Care home chiefs fear deadly mistakes made at the peak of the coronavirus pandemic risk being repeated as councils offer them extra cash to take Covid-positive hospital patients.
…Now, despite a Government pledge to place a ‘protective ring’ around vulnerable residents, care homes in Cumbria are being offered £1,500 – double the local weekly fee – to take Covid-positive patients from hospital.
…Tony Carling, a care home operator in Cumbria, has decided not to take Covid-positive patients, but fears it could be a costly move. He said: ‘The majority of our clients are funded by local authorities, so it’s very difficult to turn down. You are under extreme financial pressure as to whether you get further business from that authority if you don’t support their needs.’
Capacity
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- Sweden never went in to full lockdown. Instead, the country imposed a partial lockdown that was almost entirely voluntary.
- The only forcible restriction imposed by the government from the start was a requirement that people not gather in groups of more than 50 at a time.
- People followed the voluntary restrictions pretty well at the beginning, but that they have become increasingly lax as time has gone on.
- After an initial peak that lasted for a month or so, from March to April, visits to the Emergency Room due to covid had been declining continuously, and deaths in Sweden had dropped from over 100 a day at the peak in April, to around five per day in August.
- Dr. Rushworth hasn’t seen a single covid patient in the Emergency Room in over two and a half months.
- COVID has killed under 6,000 people.
- On average, one to two people per day are dying of covid in Sweden at present, and that number continues to drop.
- In the whole of Stockholm, a county with 2,4 million inhabitants, there are currently only 28 people being treated for covid in all the hospitals combined.
- Sweden seemed to be developing herd immunity, in spite of the fact that only a minority had antibodies, was due to T-cells.
- Immunity may be long lasting, and probably explains why there have only been a handful of reported cases of re-infection with covid, even though the virus has spent the last nine months bouncing around the planet infecting many millions of people.
- Almost all cases of reinfection have been completely asymptomatic.
- People develop a functioning immunity after the first infection, which allows them to fight off the second infection without ever developing any symptoms.
- England and Italy have mortality curves that are very similar to Sweden’s.
- Lockdown only makes sense if you are willing to stay in lockdown until there is an effective vaccine.
https://sebastianrushworth.com/2020/09/19/covid-19-does-sweden-have-herd-immunity/
Britain is now in grave danger of sleepwalking into a second national lockdown. The consequences of doing so would be disastrous.
We find ourselves in this wretched position partly because the Government’s main achievement since the pandemic first emerged in China has not been suppressing the virus or saving lives or the economy, but in spreading irrational fear.
- A blanket lockdown is the last thing we should be contemplating if we are serious about the nation’s mental and physical well-being.
- This second wave will not trigger the explosion in deaths we saw in the spring.
- Not a single young child has died in the UK from Covid without some other serious pre-existing condition.
- According to Cambridge statistician Sir David Spiegelhalter, anyone under 50 is more likely to die in a car crash than from the virus.
The British public protected the NHS alright. Any fears that the institution might be overwhelmed were put aside when, a couple of weeks into lockdown, the hurriedly-constructed Nightingale hospitals were still empty, along with many other hospital wards, clinics and surgeries. By mid April, routine clinical activity by GPs was down 25 per cent and A&E visits down 52 per cent. Some of that was thanks to fewer drunks falling over and fewer children coming to grief in playgrounds, yet there is plenty to suggest that some very unwell people were scared into taking the instruction not to trouble the.
https://www.telegraph.co.uk/news/2020/08/27/did-protecting-nhs-actually-cost-lives/
The NHS has a “hidden waiting list” of 15.3 million patients who need follow-up appointments for health problems, according to the first analysis of its kind.
The official waiting list, which stands at 3.9 million, shows how many patients are yet to have their first hospital appointment after a GP referral.
However, the total number who are on hospital books in England and need appointments is not collated centrally. A new calculation, based on freedom of information requests to NHS trusts and seen by The Times, puts the figure at 15.3 million.
Although the official waiting list, after initial referral by a GP, has remained at a fairly stable level throughout the pandemic, this has been mainly driven by fewer patients joining it.
https://www.thetimes.co.uk/article/coronavirus-nhs-data-shows-15m-on-hidden-waiting-list-w250vxvz6
Normally, our joint waiting rooms are bustling — with around 100 patients at any one time waiting to see doctors, nurses, or a phlebotomist to take blood. Now there are no patients and just a handful of staff.
There have been just a few patients with Covid in the hospital in the last few weeks, compared with 20 in intensive care and 100 on the wards at the peak of the pandemic.
But we are at a near standstill when it comes to seeing outpatients on site. Much to my frustration, only one of my six NHS rheumatology clinics is conducted face-to-face each week. It is still deemed too risky for patients to attend hospital.
There doesn’t seem to be a master plan or encouragement from the Department of Health to get clinics up and running again — this is needed urgently
Fatalities are down 99% and some hospitals have no coronavirus patients, sparking hope that ‘herd immunity’ may be near
The number of people in hospital with Covid-19 has fallen 96% since the peak of the pandemic, official data reveals.
Hospital staff are now treating just 700 coronavirus patients a day in England, compared to about 17,000 a day during the middle of April, according to NHS England.
Last week, some hospitals did not have a single coronavirus patient on their wards, with one top doctor suggesting that Britain is “almost reaching herd immunity”.
https://www.thetimes.co.uk/article/covid-wards-empty-as-virus-death-toll-plunges-bvm0mxl2n
NHS hospitals have been warned they could face a fine if they are not at 90 per cent of their usual capacity levels by October.
A lot of routine care was paused due to the coronavirus pandemic and hospitals are currently thought to be running around 60 per cent of their usual capacity.
People with treatable cancers are going to die because hospitals have been laid empty due to Government scaremongering, an NHS nurse has warned.
An NHS nurse called Holly* has said that throughout the lockdown period “hospitals were empty” beyond the ICU units and Covid wards and that people have died as a result.
The coronavirus pandemic was probably already in retreat before the full lockdown was imposed, the chief medical officer for England said as he insisted that there was no “huge delay” in government action.
Chris Whitty said that “many of the problems we had came out of lack of testing capacity”. He blamed a failure to build up public health infrastructure in previous years for leaving Britain unprepared.
Chris Whitty blames poor planning for lockdown in bad-tempered health committee – The Times, 22 July 2020
Lockdown deaths:
The really concerning thing is that if all the deaths taking place during lockdown are put down as Covid-19 deaths, we are going to miss the fact that the lockdown policies have caused an increase in deaths from many other things. There has been a 50 per cent reduction in people turning up to A&E. It is clear that people just do not want to bother the doctors. And a number of these people will be dying. If we muddle the Covid-19 statistics in with the other statistics, we might think the lockdown has prevented a certain number of deaths, when it has actually caused a large number of deaths.
NHS capacity:
You hear this idea that all NHS staff have been working 20 times as hard as they have ever done. This is complete nonsense. An awful lot of people have been standing around wondering what the hell to do with themselves. A&E has never been so quiet.
The chances of children dying from COVID-19:
How many people aged 15 or under have died of Covid-19? Four. The chance of dying from a lightning strike is one in 700,000. The chance of dying of Covid-19 in that age group is one in 3.5million. And we locked them all down. Even among the 15- to 44-year-olds, the death rate is very low and the vast majority of deaths have been people who had significant underlying health conditions. We locked them down as well. We locked down the population that had virtually zero risk of getting any serious problems from the disease, and then spread it wildly among the highly vulnerable age group.
On vaccines:
It is not clear that getting the virus actually makes you immune to it in the future, and it is not clear a vaccine would either.
https://www.spiked-online.com/2020/06/26/the-lockdown-is-causing-so-many-deaths/
A new report by the National Audit Office confirms that 25,000 people moved from hospitals into care homes between mid-March and mid-April.
Jeremy Hunt, the Conservative former health secretary who now chairs the Commons Health Committee, said the findings were “extraordinary” and came “despite widespread knowledge that the virus could be carried asymptomatically”.
Covid-19 appearance and fast spreading took by surprise the international community. Collaboration between researchers, public health workers and politicians has been established to deal with the epidemic. One important contribution from researchers in epidemiology is the analysis of trends so that both current state and short-term future trends can be carefully evaluated. Gompertz model has shown to correctly describe the dynamics of cumulative confirmed cases, since it is characterized by a decrease in growth rate that is able to show the effect of control measures. Thus, it provides a way to systematically quantify the Covid-19 spreading velocity. Moreover, it allows to carry out short-term predictions and long-term estimations that may facilitate policy decisions and the revision of in-place confinement measures and the development of new protocols. This model has been employed to fit the cumulative cases of Covid-19 from several Chinese provinces and from other countries with a successful containment of the disease. Results show that there are systematic differences in spreading velocity between countries. In countries that are in the initial stages of the Covid-19 outbreak, model predictions provide a reliable picture of its short-term evolution and may permit to unveil some characteristics of the long-term evolution. These predictions can also be generalized to short-term hospital and Intensive Care Units (ICU) requirements, which together with the equivalent predictions on mortality provide key information for health officials.
https://www.medrxiv.org/content/10.1101/2020.05.13.20101329v1
- Professor Karol Sikora says that COVID-19 behaves like pandemics in the past.
- Society is scarred all over the world.
- The virus will go but the fear will do the damage.
Note: YouTube has taken down the video. Please go directly to UnHerd’s site:
https://unherd.com/thepost/professor-karol-sikora-fear-is-more-dangerous-than-the-virus/
Professor Karol Sikora has become something of a celebrity in the UK over the past months for his expert commentary on the pandemic, and his unusual tendency for optimism rather than pessimism.
Virus ‘getting tired’
– In the past two weeks, the virus is showing signs of petering out
– It’s as though the virus is ‘getting tired’, almost ‘getting bored’
– It’s happening across the world at the same time
Existing herd immunity
– The serology results around the world (and forthcoming in Britain) don’t necessarily reveal the percentage of people who have had the disease
– He estimates 25-30% of the UK population has had Covid-19, and higher in the group that is most susceptible
– Pockets of herd immunity help *already* explain the downturn
– Sweden’s end result will not be different to ours – lockdown versus no lockdown
Fear more deadly than the virus
– When the history books are written, the fear will have killed many more people than the virus, including large numbers of cancer and cardiological patients not being treated
– We should have got the machinery of the NHS for non-corona patients back open earlier
Masks and schools
– Evidence on masks is just not there either way so it should be an ‘individual decision’
– We should move to 1m social distancing which means restaurants and bars could reopen
– More schools should reopen in June as ‘children are not the transmitters of this virus’
– We should be getting back to the ‘old normal’ not a ‘new normal’
One reason why the models failed is that they – just like most countries’ politicians – underestimated how millions of people spontaneously adapt to new circumstances. They only thought in terms of lockdowns vs business as usual, but failed to consider a third option: that people engage in social distancing voluntarily when they realise lives are at stake and when authorities recommend them to do so.
As countries plan how to leave lockdown, they can look at Sweden and ask: what happens if you don’t involve the police, if you don’t issue edicts about how many of your relatives or neighbours you can visit, and just ask people to be careful? Might that work? The Swedish experiment casts huge doubts on the models, and makes the case for trusting the public.
https://www.spectator.co.uk/article/can-we-trust-covid-modelling-more-evidence-from-sweden
What is unique about this pandemic–apart from the fact that it’s rather small–is that the damage that it does is self-inflicted.
This is a very odd plague. It’s rather small in scale but it’s gigantic in consequences because we have chosen to inflict a form of economic suicide on ourselves.
This week on “So What You’re Saying Is…”: Dr. David Starkey argues that a calamitous series of events and decisions caused a panicked British government to recklessly abandon its sensible coronavirus plan for one that is likely to harm the nation far more than the virus itself.
Comparing this virus with historical pandemics Starkey believes the dire situation we are encountering today has a different cause. Earlier pandemics such as the Black Death eradicated up to half of the population of Europe. In contrast, although it is profoundly tragic on a personal level to the individuals and familiies it afflicts, coronavirus is nowhere near as devastating on a population-wide level as previous pandemics. Consequently, Starkey argues, the Conservative government was correct to follow a similar path to Sweden which was far more relaxed than elsewhere in Europe.
This approach suited Prime Minister Boris Johnson’s libertarian attitude and personality. But on a single weekend there was a calamitous confluence of events and decisions that caused the Tory government to panic (Northwick Park hospital overwhelmed, Imperial College modelling showing potential 500,00 deaths etc.) and enforce an extreme lockdown without any plan to deal with the epidemic. It was simply a goal to protect the NHS.
Protect the NHS: The Tory Government, says Dr. Starkey, was desperate not to be seen as responsible or the NHS being overwhelmed. Eager to prove to the traditional Labour “Red Wall” that the Conservative Party really was their natural home, the British government prioritised the NHS’s capacity to deal with Covid-19 over everything else– but disastrously this included its treatment of cancer patients etc. A bizarre and unprecdented abandoning of the Hippocratic oath that we have not seen in other countries, argues Starkey.
The argument for a lockdown was overwhelming. When Boris Johnson addressed the nation eight weeks ago, it appeared as if a killer virus was about to engulf the population at astonishing speed. You had to be mad or bad, it seemed, not to back the Prime Minister as he urged us all to stay at home, protect the NHS and save lives. The moral justification for collective action was crystal clear. “Squashing the sombrero,” as Johnson colourfully put it, was needed to buy time for the NHS to fight this thing. And we did it. Britain achieved that aim.
https://www.telegraph.co.uk/news/2020/05/16/moral-case-blanket-lockdown-fading-fast/
Even if one could understand why lockdown was imposed, it very rapidly became apparent that it had not been thought through. Not in terms of the wider effects on society (which have yet to be counted) and not even in terms of the ways that the virus itself might behave. But at the start, there was hardly any evidence. Everyone was guessing. Now we have a world of evidence, from around the globe, and the case for starting to reverse lockdown is compelling.
- You cannot understand the significance of this virus simply by looking at the raw death figures
- The policy response to the virus has been driven by modelling of Covid – not other factors
- We don’t know if lockdown is working
- We should ease the lockdown to save lives
- Lockdown is not sustainable
- Lockdown directly harms those most likely to be affected by coronavirus
- Lockdown directly harms those who will be largely unaffected by coronavirus
- The health service has not been overwhelmed nor likely to be
- The virus is almost certainly not a constant threat
- People can be trusted to behave sensibly
https://www.spectator.co.uk/article/ten-reasons-to-end-the-lockdown-now
- Just 11 people under the age of 20 have succumbed to Covid-19.
- Professor Neil Ferguson of Imperial College has a dismal record as a forecaster.
- There’s the possibility that the lockdown has actually made the virus more deadly.
- Bank of England warned that if the lockdown is extended until June the economy could shrink by 14 per cent this year.
- More than one-in-five adults now furloughed on 80per cent of their wages.
- A fifth of the working-age population could be jobless and the quality of people’s mental and physical health would plummet.
- Every day, about 1,700 people die in Britain. Only five years ago, in the winter of 2014/15, more than 28,000 people died from seasonal flu, not far off the current coronavirus death toll of just over 30,000.
- Direct evidence to support the two-metre rule is weak, and based almost entirely on modelling rather than real life.