Saturday 13 March

This week could prove memorable for many children and parents, as schools reopened but, having made this the first high profile milestone in his roadmap out of lockdown, only now does our Prime Minister state what we knew all along. Boris Johnson now says the reopening of schools will have an impact on infection rates that could affect the roadmap for lifting restrictions, and England’s deputy Chief Medical Adviser said it was too soon to rule out a fourth wave taking off. #Lockdown4 started trending on Twitter but the country is understandably weary and it’s likely a fourth lockdown would meet with some resistance. Independent SAGE gets next to no coverage in the media, despite coming out with much more sensible stuff than ‘official’ SAGE. During their weekly online conference (open to all to attend via Zoom) a member tweeted: ‘Finally schools are back, but a year into the pandemic, the failures of Test, Trace and Isolate are clear. Latest figures from Christina Pagel (professor at UCL’s Clinical Operational Research Unit) and questions from the public. Join us’.

The Test and Trace programme came in for more stick this week at Wednesday’s cross party Public Accounts Committee, MPs criticising its staggering expenditure (£37bn), excessive use of consultants at £6,600 a day in some cases and the system’s ongoing failures. Ministers remain defensive, Grant Shapps saying that coronavirus would have been ‘a heck of a lot worse’ without the programme, a facetious comment since having no system at all was never proposed. A former Treasury chief described it as ‘the most wasteful and inept public spending programme of all time’. A Today programme listener tweeted: ‘The only thing world beating about the UK’s Serco Test and Trace system is the amount it has cost. £37 billion. With 68 million people in the UK, Test and Trace will cost each and every person £550’. Another said: ‘Chortling Grant Shapps gaslighting there over the failures of Test And Trace – he knows very well critics have never said there shouldn’t be a system. What they’ve said is not this particular corrupt and money-gobbling one’.

Meanwhile, as some estimates of UK Covid 19 deaths reach 130,000 (one figure suggests 143,000), those losses barely acknowledged by the government, politicians, including our PM and Keir Starmer, and charities have urged us to observe a minute’s silence on 23 March, the anniversary of lockdown imposition. This ‘national day of reflection’ is designed to enable mourning, the silence to be followed by bells tolling and landmarks lit up all over the country at 8 pm. Mourning these losses has been especially hard for the bereaved because of lack of political recognition, not being able to be with the deceased at the end and the restrictions imposed on funeral attendance numbers. This situation will have added to the already existing mental health burden many are experiencing, especially since lockdown 3. NHS England head Sir Simon Stevens said: ‘We need to reflect on the pandemic’s deep toll, mourn those we’ve lost, and mark the service and sacrifice of staff throughout the NHS. It’s also a moment to acknowledge how in adversity we saw strength, as friends, neighbours and communities have come together to help each other through the nation’s worst ordeal since the second world war. While we need continuing vigilance against this virus, the remarkable NHS vaccination programme now brings hope of better times to come’.

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As the NHS pay rise debate rumbles on (the independent pay review body is not expected to publish its recommendations before May) and treating Long Covid is again identified as an overlooked aspect of underinvestment in the NHS, we learn of another example of government extravagance in the form of a proposed £9m ‘situation room’ (where on earth did that name come from?) within the Cabinet Office in Whitehall. Immediately, visions of Churchill’s war rooms came to mind and perhaps this is the comparison we’re invited to make. The idea is to ‘fit the room with interactive dashboards and heat maps so it can be used as a command centre during emergencies like terror attacks and epidemics’. We have to ask ourselves what this room could achieve which the existing structure cannot, since it’s surely dependent on the brain power of the individuals operating it.

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The government must be feeling thankful that That Interview has so dominated the media this week that their own misdemeanours have sunk right down the agenda, not that they’re covered by the BBC anyway. Whatever one thinks about the disturbing revelations in the interview, it raises again some key questions, including the future of the monarchy in the 21st century and the nature of ‘public service’. The spiky exchanges between Harry and Meghan and the royals demonstrated different views of what ‘public service’ constitutes. For the royals (and I wonder how many of us see it this way) ‘public service’ has been seen in terms of heading up regiments, acting as patrons for numerous charities and appearing and speaking at events, whereas Harry and Meghan, with their statement that ‘public service is universal’ would be alluding to working for the advance of causes they espouse, such as mental health, the environment and animal welfare.

Commentators have suggested that the debate is mostly polarised between older people, who defend the royals and see Harry and Meghan as audacious upstarts who believe they can cherry pick the duties they like while discarding the rest, and younger people, who believe the opaque and traditional ways of the ‘institution’ need to be brought into the 21st century and that coming into the Royal Family shouldn’t mean being silenced and being denied all independence. (Meghan said her driving licence and passport were taken away and that she wasn’t allowed to go out to meet friends).

I wondered what the royals made of Meghan calling the Royal Family ‘a construct’ and whether they heard journalist and author Simon Jenkins on Radio 4 calling them a secret society, akin to the mafia, which Harry and Meghan wouldn’t be able to change. I suspect the royals were taken aback and shocked at what emerged, particularly about the alleged racism underpinning the curiosity about the likely colour of the forthcoming baby’s skin. A listener tweeted: ‘Like some governments and some powerful individuals, it seems the Royal Family have long assumed secrecy about how they conduct themselves but this is outdated now, given social media, investigative journalism and the marked decline in obeisance to authority’.

We heard that the Queen expressed ‘concern’ over allegations of racism, sadness on learning exactly how challenging the couple had found life as working royals, but also some doubts about this, as she said ‘some recollections of events differed’. Some may find it strange that this came as a surprise to the Queen, as if she didn’t know what was happening on her watch, even though the implication in the interview was that the difficulties arose via ‘the institution’ or ‘Firm’, rather than the Queen herself. To me one of the most striking bits of the interview was when Meghan was talking about lack of support for her mental health difficulties and Oprah Winfrey asked whether she couldn’t have got herself ‘checked in somewhere’, Meghan having to point out that this wasn’t like ‘calling an Uber’.

In ‘Beyond the Masquerade’, Byline Times editor Hardeep Mataru writes about how the Duke and Duchess of Sussex have exposed ‘the real power structures in Britain – now in full destructive, neo-imperial retreat….. Meghan and Harry may be symbols, but they are not just that. Together, their very human experiences are revealing about British society and how it will protect its own in a clash of class and race with white supremacy, unearned privilege and unyielding power’. Instead of dismissing the interview and aftermath as another piece of royal melodrama perpetuated by the press, she believes we need to listen because the systems the institution upholds are those which ‘set the temperature of the water the rest of us are having to swim in’.   

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There’s also been concern at the Queen’s declaration that this would be dealt with by the family, when they have no objectivity in this, not to mention William’s strange form of words when responding to a journalist’s question – ‘We’re very much not a racist family’ when it’s been argued that many don’t actually understand what racism is. Whatever the outcome is, let’s hope we don’t have to put up with many more sanctimonious and sycophantic ‘royal correspondents’ on the airwaves, and politicians like Jacob Rees-Mogg, who said, before reciting the first two verses of the national anthem, ‘Were we to have a debate to praise our sovereign lady, it would take up all the legislative time available in this house’.

In recent days the news has been dominated by the shocking abduction and murder of Sarah Everard and that the suspect is a serving police officer. As if the police needed anything to further reduce public trust in them. The murder has given rise to a huge outpouring of feeling for the victim, her parents and family, but also anger at the way (unchanged, it seems, from the original Reclaim the Streets campaign years ago) some men feel entitled to get away with harassing and abusing women. This has long been dismissed in some quarters as ‘banter’ and it’s become normalised but it’s much more serious than that – it goes back to the way men are socialised, beliefs about constitutes masculinity and peer group pressure. Over the years women have repeatedly been advised not to go out in the dark, not to wear this or that, go to this or that place, when it’s actually the freedom of male abusers which needs curtailing. Labour’s Harriet Harman believes one part of the solution lies in legislating that anyone caught kerb crawling in order to harass women would have their licence removed.

This tragic event has brought three related issues to the fore, one being, as some see it, the curtailment of freedom to protest, using lockdown as a back door. Surprisingly, the judge in the court hearing to assess the legality of the Clapham Common protest copped out of making a definitive judgement, leaving it to the organisers and police to discuss and come to some arrangement. Meanwhile, as the #Reclaimthestreets hashtag on Twitter demonstrates, many more protests have been organised all over the country: are the police going to stop these going ahead as well? The protest was cancelled because of the difficulty of negotiating with the police but, in the event, many women turned up anyway, thousands of bouquets were deposited and there was some heavy handed policing of the vigil. This will bring the police even more into disrepute. This debate won’t go away – Harriet Harman pointed out that the police can’t keep resorting to the courts: there must be a recognised system for balancing the right to protest with the public health necessities of the pandemic.

The second issue is that the domestic abuse bill is another can the government has kicked down the road, having been in preparation for four years. The government was also challenged by the Lib Dems’ Wendy Chamberlain to incorporate misogyny as a hate crime into this legislation. ‘A cross-party amendment supported by a string of charities, including the Fawcett Society and the Jo Cox Foundation, would make all police forces in England and Wales record misogynistic crimes as hate crime, a campaign started by the Labour MP Stella Creasy. The amendment will be voted on in the House of Lords next Monday’.

The third issue relates to how this has proved such a high profile case (of course the police involvement is one factor) when so many other murders take place each week, with no media coverage. At the annual International Women’s Day debate in the House of Commons, female MPs related their own experiences of sexual harassment and a regular fixture of this debate is Labour’s Jess Phillips reading out a list of names of women killed by men since the previous year’s debate (this time 118). Besides the imminent bill on police, crime, sentencing and courts, critics slated the government for not yet attempting to produce a long-term strategy on tackling violence against women and girls. ‘A statement’ is expected by December. What’s more shocking, though, is the lack of attention to the numbers of older women killed by men (278 over 60s between 2008 and 2018 according to the Femicide Census), statistics and circumstances of which have gone under the radar. This is partly because the upper age limit for criminal investigation has been too low and partly because cases have been dismissed as being due to ‘accidents’ or dementia rather than the coercive control and abuse which underlie a significant number of long term relationships.

In just one case, a 67 year old’s husband strangled her at the beginning of lockdown, citing the ‘hardness’ of lockdown, anxiety about the virus and that he had ‘just snapped’. He received only a five year sentence for manslaughter because of diminished responsibility and could be out after a year. Several women’s and domestic abuse organisations have been involved in collating these statistics and bringing them to public attention in order to obtain proper scrutiny, effective investigation and action. It’s seen as indication of both misogyny and ageism that it’s often been assumed that when an older woman is found at the bottom of the stairs, say, it’s an accident, a fall, whereas such an assumption wouldn’t be made in the case of a 40 year old. The charity Hourglass (formerly Action on Elder Abuse) conducted a survey which indicated that despite one in six older people suffering abuse every year, 30% of respondents didn’t view harmful behaviour towards older people as abuse. The perpetrators of these crimes have often been husbands and sons, some claiming that they were ‘mercy killings’.

An important factor is the normalisation of coercive behaviour over the years, though it’s still insufficiently recognised as such by people of any age. (The story of Helen Archer and her controlling husband, Rob, in the Radio 4 series The Archers, did much to publicise this distressing phenomenon, the publicity penetrating well beyond The Archers listeners). One 67 year old said: ‘I met him when I was 16….He let me have a dog so I could have a friend’. There’s obviously a huge distance for society to travel in exposing and addressing these crimes and their causes. ‘Older women are not counted in statistics, overlooked by the police, marginalised by services and many are left dangerously at risk in a relationship because the few exits available to them are barred by ageism, stereotyping, underfunding and ignorance’.

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Another result of government short termism continues to rear its ugly head: Brexit and its effects in Northern Ireland, the consequences of which can no longer (if they ever could) be dismissed as ‘teething problems’. The stance of ‘Lord’ Frost, now responsible in the Cabinet for post-Brexit policy, is quite extraordinary. Writing in last week’s Sunday Telegraph, he quite unselfconsciously, it seems, complained about how the EU were ‘sulking’ at the UK leaving the EU bloc because they objected to the breaches of the treaty and Northern Ireland protocol, initiated by Frost and euphemistically called ‘grace periods’ and ‘temporary easements’ to relieve the trade blockages resulting in shortages of goods. Once again, the EU and rest of the world will see the UK as not to be trusted, reneging on treaty obligations which it had signed up to only very recently. The article and its implications are, as usual, expertly dissected by Chris Grey (Emeritus Professor of Organization Studies at Royal Holloway, University of London) in his blog post, ‘Brexit and beyond’.

Again, we see in this section called ‘dangerous delusions’, evidence of the government occupying a parallel universe. How easy and comforting but deluded for such individuals to see themselves as ‘skilful’ and courageous when many will instead see them as embarrassingly foolish. ‘In particular, he undoubtedly believes that his ‘hardball’ negotiating approach was highly skilled and the only way in which the EU was ‘forced to accept the UK’s terms’. Included in that supposed skilfulness was the ever-present threat of no deal (in relation to both agreements) and the threat to break international law with the Internal Market Bill (in relation to the TCA). This has been an article of faith amongst Brexiters, and they think it was lacking in Theresa May’s approach but demonstrated in Johnson’s. It is nonsense, of course. Both the deals Johnson and Frost struck were substantially on terms set by the EU in the light of the UK’s – originally Theresa May’s – red lines. And so skilled were Frost and Johnson in making these deals that they had no idea of the consequences for Northern Ireland or for trade generally.….’. Besides the pandemic and lockdown, the mental health burden many experience is reinforced by extreme concern about the effects of Brexit.  Exports to the EU have dropped by 40% and we haven’t yet seen the full extent of the aftermath on the mainland.  

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We’ve long known, highlighted by the pandemic, that many young people from deprived households are unable to access the internet, which in turn has seriously affected their access to education during lockdowns. It’s also clear how much more dependent we are on the internet, even more than previously. Now, Tim Berners-Lee, founder of the World Wide Web, has published a letter on the web’s 32nd birthday, arguing for post-pandemic ‘reimagining’ of our world to include ensuring internet access for the many young people currently excluded from it. As we know, one problem is the lack of kit, but the other is lack of broadband access. Not for the first time, I’ve thought this should be a public resource, not treated as an optional extra. Jeremy Corbyn’s idea at the last election of providing free broadband for all was ridiculed in some quarters but many of those who dismissed his plan will have had to rethink it. ‘A third of young people have no internet access at all. Many more lack the data, devices and reliable connection they need to make the most of the web. In fact, only the top third of under-25s have a home internet connection, according to Unicef, leaving 2.2 billion young people without the stable access they need to learn online, which has helped so many others continue their education during the pandemic’.

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At the opposite end of the age spectrum, reports have emerged of some older people who have made huge strides with the internet when some had previously had nothing to do with it. One such 79 year old has even created his own website. ‘Learning about the endless possibilities of the online world has been a lifesaver to me. I have learned so much about the modern world just in the past year. It’s opened the UK up to me: I can now give talks via Zoom to groups in Scotland, whereas before I was limited to the 15 miles around where I live because that’s where I could drive to, to give the talk in person’. An 85 year old is now reportedly ‘enthralled’ by the internet, whereas before the pandemic he had to ask his children how to turn his computer on. All of this is encouraging but the same issues apply to many in the older age groups as to younger people from deprived communities – not everyone has the wherewithal to afford the kit and broadband access and there are more psychological barriers to overcome.

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Finally, on a positive note, joint working between the National Trust, Historic England and local councils is aiming to reproduce Japan’s hanami tradition of celebrating the cherry blossom each spring by planting dozens of circles and avenues of trees. The sites are in England, Wales and Northern Ireland, the first being London’s Olympic Park, with other cities to follow. One of the best things at this time of year is seeing so much beautiful blossom around in parks, streets and gardens, and the intention of this project is to create ‘green, nature-rich havens in the very heart of urban areas’. It brings back a poignant memory, as this time last year I was just planning a group visit to Brogdale, home of the National Fruit Collection, which runs such a hanami festival, when it was guillotined by lockdown. Another time!

Saturday 6 March

So much can happen in a week and when we come to look back over the trajectory of the pandemic, it could well seem as if a month’s worth has been packed into every single week. It’s interesting, then, that only on Monday there was extreme concern that our leaky border controls had enabled 6 cases of the Brazilian variant to be detected in the UK, one who’d not supplied proper contact details going AWOL, yet media interest had markedly declined towards the end of the week. The identity of the mystery 6th case was finally established on Friday, the delay of nearly a week being a great commendation for the chaotic Track and Trace system. But why didn’t this individual come forward of their own accord instead of compelling Track and Trace to visit 379 households in the South East of England?

In the latest example of parallel universe, Health Secretary Matt Hancock lauded this achievement, talking up the use of ‘the latest technology and dogged determination’ of   system staff to track down the individual. ‘The best evidence is that this person stayed at home and there is no evidence of onward transmission but as a precaution we are putting in more testing in Croydon where they live to minimise the possibility of spread’.

But on Monday’s Radio 4 Today programme Vaccines Minister Nadhim Zahawi was typically unable to answer key questions about this, instead talking up the UK’s world beating genome sequencing programme which had enabled the variant to be discovered in the first place. Professor Graham Medley, of the London School of Hygiene and Tropical Medicine and a member of the Scientific Advisory Group for Emergencies (SAGE), said the risk was that new variants could delay or even reverse the route out of lockdown. SAGE believes the return to school of ten million pupils could raise the R rate by between 10 and 50% – this represents a lot of mingling in mostly poor ventilated spaces, not to mention those children mixing with other household members, some potentially vulnerable, and the issue of parents at the school gates.

The reopening of schools all at once on Monday could prove risky, yet everywhere this seems to have become a bellwether for the approaching end of lockdown, prematurely implying that we’re out of the woods when this is anything but the case.

As the debate around vaccines and vaccine passport continues, it’s very encouraging to hear of successful NHS work (NB not the government’s despite their avowed intention to tackle misinformation) to tackle vaccine refusal and hesitancy. Professor Azhar Farooqi, a Leicester GP, says his practice has been contacting all in groups 1-4 who haven’t taken up a vaccine (about 25% in his area) and talks to them about their concerns, after which 60-70% of those contacted (mainly BAME/deprived groups) changed their minds. A key message here it is that it’s clearly about the personal contact, and the fact someone from their own community is talking to them about it, engendering trust, rather than relying on depersonalised websites and official ones at that which people may not trust.

Not surprisingly, it seems that more and more countries and UK venues will be requiring vaccine passports in order to allow people to travel and to take part in activities and events. There was a heated discussion about it on the BBC’s Moral Maze on Wednesday, some feeling that such a development attacks their civil liberties and others that public safety trumps libertarian arguments of some individuals.

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Since Tuesday evening the news has been dominated by the Budget, which was made to sound very generous but which had several key omissions and evasions: the extension of the Universal Credit uplift for only six months; no investment in the NHS; a pay rise of only 1% for NHS staff; and critically, nothing on social care. Reform of social care has been promised then kicked down the road by successive governments for years, but its omission now seems especially shameful given the severe strain the pandemic has put the service under and the PM’s statement earlier this year that he had an ‘oven ready’ bill to bring forward. The fact that so many care home residents have died of Covid is partly attributable to the shocking policy of discharging Covid positive patients into care homes, representing another social care failure.  

Asked about his repeated praise for NHS workers over the course of the pandemic, Hancock insisted he could not be more generous: ‘We do have issues of the affordability because of the consequences of the pandemic on the public finances, which were set out in the budget this week’. It’s astonishing that he expects to be taken seriously on this. On Friday junior health minister Nadine Dorries, a former nurse, was interviewed on the Today Programme about the 1% pay rise, repeating that it’s what the government can afford. As a listener tweeted: ‘Did this government ever think that the ‘what we can afford’ schtick wouldn’t hold water further down the line because we’ve seen how much they wasted on crony contracts and malfunctioning Track and Trace?’ [The total for Track and Trace is now estimated to be a whopping £37bn]. NHS staff are now considering industrial action, which would cause the government far more trouble that giving them a decent pay rise in the first place. The shocking irony is that our Prime Minister is only here because of the 24/7 care he received from nurses during his ICU admission last year year, his survival hanging in the balance although he later attempted to deny it had been that bad. Meanwhile, Unison estimates there are 112,000 nursing vacancies and the largest NHS employer, NHS Providers, has come out in support of the pay claim, saying government had originally planned a 2% increase.

Palliative care doctor, author and broadcaster Rachel Clarke comments on the Prime Minister’s vacuous use of the word ‘love’, a descriptor he used of the NHS last April. ‘It is the best of this country. It is unconquerable. It is powered by love’, but the NHS has a very different experience of ‘love’ from his government’s mediated kind. She points out that the government’s hands aren’t (as they say) tied regarding the pay rise, it’s a political choice.

‘NHS love is kneeling on the floor to help a child into a mask and apron so she can say goodbye to Mummy, who is dying in intensive care. NHS love is nearly vomiting with anxiety by the side of the road – because there’s only so much dying one human being can take – before setting off again towards the patients you know still need you. NHS love is the doctors and nurses who even now, as I type, are suffering from PTSD, anxiety and depression in their droves: who feel they can’t go on, who are broken, who have even talked of suicide when their defences are down’.

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Chancellor Rishi Sunak has allocated £700m to arts, culture and heritage bodies to help them keep going until they can reopen in May but there is concern that these funds could come with strings attached – adherence to government guidelines being developed on how British history should be portrayed. As discussed last week, ministers have long been concerned about institutions reflecting the bigger picture (one which includes the effects of colonialism and slavery), believing this amounts to ‘talking Britain down’. Although it receives no government funding, the National Trust, with a membership of over 5.6m, doesn’t get off lightly, some members and governors believing the ‘warts and all’ version of history needs telling (many of its properties having links to slave owners) and others complaining about a ‘woke agenda’ and saying this interferes with their aesthetic experience and plans for a nice day out.

A significant feature of Budget coverage has been criticism of the government and media for using a misleading household analogy to describe government finances, exemplified by allusions to ‘balancing the books’ and such like. The evidence is that many are taken in by such a ploy, seen to artificially justify austerity policies. We see it again now in the argument that the government ‘can’t’ afford an NHS pay rise (yet, oddly, it afforded billions for Track and Trace and the numerous contracts awarded to government contacts). In November leading economists wrote to the BBC about coverage of the Spending Review, complaining about key staff like political editor Laura Kuenssberg perpetuating what they see as myths about public fiscal policy.

‘….Specifically, when responding to the Office for Budget Responsibility’s public sector borrowing projections, BBC News political editor Ms Kuenssberg said that ‘this is the credit card, the national mortgage, everything absolutely maxed out’, and later went on to comment that ‘for next few years, there is really no money’. (This kind of spiel might sound ok on tv but it looks remarkably silly and superficial when seen in print). We argue that this commentary misrepresents the financial constraints facing the UK government and reproduces a number of misconceptions surrounding macroeconomics and the public finances.

To focus on the “credit card” analogy, we would argue that this is never an appropriate metaphor for public finances. Maxing out a credit card would imply that the government is approaching a hard limit on its ability to borrow. This is not the case. It is the consensus amongst economists that the government should at this point in time not focus on reducing the deficit, but rather on delivering the spending necessary to secure a recovery from Covid-19….. With informing and educating the British public at the very heart of the BBC’s mission, it is crucial economic issues are explained in an accurate way, and we ask that BBC journalists take care to avoid such analogies in the vital work they do’. It’s clear from Budget reporting that the media including the BBC have not taken these arguments on board.

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Criticisms of the Budget itself came from the Institute for Fiscal Studies, the Resolution Foundation and others for lack of public sector investment, especially he NHS, and also by right-wing think tanks for the increase in corporation tax to 25%.

IFS Director Paul Johnson said the ‘spending plans in particular don’t look deliverable, at least not without considerable pain’ and that the government would have to spend more. ‘Are we really going to spend £16bn less on public services than we were planning pre-pandemic? Is the NHS really going to revert to its pre-Covid spending plans after April 2022? In reality, there will be pressures from all sorts of directions. The NHS is perhaps the most obvious. The chancellor’s medium-term spending plans simply look implausibly low’.

The Office for Budget Responsibility (charged with economic and borrowing forecasting) said the Budget didn’t give an ‘explicit commitment beyond the end of the 2021-22 financial year for the legacy of the pandemic for public services’. This despite the ‘need for an annual re-vaccination programme, an ongoing test and trace capacity, and catching up on operations that the NHS had been unable to do over the past year’.

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It’s pretty clear that a long term view (something this government is allergic to) of NHS funding is needed and an Independent article by Mary Dejevsky, summarised in The Week, points out how other European countries like France and Germany have dealt much better with the pandemic in terms of lower death rates and have better health outcomes overall. ‘And one hard-to-admit reason is that a system funded out of general taxation is less able to respond to the challenges of an unexpected threat than Europe’s more flexible, insurance-based systems. For them there’s no sharp divide between public and private provision: patients, not doctors, decide what gradation of service they want’. The author says people often focus (perhaps unhelpfully) on the ‘appalling’ US system when insurance based systems are discussed but the European model is more helpful. ‘If Matt Hancock focused instead on systems across the Channel, he’d see that the insurance principle, not more political control, is the way forward’.

Meanwhile, the media continue to collude with the government, sheltering it from scrutiny over its own corruption while filling endless hours and pages with speculation about Meghan and Harry and the SNP debacle. It’s very worrying that economies with the truth come so easily to our Prime Minister but aren’t picked up by the Speaker. Only three days after the shaming court judgement last weekend on government contracts not being published within the appropriate time period, the PM misled Parliament by suggesting they were all on record, yet the judge later said this was untrue because 100 of the original 708 (!) contracts were absent from the public record. [The government is required by law to publish a ‘contract award notice’ within 30 days of the awarding any contracts for public goods or services worth more than £120,000].

The Good Law Project, which mounted the legal challenge, said: ‘Government has not only misled Parliament and placed inaccurate information before the Court, it has misled the country. Unless contract details are published they cannot be properly scrutinised – there’s no way of knowing where taxpayers’ money is going and why. Billions have been spent with those linked to the Conservative Party and vast sums wasted on PPE that isn’t fit for purpose. We have a Government, and a Prime Minister, contemptuous of transparency and apparently allergic to accountability. The very least that the public deserves now is the truth’. 

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On the same theme, concern has been expressed about the new UK science body being exempt from regular procurement rules, enabling ‘maximum flexibility’ as this could so easily lead to further cronyism. We’re told the Advanced Research and Invention Agency will have access to £800m during the life of this parliament and also be exempt from Freedom of Information legislation.

‘Although it will be audited by the National Audit Office and required to submit annual reports, there is concern be allowed to invest taxpayers’ money in financially risky projects’. Whenever ministers talk about removing ‘red tape’ you know that stands for removing due process. ‘Kwasi Kwarteng, the business secretary, said ARIA would be ‘equipped with all the tools and freedoms it needs to succeed’ including placing scientists at the heart of decision-making and ‘stripping back red tape’. You can bet that the Labour Party, Good Law Project and others will be keeping a close eye on ARIA, though their efforts will be hobbled by the lack of FOI.

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In other major news we see yet another example of government short-termism. So desperate was our PM to ‘get Brexit done’ that he agreed to the Northern Ireland Protocol without apparently anticipating what problems this would cause him further down the line. Now the EU is threatening legal action because the UK has unilaterally put in place ‘temporary easements’ or ‘grace periods’ (as ministers call them, rather than the treaty breaches they actually are), there’s rising discontent in unionist communities in Northern Ireland and paramilitaries have written to Boris Johnson and Ireland’s taoiseach, Micheál Martin, warning of “permanent destruction” of the Good Friday Agreement without changes to post-Brexit arrangements for Northern Ireland.

Let’s not worry, though. Our ever optimistic PM has it all under control: ‘I’m sure with a bit of goodwill and common sense all these technical problems are eminently solvable’. It will now be interesting to see what the negotiating skills of ‘Lord’ Frost are really like.

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Can anyone think of a less deserving charity than the one allegedly being set up to cover the costs of refurbishing the PM’s flat, an exercise his fiancée, Carrie Symonds, seems to be spearheading? ‘A No 10 spokesman would not deny reports in the Daily Mail that the prime minister is attempting to set up a charity where benefactors can contribute to the upkeep of Downing Street’. I wonder how well this idea will go down here, apparently modelled on the American White House one. ‘It was reported to be modelled on a similar scheme used by the White House to raise money for interior design and restyling the building, which is bankrolled by private donors. By tradition, incoming US presidents and their families are allowed to spend $100,000 on redecorating the White House, and the first lady takes an active part in the White House Endowment Trust, which maintains the fabric of the building’. Carrie apparently wants to get rid of the current John Lewis style, whatever that is, and replace it with a chintzy style one commentator thought resembled a Parisian brothel.  

https://bit.ly/3c6mkD5

Several commentators reflect on lockdown, from both sides, focusing on the pain it’s involved for many but also on some of the upsides we’re likely to take into the ‘new normal’. One article tracks the last year for those who’ve been separated from family members because of travel restrictions, etc, and they’ve obviously stuck to those rules, unlike some. One had lost her grandparents and captured the experience of many unable to attend the funerals in person, an important and publicly witnessed aspect of the grieving process, which in some cases has been halted or cannot begin. ‘I still don’t have closure with my grief because I don’t have a physical memory of saying goodbye’ (she had to watch who had to watch the joint funeral via a live stream)…. . ‘There’s definitely a detachment to the reality of what has happened’. The situation is particularly acute for those living outside the UK, having missed so much contact and not knowing when they will be able to meet again.

https://bit.ly/3kNLoCY

Despite the huge increase in holiday and flight bookings since the roadmap was announced and talking up an anticipated spending spree as the economy recovers, at least one commentator thinks ‘there may well be an initial splurge, followed by a slightly anxious retrenching’. Instead of a sudden switch back to our erstwhile lifestyle choices, a hybrid pattern is predicted, for example working both from home and office and accessing cultural content online besides attending live events. ‘We could use tricks learned of Covid necessity to add new layers of possibilities to old lives, rather than as wretchedly thin substitutes for them. Everyday life may not change radically, but could still evolve more incrementally for the better’.

https://bit.ly/38hmLt9

For a year now, fitness guru Joe Wicks, aka the Body Coach and ‘the nation’s PE teacher’, has been live streaming workouts, so it was a poignant moment yesterday when he bid us farewell (for the timebeing – ‘I’ll be back’) as children are returning to school on Monday. But these and many other workouts are available on his YouTube channel for free. Many have been grateful for his engaging and encouraging manner, his upbeat patter and being so open about his life and mental health issues during media interviews. He ended yesterday’s session with a repetition of his recipe for life – work hard, have fun and be nice, that’s all you need to remember’ – not bad advice. Perhaps a few politicians could think about following suit.

https://bit.ly/3kXtopJ

Finally, The Week focused recently on Edvard Munch for its ‘Artist of the week’ feature, based on a Guardian article by Kate Connolly. The lugubrious Norwegian artist has been the flavour of the year, exemplified by the major Royal Academy exhibition featuring his work besides that of Tracey Emin, two of his works expected to fetch millions at auction soon and a major museum devoted to his work opening in Norway this summer. But it’s also thought he has somehow captured the zeitgeist of this pandemic year, his famous 1893 painting The Scream expressing the pain and despair of the human condition. Munch experienced both physical and mental illness, was ‘prone to alcoholism and nervous exhaustion’, also finding relationships difficult. He never married or had children. Connolly believes his true achievement was to ‘turn his own angst into symbols of universal malaise…which acts on us subliminally, its underlying source remaining hidden…‘Munch distilled the anxieties and uncertainties of modern life onto canvas with an originality and urgency that has made his work a byword for alienation and inner turmoil: rarely has it felt more contemporary than now’.

Let’s hope it won’t be too long before we can view these works in person, but with one of the benefits of the pandemic – social distancing measures in place so you can actually see the exhibits rather than being jostled by the hordes of pre-pandemic times!

Sunday 28 February

This last week will be memorable at least for the formal announcement of the long awaited roadmap out of lockdown, widely leaked beforehand. It attracted criticism from some health experts and teachers for focusing on dates rather than data despite declarations to the contrary, and for allowing all schools to reopen at once on 8 March. This does seem very risky, with unvaccinated teachers and parents expected to test their children without this being compulsory. #lockdown4 has already started trending on social media. Some aspects of the plan again demonstrated how out of touch the government is, eg permission after 8 March to ‘meet one other person for coffee’ when people have been doing this for weeks. In local parks every bench is occupied (when rules dictate no sitting down), there’s much mingling around cafes, toilets and playgrounds and no sign of any officialdom or enforcement. Ministers and policymakers keep telling us it’s too early to relax and we must stick to the rules, but they don’t put themselves about to see what’s actually going on in communities. Around here at least, the roadmap and spring weather seem to have imparted a feeling of optimism, people becoming demob happy, understandably suffering from lockdown fatigue after a year of this, on and off. When many are already experiencing anxiety and other mental health challenges due to the pandemic and lockdown, the last thing they need is uncertainty over the management of vital health services.

Palliative care doctor and broadcaster Rachel Clarke tweeted: ‘So either we’re being set up (again) for date-driven disappointment, or the prime minister intends to ignore the data to stick to his arbitrary timetable. This is the exact opposite of what “data not dates” means. It risks raising people’s hopes, only to dash them. Again.’ A Radio 4 listener added: ‘London School of Hygiene and Tropical Medicine thinks mass return to school will push R rate above 1. Might they know something here, Boris? Words like ‘medicine’ and ‘school of’ might be a clue?’ Yet another gave a list of what they thought should actually feature in the roadmap (or not): ‘No schemes encouraging everyone into restaurants; schools opened gradually; help for the ‘Excluded UK’ (freelancers who received no financial support from the government); steps to make schools safe (since no measures were adopted during lockdown); Boris’s resignation; public and criminal inquiries so we can learn lessons’.

Guardian sketch writer John Crace painted a rather different picture of the Prime Minister this week, perhaps a more measured and less ebullient than his usual persona despite the date-heavy roadmap and ‘a return to normal’ promised for 21 June. ‘Somehow the use of “hope” and “irreversibility” in the same sentence didn’t inspire much confidence that the government totally believed in its own roadmap. But it would have to do….Better late than never, we saw a Boris who could pass as sane. Someone who could cope with the certainty of uncertainty. Someone who appeared able to learn from his previous gung-ho approach. Who would have thought that possible?’

https://bit.ly/3aYpPfr

As suggested last week, at least two further factors could slow down lockdown easing: continuing vaccine hesitancy in some quarters and high infection levels in deprived areas, which should concentrate minds on the real problems of inequality. According to new research by the Policy Institute at King’s College London in collaboration with the UK in a Changing Europe, commissioned to inform the Institute for Fiscal Studies Deaton Review of Inequalities, ‘Britons across the political spectrum care about disparities between deprived and better-off areas, chiming with the government’s focus on ‘levelling up’. This sounds positive but it’s hedged around with four other major findings which suggest that doing something about this will be much more challenging. The researchers found that Britons, due to ‘an emphasis on hard work and ambition’, lack sympathy with those who lost their jobs during the pandemic, and that their longstanding views on inequalities hadn’t shifted that much during the pandemic. Based on a nationally representative survey of over 2,000, the authors claim that this is ‘the most comprehensive examination to date of attitudes towards different types of inequality in the context of the coronavirus crisis’. Separately, the Runnymede Trust think tank has urged the government to implement door to door vaccination in deprived and ethnic minority areas because of the difficulty some may have in getting to vaccination hubs and a conviction that the country shouldn’t be divided into ‘vaccine rich’ and ‘vaccine poor’ areas.

https://bit.ly/3dSup0I

Another serious issue adding generally to the Covid burden is Long Covid, many patients suffering long term physical, mental health and neurological symptoms post-Covid. Someone who’s made a special study of this, having experienced it herself, is Dr Nisreen Alwan, Associate Professor of Public Health at the University of Southampton. She writes a blog about it for the British Medical Journal, amongst other things urging the setting up of proper patient registers so that there’s a record of numbers affected and how, meaning that this phenomenon can be measured and coded within electronic clinical systems. Although Long Covid is better recognised now, it’s still being overlooked in some quarters and the risks not being taken as seriously as they might by the public and politicians. It’s a serious business. ‘Covid-19 leads to severe morbidity and organ damage in some people. NHS data analysis of 47,780 hospitalised patients with covid-19 (with 43,035 non-ICU patients) shows that within a few months of discharge, 29% got re-admitted to hospital, and 12% died. They had higher rates of heart, liver, kidney disease, and diabetes, compared to matched controls not diagnosed with Covid19’. 

Dr Alwan also suggests that additional statistics need to be collected, ‘informing our pandemic response and research priorities – not only deaths, hospital admissions, and positive tests statistics. These could include: proportion of people not recovered within 4, 8 and 12 weeks among those infected; proportion of people with complications and organ damage following Covid19 infection; proportion re-admitted to hospital following discharge; proportion off work due to Long Covid and/or Covid19 complications; proportion recovered from Long Covid’. She recently tweeted: ‘Long Covid is not an afterthought. It’s not a subheading. It’s THE story. Between 1 in 10 and 1 in 3 people who get Covid don’t recover for months (yes- even not knowing the exact figure is quite telling). It really blows my mind how this is still considered a marginal issue’.

https://bit.ly/3bMeyy1

Meanwhile, actress Gwyneth Paltrow, now equally famous for her Goop website which promotes the use of questionable substances (some would call quack remedies) for health maintenance, came in for some flak this week. The site’s opening spiel reads: ‘We operate from a place of curiosity and nonjudgment, and we start hard conversations, crack open taboos, and look for connection and resonance everywhere we can find it. We don’t mind being the tip of the spear—in short, we go first so you don’t have to. We’re glad you’re here’. As on previous occasions, it doesn’t sound as if she’s touched on much ‘connection and resonance’ in medical circles, certainly regarding Covid.  Professor Stephen Powis, national medical director for the NHS in England, warned that those including ‘influencers’ are being irresponsible and spreading misinformation by suggesting solutions which were not evidence based. He said: ‘Like the virus, misinformation carries across borders and it mutates and it evolves…We need to take long COVID seriously and apply serious science. All influencers who use social media have a duty of responsibility and a duty of care around that’.

https://bit.ly/3q2u7ab

Although it’s long been suspected, it’s shocking to learn how hospitals, which we should be able to equate with safety, have been the source of Covid in numerous cases. No wonder people are scared to go to A&E, even more to be admitted for treatment. Someone who lost their father very quickly in this way contacted

Covid-19 Bereaved Families for Justice group, and found that many of its 2,600 members were grieving for relatives who they believe contracted Covid in hospitals.

‘Figures published by NHS England suggest that 39,088 people were likely to have been infected with Covid-19 in hospitals between 1 August last year and 21 February 2021’. It would be unfair to lay the blame entirely at the NHS’s door, though, since we know what pressure they have been under and how poorly and inconsistently supplied they’ve been with PPE.

https://bit.ly/2NCTjHe

On PPE, many have complained this week, including to Radio 4’s Feedback programme (which purports to hold the BBC to account on behalf of radio listeners), about lack of coverage of the shaming court judgement last week on the Health Secretary and his conduct over PPE contracts. Sadly, many will be taken in by government’s dismissal of the judgement as simply about late notification of contracts ‘in the middle of a pandemic’, when the serious issue is about the suspension of normal tendering procedures and the granting of contracts to those with connections to the government. In not reporting malfeasance, instead focusing on the Scottish Parliament shenanigans, the media are colluding with the government to hush up the unacceptable. Since March 2020, The Citizens (committed to investigating and holding organisations to account) found that at least £21bn has been spent by the UK government in their pandemic response. £5.3bn of this (25%) went to just 1% (10) of the 990 companies that won contracts.

As if Health Secretary Matt Hancock didn’t have enough to be embarrassed about after last week’s court judgement, it emerged that the medicines regulator (the Medicines and Healthcare products Regulatory Agency) was investigating Hancock’s friend who had been awarded a £30m contract. Despite the BBC’s reluctance to cover such issues in its radio and tv output, at least it does on its website, and it tells us the regulator is investigating Hinpack, the company of Hancock’s pub friend Alex Bourne, which had been contracted to produce vials for Covid testing despite having no experience of producing medical goods. In some media sources articles have carried a picture of Bourne and Hancock, grinning broadly and pulling pints behind the bar, yet Hancock insisted he had ‘nothing to do with that contract’. MHRA has not disclosed the reason for the investigation.

https://bbc.in/3dPnsxp

Ministers seem to be increasingly occupying a parallel universe, for example Hancock’s expectation of gratitude. On ITV’s Good Morning Britain acerbic host Piers Morgan asked Dr Rachel Clarke ‘When you heard Matt Hancock demanding to be thanked, how did it make you feel?’ ‘I just felt that was disgustingly disrespectful to the families of over 130,000 people who have died from COVID in this country’ was the response. 

During the week I attended a virtual conference (The Pandemic and Privatisation) run by Health Campaigns Together, which aims to keep the NHS in the public sector and stop privatisation by stealth. The recent NHS White Paper sells the proposed reorganisation as about streamlining, giving the government more direct control and removing ‘bureaucracy’ (aka proper scrutiny) and the need to put contracts out to tender, giving the impression of curtailing privatisation when this is anything but the case. For several weeks now clinicians and campaigners have revealed the worrying takeover (not covered by the media) of a GP practice network representing over 500,000 patients by US health insurance provider Centene Corporation. A clinician tweeted: ‘We love the NHS, they said. NHS staff are heroes, they said. NHS forever, they said. All the whole quietly siphoning huge tranches of NHS care into US corporate hands. Please RT if you won’t stand for it’.

https://bit.ly/3dRwSsl

A concerned group of clinicians, academics and campaigners have now written to Matt Hancock, asking him to authorise an investigation by the Care Quality Commission. ‘Operose Health, a UK subsidiary of Centene, has recently taken over the privately owned AT Medics, which was set up in 2004 by six NHS GPs and runs 37 GP practices across 49 sites in London. Operose already operates 21 GP surgeries in England. Objectors are concerned because they claim the change of control was approved for eight practices in the London boroughs of Camden, Islington and Haringey in a virtual meeting on 17 December that lasted less than nine minutes, during which no mention was made of Centene and not a single question was asked’. These events indicate a worrying lack of transparency and most patients will have no idea this is going on.

Professor Allyson Pollock said: ‘What we’re really worried about is changes in the model of care and quality of service, especially in areas of high deprivation. Practices may employ fewer GPs – and they may bring in substitutes for GPs like pharmacists and nurses – there may be cuts in services and reduced access, for example, closures of branch surgeries’. Predictably, NHS and Department of Health and Social Care spokesmen said that health commissioners had approved the transfer and that robust procedures were followed. We have to ask how much more NHS privatisation by stealth could be on the cards if this could happen so easily and without patient consultation.

https://bit.ly/37SyTRs

The debate continues as to whether specific occupational groups, such as teachers, police officers and supermarket workers, should be moved further up the vaccination priority list. The JCVI (Joint Committee on Vaccination and Immunisation), which seems to me increasingly in thrall to government rather than being independent, having changed its mind about those with learning disabilities, is still sticking to its guns on adhering solely to the criterion of age. This seems rather rigid and insufficiently nuanced, as it’s clear that these occupational groups come much more into contact with the public than the older age groups being vaccinated now. Most people in these groups probably wouldn’t mind waiting just a bit longer for their vaccination if it means frontline workers get the protection they need.

Meanwhile, the concept of ‘vaccine etiquette’ has come to the fore, and a new word has been coined: VOMO (based on FOMO, fear of missing out, in this case on the vaccine). We’ve been hearing examples of some seeming to jump the vaccination queue and now Sir Richard Leese, the head of Manchester City Council, has said people were ‘fiddling the system’, for example pretending to be social care staff in order to dishonestly make their way into priority categories, thereby taking a slot away from someone in greater need. ‘Pete Lunn, the head of behavioural research at the Economic and Social Research Institute, an Irish think tank, said cheating or perceptions of cheating could undermine trust in the system. ‘If people perceive a system to be unfair, they will often withdraw from it even at cost to themselves. It is important that the system is fair and seen to be fair’. This issue of trust in the system is an important point in its own right but even more so given the need to counter vaccine hesitancy. This week our monarch weighed into that debate, suggesting that antivaxxers and hesitants should think about others rather than themselves. ‘Queen’s shock message: do your duty…get the jab’, screamed the Daily Express’s front page on Friday.

https://bit.ly/3aXc6FV

The Times reports on an issue which has raised its head again, some questioning the timing of ministers’ focus during a pandemic. The Black Lives Matter movement brought much more to the fore the debate about our heritage, how it’s marked and celebrated (or not), notably the strong connections many institutions have had with colonialism and slavery. In recent years more institutions, including the National Trust, have been openly acknowledging these links but now it seems the government wants to revert to the previous status quo. They seem to see portraying a more honest and rounded history of this country, ‘warts and all’, as ‘denigrating Britain’. Culture Minister Oliver Dowden recently met representatives of 25 organisations, including the National Trust, English Heritage and British Museum and ministers now plan to establish a working group to ‘draw up guidelines for heritage bodies to implement a “retain and explain” policy for contested monuments’. Some heritage professionals now fear that their funding will be dependent upon complying with these guidelines. It’s good that the National Trust isn’t dependent on government funds but there is quite a polarised debate within its own membership, some applauding the wider portrayal and others complaining that the Trust is moving away from its original purpose and this agenda interferes with visitors’ desire for a nice day out with tea and cake.  

https://bit.ly/2MDd54Q

The Germans, always good with words, especially long compound nouns, haven’t let us down during the pandemic. The Guardian reports on a new list from the Leibnitz Institute for the German Language which includes more than 1,200 new German words coined during the last year when the annual average is around 200. There’s something about German which enables nuanced experiences to be captured in a succinct way English at least doesn’t lend itself to – think of Schadenfreude and Weltschmerz, for example. Some of the key new entrants must be coronamüde (tired of Covid-19), Coronafrisur (corona hairstyle), Coronaangst (when you have anxiety about the virus), Impfneid (envy of those who have been vaccinated), Kuschelkontakt (cuddle contact) for the specific person you meet for cuddles and Abstandsbier (distance beer) for when you drink with friends at a safe distance. Some will be pleased to see the UK’s Covidiot also in the German list.

The Institute’s compiler speaks of the importance of being able to name experiences. ‘When new things happen in the world [we] look for a name. Things that do not have a name can cause people to feel fear and insecurity. However, if we can talk about things and name them, then we can communicate with each other. Especially in times of crisis, this is important. Language has a strong power. We see again and again how important it is to formulate precisely and to be very careful about which words we choose. Words not only convey content, but can also convey emotions and feelings. And speakers should be aware of that’.

https://bit.ly/37XbkXo

Finally, you may be interested to watch this charming 21 minute film, My Brother’s Keeper, BAFTA longlisted for British Short Film 2021 and directed by Laurence Topham. It features the unlikely friendship which grew between a former Guantánamo detainee, Mohamedou Ould Salahi, and his guard, Steve Wood, changing both their lives, and their reunion in Mohamedou’s home city of Nouakchott, Mauritania, 13 years after their last meeting. Mohamedou was suspected of being involved in the 9/11 bombings and was taken from his home in 2001 and incarcerated for 14 years without being charged. Coinciding with this documentary is a Golden Globe nominated feature film, The Mauritanian, based on Mohamedou’s bestselling memoir Guantánamo Diary, starring Tahar Rahim, Jodie Foster, and Benedict Cumberbatch. This definitely sounds like the kind of film best seen in a cinema rather than streamed at home.  

https://bit.ly/3q1qRvF

Sunday 21 February

As numbers of Covid deaths and new cases continue to fall but remain high, this last week finally saw the introduction of hotel quarantining for UK passengers returning from the 33 ‘red list’ countries (in Scotland it’s sensibly all countries since dangerous variants have been found in many besides the 33). Ministers had quite a job in the media defending this delay, when the South African variant had been found here 50 days previously, yet despite this risky time lag hotel chains, airport and Border Force staff still said what little preparation and communication there had been. A number of passengers went public with their experiences of all passengers mingling freely within the airport, no segregation on planes and ‘red list’ passengers not being questioned about their departure points and countries they transited through, so only their honesty prevented them from just going on their way. A spokesman for the PCS union, which represents Border Force staff, said: “It is a disgrace our members in Border Force only received new guidelines on hotel quarantine late last night. It’s vital that Border Force are equipped to deal with helping the public stay Covid safe. However, many feel under prepared and under valued by a department that is not doing its job’. Unions also warned that security staff could refuse to continue working under these conditions unless they were issued with better quality facemasks.

One man, travelling from Brazil, via Madrid, said: ‘The system is ridiculous. It doesn’t make sense. I was on the flight from Madrid surrounded by other passengers who were not from red-list countries. How can that be safe and a good way to prevent coronavirus from spreading?’

Two issues getting scant coverage are the companies likely to have links to the government awarded the contracts for passenger transport, security and testing (we know about G4S and Mitie so far) and what about those to whom the £1750 quarantine charge would come as a big shock and may be unable to pay?

As if this muddled policy didn’t give the government enough to contend with, the Times tells us that one law firm, PGMBM, was preparing to launch a legal challenge, arguing that it could be breach of article 5 of the European Convention on Human Rights, the right to liberty and security. The company suggests that the enforced quarantine of people without knowing whether they have Covid and are therefore infectious could potentially constitute a breach and should be subject to judicial review.

https://bit.ly/3s1NSQy

At the same time, pressure on the Prime Minister to ease lockdown continues to increase, the most voluble proponent being Tory backbencher Steve Baker, who made numerous media appearances during the week. He says the UK ‘must never again be locked up without MPs having a say. We need a new Public Health Act, meaning: votes on restrictions in advance; amenable legislation; cost benefit analysis; and end of monopoly on advice of government scientists with red teams’. Baker and colleagues are asking for schools reopening by 8 March (already strongly hinted to be in the imminent ‘roadmap’ out of lockdown, the subject of heavy leaking), hospitality open by Easter and by 1 May ‘no more rules’.  The key factor he cites is the success of the vaccination programme, despite the fact that most people have only still received one dose and that the JCVI stance on vaccination criteria remains primarily age-based. Debate continues about other important groups, such as all those with learning disabilities and ‘frontline’ workers like the police and supermarket staff.

Others including scientists are urging extreme caution, as some lessons at least have been learned from last year and no one wants lockdown 4 within a few months. Although children obviously should be in school, reopening schools is a worry because of the risk of heightened transmission and now many more younger people are being hospitalised with Covid. But as mentioned in the last blog post, there’s another reason for caution: despite the much trumpeted reduction in cases and deaths in many areas, the situation is still dire in certain hotspots (as it’s emerged in a leaked government report), further highlighting social inequality. In some areas like Blackburn-with-Darwen, Bradford and Leicester, ‘interconnected factors such as deprivation, poor housing and work conditions, and delays in the test-and-trace system, were all likely to be significant contributors to the high coronavirus rates’.

Head of Test and Trace, Dido Harding, who seems to have been AWOL for months, has had the nerve to say that at least 20,000 people a day are not complying fully with isolation orders, ‘allowing the virus to spread’. An interesting statement when enforcing self-isolation is actually one of the key tasks of the organisation she heads. Many in deprived areas say they can’t afford to self-isolate but their going out and to work having tested positive is a clear public health failure. The report interestingly revealed that Scotland and Northern Ireland have guidance for how to self-isolate safely in high-density housing but England doesn’t.

Meanwhile, there seems to be no urgency about gearing up Test and Trace to carry out its isolation enforcement responsibilities and instituting an effective self-isolation payment system. This issue might compel those not interested in social equality to finally take an interest in it, albeit a cynical one, as the longer these hotspots keep emerging, the longer easing of restrictions will be delayed.

https://bit.ly/3pEFJQi

As usual, probably in a bid to catch the weekend papers, more details of the roadmap have emerged, such as the key one that an individual (using PPE) will soon be allowed to visit a care home resident and hold their hand but further closeness ‘will be discouraged’. This is great news for those residents and their families but what a pity that so many residents had to die, confused and lonely, before such a measure which could have been introduced earlier actually was.

Another measure is groups of people being allowed to meet outside by Easter, although the government has said easing this lockdown must be ‘cautious but irreversible’. We’ll have to see after Monday what the approach will be. ‘Will the Prime Minister hold fast to this new lower-key approach? Or will he be tempted to offer some concessions to the siren voices on his right?’ An anonymous Tory source said MPs and the country think they know what they are getting next week: schools to open on 8 March, non-essential retail in April and pubs and restaurants in May…The Party is largely onboard, but the problem is once you get detail, people will start finding things to complain about’. It doesn’t help that for weeks now the media has harped on about lockdown end and going on holiday – this week the Daily Mail’s front page shouted ‘Now take the brakes off, Boris’, its editorial titled ‘Set the nation free!’. A Radio 4 listener tweeted: ‘Tempting though it must be to leak a big news item like lockdown exit roadmap to catch the weekend papers, should this have happened ahead of parliamentary approval? Or is it partly to deflect attention from the Matt Hancock legal judgement debacle?’

https://bit.ly/3qEY2Gy

Meanwhile, the hospitality and travel industries are understandably asking the government for ‘a plan’ out of lockdown, as they need time to prepare for reopening. But would the government recognise a plan if they fell over one, as what we usually see is a reactive muddle of the kind which happened with schools? In yet another example of the government not ‘levelling with’ the public and employers, we learn that this week pub chain chief executives left talks with the Department for Department for Business, Energy and Industrial Strategy (BEIS), complaining of a ‘lack of interest and respect’. Since the breakdown of talks, pub bosses said they were only hearing second-hand about proposals which would be problematic, such as being allowed to open without serving alcohol or only offering outside service. Last time pubs were open bosses apparently weren’t consulted in advance about policies like allowing a Scotch egg to count as ‘a substantial meal’ and the 10 pm curfew. In another example of parallel universe the BEIS insisted that they would ‘continue to engage relentlessly with the hospitality sector, as we have done throughout this pandemic, and our door remains firmly open’. Perhaps they were talking about gimmicks like Chancellor Rishi Sunak’s interview with TV chef Gordon Ramsay, which came in for some flak on social media for not representing the needs of most business owners.

https://bit.ly/3aApSOA

The Observer gives it views on end of lockdown planning, pointing up the debate and disagreement between scientists and politicians regarding how accurately data can be used to decide dates of restriction easing. ‘Johnson cannot promise this is to be the last lockdown under the excuse that pre-announced dates are only indicative and will not trigger easing if the data suggests otherwise. The medical officers know Johnson is incapable of resisting pressure from the right of his party and pre-announcing dates invites a repeat of the mistakes that have led to Britain having among the highest Covid death rates in the world’. Instead of ‘switching targets as they suit political exigencies’, it’s suggested the PM must stick to the criterion of the R rate (but ministers won’t like the fact that the Blair Foundation has pressed so hard for this) ‘with the government agile enough to tighten pre-emptively, according to the data, or relax earlier if improvements are enduring’. So, the basic message is ‘data before dates and no changing the goalposts’: it will be interesting to see how it plays out.

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Fewer people are likely to be able to enjoy the end of lockdown due to news this week that a further 1.7 million have been identified as possibly needing to shield. The decision has been made according to a model developed by New and Emerging Respiratory Virus Threats Advisory Group (Nervtag) and Oxford University which uses additional criteria such as ethnicity, age, Body Mass Index and postcodes (indicating level of deprivation). The letters being sent out could be a shock for some but a key benefit is that they will be prioritised for vaccination. It’s understood they’ll be told they could benefit from shielding but this won’t be compulsory. ITV News reminded us that about 2.2 million people in England are currently on the shielding list, mostly identified for a single reason, such as specific cancers, being on immunosuppression drugs or having severe respiratory conditions. Those about to receive letters would bring the number to almost four million.

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Given accusations that richer countries were hoarding vaccines, it’s significant that the PM chose the virtual G7 meeting on Friday to announce that the UK’s leftover vaccine would be donated to poorer countries, but typically, no details were given as to when and how much. During the meeting the PM said: ‘Science is finally getting the upper hand on Covid. Around the world [we need to] make sure everyone gets the vaccines that they need, so that the whole world can come through this pandemic together. There is no point in us vaccinating our individual populations – we’ve got to make sure the whole world is vaccinated because this is a global pandemic and it’s no use one country being far ahead of another, we’ve got to move together’. In another example of parallel universe, James Cleverly claimed on Radio 4’s Today programme that ‘we are a global force for good and that’s why we are leading the world in calls to ensure that the poorer countries in the world are also made safe’. He maintained that right from the start of the pandemic the government had borne in mind the needs of less developed countries but this does seem rather like a rewriting of history, the belated development of a global overview.

https://bbc.in/3aCWZRW

The most damning news item this week (and one of several the BBC has allowed to become the elephant in the room, not being covered in current affairs programmes) must be the court’s ruling that the government, in particular Health Secretary Matt Hancock, did break procurement law by failing to disclose the details of PPE contracts, many of which went to firms with links to the Conservatives. In a case brought by the doughty Good Law Project (and how shocking it had to be a private organisation which did so) the High Court judge said: ‘The Secretary of State spent vast quantities of public money on pandemic-related procurements during 2020. The public were entitled to see who this money was going to’. The judge added that DHSC could have avoided running up a £207,000 legal bill if the Department had “candidly” admitted that transparency rules had been broken. How shaming is this? But there’s no comeback or sanction, not helped by the silence in some quarters of the media, which prefer to focus on the royals and lockdown end fever.

In another example of parallel universe, the Department for Health and Social Care said the government had been “working tirelessly” to deliver what was needed to protect health and social care staff during the pandemic. ‘This has often meant having to award contracts at speed to secure the vital supplies required to protect NHS workers and the public’. Shadow Cabinet Office minister Rachel Reeves said the judgement was ‘troubling and unsurprising, and a perfect example of how this government believes it is one rule for them another for the rest of us…This government’s contracting has been plagued by a lack of transparency, cronyism and waste and they must take urgent steps to address this now – by winding down emergency procurement, urgently releasing details of the VIP fast lane, and publishing all outstanding contracts by the end of the month’.

It demonstrates how accountability at the heart of government has been severely undermined, and the original excuse of normal tendering being suspended due to having to move quickly during the pandemic simply doesn’t hold water. It’s interesting that the government has been notoriously slow to act at every stage of the pandemic, but shows itself capable of acting ‘at pace’ when it comes to issuing contracts to those connected with them, who are often markedly unqualified for the job. The Good Law Project pointed out that as the judge stated that the admission of breach by Government was ‘secured as a result of this litigation and at a late stage of it’ and ‘I have no doubt that this claim has speeded up compliance’. ‘It begs the question, if we hadn’t brought this legal challenge, what other contract details would have remained hidden from view?’ Quite. A Radio 4 listener tweeted: ‘Judging on past performance, can we expect Boris Johnson and Matt Hancock to treat this opprobrium as water off a duck’s back? There’s no longer any sense of shame in public life’.

https://bbc.in/3k5DWTn

Journalist Nick Cohen traces with concern how David Frost (now Lord Frost and just made a minister) and his ‘climb up the greasy pole’ have damaged Britain. Frost’s journey seems to convey the message that rapid progress with this government is possible by becoming an extreme Brexiteer and with a bit of cunning and planning. Could this prove a template for others similarly minded? His Oxford tutor apparently remembered ‘nothing at all about him’, but he entered the Foreign Office ‘where he became a figure familiar in many workplaces: the frustrated middle manager, whose resentment at an indifferent world that overlooks him gnaws at his pride. Do not underestimate the anger of the men no one remembers’. He was allegedly going nowhere, according to a former boss, describing Frost as being ‘very diligent and conscientious, good at carrying out instructions, not always as good at querying instructions’. A quality of intelligence surely crucial for these roles – being a yes man is the easy way out many take in the workplace and elsewhere but it doesn’t move things on.

But since then he seems to have become much more assertive, ‘aggressive’ in the eyes of some. ‘For years, liberals have warned about the danger of politicians corrupting the independence of the civil service. The inexorable rise of David Frost is a lesson to us. It shows there are civil servants who so want to be politicised that they yearn to become politicians, as long as they do not have to stand for election in the process. Perhaps all he sees is how well he has done. From Mr Frost to Frosty to Baron Frost to cabinet minister Frost is one hell of a rise. Not bad for a lad whose political career seemed over in 2013. Not great for anyone else’.

https://bit.ly/3bl2KCQ

Radio 4’s File on 4 this week focused on the growing problem of self-harm in young people, taking as an example ‘Sarah’, who first started harming herself at the age of 11, then continued for 6 years. She often found the responses of parents, teachers and health services unhelpful and later describes what actually did help. Yet again such stories not only demonstrate how mental health difficulties are affecting younger and younger children and in worryingly rising numbers but also how inadequate the statutory services are at coping with them. It’s galling that time and time again, NHS spokesmen and policymakers are invited onto such programmes and wheel out the usual clichés like ‘speak up and ask for help…. help is out there’, when this amounts often to charity helplines and substantial help in the form of psychological therapy isn’t usually available without going on a long waiting list or accessing it privately. Again, this situation is attributable to rising demand (the pandemic is a contributory factor, of course) but primarily underfunding of NHS mental health services over years. The threshold to get help from NHS services is so high it can push people to do more and ‘Sarah’ did try to take her own life –  ‘it seemed like you had to be the sickest of the sick to get help’.

It’s concerning that there’s so much emphasis put on teachers first spotting the signs – although this is important teachers are already very busy and such emphasis deflects from the need, as stressed by organisations like BACP (British Association for Counselling and Psychotherapy) for years, for a qualified counsellor in every school. File on 4 features Kate Rufus of the NHS-funded Self Injury Pathways Project, who said she’d never been to a school where self-harm wasn’t an issue. Do government ministers even know this? She’s often asked why people self-harm. One reason is that it seems to afford a kind of release, almost a purging, from emotional pain and stress.  The project aims to train school staff about what to watch out for and how to talk to young people who may be self-harming. It’s also developing ‘online resources and information where teachers, volunteers and parents can learn to detect and address self-harming amongst school children’. Very worryingly, hospital admissions for those aged 13-17 have doubled in five years. It seems to me some want to blame social media for this but it’s only going to be one factor, which could obscure a failure to recognise the wider psychosocial and systemic problems.

https://bbc.in/3k5FgWl

Ahead of the start this week of the second series of Grayson Perry’s Art Club, which captured the hearts and imaginations of many during the first lockdown, a number of articles profile Perry and his psychotherapist wife Phillippa besides the Art Club’s themes and intentions. In a pre series programme in January, also on Channel 4, Grayson asked Phillippa what her advice would be to those wanting to have a go and it was interesting and refreshingly non-intellectual that she advised (paraphrasing) not trying to ‘do art’ but just allowing your life experience to communicate itself. In one article Grayson says: ‘We’re saying the finished thing doesn’t have to be good, but the process has to be genuine. And it has to be heartfelt and enjoyable. We’re not saying make art like a professional, we’re saying get stuck in and lose yourself a while in it…I am trying to democratise art, but I’m not saying it means a drop in quality. It just means upping the accessibility and entertainment. Entertainment and humour are often denigrated, but they take just as much skill as the so-called intellectual level of high culture’. I’m not artistic myself but nevertheless greatly enjoyed these programmes, illustrating different people’s art journeys, which afford a kind of mindfulness and wellbeing experience, and I hope to get to see the exhibition in Manchester when galleries reopen.

https://bit.ly/3sdM2fp

The Week reports on a Financial Times article about how publishing has boomed during the pandemic, Bloomsbury Publishing (of Harry Potter fame) citing just one example, expecting profits for 2020 to be well ahead of original expectations. Bestseller lists apparently show a marked appetite, not surprisingly, for wellbeing and ‘feel good’ choices, though a darker undercurrent is also discernable, for example in the continuing popularity of titles like George Orwell’s 1984. Statistics from Nielsen BookScan had UK book sales last year at 202 million, equating to £1.76 billion. Although it’s nowhere near the massive sales figures for Harry Potter titles, it’s suggested that the ‘upward trajectory’ is clear and suggests ‘a comforting truth’, that ‘the best shelter is to be found between the covers of a good book’.

Finally, it’s worth listening to psychoanalyst Susie Orbach’s reflections on the pandemic, lockdown and isolation. Suggesting that we are experiencing ‘social depression’, she says: ‘We are not simply able to breathe into a difficult situation, roll up our psychological sleeves or dig ourselves in without the emotional cost of feeling constrained, nervous, watchful, touchy’.

https://bbc.in/3k7d4Cv

Saturday 13 February

As the latest estimate of excess deaths since the start of the pandemic passes 120,000, four main issues have continued to dominate the news this week, none of them inspiring confidence in how they’re being managed. At the start of the week a number of newspapers and websites headlined fury with Michael Gove, amid plunging UK exports to the EU. Discussions have been taking place between Gove and his EU counterpart as to how the logjams in Northern Ireland can be eased, but it beggars belief that there’s any surprise given this was one of the consequences of the Prime Minister’s Brexit Deal. Having surveyed its membership, The Road Haulage Association informed the Observer that UK exports to the EU were down ‘a staggering 68%’ in January compared to the same period in 2020. RHA Chief Executive Richard Burnett said he was ‘very frustrated’ because his organisation had long warned about these problems ‘but the government did not listen sufficiently and is still failing to do so now’.

Many have been irritated by ministers’ suggestions that these difficulties are just ‘teething problems’. The post-Brexit border problems constitute a potentially incendiary mix of severely disrupted trade and supply of goods and political tensions. ‘Stephen Kelly, chief executive of Manufacturing NI, which represents all types of manufacturers in Northern Ireland, many of whom have been struggling with the new rules, says views on Brexit inevitably feed into wider historic divisions. Everything in Northern Ireland is viewed through an identity filter. Unionism is fundamentally opposed to the [Northern Ireland] protocol because it means that Northern Ireland is different to the rest of the UK whereas nationalism and the moderate middle ground is fundamentally opposed to Brexit and supportive of the protocol’.

https://bit.ly/3rSberR

The BBC has been accused of not fulfilling its educational role in news coverage, bandying terms around which not everyone understands, but this article on the Northern Ireland Protocol is well worth reading.

https://bbc.in/3qfUEBR

Amid accusations that mainstream media are obsessed with holidays and when we can have them again, pressure is building for some clues and clarification ahead of the government’s announcement on 22nd February of its ‘roadmap’ for the route out of lockdown. As we’ve seen before, the strategy seems to be to ‘leak’ proposals around a week before the planned publication date, allowing the government to backpeddle on those badly received. When interviewed ministers and policymakers have expressed some exasperation at continually being asked about the end of lockdown, but such questions are inevitable after such a long period of going in and out of lockdowns, this one evidently affecting people’s mental health more than the others. It seems one of the frustrations is not so much being kept in the dark as to when lockdown might be lifted, but what the criteria are for its easing and this is what the government doesn’t seem to be clear on, eg the R number, numbers of new cases, virulence of various strains of the virus, or numbers of deaths.

Those who aren’t normally engaged in equalities issues could start taking an interest since it’s been suggested that social inequality, the virus disproportionately affecting some areas, especially the South African variant ‘hotspots’, will hinder an early end to lockdown. Statistics showed marked differences between the numbers of Covid cases in less and more affluent areas. ‘Jonathan Ashworth, Labour’s shadow health secretary, said the government’s failure to offer financial support to help low-income people to self-isolate had caused a huge Covid divide to open up’. Ashworth said it’s vital these ‘transmission chains’ are broken but this won’t be possible without financial help for those needing funds to self-isolate. In his view this lack of funding is proof that the Prime Minister’s ‘promise to level up lies in tatters’. As Tory backbenchers and Covid Recovery Group members continue to exert their own pressure on the PM to ease lockdown, most scientists and policymakers are more guarded, no doubt partly informed by what happened last summer. Professor John Edmunds of the London School of Hygiene and Tropical Medicine believes that reopening schools alone will increase the R rate by as much as 0.5%, and advises proceeding ‘very cautiously’.

https://bit.ly/3tT2FyD

In my view it’s profoundly unhelpful, conveying the wrong messages and attempting to deflect attention from his mistakes over the last year, that Boris Johnson continues with his puerile idealisation of the vaccines: ‘I have no doubt that vaccines generally are going to offer a way out of the pandemic…with every day that goes by you can see that medicine is slowly getting the upper hand over the disease’. As of last week 147 people had been identified with the South African variant in Britain but scientists believe it’s actually many more because of rapid community transmission. Head of NHS Providers Chris Hopson goes to the heart of the matter, suggesting that the lockdown shouldn’t be lifted until the Test and Trace system had been improved. He wants it to be capable of spotting mutations within two or three days whereas at present genomic tests take eight days. Meanwhile, an interesting article in the Guardian suggests three different scenarios for how things could look by May: the optimist’s view, the middle ground and the worst case scenario. Unfortunately, the latter seems quite likely. ‘By far the greatest worry for most scientists is the creation and spread of new variants of the Covid-19 virus – in particular, mutations that could evade the protection provided by the current vaccines on offer’. Professor Martin Hibberd of the London School of Hygiene and Tropical Medicine thinks ‘a new strain of virus could overcome the protective effects of previous infections and vaccines, meaning that we will have to develop new vaccines and then re-vaccinate everybody again’. It anyone finds this unduly pessimistic, the middle ground section of the article isn’t that positive either.

https://bit.ly/3d73pdy

More than 50 days after the South African variant was first discovered in the UK, the government has finally introduced a scheme of quarantine hotels for returning air passengers, but absurdly, only those from 33 ‘red list’ countries despite the variant being found elsewhere. Some scientists and policymakers say hotel quarantine should be imposed for all UK arrivals to prevent variants spreading, rather than an approach targeting only 11 of the 41 countries where the South Africa variant has been detected. The scheme has attracted anger, derision and disbelief in some quarters, many finding it ill thought out, sloppy compared with the Australian scheme, not even being enacted until Monday and leaving loopholes such as people travelling from one of the listed countries but transiting through another. And how will it be checked that people have had the requisite number of tests and what they’re doing when they go out, as they’re allowed to do? What about people due to return to the UK next week who won’t have factored this into their budgets and won’t be able to pay for these compulsory quarantine packages?

The threat of 10 year jail sentence for those breaking this law and lying has widely been found disproportionate. Tory MP Sir Charles Walker stunned Radio 4 World at One listeners yesterday by his intemperate outburst on this subject, during which the adjective ‘bloody’ was used and presenter Sarah Montague was called ‘Martha’. On Channel 4, interviewed by Krishnan Guru Murthy, Walker criticised ‘irresponsible’ ministers for implying, via the direction not to book summer holidays, that lockdown could continue into the summer. He said people were really struggling, needed human contact and alluded to ‘a very stressed out and exhausted nation’. Accusing the government of deliberately scaring people witless and ‘robbing people of hope’, he described the plan for 10 year prison sentences for those who try to evade quarantine rules as ‘utterly ridiculous’.

It’s not conducive to public confidence when one minister (Matt Hancock) lets us know he booked his summer holiday in Cornwall some time ago, at the same time as another (Grant Shapps) says it’s too early to book any holiday. Ministers not even being able to present a consistent policy across government will contribute further to public anxiety. One tweeter commented: ‘Rather ironic that liar Grant Shapps is introducing tough sentences for people who lie’, and Piers Morgan tweeted:  ‘If failing to quarantine properly is punishable by 10 years in prison, what is the punishment for failing to properly protect the country from a pandemic?’

We understand that these pricey hotel packages include transport, security and testing, and surely it won’t be too long before investigative journalists or curious individuals discover which companies with links to the government have been given the contracts to operate these services. Cronyism continues despite its exposure by the Good Law Project and others.

https://bit.ly/37bVNTo

Guardian sketch writer once more turned his guns on Matt Hancock this week, focusing on his performance at Monday’s Downing Street press briefing. ‘Hancock tried to remain upbeat but he’s beginning to look frayed around the edges. A year of trying to hold it together, of being that glass-half-full guy, appears to have taken its toll. Outwardly he still looks like one of the first contestants to be thrown off The Apprentice, but his eyes are the giveaway. They are almost dead. Empty hollows. I’m not sure how much longer he can keep this up. Even Tiggers have their breaking point’. Yet again, the ineffective Test and Trace system was raised, as it’s clear, despite continuing idealisation of the vaccine, that this won’t prove the much vaunted ‘cavalry coming to the rescue’. ‘Door Matt also nearly came unstuck when asked how it was that Test and Trace was going along at a “blistering pace” when many staff were being made redundant. Ah, snapped Hancock. The fact that Test and Trace was able to lay off staff was a sign of just how efficiently it was now working. So once the organisation was down to double figures, it would be working perfectly. Presumably Hancock’s experience of test and trace is rather different from most other people’s’.

https://bit.ly/3b6QtBI

Radio 4 was criticised this morning for interviewing that famous epidemiologist, former Brexit negotiator David Davis, during which he pontificated about Covid,  suggesting it will become like flu, that we have ‘to live with it’ and we don’t lock down for flu.  His Brexit negotiating performance, which left his credibility hanging in shreds, hasn’t put the BBC off inviting him onto programmes, as if for balance with real scientists. When asked if flu/Covid comparison was a valid one, Professor Stephen Riley, professor of Infectious Disease Dynamics at London’s Imperial College, very politely dismissed this speculation and the idea that restrictions can just be lifted. A listener tweeted: ‘I can’t believe I’m *still* hearing David Davis cited as a counterbalance to a ‘Professor of Infectious Diseases’ on the subject of… infectious diseases. The continuing promotion of proven nincompoops is scandalous. Whatever the topic, Davis has all the expertise of a mackerel’.

Charities are now pressing for more clinically vulnerable people, such as those with ME and learning disabilities, to be moved up the vaccination queue and there’s still no clarity about those with asthma. A more nuanced approach to vaccination priorities is way overdue but, as we’ve seen so often, the government doesn’t ‘do’ nuance. ‘Professor Wei Shen Lim, the Covid chair for JCVI (Joint Committee on Vaccination and Immunisation), said: “The JCVI’s advice on Covid-19 vaccine prioritisation was developed with the aim of preventing as many deaths as possible. As the single greatest risk of death from Covid-19 is older age, prioritisation is primarily based on age. It is estimated that vaccinating everyone in the priority groups would prevent around 99% of deaths from Covid-19’.

https://bit.ly/37cXwrv

Comedian and presenter Romesh Ranganathan is one of the latest to express concern about those who are entitled to the vaccine but who have eschewed it, such as some care home workers, who pose a massive risk to the residents they care for. Only 55% of Asian community members are said to be taking it. ‘I recently participated in a video organised by the actor Adil Ray, in which we tried to dispel some of the myths about the vaccine. But while the response was overwhelmingly positive, there were people who kicked back: they said it was patronising – how was a video made by a bunch of celebrities going to make people suddenly decide to have the vaccine? There were even suggestions that we had been paid to support a government agenda….I realise that people are distrustful of the government (and if you are from an ethnic or impoverished background, then it is understandable why); but the other option is to contract the virus, which is easily the worst one’. Yet the government has no plans to make vaccination compulsory in certain circumstances. Another factor is that there’s a shortage of carers so employers won’t easily be able to compel their employees to get vaccinated.

https://bit.ly/3b5KHjI

A hugely significant news item this week (now covered by the BBC since it’s no longer a leak) is the plan to reform the NHS, even during the pandemic. The proposals were presented to MPs on Thursday by Health Secretary Matt Hancock but there’s quite some discrepancy between what has been presented, what language the plans are couched in, and the reality. The plan is intended to ‘streamline’ services, especially removing barriers between health and social care, to remove ‘bureaucracy’, to increase accountability and give the Health Secretary much more direct control over the NHS. It’s long been known that the government has been frustrated that its power has been limited because of it resting with NHS England chief Simon Stevens, and now it’s likely he will stand down this year because he won’t favour the reduction of his own fiefdom. But it’s been suggested by clinicians that the worthy goals referred to could be achieved without a wholesale reorganisation at such a difficult time. It’s not convincing for the government to talk about ‘accountability’ and ‘taxpayers’ money’ when they’ve wasted millions on crony contracts which weren’t subjected to scrutiny, and the plan won’t see the end of private sector incursions into the NHS. Hancock said: ‘Medical matters are matters for ministers…NHS England will have a clinical and day-to-day operational independence, but the Secretary of State will be empowered to set direction for the NHS and intervene where necessary’.

The NHS White Paper is snappily titled Integration and Innovation: Working Together to Improve Health and Social Care for All. It’s been noted that it still kicked the social care can down the road despite improving social care being given as a major raison d’etre. Shadow Health Secretary Jon Ashworth commented: ‘We’re in the middle of the biggest public health crisis our NHS has ever faced, staff on the frontline are exhausted and underpaid. The Royal College of Nursing says the NHS is on its knees, and the Secretary of State thinks this is the right moment for a structural reorganisation of the NHS’. A Radio 4 listener tweeted: ‘NHS White Paper plans to sweep away ‘bureaucracy’? Aka proper checks to ensure decisions are made on clinical, not financial or ideological grounds’.

https://bit.ly/379ftHi

The undermining of proper scrutiny links to another news item this week. Newspaper editors have pressed for the protection of the Freedom of Information Act, as they have observed increasing difficulties experienced by those making inquiries in obtaining the information they seek. OpenDemocracy, set up in 2001 to ‘challenge power and encourage democratic debate across the world’, coordinated the letter to government from six different newspaper editors. The editors include those of the Guardian, the Mirror, the Daily Telegraph and the Financial Times. ‘Last November an openDemocracy report accused ministers of running an “Orwellian unit” at the heart of government that sought to control the release of potentially embarrassing information. It said Whitehall departments were rejecting requests at the highest rate since the introduction of the act 20 years ago’. Significantly, the budget of FOI regulator the Information Commissioner’s Office has been cut by 41% over the last ten years, during which time its caseload increased by 46%. This situation could make it even harder for those trying to find out more about crony contracting since the start of the pandemic.

https://bit.ly/3pcARli

Reflecting a trend reinforced by the pandemic and massive increase in working from home, news reaches us of a Swedish project seeking to improve urban living by reclaiming parking spaces. One microcosmic example is what happened recently in Gothenburg, Sweden’s second largest city, which involved the removal of several parking spaces and their replacement with outward facing benches outside a gourmet sausage shop. This led to people enjoying themselves, chatting, eating and drinking there despite the freezing temperatures. ‘This pop-up public space is part of a Swedish urban experiment known as the “one-minute city”. They’ve been appearing around the country as part of a government project called Street Moves, which aims to investigate what happens when cars are displaced, and how every street in Sweden could be healthy, sustainable and vibrant by 2030’.

In many areas motorists might object but it seems the locals have been broadly in favour. No doubt they can experience the benefit of the opportunities for social mixing, good for mental wellbeing rather than people driving around and sticking in their own silos. The approach links to the ’15 minute city’ idea, which is working well in Paris – that all key amenities should be within a 15 minute walk or bike ride. We could do with a bit more of this in the UK.

https://bit.ly/37cb7iS

Finally, we’ve been hearing since the start of the pandemic about those who have lost their traditional jobs and who have since diversified and tried to find niches which wouldn’t have been workable pre-Covid. One of the most charming examples must be the Doorstep Puppet Theatre, developed by theatre professionals Benedict Hastings and Maddie Sidi. Since theatres closed, the pair came up with the idea of bringing performance art to the people, appealing to both children and adults. ‘We want to bring the magic of a live performance to people in these difficult times, so we’ve come up with a way of doing just that. Our portable puppet theatre allows us to come to your home and perform just for you and your family, outdoors and in a Covid-secure way’. 10% of the ticket price goes towards two theatres held dear by the performers, helping the theatres to keep going during these difficult times. Imagine (perhaps in better weather) a knock at the door turning out not to be a parcel delivery but a puppet theatre ready to entertain you on your doorstep. I think this would be marvellous for kids of all ages and I hope it does really well.

https://bit.ly/2ZdYRtH

Saturday 6 February

As we move into February the first week has seen plenty to occupy minds and media, from the Covid death totals, which remain very high (eg 1449 on Tuesday, 915 on Thursday, 1014 on Friday), to the sad death of Captain Sir Tom Moore, continuing debate about the vaccination programme and challenges regarding the slow progress being made in introducing quarantine hotels. Despite public sadness at the passing of ‘national treasure’ Sir Tom, many were annoyed by the Prime Minister’s cynical call for public clapping that evening, especially when the PM continues to be deaf to the intolerable strain and exhaustion NHS staff are experiencing. The tactic of praising people under severe strain when also denying them pay increases and underinvesting in their service just doesn’t cut it. We saw the same thing last week when the Prime Minister wrote to parents thanking them for their sterling efforts on home schooling. As one tweeter observed: ‘Perhaps you could properly honour the legacy of Captain Sir Tom Moore by properly funding the NHS in future so that centenarians don’t need to skip around the garden to raise 1% of the £30billion your government is underfunding it by.’

Referencing the effects of lockdown on mental health, the British Medical Journal drew attention to record alcohol-related deaths, with 5,460 in England and Wales attributed to this cause between January and September 2020, up 16% on the same period over 2019. This is the highest number since records began in 2001. The BMJ, considered one of the most respected medical journals, also attacked the government for corruption and misuse of science to suit its own ends. The Journal suggested that Covid-19 had ‘unleashed state corruption on a grand scale’, that politicians and industry were guilty of ‘opportunistic embezzlement’ and ‘the suppression of science’. The BMJ points to scientists being told not to speak to the media, and the suppression of key paragraphs from Public Health England (PHE) reports, besides accusing PHE of attempting to block the publication of a scientific report into the efficacy of antibody tests procured by the government. It’s surely an indicator of what dire straits we’re in when a prestigious organ like the BMJ feels the need to speak out like this.  

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One of the most depressing news items, though not surprising, is the introduction of doorstep testing of around 80,000 people in specific ‘hotspots’ given the rapid rise in those areas of South African variant cases. Again, we see evidence of a process not properly thought out, as there will be household members missed and no procedure ensuring that those asked to isolate actually do. It’s thought that around 20,000 should be self-isolating but are not doing so. The reason this is so depressing is that, despite the government’s simplistic attempt to deflect from their mistakes and present the vaccine as a ‘cavalry’ coming to our rescue, a panacea which would enable us to ‘get back to normal’, it’s now manifestly not the case. More and more experts are saying that we will need other measures in place for some considerable time, some suggesting that we won’t be ‘out of the woods’ until the whole world is vaccinated because we can’t just operate as an island when we’re one part of a global economy. Health Secretary Matt Hancock’s declared goals to ‘stop the spread altogether of these new variants and bring this virus to heel’ aren’t likely to be met by doorstep testing while our borders remain open. It’s also a bit of joke describing this initiative as ‘a sprint’, when the government has been tardy in every measure it’s taken from the start of the pandemic.

https://bit.ly/3cQ9dYK

Sky News featured one public health expert who believes getting back to any kind of normality will take a couple of years, and the head of NHS Providers, Chris Hopson, forecast many more months. Hopson attributed this partly to the workforce being ‘exhausted and traumatised’ (still not acknowledged by the government), with many needing to go on long term sick leave and/or considering leaving the NHS. This is a serious issue the government needs to take seriously.

https://bit.ly/2YPv4Yj

These forecasts haven’t, of course, stopped vociferous anti-lockdown campaigners including Parliament’s inappropriately named Covid Recovery Group from expressing their views and putting pressure on the Prime Minister. He’s in between a rock and hard place trying to do what’s necessary, even ‘following the science’, at the same time as trying to placate these relentless backbenchers. But then being able to navigate such tricky territory is one of the many skills required in this role, not one demonstrated by the present incumbent, with his endless dithering and half measures.

A good example of half measures, like trying to fill a leaky kettle, is the delayed introduction of quarantine hotels for returning air passengers, not due to start until 15 February despite the South African variant being discovered here in December. But this is another half measure, planning to only quarantine UK passengers, as opposed to the thousands of others entering the UK. It’s strange that ministers don’t realise journalists and others will check out their statements – the head of the largest chain of airport hotels, Best Western Hotel group, said the government had not spoken to him and how frustrating it was not to have the opportunity to properly prepare. It’s not dissimilar to the government claim last March to have spoken to the supermarkets about supplies and stockpiling, when they had done no such thing.

These exemplify the imperious and top down attitude demonstrated by the government, failing to communicate well in advance with those expected to implement these plans and remaining unaware of the work and complexities involved. Shadow Home Secretary Nick Thomas-Symonds described the need for doorstep testing as ‘deeply worrying….. It shows the UK government’s quarantine system is not working, with the country being exposed to dangerous strains of the virus and new cases now appearing…while door-to-door testing is welcome … how can the Home Secretary justify keeping our borders open to Covid, allowing around 21,000 people to arrive every day?’ Nevertheless, one minister after another repeated during media appearances the standard disingenuous script, to the effect that this was an ‘additional’ measure because we already had ‘robust’ procedures in place, such as asking people to isolate when it’s known that there’s very little checking and a good number are not doing so.

Regarding the ending of lockdown, it’s fair to say many have been pressing ministers on this and their promised ‘roadmap’ (not expected until 22 February) not for simple answers to the when question but for the actual criteria that decision would be based on. So far there has been no clear response and this is yet another aspect of this situation to be increasing public anxiety.

Eviscerations of the Prime Minister came from several sources this week, including, as usual, the Guardian’s sketch writer John Crace and also the Scotsman. Crace’s article is titled ‘Prime minister’s questions for the prime minister who doesn’t do questions’, as it’s been highlighted many times how often Boris Johnson turns the questions into an attack on Keir Starmer, with no challenge from the Speaker. Several commentators have observed the lack of Speaker intervention and we can imagine such diversionary tactics wouldn’t have been tolerated by predecessor John Bercow. Crace started with Boris Johnson’s PMQs performance: Right now, PMQs feels increasingly redundant. Even as a piece of weekly political theatre it is failing. There was a time when Keir Starmer regularly managed to get under Boris Johnson’s skin, but Boris has long since worked out that he can get by quite easily without answering any questions, and the Labour leader has yet to find a strategy for forcing him to do so. He needs to do so quickly as we have reached a point of stalemate that suits Johnson just fine’. It sounded a very poor performance on questions relating to quarantine, dangerous cladding and the Northern Ireland protocol, resorting to waffle or tirades against the opposition leader and nor was Crace impressed with the PM’s performance at the Downing Street conference. ‘It started with Johnson again paying tribute to Moore. Almost as if the prime minister was trying to create an association between himself and the late soldier in people’s minds. Perhaps the prime minister has yet to learn the difference between selflessness and selfishness’. But later a change of approach showed itself, striking a more sombre tone. ‘What was most remarkable, though, was that – for almost the first time – Boris’s natural gung-ho optimism had given way to something rather more pragmatic. That he had discovered the hard way that the coronavirus couldn’t be pushed around and forced to fit with his government’s timetable…

https://bit.ly/3aFJ1NN

The Scotsman forensically dissects the Prime Minister’s behaviour. ‘The trick is to create low expectations for your conduct, in terms both of ethics and of political competence, and to do so boldly, with some degree of charm. Then thereafter, in true showbiz style, the trick is to live down to those expectations, in a spectacular way that keeps you in the news. You lie, you cheat, you fracture social norms and break treaties, you conduct a private life riddled with self-indulgence and betrayal; but always with the suggestion – false, but in the reactionary spirit of the times – that you are just saying and doing what every normal guy would do, given half a chance. Your political colleagues find your popular appeal seductive; your opponents are at a loss to know how to oppose you, because the more they point out the consequences of your actions, the more they boost your reputation as the bad boy who gets away with things’. Making the comparison with Donald Trump, the author suggests that this situation leads to the development of ‘Teflon’ politicians, whose supporters find them entertaining and whose detractors can’t touch them.

But this surely comes at huge cost, some supporters starting to understand that they’ve been taken in by the buffoonery which masks skulduggery. ‘…. if all political careers end in failure, the downfall of Teflon Boris, when it finally comes, may leave much more in ruins than his own vaulting ambition, and his childhood dream of becoming ‘king of the world’.

https://bit.ly/39QwUOO

While the PM and his colleagues repeatedly praise the NHS to the skies, taking their work for granted, The Independent raises the alarm about the government allegedly using the pandemic as a cover for taking more control of NHS England. We’re told the reforms would undo at least some of those undertaken by the Cameron government, by Health Secretary Andrew Lansley, in terms of NHS England no longer being an arm’s length body. There would be new powers to change the current structure, including new integrated care organisations and allowing some contracts to be awarded without the need to put them out to tender. You couldn’t make some of it up: ‘We are proposing to create a power of direction over NHS England that will provide clear lines of accountability by allowing the secretary of state for health and social care to direct NHS England in relation to relevant functions’. It’s long been known that Conservative health secretaries have been frustrated by not being able to enact the measures they wanted regarding the NHS so here’s Matt Hancock’s chance though some may argue this will result in less accountability, not more. But you will be relieved to hear there are some limits to the suggested new powers: ‘The health secretary will not be able to formally direct a local hospital nor will he have the power to intervene in clinical decisions’. At least you won’t have to imagine Matt standing over you at a critical juncture, saying they won’t be able to replace your hip after all.

Needless to say, it was former Health Secretary Jeremy Hunt who the Today programme invited to comment on the proposals, predictably saying that although they were big changes he reckons they’re the right ones. How about interviewing a health service expert? The Department of Health and Social Care, saying that it didn’t comment on ‘leaks’, said: ‘From tackling bureaucracy to driving forward the integration of health and care services, we are rightly considering where changes need to be made to help us build back better’. One listener tweeted: ‘Filtering proposals through Tory ideology, NHS becomes a charitable emergency service while private healthcare and insurance become mainstream; a status symbol. It’s what they’ve always wanted, and it’ll be sugar-coated for the election’. Another said: ‘It’s ‘bureaucracy’ when it gets in the way of crony contracting’ and, as we’ve seen throughout the pandemic, scores of companies linked to the government have benefited from contracts awarded without tender.

https://bit.ly/3cNLlFc

Vaccines and their rollout have also continued to dominate the news, especially regarding supply issues; efforts to prioritise certain occupations such as the police and teachers; clinicians’ efforts to put minds at rest given Belgian and German statements that the AstraZeneca vaccine wasn’t suitable for the over 60s; the capacity of vaccines to cope with dangerous new variants; and worrying suggestions that further departures might be made from approved use practice in terms of possibly switching to a different vaccine for the second dose. Concern is increasing over those who refuse the vaccine going into care homes, where the residents are effectively sitting ducks. It seems no one organisation has the power to enforce vaccination for care home workers and although employers could do so via employees’ contracts it could lead to litigation and would result in staffing problems since there’s a shortage of carers. At the same time discussion around vaccine passports is intensifying – the principles and practical issues such as preventing faking by criminal gangs. Typically, the government has said it has no plans to introduce them and new Tory peer Lord Hannan said on Radio 4’s Any Questions that ‘we’re not the kind of country that will enforce vaccine passports’. However, this stance is likely to prove short-sighted as some countries including Denmark already have them, they will be increasingly required for travel and potentially large numbers of venues will only admit those who can prove they’ve been vaccinated. So yet again the UK could be behind the curve and surely, in these times, public health has to trump accusations that such measures are discriminatory. 

Meanwhile, The Week reproduced an interesting letter to the Guardian, which sheds light on the disagreement over the changed use of the Pfizer vaccine. A Professor Paul Glendinning said the BMA, which had criticised the revised policy, has ‘a Kantian, (rule-based) moral philosophy, under which doctors have an obligation to do the best they can for each patient, and any action or inaction that causes potential harm to a patient is deemed to break this obligation’. He contrasts this with the stance of the Joint Committee on Vaccination and Immunisation (JCVI), which takes ‘a utilitarian view of moral philosophy, seeking the greater good for the greatest number, arguing that lives are likely to be saved by delaying the second dose to individuals, even if some of those individuals become vulnerable again’. The Professor suggests the two parties should stop arguing that they have the right interpretation of science and should recognise that this is a philosophical disagreement. Not everyone, though, will be cheered by his recommendation that it’s ‘the function of the government to decide which moral stance to support’, since ministers have clearly demonstrated a marked capacity to cherry pick ‘the science’ when it suits them.

Evidence continues to emerge of the second ‘pandemic’ affecting our society, the latest during Children’s Mental Health Week being the Mental Health Foundation’s findings on teenagers’ mental health. Researchers found, not surprisingly, that all those surveyed said their mental health had deteriorated during the pandemic and between 27% and 32% experienced marked anxiety, irritability, and trouble concentrating and sleeping. Those with unemployed parents were much more affected by anxiety and depression, as were those whose parents were in ‘social grades’ C2DE. Commenting on the findings, the Foundation’s Head of Research, Catherine Seymour, saidThese findings are a warning about how painful many young people’s lives have become during the pandemic. We gathered the findings before the recent school closures – and fear that when we next ask teenagers about their experiences, they will be feeling even worse’.

Professor Ann John, Professor of Public Health and Psychiatry at Swansea University (the academic partner in this research), pointed out how the pandemic had exposed ‘the deep inequalities in our society. Many studies have shown the greater impact and widening gaps in mental health difficulties, educational attainment and more severe financial consequences for the young and those in living in poverty…..More than this, the Government must address the factors that can contribute towards young people having problems with their mental health in the first place. This means delivering an equitable welfare system, guaranteeing housing safety and security and ensuring teenagers have the basics to live comfortably through the pandemic and beyond – including food and warmth’. Unfortunately, not only does the government fail to fund mental health services adequately, it also fails to recognise these fundamental inequalities which are aggravated by its own policies.

https://bit.ly/36QbEqB

We’ve long known how the French fiercely guard their language against foreign incursions, with some success, although some might argue that the Académie Française, described as ‘the pre-eminent French council for matters pertaining to the French language’ is fighting a losing battle, with phrases like ‘le weekend’ becoming commonplace years ago. Similar concerns are now being expressed in Spain, an article in Madrid’s El Pais newspaper suggesting that the ‘colonisation of the Spanish language by English is fast becoming a nightmare’. The complaint focuses on the growing habit of Spanish journalists to sprinkle anglicisms throughout articles, using phrases like ‘winner takes all’, ‘talent shows’, said to ‘infuriate’ Spaniards, who are thought to be mostly unfamiliar with them. The author says it’s fair enough if English terms are used when there’s no Spanish equivalent, but criticises use of the English ‘newsletter’, for example, when the Spanish ‘boletín’ is ‘perfectly good’. He attributes the habit to snobbery, laziness and perhaps a belief that using anglicisms is ‘cool’…. ‘But in a profession which prides itself on its economy with words, the proliferation of pointless synonyms is tantamount to abuse. It’s high time we put a stop to it’. It would be interesting to know if speakers of other languages have the same experience.

Consumer programmes have often featured the difficulty many customers have experienced getting refunds from airlines and holiday companies after so many flights and breaks had to be cancelled last year. The companies are supposed to refund customers’ money but all too often customers have not had a reply to their requests or they’ve been fobbed off with vouchers. In some cases customers couldn’t even contact the companies because they closed their phone lines and ignored other forms of communication. We have to wonder why they don’t realise that we will probably take our business elsewhere in the future, since we still can’t plan any travel with any degree of certainty so further cancellations are possible. A result recently, then, after many months of pestering (Twitter often works well as companies don’t like to be outed for poor customer service) to finally get more than £360 back from Travel Republic.

Finally, here’s a lovely little nature piece, with sounds of curlews and the River Tyne – a tonic to listen to after the maelstrom of news.

https://bbc.in/3ry2bw1

Saturday 30 January

Yet again it’s been a very eventful week, the most arresting issues being the passing of the ghastly 100,000 Covid deaths milestone and EC/AstraZeneca row (see below). With a further 1725 deaths being recorded on Wednesday, taking just one day as an example, the situation is clearly improving only very slowly, in terms of numbers of new cases, pointing up yet again the flaws in the lockdown strategy. Many found galling the PM’s defensive reaction to the grim milestone, insisting his government had done ‘everything they could’ to limit the deaths, he was very sorry, couldn’t ‘compute the sorrow’ etc although he long ago proved himself incapable of genuine empathy. Confronted by questions as to why the UK had the world’s worst death count of the pandemic, the PM refused to be drawn, demonstrating yet again his lack of transparency and accountability. One tweeter challenged a BBC report alluding to Boris Johnson ‘bowing his head in sorrow’: ‘I watched the Downing Street Briefing – at no time did Johnson bow his head in sorrow. Papers have published stills of him looking down at his notes. We’re drowning in lies at the moment’.

So the Prime Minister refused to respond to questions as to how this dire situation had come about, instead falling back on one of the many politician’s ploys of deciding what they’re going to talk about, this one amounting to a convenient rewriting of history: ‘What I can tell you is that we truly did everything we could, and continue to do everything that we can, to minimise loss of life and to minimise suffering in what has been a very, very difficult stage, and a very, very difficult crisis for our country, and we will continue to do that’. You almost have to feel sorry for the lackey du jour invited onto the Today programme, except ministers tend to get a very easy ride there as opposed to the evisceration they get on Piers Morgan’s Good Morning Britain. On Wednesday the series of gigs fell to Housing Minister Robert Jenrick, who, knowing his job depends on defending the indefensible, insisted that ‘no one works harder than the Prime Minister’. I wonder how many frontline NHS staff would agree with that.

This denial and bluster gave rise to a volley of tweets from appalled commentators including journalist Paul Johnson: ‘As death totals pass 100k and Boris Johnson says they did everything they could. -Skip 5 Cobra meetings -Late lockdown -Care homes tragedy -PPE fiasco -Back Cummings -Sack civil servants -Exam confusion -Test trace farce -‘Have Merry Little Xmas’ -School confusion -Late lockdown -Vaccine hope -100k deaths -‘We did everything we could’. A Radio 4 listener tweeted: ‘We did everything we could’ will go down in history as one of the most egregious statements made by a Prime Minister in many years’.

Of course, his PMQs performance didn’t escape the pen of Guardian sketchwriter, John Crace, who again stresses the inability of our PM to learn anything. ‘I take full responsibility’ said a downbeat, almost abject Johnson. The few MPs inside the chamber did a quick double take. Boris had never previously shown any signs of taking responsibility for anything in either his private or public life, so why the personality transplant? Was it really possible that the man whose life had been devoted to the pursuit of his own hedonistic ambition might finally come clean about his own failings? Er … no. There would be a time for a reckoning but that moment had not yet come. Just as it had not come after any number of mistakes over the past 10 months. Too late to implement a first lockdown. Too timid to sack Dominic Cummings for the Durham safari. Too slow to put a working track-and-trace system in place. Too late to impose a second…This was Johnson at his most churlish and defensive. A childish refusal to even engage with the questions, let alone answer them. But then that’s the place to which he always psychologically retreats when he’s up against it…. For a few minutes, at least, it seemed as if the enormity of his many failures had finally got to him. The narcissistic charlatan had temporarily been laid bare..

Johnson regards even the most gentle challenge as a life-threatening narcissistic wound. ‘The public just want us to come together’ Boris concluded. And in a way he was right. What the country really wants is for some Tory backbenchers to find a spine and admit that terrible mistakes have been made. That more than 100,000 dead is an unacceptable price to pay for a party leader whose entire life has just been a vanity project’.

https://bit.ly/3ovU6WP

Meanwhile, the Guardian’s Marina Hyde continues to attack the PM’s protracted delays on key measures like implementing lockdowns and quarantining overseas arrivals. And don’t even mention packed airports, clearly involving thousands of non-essential journeys of the kind Priti Patel now says will be clamped down on. ‘Boris Johnson’s government continues to make pandemic decisions with all the speed of the Supreme Soviet Secretariat. Don’t ask for agile turnarounds. It would honestly be quicker to get Brezhnev to greenlight a clean energy programme. This is great for people who really enjoy lockdowns, who ideally want to wear four masks at once, who enjoy unnecessarily deep economic collapse, and who believe that a generation of children getting thrown under the bus is the price you have to pay for whatever version of purity they prioritise. For everyone else, it’s the most giant, toxic, damaging, endlessly mishandled arseache’.

Singled out for particular opprobrium are the ‘lockdown sceptics’ in Parliament, led by the leading lights of the ERG and inappropriately named Covid Recovery Group, who wield ‘power without responsibility’. ‘Has there ever been a misnomer like it? You might as well call the Luftwaffe the East End Recovery Group. These guys are the cowboy builders of the pandemic. They turn your leaking pipe into a collapsed central heating system, then tell you only they can fix it’.

https://bit.ly/3ozlnYe

Meanwhile, a very pertinent article with contributions from a virologist, a psychologist and a public health expert focuses on the role of personal responsibility in reducing transmission, pointing up some of the mistakes we are still making. These include doing what’s allowed instead of what’s safe; trusting friends who say they’ve ‘been careful’; not appreciating what ‘airborne’ really means; assuming doing anything outside is safe; inadequate face coverings and (very important now) believing vaccination makes you safe and you can relax. ‘A common problem is not connecting the dots between the people you see in one context, and those you see in another’, said the psychologist. ‘I’ve seen interviews with parents who are being really careful in many respects, but then allow their children to mix freely with friends for their mental health, and then also their children to bubble with their grandparents, for the mental health of both the children and the grandparents. I’m sure the parents aren’t wanting to infect the grandparents, but that’s the best way to do it’. Although some of these mistakes are partly attributable to failures in public health messaging, the article succeeds in challenging many assumptions which we see evidence of every day.

https://bit.ly/36nDRob

The latest example of prime ministerial tin ear comes in the form of Boris Johnson’s letter to parents, ‘in awe’ of what they’ve done with home schooling, just after he’s told them all schools won’t reopen after half-term. ‘While the past 12 months have been tough for all of us, the demands of this pandemic have also brought out the very best in a great many people…And I’m particularly in awe of the way the parents, carers and guardians of children have risen to the unique challenges with which you have been faced’. The government has used the same transparent and feeble tactic with the NHS, seeming to believe that praising and profusely thanking a body of beleaguered workers is a good substitute for actually doing something about their pay and challenges they face. Such a letter does nothing to address the strain many parents are under (and to some extent this can’t be helped) but in particular it doesn’t acknowledge the educational inequalities, bearing in mind many homes are without the kit and broadband they need for online learning. His promises about laptops being delivered and educational catch-up aren’t that convincing when we hear that there aren’t enough laptops, at least some have been found to have malware on them and the catch-up was first mooted last summer but didn’t happen.

https://bit.ly/39uFBhE

Speaking of ministers’ media appearances, Work and Pensions minister Therese Coffey didn’t cover herself in glory on Tuesday, abruptly ending her GMB stint when (unlike Radio 4’s Today programme) she was robustly challenged about the death figures. She tried to attribute these mostly to old age and obesity and later explained that she’d had to leave for another interview, but the coincidence of her departure with the tough question can’t be easily dismissed. Given the amount of flak she attracted, especially about her age and obesity observations, Ms Coffey can maybe expect an immediate recall to the Cummings School of Media Training (still operating despite the apparent departure of its founder).

Another thing the government hasn’t learnt its lesson on is giving silly macho names to interventions which often lack substance even at inception and frequently come to nothing. The latest example is the government’s ‘roadmap’ out of lockdown, crucial because the longer the endless restrictions go on, the more people’s mental health will suffer and the more non-compliance there will be due to lockdown fatigue. There has been criticism of those including journalists constantly asking about the end of lockdown, but many aren’t necessarily asking when it will be but what the criteria will be (eg reduction in R rate, fewer new cases etc), as the government has never had an exit plan based on a well-considered rationale.  

Stephen Reicher, a member of the Sage subcommittee advising on behavioural science, adds to the voices of those critical of how lockdowns have not met expectations because the restrictions are unclear and ‘rules’ or ‘guidance’ have been flouted by their very architects. ‘So why are we in such a mess? Well certainly the new variant makes things worse, but that isn’t the whole story…. we don’t seem to be doing as much to limit spread as during the first lockdown. We see more people out and about and the roads seem far busier. Personal experience is backed up by data: footfall in shops fell to less than 20% of regular activity last March, and now it is around 35%; the number of cars on the road went down to approximately 30% of normal levels in the first lockdown and is currently hovering around or above 50%’.

One of the problems he cites is the loose definition of ‘key worker’ (one social media influencer recently describing themselves as such), with some schools seeing 50% of their normal intake in classrooms. Another measure he cites as not working is ensuring that workplaces are Covid safe. Many aren’t and despite 97,000 cases of unsafe practice since the start of the pandemic, there have been no prosecutions. ‘If the government were to take its responsibilities seriously, it would be in a far stronger position to ask the public to do likewise. In the end, we can only deal with this pandemic as a partnership, one in which both parties concentrate on playing their own part rather than whether the other is playing theirs’.

https://bit.ly/2MxeedI

The vaccination programme continues to occupy centre stage, more experts now coming out to challenge the change of Pfizer vaccine dosing policy, delaying the second dose to 12 weeks. It has been shocking to see so many key figures allowing themselves to be drawn into the government narrative, one which supports the massage of statistics to suggest more have been vaccinated than have. (Remember the PPE stats scandal, eg a pair of gloves being counted as two items?) On Monday the British Medical Association caused a stir when the private letter thirty of its members wrote to Chief Medical Officer Chris Whitty, challenging the policy change, was leaked to the BBC. These doctors were later ‘warned’ about their opposition to this policy. Cue a number of ‘on message’ medics stepping forward to talk up the policy change. An MP tweeted: ‘Dear Prime Minister, the BMA say NO, Pfizer say NO, the World Health Organisation (WHO) say NO. We cannot play roulette with people’s lives. Second vaccine dose at 3 weeks, please – like scientists recommend’.  Whatever you think about this debate, it does potentially raise another problem. Could Big Pharma be deterred in future from investing the huge amounts in research needed to develop new drugs if this precedent suggests that the normal approval policy could be so easily overturned?

https://bit.ly/39uKWFB

The biggest vaccination programme problem to rear its head is the row between vaccine supplier AstraZeneca and the EU, which, having contracted with the company later than the UK, was trying to prevent exports of the vaccine now the company is experiencing ‘reduced yields’ at the Belgian plant. Amid fears of ‘vaccine nationalism’, the World Health Organisation and others are speaking out against countries appearing to put their own needs above those of others rather than taking a global perspective on vaccine supply. The International Chamber of Commerce, which represents 45m companies across the globe, said the plan by Brussels to allow export controls on vaccines risked sparking ‘retaliatory action’ from other countries which could ‘very rapidly erode essential supply chains’. Asked on GMB about what looks like the EU’s demands for supplies intended for the UK being diverted to compensate for the EU shortfall, Michael Gove offered reassurance, saying the programme of vaccination had been agreed and assured and the supplies were fixed some time ago’, but this was before an export ban was threatened.  

AstraZeneca’s chief executive Pascal Soriot could be considered brave for standing up to the EU, insisting that the UK would come first regarding vaccine manufactured in the UK because it had signed a contract early on for 100m doses. He also explained that they created separate supply chains in every major market the vaccine will be available and whereas the UK one was already established, the EU one was not. Anger (and, no doubt, anxiety) within the EU and its members at the news of a 60% AstraZeneca vaccine shortfall, expected to affect deliveries during the first quarter of the year, seem to have led to a (perhaps Brexit-related) weaponising of this conundrum.

https://bit.ly/2MhrPG7

Some stalwarts have been helpfully analysing the contracts to get a better idea of what the contractual obligations were, work which surely the media should be doing. Leo Cendrowicz, a Brussels-based journalist who has covered Europe for more than twenty years, observed: ‘But for all the EU seething, its leverage may be constrained by the contracts themselves. While the commission has not published its advance purchase agreements (APAs), partly redacted details of its deal with CureVac say that ‘the delivery dates set out in this APA are the contractor’s current best estimates only and subject to change….. the parties acknowledge that there is a risk that … the timeline for scaling up the production of the product may be delayed’. The PM has usefully pronounced: ‘We expect and hope that our EU friends will honour all contracts’. Somehow I suspect resolution of this problem will take a bit more than Boris Johnson’s expectations and hopes of ‘our EU friends’.

https://bit.ly/2Mk3uzs

Furious politicians and commentators were left reeling late last night as, having not even consulted Ireland about a measure which would have overridden a key part of the Brexit agreement, the Northern Ireland protocol, the importance of which they had spent years stressing, the European Commission abruptly backed down. The U-turn, badged ‘diplomacy by Twitter’, came after late night phone calls between EC President Ursula von der Leyen, Boris Johnson and the Taoiseach. Former NI Secretary Julian Smith, describing the EU’s strategy as ‘a Trumpian move’ which had ‘scant regard for the sensitivities of Northern Ireland, said the UK and the EU had a duty of care to preserve no hard border and the stability of NI. ‘It’s not just a back door for goods going to Britain’. Stormont First Minister Arleen Foster called the EU’s preparedness to trigger Article 16 of the NI Protocol ‘an incredible act of aggression’. Some Brexiters are clearly enjoying what they see as vindication of their views on the nature of the EU but EC preparedness to disregard a principle they argued so hard for over years must alert the government to the potential for similar attempts to overturn agreements. This episode will have done considerable damage to EU/Irish relations besides deepening what is becoming a vaccine supply war.

Another potential spanner in the works, one dismissed by some UK experts, is the suggestion by a German health committee that the AstraZeneca vaccine hasn’t been sufficiently tested for use on the over 65s. It certainly complicates matters further, for example by undermining public confidence, when heath organisations and regulatory authorities in different countries aren’t on the same page. This needs clarifying by UK authorities as a matter of urgency, as those already receiving this vaccine are worried about its efficacy in the wake of such reports. Some good news comes in the form of the new Novavax vaccine, which the UK has pre-ordered 60m doses of. Trialled and manufactured in the UK, it has the advantage of being effective against the UK variant and to some extent against the South African variant. More good news is that the company is working on a vaccine which will specifically protect against the South African variant.  

https://bit.ly/3clLf7D

Less good news for the government, always determined to demonstrate amid the chaos it’s created that the UK is ‘world beating’ at something, is that rather than being at the top of the global vaccination chart, the UK is fifth using the measure of proportion of population vaccinated rather than numbers vaccinated. 

Meanwhile, debate continues as to whether certain occupations should be prioritised in the vaccination queue, including teachers, supermarket staff, police officers and carers. It does seem a weakness that priorities were only decided using age criteria when surely other criteria need to be taken account of, the main one being protecting those in public-facing roles.  

Former Prime Minister Gordon Brown has again weighed into the conversation on how the economy can be restarted, given the enormous pressures it’s been under during the last year. (How it must irritate ministers when former PMs and ministers do this but ‘the reality is’ that they often come across as so much better informed and sensible that the present incumbents). Declaring that ‘governments cannot afford to be behind the curve – especially in a crisis…they have to be at least two steps ahead’, Brown has called for emergency measures to support businesses in the Budget, citing new research by the London School of Economics showing that one in seven businesses (representing 2.5m employees) might be forced into closure by the Spring. The LSE work suggests almost 1m UK companies are at risk and that the Chancellor  ‘needed to extend the scale and duration of government support, proposing a continuation of loan subsidies and debt restructuring during the UK’s eventual recovery that would involve exchanging government loans for government equity stakes’. One of the report’s authors, Professor John Van Reenen, said ‘Without further policy action, businesses face a cruel spring of bankruptcy’.

https://bit.ly/2Yull9G

Still on business matters, we have to wonder about the prospects are for the government’s economic strategy with the new Department for Business incumbent at the helm, the fourth in less than two years. The Week quotes a Sunday Times article describing Kwasi Kwarteng as an ‘ardent Brexiteer’ (of course, this is why he’s in the cabinet) who has a ‘challenging brief’ (not half) including the immediate problem of plans to abolish EU regulations on workers’ rights, eg the 48 hour working week limit. Another key challenge is the dire straits some companies are in trying to get to grips with post-Brexit trading paperwork. Kwarteng was described as ‘essentially an academic’ by Sasha Swire in her very frank book Diary of an MP’s Wife but maybe we should reserve judgement since he has already taken steps to prevent directors of former outsourcing company Carillon from taking positions in UK boardrooms for fifteen years. He’s the subject of Nick Robinson’s Political Thinking feature on Radio 4 today, though I’ve found these aren’t available later for catch-up.    

https://www.bbc.co.uk/programmes/m000rt8g

Earlier this week author and broadcaster Michael Rosen, who spent weeks in hospital with Covid, stepped up to back a campaign for a significant rise in NHS and social care spending. ‘The New Deal for the NHS, organised by the patient-led pressure group Just Treatment, says the pandemic has exposed the need for “transformative investment” of £33bn a year in the NHS or 1.5% of GDP’. In a move which would counter suggestions that such a rise would be unmanageable, Rosen cited the creation of government bonds and gave examples of the large amounts suddenly made available for other purposes during 2020. ‘If we’ve learned anything from the last year, it’s that the government has levers which can literally ‘create money’….. If you can raise cash like that for an emergency, why not raise it for the service that looks after us from cradle to the grave. We are the country. Without us, there is no country. What could be more important?’

https://bit.ly/39xCTI1

Since the start of the pandemic there have been reports of what some might consider a decline in sartorial standards, since people can work from home in their pyjamas, just donning a smart top for their Zoom meetings and there are no venues open for us to dress up for, Now we hear that top designer Kurt Geiger has, for the first time, not included a single pair of high heels in its new collection. This upmarket designer has long been associated with four inch stilettos but now the collection features only flats and trainers. It will be interesting to see if such trends continue if lockdowns ever come to an end – at least podiatrists will be pleased at this news. Similar trends were in evidence chez designer Fendi, which has included in its new men’s line an ‘outdoor pyjama’ two piece, coats resembling dressing gowns and boots with soft linings which can also be taken out and used as slippers.

Finally, there’s news that an 11 year old Dutch Japanese boy has won a competition organised by Japan’s Patent Office for his ‘future backpack’. Not all schoolchildren will be overjoyed by the news, because the backpack’s technology is designed to ensure that children will never again ‘forget’ their homework or gym kit. It apparently does this via a tiny computer connected to a scanner, which ‘reads’ tags attached to items as they’re placed in the bag and it issues a warning if an item is missing. Presumably the technology includes the means for the backpack to know on which days a certain item is needed. Liam Vijfwinkel from Kashiwa, near Tokyo, is obviously a boy with a great future ahead of him.

Saturday 23 January

As the week began, the NHS said to be in its most precarious situation ever, anti-lockdown Lord Sumption stirred up another storm by suggesting some lives (in this case a cancer sufferer) are worth less than others. Although many are rightly horrified by his Darwinist stance, hard decisions are already having to be made in the severely strained NHS because ICUs don’t have the capacity for all patients needing that level of care. We can hope that BBC News at Ten’s regular coverage of ICUs will have convinced any Covid denying viewers of what’s really at stake, exhausted staff regularly breaking down and it taking up to eight clinicians to turn a patient, seen as one of the most helpful interventions for facilitating breathing.

We may have thought the daily Covid death totals couldn’t get any worse, but no: this week we’ve seen shocking numbers – 1610 on Tuesday, 1820 on Wednesday, 1290 on Thursday and 1348 on Saturday. Sceptics may be forgiven for thinking the latest evidence (so far not conclusive) that the new variant, besides being much more transmissible, is also more deadly, has come at a convenient time for the Prime Minister. It’s not the first time he’s appeared to blame the virus rather than the incompetence of his administration. There’s a danger of these terrible statistics becoming normalised, in fact it seems it’s already happening when you hear the matter of fact way such news is conveyed by the media. On Wednesday palliative care doctor Rachel Clarke tweeted: ‘No. Another *1820* UK Covid deaths. This figure makes me want to weep, scream, punch a wall, smash furniture. As if the deaths alone weren’t devastating, knowing many were avoidable crushes me. These are mass casualties caused by failure of government. Heartbreaking.’

The FT’s Chris Giles has been conducting a regular analysis of the Office for National Statistics figures (England and Wales) and reckons ‘the number of UK excess deaths linked to Covid since mid March 2020 has surpassed a new grim milestone of 106,300. Of these, 94,745 have been recorded officially, the remainder are estimates’. As if care homes, their residents and families haven’t already suffered enough, another source pointed up ONS data on care home deaths: ‘another 1,370 care home residents in England and Wales were registered to have died with Covid-19 in the first week of January. To those who say “these people would have died anyway” – deaths were 46% above the 5 year average for that week’.

Early in the week it looked as if there could be some splitting amongst ministers rather than the usual united front. The decision (after 10 months) to close travel corridors and require negative tests for those entering the UK prompted Priti Patel to disclose that back in March she had advocated closing the UK’s borders but was overruled. That this wasn’t done back then has obviously played a major part in what we’re up against over 10 months later. Yet current photos and passenger reports of a packed Heathrow show there is still very little evidence of Covid safety practice there. The Guardian’s John Crace accurately captures the Home Secretary’s skill at filling airspace with soundbites and statements of the obvious while saying precisely nothing. ‘….earlier this week – perhaps anticipating a messy and damaging public inquiry – she had knifed Johnson in the back by claiming she had wanted stricter border controls back in March but had been overruled by the prime minister. So she ignored that bit of the question and went back on to repeat. We were in the middle of a terrible pandemic. The vaccine was a good thing. It was far too early to say when the lockdown would end etc etc. She did much the same when asked whether people should think about booking summer holidays. We were in the middle of a terrible pandemic. The vaccine was a good thing. It was far too early to say when the lockdown would end and people should be concentrating on staying home rather than thinking of travelling. And by the way the emergency services were doing an excellent job’.

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In the context of death totals and the need for adhering to lockdown restrictions Health Secretary Matt Hancock infuriated some by telling the public: ‘Don’t blow it now. We are on the route out’. One Downing Street briefing viewer tweeted: Matt Hancock ‘Don’t blow it now. We are on the route out”. You blew it: by letting people with Covid into the UK for 11 months with your disastrous app with your haphazard, late lockdowns with your mixed Christmas messages by failing to remove Cummings’. Another said: ‘How rich of Matt Hancock instructing the public not to ‘blow it’ when his government has consistently ‘blown it’ since March’. Many will have been dismayed (after nearly a year of this lockdown hokey cokey) that lockdown could continue until the summer and that hospitality won’t be allowed to open until May. I wouldn’t put it past this government, though, to put this worse case scenario message out there so that people will then fall over themselves in gratitude and forget the terrible mistakes made if it ends sooner.

Meanwhile, environmentalist George Monbiot, having already written about the government’s lack of exit strategy from lockdown, now focuses on what’s increasingly coming centre stage: the lingering and costly effects of Long Covid and the need for the government to take this seriously. ‘Perhaps to a greater extent than at any point since the first world war, we find that our lives do not matter to those who govern us. Boris Johnson scarcely seeks to disguise his insouciance and callousness. He hardly mentions the astonishing death toll caused by his mishandling of the pandemic: to acknowledge it would be to acknowledge his responsibility. But not only the dead are missing from his moral atlas. So are those with long-term conditions caused by Covid-19. They are likely, already, to number in the tens of thousands. If Johnson eases restrictions when most older people have been vaccinated, there could be tens of thousands more…’.

Monbiot likens the range of possible mental, physical and neurological symptoms to those accompanying Chronic Fatigue Syndrome, whereby any exertion can make the sufferer unwell, leading to such a low quality of life that one study placed it lower on the scale than cancer, stroke, schizophrenia and MS. ‘Many sufferers are confined to their home or even their bed, with their working life, social life and family life truncated. There is, so far, no diagnostic test and no cure. As for ME, Monbiot makes a plea for quality research on Covid and its funding, especially as Long Covid clinics are already making mistakes. ‘We need massive research programmes into both long Covid and ME/CFS, coupled with better information for doctors. But above all, we need something that currently seems a long way off. A government that gives a damn’.

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Following on from last week, more problems are emerging with the much flaunted (world beating) vaccination programme, including issues with supplies meaning some are being diverted to other parts of the country; those vaccinators quite rightly sticking to the original dosing advice being threatened with having their licenses removed; the news that yet another crony contract has been discovered to be at work; continuing debates as to which groups should be prioritised (seems a no brainer to vaccinate teachers,  police officers and supermarket workers); insufficient public awareness that one dose doesn’t equate to ‘vaccination’ so many older people believe they can now see their grandchildren, go on holiday etc; and continuing ignorance and/or collusion of the media in not making these issues clear although this is finally improving on some BBC programmes. But the main debate is still the so called ‘public health decision’ to delay the second dose of the Pfizer vaccine for three months after the first, contrary to Pfizer instructions, to the approval process and to World Health Organisation and other bodies’ advice. It’s shameful that so many key spokesmen, primarily Chris Whitty and Patrick Vallance, have allowed themselves to be caught in the government’s PR net, artificially inflating the numbers of those ‘vaccinated’. Various experts have questioned this and now the British Medical Association has written to Professor Whitty, a letter seen by the BBC, to express its marked disquiet over this decision.

‘The doctors’ union said the UK approach “has become increasingly isolated internationally” and “is proving ever more difficult to justify…The absence of any international support for the UK’s approach is a cause of deep concern and risks undermining public and the profession’s trust in the vaccination programme…’. On BBC Breakfast BMA chair, Dr Chaand Nagpaul, raised ‘growing concerns’ that the vaccine could become less effective when doses are 12 weeks apart.

Data from Israel, which is leading the world on mass vaccination, suggested that effectiveness could be as low as 33 per cent after a first dose. Vallance insisted it was likely to be higher but accepted it would probably be lower than the 89 per cent suggested by the government in justifying the switch in strategy last month. Communities Secretary Robert Jenrick defended it on Sky News, claiming that it was based on ‘advice’ from the regulator and the UK’s four chief medical officers, but it seems clear it’s the other way around: that the government’s decision preceded these experts’ collusion with it. It’s refreshing to see other clinicians lambasting this strategy, including a doctor calling into Radio Four’s Any Answers, who said her respect for Whitty had ‘fallen off a cliff’ because of it. As a listener tweeted: ‘The government vaccination plan is not a plan at all. It is a machine gun scatter and run 1 jab disaster scenario that is going to cost 10s of thousands of lives’. It will be interesting to see what emerges from the BMA intervention, the legal challenge mounted by Dame Joan Bakewell and the change.org petition.

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Although it was reassuring, to some extent, to see first dose statistics this week, it was less so to learn that Dominic Raab, on Sky News, had refused ‘to guarantee that everyone will get their second dose within 12 weeks’. One tweeter commented on the verbal gymnastics characterising many of these announcements: ‘…adults to be ‘offered’ the first dose. Stress-inducing, trust-reducing communication as ‘offering’ doesn’t equate to actually getting the dose’. Another interesting angle regarding the second dose delay was raised this week, one consultant suggesting that the change of strategy could invalidate patients’ consent, since this was given on the basis of the original timing. This could have implications for future litigation. The possibility (likelihood?) of vaccination passports has also been discussed, although unlike other countries this government has so far shown itself to have no appetite for creating the infrastructure needed to support necessary measures. It stands to reason that an increasing number of venues will require proof of vaccination before allowing entry and now leading cruise provider Saga has said it will demand it. The Global Tourism Crisis Committee has also said vaccine passports must become essential travel documents in order to restart international tourism. Not surprisingly, some have argued that this would be discriminatory and open to legal challenge, but surely such a crucial measure should be exempt from equalities and discrimination law.

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It was only a matter of time before it would emerge that the vaccination programme, like everything else the government touches, had been tainted by cronyism. Now openDemocracy has revealed the role of Tory donor Lord Ashcroft, whose company Medacs Healthcare has been given a £350m contract to source staff for the programme. Hearing about a friend’s husband’s experience this week made me wonder if his vaccinator was one of them – when the injection site started bleeding, the vaccinator, who looked about 12,  just stood there and said ‘It’s bleeding’. openDemocracy observes: ‘The award of a major COVID contract to a firm with close ties to the Tories has sparked further questions about politically connected firms benefiting financially from the UK’s pandemic response’. As with the disastrous PPE contracting, the government shows it has learned nothing, once again issuing a major contract not only to a crony but also to a company inexperienced in the area of work concerned. ‘Medacs has previously worked with numerous councils across England but this appears to be the company’s first major COVID contract’. Nothing like giving newcomers a chance, eh? Yet another for Jolyon Maugham’s Good Law Project to investigate.

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Meanwhile, the inimitable More or Less on Radio 4 (Monday morning at 11.30 and later on BBC Sounds) will look at different countries’ vaccination poliies and how they decide which groups to prioritise. Besides not yet having prioritised teachers, police officers and supermarket workers, there’s discussion in the UK as to whether those from black and ethnic minority communities should be included because of the clear evidence that they’re more at risk of contracting the virus. This should prove interesting and important listening. On a lighter note, the last five minutes of the last More or Less are especially worth listening to, for a deconstruction of attempts by ministers Penny Mordaunt and Michael Gove to misrepresent the post-Brexit UK fish catch entitlement. It ends with the deconstruction put into sea shanty form.

https://bbc.in/3pdLNA3

In more positive news, it came as a relief and joy to many, following threats of Trump supporter insurrection beforehand, that Donald Trump actually left the White House of his own accord and that Joe Biden, his family and supporters were able to enjoy his exhilarating inauguration day. Biden’s pronouncement ‘Democracy has prevailed….this is democracy’s day’ will surely be remembered for a long time to come. It was predictably ominous that Trump said ‘we’ll be back in some form’, but having his social media accounts closed down and key financial donations withdrawn will cramp his style somewhat and the forthcoming impeachment trial might well result in him no longer being eligible to stand for public office. Regarding his numerous controversial pardons issued just hours before the end of his administration, a wag asked if there would be one for Trump’s hairdresser.

However purposeful and mindful we are of the need during these lockdowns to structure our days, keep busy, keep in contact and practice self-care, these January days can feel a bit like a long Groundhog Day. One of the best signs of spring approaching is the sight of snowdrops and crocuses emerging, so hats off to the provider of a virtual snowdrop festival. Whereas the Devon garden boasting different examples of galanthus would normally be seeing many visitors in person, it’s now generously moving its event online (Facebook and Instagram) so many more can benefit. The house and garden sound very interesting in their own right. ‘….. once home to the vicars of Buckland Monachorum, the house and garden trace their history back to 1305 and feature romantic ruins including a tower with a spiral staircase and a thatched barn. A modern vicarage was built in the 1920s and just after the second world war was bought by Lionel Fortescue, a retiring Eton master, and his wife, Katharine, who set about renovating and developing their garden. They bequeathed the house and garden to the Fortescue Garden Trust, an independent charity that continues to run the property.’

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Finally, although it seems strange timing it’s cheering to learn that Paignton Picture House in Devon (thought to be the first pupose-built cinema in Europe, opening in 1907) is to be ‘restored to its former glory’, thanks to an English Heritage grant. It was lovely to hear that crime writer Agatha Christie was a regular patron and used to book two seats – one for herself and the other for her butler, who would then serve her drinks during the film. We’re not told whether the butler liked the films or whether he was allowed to have a drink himself!

Sunday 17th January

Last week, which saw even more shocking daily Covid death totals (eg 1564 on Wednesday), started with Boris Johnson demonstrating his ‘one rule for us, another for them’ stance, being spotted riding his bike 7 miles from home. Seen and snapped by a journalist besides a number of passers by, we have to wonder whether he is naively assuming he won’t be discovered breaching lockdown (as suggested by the uncovering of so much cronyism during the last 9 months), or is almost provocatively flaunting his disregard of the law. It’s too early to call but such incidents are more than likely to reinforce the Cummings breach and to further undermine trust in the government, already at rock bottom. Environmentalist George Monbiot tweeted: ‘At every turn the government has undermined public trust and unity, by creating the impression that rules are for little people, while the elite can do what it wants’. People like Met Police Chief Cressida Dick have a tough job defending such blatant breaches when many forces have issued fines for far less.

As reports emerge that two-thirds of all NHS trusts across England were treating more Covid patients last week than they did at the peak of the first wave of the pandemic, that in 17 trusts Covid patients outnumbered all the other patients and that now over 100,000 have died, public health experts are describing the situation as a ‘phenomenal failure of policy and practice’. Yet the Prime Minister continues to present bullishly and optimistically in the House of Commons and at press conferences, sounding somewhat out of touch with reality, claiming that they’re doing a good job and are ‘world beating’ in the numbers being vaccinated. After hearing ‘People will see the government as having done a relatively good job’ from a minister, a sceptic tweeted: ‘Apart from the bereaved. And the many suffering long covid. And anyone who’s been paying attention’.

While the NHS buckles under the strain of Covid hospitalisations, we also continue to hear government insistence that ‘the NHS is doing a marvellous job, they can cope’, disgracefully taking NHS staff goodwill for granted when many are exhausted and experiencing significant mental distress. Around 46k are said to be off sick and nearly half of critical care staff are said to be affected by issues like anxiety, depression, PTSD and heavy alcohol consumption. So much for ‘coping’, when new Covid patients in London are having to be transported to ICUs in the north of England and over 4.5 million patients are having urgent procedures and treatments cancelled, leaving them to deal with the resulting pain, anxiety and uncertainty. Of course dealing with Covid has to be prioritised at this time, but it’s long term underinvestment in the NHS which has resulted in so much non-Covid work (now in GP surgeries as well because of the vaccination programme) being postponed.

Debate continues to intensify on lockdown measures, compliance and flouting and, as usual, inconsistent policing across the country. An interesting aspect of the debate has been what seems to be a growing awareness in some quarters, but unfortunately not in others, is the relationship between individual and collective responsibility. Some still don’t get that what they do affects others. Meanwhile, backbencher Steve Baker of the anti-lockdown Covid Recovery Group hinted at dislodging Boris Johnson if he doesn’t stop lockdowns. Since then he’s rowed back from that position but the CRG and others continue to rail against lockdowns and their extensions. It might not take Steve Baker to bring this about anyway, since the most recent poll on the Prime Minister’s performance indicates those wanting his resignation exceed those satisfied with it.

The Guardian’s Marina Hyde asks how many waves it will take for the lockdown sceptics to finally ‘call it a day’. She opines that, like the government, they have a hard time learning from their mistakes, singling out journalist Toby Young. ‘If I do have one question for the provisional wing of the lockdown sceptics – other than “Have you suffered a recent head trauma?” – it would only be a tiny one. But I can’t help wondering: how do they think the coronavirus is transmitted? Given that its transmission is not affected by lockdown measures (even though it patently and evidentially is), do they believe it spreads by some means other than respiratory droplets and contact? Do you catch it from self-reflection, perhaps, or not having a media platform? If not, could a sympathetic someone try to get the salient facts on Covid transmission inside Toby one way or another, even if they have to be written in crayons on sandpaper and administered as a suppository?’

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As if this wasn’t enough, you’d think sceptics might take some notice of the increasingly high profile research on Long Covid: Office for National Statistics data found that five weeks after testing positive one in five patients continued to experience unwelcome symptoms including fatigue, coughs, headaches and loss of taste and smell. A Chinese study found that some patients were suffering from Long Covid 6 months and more after leaving hospital, including diminished lung function. It’s worth thinking about the additional effects this will have on mental health – someone I know who was very ill but not hospitalised is continuing to feel anxious because of the unpredictability of symptoms taking hold, which could lead to a stressful kind of hypervigilance.

It’s pretty clear that, like conspiracy theorists, lockdown sceptics lack psychological maturity, sticking rigidly to one version of reality, their former ‘normal’, staying in denial because it’s a kind of comfort zone – easier than understanding and coming to terms with the frightening reality which is COVID coupled with an incompetent government. Meanwhile, actor Laurence Fox has attracted more opprobrium by tweeting his boast about his facemask exemption lanyard obtained from Amazon. So now Amazon has jumped into another government vacuum (lack of certification or badges for those exempt, which can’t be enforced but many in this category might appreciate), profiting from government inaction but also opening the exemption to abuse. Such badges or lanyards should only be available for those entitled to have them but we can be sure Amazon won’t be monitoring this. In response to Fox’s tweet ‘Sleep well everyone. Every single human life is sacred’, a sceptic responded: ‘Amazon lanyards. Well considering he won’t wear a face mask, I’d argue Laurence Fox doesn’t think the lives of the NHS staff he’s endangering are sacred. Or his own family of friends for that matter’.

The latest restriction, causing Transport Minister Grant Shapps to tweet in capitals, is the decision (only 10 months too late) to close all air corridors with the UK, primarily to keep out new further variants of the virus. A Radio 4 listener tweeted: ‘Of course it’s 10 months too late. Science advised it last year. Many countries closed down travel and introduced quarantines last March. Today Johnson called it “swift and decisive action”. Seriously?’ The absurd disconnect is the instruction to those entering the UK to quarantine, yet there’s no effective checking to ensure that this is being complied with and poor ministerial defences of the system.  

The PM this week was grilled by Labour’s Yvette Cooper, chair of the Home Affairs Select Committee, which has repeatedly pointed out the weaknesses of the government’s strategy on enforcing travel restrictions. Unlike other countries, there’s very little checking and temperature taking at UK airports, no requirement to isolate in a quarantine hotel and little monitoring of whether or not those people are self-isolating. So the PM’s bullish statement that ‘all foreign arrivals will also have to quarantine in toughening of measures in response to new strains’ is a bit of a nonsense.

This latest move has given rise to a further call for government support, from the travel industry. Joss Croft, the Chief Executive of UKinbound, the trade body for the overseas tourism industry, said: ‘Consumer safety is paramount and although the removal of all travel corridors is regrettable, given the current trajectory of the virus it’s an understandable decision. With our borders effectively closed, the government needs to provide urgent, tailored support for the inbound tourism industry’. This raises questions as to how many industries and workers the government can support, especially as there’s still no support for the 3m freelancers.

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Presenter Mishal Husain grilled aviation minister Robert Courts on Saturday’s Today programme, during which he struggled to defend this inadequate approach. One listener tweeted: ‘Car crash interview with cardboard cut out minister Robert Courts, aviation minister – uses ‘robust’ about 5 times to describe the UK policy with more holes than substance. Police had hundreds of cases with quarantine folk absent from stated addresses’. Another said: ‘Courts was abysmal. Weapons grade blather and guff’.

What this raises, not the first time, is that these identikit ministers (given ministerial posts for their Vote Leave loyalty or opportunism) are facing very complex issues on which they’re way out of their depth and for which the early pre-pandemic period didn’t equip them. As an Any Questions listener asked: ‘When ministers have graduated from the Cummings School of Media Training, do they then have to practice in front of a mirror wheeling out soundbites, quoting sums of money allegedly spent on this or that and making evidence-free claims for government achievements?’ Again, to reiterate the principle of this blog, if people can’t trust their leaders and cannot have confidence in them, it’s likely to increase their anxiety about what they’re not being helped to contain and manage.

Meanwhile, it’s emerged that new Business Minister, Kwasi Kwarteng, during the 2019 election campaign accepted £16,000 from companies and individuals with a direct interest in fossil fuels, plus £4,500 from companies that advise on or facilitate trading in fossil fuels, despite the Government’s green policy and goal of achieving net zero greenhouse gas emissions. His spokesman said there was no conflict of interest and that all donations were in line with the ministerial code. ‘For the past 18 months, as energy minister, Mr Kwarteng led work to develop the energy White Paper – this government’s plan to fully decarbonise our energy system, phase out fossil fuels and end the UK’s contribution to climate change. Any suggestion Mr Kwarteng is somehow not committed to the green agenda is manifestly false’.

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The highly transmissible new Covid variants have clearly changed the situation and attitudes, many more fearful than before and now there are at least three: B117 is known as the UK variant but is now known to be present in 33 countries; 501.V, which originated in South Africa, is more alarming because it’s said to render the body unable to detect the virus; and now a Brazilian variant, which clinicians believe is less worrying than the others. The inroads made by these variants have prompted the question, especially regarding 501.V, as to whether the vaccine will afford the necessary protection. Scientists seem to believe they can ‘tweak’ the vaccines to ensure adequate protection, but the much-flaunted (‘world beating’) vaccination programme has run into other problems this week, besides the ongoing one of recruiting vaccinators, who are then expected to undergo hours and hours of irrelevant online training. It also doesn’t help that organisations like the BBC are colluding with the government narrative in talking up and idealising the vaccine: of course it’s a great thing but it can’t be a panacea many want to believe.

First, the UK besides other countries are concerned that deliveries of the Pfizer/BionTech vaccine are being delayed because of upgrades the company is making to its production facility. Second, it emerged that some NHS trusts were instructed to throw leftover vaccine away at the end of the day when these doses could have been used for NHS staff. Third, the Prime Minister admitted that postcode lotteries were occurring throughout the country and that no regional statistical breakdowns had yet been produced. Fourth, when the idea of 24/7 services was raised, the government very publicly said there was ‘no clamour’ for 24 hour vaccinations, yet many have indicated the opposite in polls – taking a slot during unsocial hours would free up more day time slots for elderly and vulnerable people.

Fifth, ministers are now being called out on counting an appointment as a vaccination – more statistical gymnastics reminiscent of the testing ‘capacity’ fib of last year. A similar ploy is also being used to conflate one dose with being vaccinated: Health Secretary Matt Hancock tweeted: ‘Fantastic that over 3.2 million people have now been vaccinated across the UK, including almost 45% of over 80s & almost 40% of care home residents. THANK YOU to everyone playing your part in our national effort to stay at home as we accelerate the COVID vaccine roll-out’. This was called out by palliative care doctor Rachel Clarke: ‘It is genuinely brilliant that so many people have received their first dose. Absolutely wonderful. But you have not “been vaccinated” until you’ve received *both* doses. 400k people have done so to date. This is the number that has “been vaccinated”. Transparency matters’.

Sixth, there’s concern that there are plans in some services to mix and match the vaccines, so someone may not receive the same type in doses one and two. Seventh and possibly most importantly, disquiet continues on the government’s policy to delay by 12 weeks the second dose of the Pfizer vaccine, contrary to World Health Organisation advice. There’s a petition about this on the Change.org website and, interestingly, veteran broadcaster Dame Joan Bakewell is preparing a legal challenge. One concerned individual said: ‘I don’t doubt that one vaccine dose will offer some protection against Covid-19 infection. But by agreeing to receive one dose and then the second dose later than the manufacturer’s recommendations you are consenting to participate in an ‘off label usage’ unregistered trial’.

Meanwhile, despite the government’s avowed intention to tackle misinformation, antivaxxer arguments continue, said to be strong in certain groups including some Asian communities and some pregnant women/those trying to conceive. One caller to BBC Woman’s Hour this week said her antenatal teacher had warned all her students not to take the vaccine and this could be the tip of an iceberg. It’s timely that this evening’s Profile programme on Radio 4 features vaccination minister Nadhim Zahawi – interesting to learn that his mentor is one Jeffrey Archer.

https://bbc.in/39FXJUn

After a review was undertaken in 2018, headed by leading psychiatrist Professor Sir Simon Wesseley, new mental health legislation finally appears on the horizon. The current Mental Health Act, now forty years old, has long been criticised for its inclusion of autism and learning disability as grounds for detention and also leading to a disproportionate number of black and ethnic minority people being sectioned. ‘The package of reforms includes piloting culturally appropriate advocates so patients from all minority ethnic backgrounds can be better supported to voice their individual needs and allow sectioned people to nominate family members to represent their best interests if they are unable to do so themselves’. So far mental health organisations and advocates seem supportive of the changes. It will be interesting to learn more about the contents and timescale for the legislation.

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If it wasn’t so dangerous, dishonest and undermining for the start of Joe Biden’s presidency, Donald Trump’s conduct this last week would be almost laughable. Having incited his supporters to riot, he then turns his back on them so now some are asking him for a pardon and now we learn that his disrespect for the archival function of documents meant many have been lost and others were being taped together by his staff. ‘In the Trump White House “not only has record-keeping not been a priority, but we have multiple examples of it seeking to conceal or destroy that record”, said Richard Immerman, from the Society for Historians of American Foreign Relations’. But although these records are very important, including the all-pervasive electronic ones, it sounds as if the US has a somewhat ambivalent attitude towards them. The Presidential Records Act states ‘that a president cannot destroy records until he seeks the advice of the national archivist and notifies Congress. But the law does not require him to heed the archivist’s advice. It does not prevent the president from going ahead and destroying records’.

So the Act would imply such records are crucial for the historical record, yet we hear there are no real consequences for non-compliance. Last year the judge throwing out one legal suit last year said that courts cannot ‘micromanage the president’s day-to-day compliance’. A lawyer representing a number of archiving and historical organisations trying to prevent the Trump administration from destroying electronic records said:  ‘I believe we will find that there’s going to be a huge hole in the historical record of this president because I think there’s probably been serious noncompliance of the Presidential Records Act…I don’t think president Trump cares about his record and what it says. I think he probably cares, though, about what it might say about his criminal culpability’.

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Meanwhile, as public attention focuses on Joe Biden’s inauguration on Wednesday, how typical that Trump will be the first president in recent history not to attend his successor’s inauguration and instead will be at a departure ceremony held in a Maryland military base. Shame he’s ‘seeing himself out’, as one news source put it, as I can’t be the only one thinking of the widely circulated video featuring Trump continuing to sit at his desk and talk on, while security moved him and his desk down corridors to the removal van, from which a hand emerged, grabbed his chair and dragged him inside, still talking.  

Finally, with all the media coverage we’ve seen for months about how sartorial standards have eased (or plummeted) due to lockdowns, it struck me that, because we can’t have people round and offer hospitality, we may be feeling less inclined to keep our homes clean and tidy. Assuming they were clean and tidy in the first place. I suggested this to the consumer programme You and Yours and presenter Winifred Robinson thought it was a good idea, so if you catch coverage of this over the next few months you’ll know where the idea came from! Of course, lockdowns could incline some to more housework: either way I think it would make a good programme!

Sunday 10 January

Not for the first time, I’m reminded of the Lenin quote which this blog began with in April: ‘There are decades where nothing happens; and there are weeks where decades happen’. So much has occurred this week that recent events such as the 18th government U-turn (the third national lockdown announcement), and Trump’s shocking attack on American democracy dwarf other important development earlier in the week, such as the 17th U-turn, changing policy to not reopen schools after all. This, when some schools had already been made to admit pupils for one day, leading to anger and confusion for teachers, parents and children, not to mention a likely rise in cases.

Education Minister Gavin Williamson came in for much opprobrium, most eloquently and succinctly expressed by Rafael Behr in the Guardian. ‘Not much is constant about Britain’s handling of the pandemic, but one rule applies throughout: there is no scenario so bad that it cannot be made worse with Gavin Williamson in charge of schools. It is not the task itself that induces despair, but the identity of the man whose job it is to complete it. Williamson’s record allows only expectation of failure. The unknown element is whether he will inflict the damage by negligence or more assertive sabotage…..He is despised by teachers. He has alienated even the moderate wing of the trade unions. It is never easy for Tory ministers to win trust in the staffroom, but Williamson has fulfilled the caricature of ideological provocateur with spiteful relish, casting teachers as slackers and saboteurs…’

What’s particularly interesting, as some will recall hearing about from Williamson’s Chief Whip days and his sacking by Theresa May for leaking key information to the press, is the low esteem he is held in by colleagues. ‘The rebarbative side of his character is notorious in government. It is not unusual for advisers and MPs to whisper unkind things to journalists about ministers, but the acridity of what is poured on Williamson by his own party is unique and mostly unprintable. The kinder accounts dwell only on his abject ineptitude, but most include chapters on deviousness, duplicity and vindictiveness. It is said that he styles himself as a Machiavellian operator with an ostentatious immaturity that undermines any plot he might undertake – a homage to House of Cards in cruel, humourless slapstick’.

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Widely predicted and delayed, the Prime Minister finally bowed to the inevitable and introduced a third lockdown, restrictions possibly lasting until April. Some will have been additionally alarmed by Chief Medical Officer Chris Whitty’s suggestion that some restrictions may be necessary next winter, leading to visions of a never-ending cycles of lockdown and easing.  It was astonishing that Boris Johnson still used the over-optimistic and credibility busting language of fantasy, a ‘final sprint’ towards the stage where the UK population will be vaccinated, clearly placing unrealistic expectations on the vaccine, especially given the incompetence of the current regime. Even more astonishing was his attempt to deflect blame from his own dithering complacency to the ‘new variant’ and again suggesting that the lockdown resulted from ‘the facts’ changing. ‘It is inescapable that the facts are changing, and we must change our response’.

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What’s so alarming is that the Prime Minister’s narcissism regularly leads to self-deception and denial in order to abdicate responsibility, presenting major policy failures as bad luck. Some strange mental gymnastics are performed so it’s an almost unconscious conversion of the unacceptable into the simply regrettable. The Guardian’s John Crace calls it Boris’s boosterism. Boris Johnson’s narcissism is an open secret. What’s less clear is whether he is at heart just deeply cynical: a politician who is aware of his own failings and goes out of his way to conceal them. Or whether he is a man who is merely the product of his own imagination: bending reality to suit his personality. It’s hard to know which is the more disturbing prospect. But then maybe it’s a bit of both…..

Boris likes to talk a lot about levelling up, but the one thing he appears unable to do is to level with himself and the country. So there was nothing on the delays, confusion and ignored advice over recent weeks. The past isn’t just another country for Johnson, it’s a different geological era. A place that does not bear scrutiny. And certainly one not worthy of apology. Not just because he doesn’t think the country can bear to hear the truth, but because he can’t either. All his life has been spent running from the horror of being Boris’.

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Crace gets some serious competition from his Guardian colleague, Marina Hyde, in lambasting the Prime Minister’s lamentable performance. ‘Yet again, we are doing something entirely inevitable entirely too late, meaning it will have to be done much longer and much harder than it would have had Johnson showed some leadership and grasped the nettle. No one should be in any doubt that we are paying for his weakness and vacillation in lives, in the bitterest economic terms, and in vital freedoms that will end up being lost for greater stretches. It’s not that Boris Johnson can’t see round corners – it’s that he can’t see two steps straight ahead of him…But listen, it’s not the prime minister’s fault, he explained to the nation last night – it’s all down to this guy New Variant, who got repeated name checks throughout his sober speech…..

‘Anyway, as Johnson literally pointed out, he would have got away with it if it hadn’t been for pesky New Variant. In his words: “Our collective efforts were working and would have continued to work.” Johnson assured the nation that there was “no doubt” about this. Which is a complete lie, and a useless one. So yet again, “we are where we are”, as the oddly blame-free motto of the times runs. And we are, for the third/fourth/twelfth time, where we were. The person who really needs to go back to pandemic school is, of course, Boris Johnson. Has anyone ever learned less from a situation that keeps repeating itself?’ And now, as even ‘lockdown 3’ isn’t working well, stricter measures are being called for.

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According to a Guardian analysis, there have been 91,453 deaths in the UK with Covid-19 on the death certificate or within 28 days of a positive test. The analysts warned that, given the current trajectory, the UK could reach the grim milestone of 100,000 deaths before the end of the month, experts. There must be few who weren’t shocked at the daily death figures going above 1,000 this week, which are now almost being normalised: 1162 deaths on Thursday and 1325 on Friday, London Mayor Sadiq Khan declaring a ‘major incident’ there, a major statement on the NHS’s ability to cope. What’s even more alarming is that we now have 46,000 NHS staff off sick with Covid, so rapidly rising case numbers meet far fewer resources to deal with them. A tweeter said: ‘This is without doubt the most deeply worrying day of the pandemic so far. Major incident declared in London, the NHS on its knees and the tragedy of so many deaths. This is not a political tweet, it’s a moral one. Where is the Prime Minister of the United Kingdom, Boris Johnson’?

Alastair Campbell tweeted: ‘And all the more mindblowing that when they knew for weeks of a dangerous new variant Boris Johnson continued to be led by populist bullshit to do with turkey and Brussels sprouts and everyone having a ‘real Xmas.’ The messaging pre Christmas amounts to a form of corporate manslaughter’. Keir Starmer tweeted on Saturday: ‘To pass 80,000 deaths in the UK is a tragedy — it did not have to be this way. It’s absolutely critical that we all follow the guidance. Please, stay at home’. The latest Observer Opinium poll shows that people are now more scared of the virus than at any time since last June. More than three quarters (79%) of respondents said they were worried about the virus, including 36% who were very worried.

Instead of sensibly relying on a number of crucial measures to tackle the virus, like mask wearing, distancing, reducing contacts, an effective test, track and trace system and testing and isolating incoming air passengers (it beggars belief that the UK is only just adopting the latter measure), it’s clear that our PM and his ministers are over-relying on the vaccine. They’re idealising it as a solution (‘the cavalry’) despite a number of problems hindering its rollout and seem, as ever, to be setting unrealistic targets. The Times tells us that Nadhim Zahawi, the vaccine minister, insisted that the nine at-risk groups that together make up 99 per cent of deaths would be vaccinated in time for the scheduled end of lockdown. He said that the top four most vulnerable groups – 14 million people – would be vaccinated by the middle of February and the immediate threat would be over.

He told Sky News: ‘I’m confident that as we begin to deploy and get more sites operational — I talked about the hospitals, the GPs, the community pharmacies and the national vaccination centres — we will be at over 1,000 sites vaccinating’. But YouTube footage shown today of one busy vaccination centre, with non-distanced queuing, is concerning. It stopped at least one shielding couple from staying for their vaccine. These centres, not being medical settings, will also be without the facilities to deal with adverse reactions or other medical emergencies.

We hear that some GPs are having trouble obtaining supplies, postcode lotteries persist (some over 80s in some areas of the country vaccinated and others not and not kept informed) and some staffing issues. What seems strange is that no media channel to my knowledge has yet tackled the minister on his setting up, with his family, a medical company, which would be a conflict of interest and therefore a breach of the ministerial code.

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Another persistent issue is the disquiet caused by the government’s decision to delay the second dose of the Pfizer vaccine for three months, when this is not the use the vaccine was approved for and is contrary to World Health Organisation policy. It#s been suggested that this amounts to an unregulated trial. It’s concerning that the BBC at least only has media doctors being positive and reassuring about this change of policy, when this could be false reassurance. Change.org has a petition running to get this policy reversed so it will be interesting to see if it bears fruit. A third problem is vaccination strategy: leading immunologist Sir John Bell, Regius Chair of Medicine at the University of Oxford, said NHS bureaucracy was preventing a high-speed mass inoculation programme that could prevent many further deaths. He claims the NHS has the capacity to vaccinate the entire population within five days but this currently can’t be done because of the hours of online training vaccinators are being asked to do in preparation, some of which are absurd, like anti-radicalisation training. Matt Hancock, in one interview, said he would ‘get rid’ of this but this doesn’t seem to have happened yet. Needless to say, there was the usual defensive response to this idea. An NHS England spokesman said: ‘Professor Bell’s reported comments suggest he may not know that at the current time there are not actually that number of vaccines available to the NHS to deploy. It’s best to stick to the facts, and they are that vaccine supply will be progressively increasing over the coming weeks, allowing rapidly expanding vaccinations’.

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Meanwhile, you couldn’t make up the latest example of tasteless triumphalism, Nadhim Zahawi tweeting: ‘The Royal Family has been vaccinated. A good day becomes a great day’. Not to mention Stanley Johnson. The tone seems to communicate ‘job done’ but this is going to take a lot more than vaccinating public figures and some over 80s who then become part of a PR exercise.

On the microcosmic side, having isolated for 3 days before receiving a negative test result, three days later the NHS Covid app told me I’d been in contact (despite hardly going anywhere) with a positive individual and to isolate for another 5 days. It was strange but almost a relief given the terrible situation out there and I’m very aware I had it easy compared with many, especially because some lovely local friends brought things round. With the rampant new variants apparently responsible for 80% of new cases in London, it seems almost dangerous going outside, and supermarkets, which many have to use, have been criticised for not enforcing mask wearing and distancing. One large chain now says they will check, when I told them our local branch is a prime example, security staff on their phones and staff inside not wearing masks or doing so incorrectly. And still no sign of Covid marshalls despite finding out that my local council has recruited them. What’s desperately needed is robust enforcement because this simply isn’t happening – the evidence from streets and busy roads is inescapable.

What comes up repeatedly during the pandemic is government lack of preparedness and slowness to act. I suspect this isn’t only due to lack of intelligence and planning but also reluctance to commit funding and an enduring fantasy that we can go back to ‘normal’ when societies will actually need reconfiguring. Radio 4’s series of Rethink programmes this week, focusing on fairness, has recently covered major areas like health and education and the report cited here a few weeks ago is also highly relevant – Professor Sir Michael Marmot’s Building Back Fairer. The health Rethink, to which Marmot also contributed, laid bare the faulty government strategy of  underinvesting in the NHS because it’s seen as an overhead instead of an investment in our health care. The programme examined how Covid has increased health inequalities and also faulted the separation of health and social care. It’s even more disastrous that the government has used the pandemic to kick the social care can down the road once more, when the pandemic itself is increasing the demand for it.

The world was stunned on Wednesday evening by the dramatic and unprecedented events unfolding in Washington, President Trump having incited his supporters to march on the Capitol to disrupt the vital electoral vote count which would confirm Biden’s victory. It was astonishing that rioters disputing the election result managed so easily to breach security to enter and rampage around the building, even mounting a Confederate flag at one point, demonstrations which resulted in five deaths and many terrified some politicians and staff. The media wasted no time in calling this a siege, a riot, a coup and attack on American democracy. Some commentators also pointed out the lack of effective police presence, when Black Lives Matter protests have resulted in massive police involvement.

It might reassure some that Trump has been permanently suspended from Twitter, but although he will be deprived of that oxygen source, there will be others and some commentators fear he will find a place for his dangerous rhetoric in the ‘dark web’. Despite instructing his supporters to go home and later appearing to retract his inciting of violence, few will be deceived by this. Despite impeachment efforts we have to wonder what further damage he can wreak over the next fortnight and he still has access to the nuclear codes. Vice President Pence and other senior Republicans defied Trump and have broken with him but he can still count on the support of many. It was notable that whereas many world leaders condemned him unequivocally, Boris Johnson failed to mention role of Donald Trump. Still hoping for that trade deal?

News that former Trump allies were distancing themselves from him as his ex-chief of staff declared Trump’s political career ‘is over’, it reminds us of who in the UK (lambasted at the time in some quarters) refused to attend the official dinner during Trump’s UK visit, including Jeremy Corbyn and the SNP’s Ian Blackford. Those refuseniks could be feeling a sense of redemption now. The Guardian’s Marina Hyde analyses the situation as it applies to the UK – alternative media channels being set up to reflect the tactics of Fox News. ‘And here we are. The import of events in Washington this week is many things, but one of those is a cautionary tale about what happens when “news” is entirely unmoored from facts… In the coming months, not one but two anti-impartiality news channels will launch in the UK – GB News, backed by Discovery, and News UK, courtesy of that aforementioned adornment to international life, Rupert Murdoch….The Trump presidency was arguably the logical result of the type of hyper-partisan disinformation first fostered by Fox News, and the grotesque events of Wednesday were the logical result of a Trump presidency…’

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It’s no excuse for non-thinking lawbreakers and conspiracy theorists but I think it’s important to recognise how public anxiety over Covid and the appalling death toll in the US will be contributing to these heightened emotions. Nevertheless, it’s astonishing that Trump allowed his narcissism to take precedence over democracy, the rule of law and America’s reputation as world leader. It’s been said Trump’s mental health is in a fragile state – no surprise there: when narcissists’ edifices collapse and their carapaces dissolve, it inevitably leads their fragile egos towards what they see as damage limitation. If there’s any amusing side to this it must be the widely circulating meme of a grinning Kim Jong-un saying ‘I no longer craziest leader, lol’.

Recently, the BBC has come in for some flak (at least regarding news reporting) for its right-wing bias and refusal to challenge the government narrative. Now it’s surprising that the Corporation has so transparently appointed Tory party donor and former Rishi Sunak boss Richard Sharp to the role of Chair. We also learn that ‘He has recently been acting as an unpaid economic adviser to Mr Sunak during the coronavirus pandemic…His new role will see him lead negotiations with the government over the future of the licence fee. The licence fee is due to stay in place until at least 2027, when the BBC’s Royal Charter ends, with a debate about how the broadcaster should be funded after that’. It’s interesting to note that the Department of Culture, Media and Sport Committee has expressed some concern about this appointment. ‘Julian Knight, the chair of the DCMS Committee, said in a statement: “It is disappointing to see this news about the next BBC chairman has leaked out ahead of a formal announcement from the DCMS’. The Committee previously expressed some concerns over the appointments process, calling for it to be fair and transparent.

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Finally, there’s news of an ambitious archiving project designed as ‘an insurance policy against human disaster’. An abandoned coal mine on the Arctic’s Svalbard archipelago is being used to preserve items of cultural heritage including a perfect copy of Munch’s The Scream. The Arctic World Archive, on the island of Spitsbergen, involves burying digitised versions of key works 300 metres beneath the earth, 15 countries coming on board since the project began in 2017. The founders believe these digitised versions will last at least a millennium in these conditions. It sounds like future archaeologists could be making some spectacular discoveries, one of them being a Vatican manuscript of Dante’s Divine Comedy.