Nicola Sturgeon has admitted Scotland had “no plan” to deal with the spread of COVID at an inquiry into the pandemic.
The former first minister argued her government was given “no choice” but to divert “significant resources” in anticipation of a no-deal Brexit.
The ex-SNP leader – who was in charge of Scotland for the duration of the pandemic – told the COVID inquiry on Thursday that although there was “thinking” about how ministers should deal with infectious diseases other than flu, nothing was ever put in writing.
When asked if she agreed with other people who previously described the plan as “wholly inadequate”, Ms Sturgeon answered: “In summary, yes.”
“The plan was for a different pandemic than the one we unfortunately were confronted with.”
She told the inquiry: “The questions in my mind, literally every day, are not so much did we lack a plan but did we lack capabilities for dealing with a pandemic of the nature of COVID.
“And obviously I’m talking there about contact tracing, testing, infrastructure in particular.”
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Image: Former first minister, Nicola Sturgeon, leaves after giving evidence
‘Every aspect of Brexit a false economy’
Ms Sturgeon said a “significant amount of time, energy and resources” were earmarked for a possible no-deal Brexit after being diverted from a “range of other matters”.
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Despite COVID being identified as the “greatest risk facing the nation”, she told the inquiry the Scottish government had “no choice”.
She added: “I deeply regret any consequences that had for our emergency planning in other areas.”
And when questioned about whether this was a “false economy”, she replied: “I think every aspect of Brexit has been a false economy.”
After that comment, Ms Sturgeon – who dramatically announced she would quit as first ministerin February, eventually handing control to her successor, Humza Yousaf – was warned she was in a “witness box, not a soap box” as she gave evidence to the inquiry.
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‘We did not get everything right’
Her deputy during the crisis, John Swinney, later told the hearing the Scottish government was “specifically prevented” from “building up a reserve” of funds that could be deployed in situations such as the COVID pandemic, due to the terms of the devolution agreement between Scotland and Westminster.
He said the UK government’s economic intervention was “very welcome” and “saved many people’s livelihoods from great jeopardy”.
However, it also demonstrated the scale of the financial challenge created by the pandemic, he added.
Ms Sturgeon earlier told the hearing that a pledge by her government to review what was described as the UK’s “sole strategy” for a possible influenza pandemic in 2011 never happened.
Image: Ms Sturgeon admitted there was ‘no plan’ to deal with the spread of COVID
But she insisted even if the “four-nations plan” had been updated to reflect other non-flu pandemics, such as COVID-19, it would not have “changed substantially”.
“A review would not have changed the fundamental assumptions or planning or modelling at the heart of it,” she added.
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Bereaved families tell Hancock to go away
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He also approached the public gallery in an attempt to say sorry to families who lost loved ones – but they snubbed his apology and turned their backs on him.
David Cameron, the former prime minister, also gave evidence earlier this month and said he was “desperately sorry” about the loss of life during the pandemic, admitting it was a “mistake” not to consider “a range of different types of pandemic” during preparations in the years before COVID.
The ex-Tory leader was heckled as he left the London inquiry – with bystanders shouting “shame on you” and asking if he had damaged the reputation of the Conservative Party.
Hours after giving birth, with her son rushed away to a high dependency unit, as she lay broken and bleeding, Morgan Joines overheard a midwife blaming her.
Her son had been born with wet lung after an emergency and traumatic caesarean section.
“I overheard [the midwife] tell a student nurse I was the reason my son was ill, because I was too lazy to push,” she told Sky News.
“I was broken. I genuinely believed for ages afterwards that I had failed my son.
“I thought I was the reason he was ill.”
Her son was born at John Radcliffe Hospital in Oxford, part of the Oxford University’s Hospital Trust. Morgan is one of more than 500 families who say they have been harmed by maternity care at the Trust.
A taskforce, chaired by Mr Streeting and made up of experts and bereaved families, will first investigate up to ten of the most concerning maternity and neonatal units.
And campaigners – calling themselves the Families Failed by OUH Maternity Services – are calling for Oxford to be on that initial list.
‘I thought I was going to die’
The unit was rated “requires improvement” in its last inspection by the government’s watchdog, the Care Quality Commission, in April 2023.
The CQC flagged issues around maintaining patient dignity, and said medicines were not always safely stored and managed. The unit did not manage the control of infection consistently it said, and wards were not always kept clean.
One mum told the campaign group she thought she was going to die after being left alone while in labour and denied pain relief.
Another said she is reluctant to consider having another child and feels a “profound loss of trust in the NHS”.
Trust to meet campaign group
Yvonne Christley, Chief Nursing Officer at OUH, said she apologised “for not being able to respond in detail about individual patient cases”.
“We regret any instance where we fail to provide the service that women and their families should expect. When this happens, we make every effort to review individual cases to understand what went wrong and how we can improve.”
She said the trust “make every effort” to keep women and families informed of what action it has taken, and said it is committed to maintaining an open dialogue with community groups.
“The Trust has agreed to meet with the campaign group and is eager to collaborate with them to implement the necessary changes and restore confidence in our services. These meetings are currently being scheduled.”
Caesarean sections account for approximately 40% of all births at OUH.
A ‘degrading strip wash’
A few hours after Morgan’s son had been whisked away to another part of the hospital, a nurse tried to force her to take oramorph, a high strength painkiller, she said.
When she declined to take the drug, having previously had a bad reaction, she said staff “claimed I was being difficult”.
“[They said] to just take the meds and get it over and done with.”
Image: Morgan Joines overheard a midwife blaming her for her son’s condition when he was born
When Morgan was unable to get out of bed, she says the same nurse then gave her a “degrading” strip wash, without her consent.
The unit, she said, felt like it was against C-sections.
“Even though it was recommended by doctors that I had caesarean, it was medically necessary, I felt I should have done more to help him,” Morgan said.
Waiting eight hours for a C-section
When Kate* was 38 weeks pregnant with her third IVF baby, she was induced.
The doctors had tried to burst her waters, but realised her daughter was breech when the midwife felt her feet near the bottom of the birth canal, telling her: “I’m glad those didn’t break, I think I just felt a foot.”
At 11pm Kate reluctantly agreed to a C-section, but was told it was “safer to wait until the light of day” to go down to theatre.
She was sent away to an observation area experiencing intense contractions for more than six hours. In those hours, she said she was abandoned without pain relief and was bleeding.
“I felt so alone in the dead of night. My husband had been sent home, and I just wanted someone to talk to, someone to help me.
“I was in so much pain labouring but the midwife made me feel like a hypochondriac.”
She said the situation was escalating, she was becoming dehydrated, and her daughter’s heartrate was climbing, yet no one intervened.
A registrar who began his shift at 7am, examined her and rushed her immediately to theatre.
At this point she was 9cm dilated and the registrar was “shouting at me, telling me not to push.”
Kate’s daughter was her third IVF pregnancy, and she became emotional when she talked about what might have happened, had that registrar not examined her so quickly in the morning.
“They gambled with her life,” she said.
“If my waters had broken and that registrar wasn’t there, she would have started to come with her feet first. Both my boys had shot out, so I could be talking now as a mum who lost her child.
“It didn’t need to even get to that point.
“I should have had my C-section five hours earlier.”
After she had given birth, she was left “in a pool of my own blood, just covered in blood” and had to pull herself out of bed to clean up.
She said she joined the campaign in the hopes women will be listened to in the future and not have to endure what she did.
‘I can’t get my baby out’
Annika Weldon had three miscarriages before giving birth to her son.
“I remember lying on the ward, screaming in pain and none of the other ladies around me were screaming like I was,” she said.
“It didn’t feel right, obviously when you go into labour you expect you are going to be in pain, but I just knew there was something not right.”
The midwife who checked her when she was in active labour could not tell her if she was 1cm or 10cm dilated, she said.
“We spent 45 minutes trying to get my baby out but this midwife that I was with was just so uncaring, she didn’t really explain what I should be doing.”
Image: Annika Weldon miscarried three times before giving birth to her son
She had said early in the pregnancy she told doctors she wanted a C-section and “was told I couldn’t have one”.
“I kind of accepted that unless it was an emergency situation, I wouldn’t be able to have one but then in that moment I was like, I don’t know what else I can do here. I feel completely exhausted; I can’t get my baby out.
“I was just so tired and exhausted.”
Her son was born not breathing and she was haemorrhaging blood.
She was taken to emergency surgery and the last thing she remembers before waking up in the ward is throwing up in her hair.
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Maternity services investigated
She wasn’t told until much later the extent of her blood loss (2.5L) when she was struggling to pick up her own baby: “When I asked for help, I was made to feel like an inconvenience.”
‘OUH is particularly bad’
For Kim Thomas, co-founder of Families Failed by OUH Maternity Services and CEO of the Birth Trauma Association, these stories are nothing new.
But Oxford University Hospitals Trust is “particularly bad”, she says.
“They seem to have this incredibly arrogant attitude. They won’t take criticism.
Image: Kim Thomas, from the Birth Trauma Association
“Women who complain are routinely dismissed. There’s a failure to learn from mistakes.”
She says OUH also has “poor postnatal care”: “Dirty wards, blood on the floor, women left in their own blood, women not helped.”
Yvonne Christley, from OUH, said: “We are never complacent and welcome all feedback, whether positive or negative, as we learn from both.”
A Department of Health and Social Care spokesperson said: “Too many families have been devastated by serious failings in NHS maternity and neonatal care.
“They deserve swift answers, and urgent action is essential to prevent future tragedies.”
They said the government was “immensely grateful” to families for sharing their experiences.
“[We] will work closely with families on this journey to help ensure no parent or baby is ever let down again.”
The Oxford campaign group is growing daily, with more like Kate, Morgan and Annika joining the ranks of those calling for change.
And each day that passes without answers is a reminder of the trauma they endured.
“It still hurts to look back on. It’s taken a while for me to stop blaming myself, but it doesn’t get easier,” Morgan said.
Weight loss and diabetes jabs taken by more than a million people in the UK have been linked to a potential serious side effect, with some deaths, according to data from the UK medicines regulator.
New figures from the Medicines and Healthcare products Regulatory Agency (MHRA) show the group of drugs that includes Mounjaro, Wegovy, and Ozempic may be associated with inflammation of the pancreas.
According to the MHRA, there have been 181 reported cases of acute or chronic pancreatitis linked to Mounjaro, with five deaths.
Wegovy and Ozempic have been linked with 113 reports of pancreatitis and one death.
Other, less widely used versions of so-called GLP-1 drugs have also been linked to cases and deaths.
There is no evidence that the drugs directly caused the deaths. And the evidence isn’t strong enough for the MHRA to restrict access.
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Weight loss drugs compared
That’s because pancreatitis also occurs in people who aren’t taking the GLP-1 drugs, with about 560 cases for every one million people in the general population. Gallstones and alcohol are the biggest causes.
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But the MHRA and Genomics England are launching a new study to see whether some people have genes that put them at higher risk of developing pancreatitis if they take GLP-1 drugs.
People reported through the MHRA’s ‘yellow card’ alert system to have pancreatitis while using the jabs will be asked to provide a saliva sample and their genes tested.
Professor Matt Brown, chief scientific officer of Genomics England, said: “GLP-1 medicines like Ozempic and Wegovy have been making headlines, but like all medicines, there can be a risk of serious side effects.
“We believe there is real potential to minimise these, with many adverse reactions having a genetic cause.
“This next step in our partnership with the MHRA will generate data and evidence for safer and more effective treatment through more personalised approaches to prescription.”
Image: Assortment of weight loss and diabetic drugs. Pic: iStock
The main symptoms of pancreatitis are severe pain in the centre of the tummy area, fever and nausea. Acute cases are treated in hospital with fluids and oxygen, and generally make a recovery within a few days.
But there can be complications, and around 5% of acute cases are fatal.
With all medicines, there is a balance of risk and benefit.
For people with type 2 diabetes or obesity, there are clear benefits to using the jabs.
They lower blood sugar levels, lead to rapid weight loss and reduce deaths from cardiovascular disease by a fifth.
But for people who are a bit overweight and have sourced the jabs privately to lose a few pounds ahead of their summer holiday, the health benefits are far less clear.
This is a wake-up call for them.
These are powerful medications with effects not just on appetite, but on lots of body organs, including the brain.
And pancreatitis is just one of many possible side effects.
Lilly, the UK manufacturer of Mounjaro, has said patient safety is its “top priority”.
The drug’s patient information leaflet “warns that inflamed pancreas (acute pancreatitis) is an uncommon side effect (which may affect up to 1 in 100 people),” the statement continued.
Lily “also advises patients to talk to their doctor or other healthcare professional before using Mounjaro if they have ever had pancreatitis,” it added.
A man has been found guilty of murdering a 14-year-old boy with a samurai sword as he walked to school in east London.
Marcus Arduini Monzo, 37, nearly decapitated Daniel Anjorin and attacked five others during a 20-minute rampage in Hainault on 30 April last year.
Prosecutors said he skinned and deboned his pet cat Wizard before trying “to kill as many people as he could” while under the influence of cannabis.
Monzo, a Spanish-Brazilian national from Newham in east London, admitted two charges of possessing an offensive weapon relating to two swords, which he said he bought for display purposes.
He claimed he had no memory of carrying out the attacks denied Daniel’s murder along with four charges of attempted murder, wounding with intent, aggravated burglary and possession of a bladed article.
He was cleared of one count of attempted murder – instead found guilty of wounding with intent to cause grievous bodily harm – and convicted of all other charges following a trial at the Old Bailey.
Image: Daniel Anjorin, 14, died in April last year. Pic: Metropolitan Police
The court heard Monzo was a “talented martial artist” and the jury was shown footage of him unboxing a samurai sword on 4 April last year.
In the four-minute video clip, he calls the weapon “freaking sexy” as he lunges towards the camera and makes different moves.
Image: Marcus Monzo with a samurai sword in footage shown during the trial
The court was also shown CCTV footage from the morning of 30 April, with audible screams in one clip as Monzo drove his grey Ford Transit van at speed into pedestrian Donato Iwule.
Mr Iwule told jurors: “I thought I was dying” and “I saw blood coming out of my neck”, after he was struck with a sword before running away.
Witnesses described how Monzo was running around “like a maniac” and “looked a bit mad, like there was nothing there”.
Daniel, who had left home at around 7am wearing headphones and school sports clothes, suffered “a near-decapitation” when Monzo attacked him with the weapon from behind, prosecutor Tom Little KC told the jury.
Image: Monzo was tasered by police. Pic: PA
PC Yasmin Mechem-Whitfield chased the armed attacker through alleyways before Monzo struck her three times with the 60cm blade using “extreme force”, the court heard.
He then entered a nearby house through the back door and walked upstairs before attacking sleeping couple Sindy Arias and Henry De Los Rios Polania, who he asked: “Do you believe in God?”
Mr Little said their lives were only spared because their four-year-old daughter, who was sleeping nearby, woke up and started to cry.
Monzo, who had been cornered by police, also struck Inspector Moloy Campbell once with the sword before he was finally disarmed and arrested after trying to climb onto a garage to escape.
Doorbell footage shows the moment officers shout: “Don’t move, don’t f****** move”, after he was brought to the ground by three separate taser discharges.
Monzo told police he had “many personalities”, including a “professional assassin”, and compared the events to The Hunger Games film franchise.
He wept while giving evidence as he said he did not intend to harm anybody and told jurors he had no memory of what happened.
He told how he had previously used psychedelic drugs and smoked cannabis “three or four times a week” before the attack, but denied doing so on the day.
Prosecutors said he likely suffered from a psychotic disorder with “schizophrenic-like symptoms”, including “delusional beliefs” that both he and his family were in “mortal danger”.
But Mr Little said his psychotic state was self-induced and did not meet the threshold for diminished responsibility.