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.
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“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.”
Image: 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.
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.
Hundreds of barber shops and other cash-heavy businesses have been targeted in a three-week money laundering blitz.
Police went to 265 premises, including vape shops, nail bars, American-themed sweet shops and car washes across England in a crackdown on high street crime.
The National Crime Agency (NCA) said 35 arrests were made, 97 people suspected to be victims of modern slavery were placed under police protection, and bank accounts containing more than £1m were frozen.
More than £40,000 in cash, some 200,000 cigarettes, 7,000 packs of tobacco, and more than 8,000 illegal vapes were also seized during Operation Machinize, which involved 19 different police forces and regional organised crime units.
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Officers also found two cannabis farms containing a total of 150 plants, while 10 shops have been shut down.
The NCA estimates that £12bn of criminal cash is generated in the UK each year with businesses such as barber shops, vape shops, nail bars, American-themed sweet shops and car washes often used by criminals.
Image: Goods seized during a visit to a vape shop in Rochdale. Pic: GMP/PA
Image: Police officers at a shop in Tameside. Pic: GMP/PA
Rachael Herbert, deputy director of the National Economic Crime Centre at the NCA, said: “Operation Machinize targeted barber shops and other high street businesses being used as cover for a whole range of criminality, all across the country.
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“We have seen links to drug trafficking and distribution, organised immigration crime, modern slavery and human trafficking, firearms, and the sale of illicit tobacco and vapes.
“We know cash-intensive businesses are used as fronts for money laundering, facilitating some of the highest harm and highest impact offending in the UK.”
Image: Money laundering crackdown. Pic: NCA
Security minister Dan Jarvis said the operation “highlights the scale and complexity of the criminality our towns and cities face”.
“High street crime undermines our security, our borders, and the confidence of our communities, and I am determined to take the decisive action necessary to bring those responsible to justice,” he said.
A skunk-smoking mother who murdered her two young sons in the bath while in a psychotic state has been jailed for life with a minimum term of more than 21 years.
Kara Alexander was found guilty of drowning Elijah Thomas, two, and Marley Thomas, five, at the home they shared in Dagenham, east London, in December 2022.
Post-mortems on the boys found they had either been drowned or suffocated – but Alexander accepted at trial that she had placed them in the bath before they “accidentally” drowned.
Returning to Kingston Crown Court on Friday, Mr Justice Bennathan sentenced Alexander to life imprisonment with a minimum term of 21 years and 252 days.
The judge referred to the children’s father finding his deceased sons next to one another as “the stuff of nightmares”.
Mr Justice Bennathan said: “On the evening of 15 December 2022, you’d been smoking skunk.
“You’d been doing so every night for weeks, probably much longer. At some stage, both the boys were in their pyjamas ready for bed, with Elijah also wearing his nappy.
“You drowned them both by your deliberate acts.”
The judge said Alexander “unspeakably” held the boys under water for “up to a minute or two”.
“The bath was probably still run from their normal evening routine and I do not think for a moment that your dreadful acts were pre-meditated,” he said.
The judge said Alexander dried the boys, put them in clean pyjamas and laid them together, tucked in under duvets, on the same bunk bed.
“The next morning, their father, worried by your unusual silence, came and found them. The stuff of nightmares,” he said.
The jury heard how the boys’ father was due to have them that weekend and became increasingly concerned when he had not heard back from Alexander.
When he arrived at their home, she told him the children were upstairs sleeping.
When the father returned downstairs to call for help, Alexander had run away. It took the police around an hour to find her.
The Metropolitan Police said forensic analysis of Alexander’s phone, which had been found in a filled sink, showed it had been in regular use in the run-up to the murders, but on the day the children were found, no calls were made or messages sent.
This led detectives to believe that she had intentionally been avoiding people following their deaths.
Prosecutors said they built their case on showing the boys could not have accidentally drowned and that the only reasonable explanation for their deaths was that Alexander caused them to drown.
The judge said there was every sign Alexander was a “caring and affectionate” mother to both children before the events of 15 December 2022.
He pointed out that their father said Alexander “never shouted or raised her voice at the boys” and “never showed violence to the boys”.
The judge said: “From all that I have read and seen of you, I have no doubt that every day when you awake you will remember and grieve for the little boys whose lives you snatched away.”
Mr Justice Bennathan said Alexander was in a psychotic state when she killed her sons and that it was cannabis induced.
He said Alexander had a previous psychotic episode in 2016 in which cannabis also probably played a part, but acknowledged he could not be sure she was aware that the drug could trigger another psychotic state.
In his sentencing remarks, Mr Justice Bennathan warned of the dangers of drugs.
He said: “The heavy use of skunk or other hyper-strong strains of cannabis can plunge people into a mental health crisis in which they may harm themselves or others.
“If any drug user does not know that, it’s about time they did.
“At your trial, Kara Alexander, the three psychiatrists who gave evidence disagreed about a number of things, but on that they were unanimous.
“It will comfort nobody connected to this case, but if these events bring home that message to even a few people, some slight good may come from what is otherwise an unmitigated tragedy.”
Detective Chief Inspector Paul Waller, who led the investigation, said: “This is an incredibly tragic case, which has left a father without his two beloved boys and a family without two young brothers.
“Kara Alexander will spend the next two decades behind bars, where the memory of what she has done will haunt her forever.
“To the family and friends of Elijah and Marley, while no amount of time will erase the pain of such a loss, I hope this sentence serves to bring some semblance of justice.
“I hope you can now move on with your life, remembering the boys as you knew them, and treasuring the happy times you spent with them.”
A groundbreaking new cancer treatment, hailed by patients as “game-changing”, will be available via the NHS from today.
The drug capivasertib has been shown in trials to slow the spread of the most common form of incurable breast cancer.
Taken in conjunction with an already-available hormonal therapy, it has been shown in trials to double how long treatment will keep the cancer cells from progressing.
“I don’t look at myself anymore as a dying person,” says Elen Hughes, who has been using the drug since February this year.
“I look at myself as a thriving person, who will carry on thriving for as long as I possibly can.”
Image: Elen Hughes says capivasertib has extended her life and improved its quality
Mrs Hughes, from North Wales, was first diagnosed with primary breast cancer in 2008.
Eight years later, then aged 46 and with three young children, she was told the cancer had returned and spread.
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She says that capivasertib, which she has been able to access via private healthcare, has not only extended her life but improved its quality with fewer side effects than previous medications.
It also delays the need for more aggressive blanket treatments like chemotherapy.
Image: Capivasertib is now available from the NHS
“What people don’t understand is that they might look at the statistics and see that [the therapy] is effective for eight months versus two months, or whatever,” says Mrs Hughes.
“But in cancer, and the land that we live in, really we can do a lot in six months.”
Mrs Hughes says her cancer therapy has allowed her “to see my daughter get married” and believes it is “absolutely brilliant” that the new drug will be available to more patients via the NHS.
The National Institute for Health and Care Excellence approved capivasertib for NHS-use after two decades of research by UK teams.
Professor Nicholas Turner, from the Institute of Cancer Research which led the study, told Sky News it was a “great success story for British science”.
Image: Professor Nicholas Turner wants urgent genetic testing of patients with advanced breast cancers to see if they could benefit
The new drug is suitable for patients’ tumours with mutations or alterations in the PIK3CA, AKT1 or PTEN genes, which are found in approximately half of patients with advanced breast cancer.