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Covid patient numbers exceed April peak as Nightingale hospitals stand empty

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here are now more coronavirus patients in England’s hospitals than there were during the peak of the first wave of the pandemic, new figures show.

As of 8am on Monday, there were 20,426 patients in the country’s NHS hospitals compared to the 18,974 patients recorded on April 12, NHS England revealed.

Meanwhile, London’s Nightingale hospital has been stripped of its beds as medics warn there are not enough staff to run the facility, the Telegraph reported.

The facility at the Excel centre is being dismantled, while the majority of the seven Nightingale units – created at a cost of £220 million – have yet to start treating Covid patients during the second wave, according to the paper.

NHS trusts have been instructed to start preparing to use the overflow hospitals in the coming weeks, but bosses have reportedly failed to explain how they will be staffed.

Inside The Nightingale Hospital At London’s Excel Centre

Referring to the latest figures, Dr Yvonne Doyle, medical director at Public Health England, said: “This very high level of infection is of growing concern at a time when our hospitals are at their most vulnerable, with new admissions rising in many regions.”

Meanwhile, hospitals in the South are struggling to accomodate the surging number of coronavirus patients.

Saffron Cordery, deputy chief executive of NHS Providers, said: “We know that the rate of Covid-19 admissions is rising and some trusts are reporting up to three times the number of Covid patients than at the peak of the first wave.

“This means hospitals and also ambulance services in Tier 4 areas and beyond are incredibly busy, compounded by increasing staff absences due to illness and the need to self-isolate.”

Dr Nick Scriven, immediate past president of the Society for Acute Medicine, called the trend “extremely worrying” and said “systems will again be stretched to the limit”.

“It is not ‘just the case’ of using the Nightingale hospital as there are simply no staff for them to run as they were originally intended (mini intensive care units),” he said.

“They could play a role perhaps if used as rehabilitation units for those recovering but, again, where do we find the specialist staff – the NHS simply does not have the capacity to spare anyone.”

Paramedics in the capital are receiving support from other ambulance services in the South as they receive up to 8,000 emergency calls every day day.

Medics remained busier than usual on Sunday, with 7,111 calls, compared with 5,411 on December 27 2019.

Dr Katherine Henderson, the president of the Royal College of Emergency Medicine, described her experience of working in a hospital on Christmas Day as one of “wall-to-wall Covid”.

She told BBC Breakfast: “The chances are that we will cope but we cope at a cost – the cost is not doing what we had hoped, which is being able to keep non-Covid activities going.

“So we will stretch staff, the problem is at the moment we have a lot of staff sickness.”

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Professor Jackie Taylor, president of the Royal College of Physicians and Surgeons of Glasgow, told the programme London and the South East are now experiencing what Scotland went through in the autumn.

The Government said a further 357 people had died within 28 days of testing positive for Covid-19 as of Monday, bringing the UK total to 71,109.

Matt Hancock announces further Tier 4 restrictions across England

Northern Ireland has also entered a new six-week lockdown, and the first week measures are the toughest yet, with a form of curfew in operation from 8pm, shops closed from that time and all indoor and outdoor gatherings prohibited until 6am.

Calum Semple, professor of outbreak medicine at the University of Liverpool and a member of the Scientific Advisory Group for Emergencies (Sage), described the Oxford/AstraZeneca vaccine as a “game changer” if it is approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the coming days but warned “herd immunity” through vaccination would not be likely until the summer.

Meanwhile, Downing Street and Department for Education (DfE) officials were due to meet on Monday to discuss whether schools should be kept open if tougher measures are needed, although the DfE declined to comment on the outcome.

A DfE spokeswoman added: “It is right that we follow the path of the pandemic and keep our approach under constant review.


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