars and restaurants, and store essential COVID vaccine information.

The cost of the app was estimated to top £35 million.

‘I feel forgotten – people have moved on without me’

She is now worried about the disappearance of the official NHS COVID app and what it means for her to be able to interact in public.

“It scares me so much,” she said, adding that she is terrified to catch the virus again, fearing it could set back her recovery by another year.

“I can understand needs and wants to move on from COVID, because it was a traumatic thing for everyone, but people are forgetting about it, and it’s being labelled as something that’s not dangerous at all,” she said.

Now 21, she said she feels she is “stuck as a 19 year old”.

It takes her up to a week to prepare to leave the house.

Tanysha added: “My life has been on hold for two years and people have moved on without me and I am still here.”

A person's NHS COVID domestic Pass is displayed on a smartphone screen within the NHS App, as new restrictions will come into force to slow the spread of the Omicron variant of coronavirus from tomorrow. Picture date: Tuesday December 14, 2021.
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Digital COVID passes were used to enter bars, restaurants and board planes

‘I thought the app had already closed down’

Although hospital levels are not the same as they were during the peak of the pandemic, for patient Nicola Macarty, any new infection could kill her.

The 59-year-old got COVID for the second time last week and collapsed in the shower, unable to breathe.

“People are still very ill with COVID,” she said, speaking from her hospital bed.

But she was unaware the app had still been operating until this point.

Nicola Macarty is currently in hospital with COVID
Image:
Nicola Macarty is currently in hospital with COVID

“I honestly thought the app had gone years ago,” she said. “I didn’t realise the app was still there.”

But for Imogen Dempsey, who is clinically ill, the end of the app feels like an effort to ignore the realities of the new phase of the pandemic.

“Everybody is tired and fed up and could do without having to talk about COVID anymore,” she said.

“[But] for people like me, the fact that we still need to think about being so careful and our lives are still so much on hold, absolutely we’d like things to be different – but they’re not.

“COVID hasn’t gone away, and stopping recording it and trying to ignore it isn’t actually a public health strategy.”

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How the app was tweaked to ping fewer people

COVID wards still operating

Frimley Health still operates specific COVID wards, first introduced in 2020 in a bid to stop patients from spreading the infection around the hospital.

John Seymour, deputy medical director at Frimley Health, said: “Living with COVID is an acceptance it is here, it will always be here.

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“But we have a responsibility to continue providing healthcare.”

He said people will “always come in with COVID, or problems related to COVID”.

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Man suffers cardiac arrest onboard boat trying to reach UK

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Man suffers cardiac arrest onboard boat trying to reach UK

A man has died after suffering cardiac arrest onboard a boat attempting to reach the UK.

The vessel turned back towards Equihen beach on the French coast yesterday morning.

A nurse tried to resuscitate the man but was unsuccessful.

Pic: PA
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Pic: PA

French authorities have now launched an investigation into the circumstances.

A spokesperson for Doctors Without Borders, also known as MSF, has criticised authorities on both sides of the Channel.

Jacob Burns said: “Yet again we have a tragedy in the Channel, that is the consequence of the deadly, costly and ineffective security policies implemented by the UK and France.”

Pic: PA
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Pic: PA

Later on Saturday, a lifeboat carried migrants who have made the voyage into the Port of Dover.

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Photographs showed them huddled under blankets and orange life jackets on board.

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Protesters clash over asylum hotels

Provisional statistics from the Home Office suggest almost 24,000 people have arrived on small boats in the UK so far this year.

Towns and cities across the UK have seen protests in recent days, primarily outside hotels believed to be housing asylum seekers.

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Women’s Euros final: The Lionesses face Spain tonight – and they’re seeking revenge

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Women's Euros final: The Lionesses face Spain tonight - and they're seeking revenge

Here the Lionesses are again. Another final. Another showdown with Spain.

All of a sudden, what was once so anticipated and longed for can start to seem expected rather than extraordinary.

What happened to the great underachievers of world football? They are now consistently among the final two going for glory.

England wins
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At Euro 2022, the Lionesses ended England’s 56-year wait for a major trophy by beating Germany 2-1 after extra time. Pic: Reuters

No one is taking that for granted.

Especially not Leah Williamson, with the chance to retain the European Championship trophy lifted three years ago at Wembley.

“The opportunity of tomorrow and what’s on offer is the best thing in football,” the England captain said. “I think we don’t necessarily carry the weight of it and how much it means to people, but we’re aware of it because it means the same to us.”

So often they were only watching other nations making finals.

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England’s first was the men winning the 1966 World Cup.

England v Spain: All you need to know

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Lionesses ‘know what win would mean to nation’

Then, with the rebirth of women’s football after bans and neglect, it was the Lionesses’ turn to make it to the finals – in 1984 and 2009.

And the Three Lions had to wait until 2021 to make it to a final, losing to Italy on penalties at Wembley.

It kickstarted an incredible run of five successive years of finals for England senior teams – with another men’s Euros final defeat in 2024.

The Lionesses have led the way, bringing football home by defeating Germany in the Euro 2022 final at Wembley.

They just missed out on going one better when reaching a first Women’s World Cup final a year later.

Soccer Football - FIFA Women's World Cup Australia and New Zealand 2023 - Final - Spain v England - Stadium Australia, Sydney, Australia - August 20, 2023 England manager Sarina Wiegman reacts REUTERS/Carl Recine
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England manager Sarina Wiegman reacts to defeat against Spain at the Women’s World Cup final in 2023. Pic: Reuters

Soccer Football - FIFA Women's World Cup Australia and New Zealand 2023 - Final - Spain v England - Stadium Australia, Sydney, Australia - August 20, 2023 England's Lauren James looks dejected after losing the world cup final REUTERS/Amanda Perobelli
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Lauren James looks dejected after their World Cup defeat, but is confirmed fit for Sunday’s revenge match against Spain. Pic: Reuters

Now, in Basel, comes the chance for revenge against Spain – even though no one in the England camp is saying that, publicly at least, in Switzerland.

Especially knowing how challenging a task it is coming up again against Aitana Bonmati and Alexia Putella – the recent winners of football’s biggest individual honours.

England fans celebrate after England beat Italy at Women's Euro 2025. Pic: Reuters
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England fans celebrating after England beat Italy to reach the finals. Pic: Reuters

Soccer Football - FIFA Women’s World Cup Australia and New Zealand 2023 - Final - Fans in Manchester watch Spain v England - Piccadilly Gardens, Manchester, Britain - August 20, 2023 England fans watch the match Action Images via Reuters/Jason Cairnduff
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Given England’s history against Spain, it could be a nerve-wracking time for England fans. File pic: Action Images/Reuters

But this is Spain’s first Euros final.

And there is some fear from the world champions at England’s grit and resolve to produce comebacks late in the quarter-finals and semi-finals – with 19-year-old Michelle Agyemang’s goals integral to the fightbacks.

England celebrate after defeating Italy in the Women's Euro 2025 semi-final. Pic: Reuters
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England celebrate their semi-final win against Italy to reach the finals. Pic: Reuters

Michelle Agyemang celebrates scoring her side's opening goal.
Pic: AP
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Michelle Agyemang has propelled England to the Euro 2025 final with two vital goals. Pic: AP

Spain captain Irene Paredes reflected yesterday on how the Lionesses can flip a result late on.

But she was also discussing how their World Cup win was tarnished by the on-pitch kiss that led to former Spanish federation president Luis Rubiales being convicted of a sexual assault on striker Jenni Hermoso.

It sparked a wider clamour in Spain for improved rights and respect for women.

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Spain’s players struggle for respect

“Since then [2023] we took big steps forward,” Paredes said.

“I think this idea is disappearing from society. I still believe we have to continue opening doors… we’re a reference for boys and girls in society, but we still have things to do.”

It is a reminder that while tonight is about collecting silverware, both England and Spain know that emerging as champions can drive further growth in women’s football back home.

Amid it all, they’ll try to savour just what reaching a final means and how rare they are – until recently for English and Spanish women.

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Unlicensed Botox-like injections spark outbreak of disease many doctors have never treated

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Unlicensed Botox-like injections spark outbreak of disease many doctors have never treated

A woman who thought she was being injected with Botox was left unable to swallow and doctors thought she had suffered a stroke – after she contracted a life-threatening illness from a potentially illegal product.

Nicola Fairley is one of dozens of people who have developed botulism linked to unlicensed anti-wrinkle injections.

She had the procedure done with her regular beautician after winning a Facebook competition for three areas of “Botox”.

Nicola Fairley
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Nicola Fairley

“Within two or three hours my forehead and the sides of my eyes had started to freeze,” Nicola says.

“At first I thought ‘amazing’, that’s what I wanted – then it just carried on.”

Nicola was eventually sent to A&E in Durham, where she met several other patients who all had similar symptoms.

Doctors were stumped. “They thought I’d had a stroke,” she says.

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“We all had problems with our eyes, some of us with our breathing. I couldn’t swallow – they put me on nil by mouth because they were worried I would choke in the waiting room.”

Nicola Fairley
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Doctors were worried Nicola could choke after she was injected with a suspected illegal product

It turns out all of the patients had recently had anti-wrinkle injections containing botulinum toxin.

Health officials believe they were imported, illegal products.

Botulism – the disease they caused – is so rare many doctors never see it in their entire careers.

It can cause symptoms including slurred speech and breathing problems, and can be deadly.

The disease is so unusual, and so many cases were coming in, that doctors exhausted their stocks of anti-toxin and had to ask hospitals as far away as London to get more.

Botulism

The UK Health Security Agency has so far confirmed 38 cases of botulism linked to cosmetic toxin injections, but Sky News has been told of several more.

The outbreak began in the North East but cases have now been seen in the East of England and East Midlands as well.

There are only a handful of legal botulinum toxin products in the UK – of which Botox is one.

But cosmetic treatments are largely unregulated, with anyone allowed to inject products like fillers and toxins without any medical training.

Cheap, illegal products imported from overseas are easily available.

Steven Land
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Dr Steven Land

‘It’s the Wild West’

Dr Steven Land runs Novellus Aesthetics clinic in Newcastle upon Tyne. He worked for decades as an emergency medicine doctor before moving into aesthetics.

He says he has been warning health officials of an outbreak for years.

“It’s the Wild West,” Dr Land told Sky News.

“Because anyone can do this, there is a lack of knowledge around what is legal, what’s not legal, what is okay to be injected.

“These illegal toxins could have 50 units, 5,000 units or rat poison – there could be anything in there.”

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Botulism

Dr Land showed us messages that he says he gets on a weekly basis, from sellers trying to push him cheap, unlicensed products.

They advertise “limited time offers” and cheap bundles on toxins imported from overseas. He calls them “drug dealers”.

“They are preying on the lack of knowledge among non-medical practitioners,” he says.

Consultations on how to regulate the aesthetics industry have been ongoing for years – but so far, no changes have been introduced.

The UK government now says it does plan to regulate certain procedures, but it’s not said how it will do this, or when.

“What will it take?” Nicola says. “One of the women we were with did almost die – she had to be resuscitated.”

Nicola’s beautician has stopped responding to her messages, so she says she still has no idea what the product was “or how much of it is in me”.

She doesn’t know how long her symptoms will last, but just hopes she will eventually recover.

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