Two-thirds of England ‘will be in Tier 4 after tomorrow’s lockdown shake-up’

Some two-thirds of England including swathes of the Midlands and the North could be plunged into Tier 4 restrictions this week, it has been suggested.

Millions more could face the harshest curbs on daily life – with gyms and non-essential shops forced to close – amid mounting concern over the spread of a mutant coronavirus strain thought to be at least 50 per cent more infectious.

Covid-19 hospital admissions – a canary in a coalmine for tougher restrictions and hospitals becoming overwhelmed – are now rising in every region. 

A third national lockdown in January and ‘Tier 5’ restrictions, which would close schools and universities, are also thought to be on the cards, although an expansion of Tier 4 first is said to be more likely. 

It comes as a scientific adviser to the Government said England must be plunged into a third national lockdown to prevent a ‘catastrophe’ between now and February. 

Professor Andrew Hayward, an epidemiologist at University College London and member of SAGE, warned the country was entering a ‘very dangerous new phase of the pandemic’.

He called for Number 10 to ‘learn the lessons’ of earlier waves, when the Government was criticised for being too slow to lock down, and act early this time.

London, the South East and the East of England are already under Tier 4, significantly curbing the daily lives of around 24million people. 

But more regions and local authorities are feared to be set to join them after No10’s top scientists admitted the current tiers cannot control the spread of the highly-contagious mutation that officials believe is to blame for rapidly spiralling cases.  

More than 41,000 Covid cases were reported yesterday, in the highest daily toll since the pandemic began and the number of infected patients in English hospital with the virus has surpassed levels seen during the darkest days in April.  

The largest jump in Covid-19 patients was recorded in the capital over the past week. They surged by 44 per cent from 1,551.6 to 2,236.7 beds occupied over the past seven days.

The largest jump in Covid-19 patients was recorded in the capital over the past week. They surged by 44 per cent from 1,551.6 to 2,236.7 beds occupied over the past seven days.

Department of Health statistics show 18,227 Covid-infected patients were being cared for in hospitals across the nation on Christmas Eve - a 15 per cent rise in a week. Top officials say the highly infectious strain spreading rapidly across the country is to blame. For comparison, April 12 was the busiest day of the pandemic so far for hospitals in England, when 18,974 patients were occupying beds

Department of Health statistics show 18,227 Covid-infected patients were being cared for in hospitals across the nation on Christmas Eve – a 15 per cent rise in a week. Top officials say the highly infectious strain spreading rapidly across the country is to blame. For comparison, April 12 was the busiest day of the pandemic so far for hospitals in England, when 18,974 patients were occupying beds

London's 4,000-bed Nightingale hospital stands empty, amid surging coronavirus cases and hospital admissions across the country. NHS England figures reveal England has more Covid-19 patients in hospital now than during the first wave of the pandemic in March and April

London’s 4,000-bed Nightingale hospital stands empty, amid surging coronavirus cases and hospital admissions across the country. NHS England figures reveal England has more Covid-19 patients in hospital now than during the first wave of the pandemic in March and April

Empty Nightingales are being taken apart ‘because there are too few medics to staff them’

Nightingale hospitals are being quietly taken apart as medics warn there are too few doctors and nurses to keep the make-shift facilities open.

Health bosses have already started stripping London’s of its 4,000 beds, ventilators and even signs directing patients to wards, while those in Birmingham and Sunderland are yet to re-open.

An eye-watering £220million of taxpayers’ money was splashed on seven Nightingales amid panic hospitals could be overwhelmed by an influx of Covid-19 patients during the first wave.

But many stood empty for months after ministers hailed them as a ‘solution’ to the Covid-19 crisis when they were opened to much fan-fare during the first months of the pandemic to buffer overwhelmed hospitals.

Intensive care doctors today accused ministers of ignoring warnings staffing was already ‘wafer thin’ in intensive care before splurging on the extra capacity, with little regard as to how they would be run.

And as beds were wheeled away from the flagship Nightingale in London – opened by Prince Charles – figures revealed that Covid-19 hospitalisations in England have surged past the peak of the first wave amid warnings from health chiefs they are back in the ‘eye’ of the Covid storm. 

NHS England data shows 20,426 beds were occupied by patients who had tested positive for coronavirus as of 8am on Monday, up from 17,700 a week ago and above the 18,974 recorded on April 12.

Nurses and doctors have taken to the airwaves today to warn wards are filling up with Covid-19 patients, and call on Britons not to celebrate over new year for fear of spreading the virus. 

It comes amid warnings England could be plunged into ‘Tier 5’ restrictions within days after scientists were said to have advised Boris Johnson to impose tougher measures than those in November’s lockdown – with secondary schools, pubs and non-essential shops shut.

Although it is unclear if the new measures will be called ‘Tier 5’, SAGE is thought to have warned the Prime Minister that they must be tougher than the Tier 4 restrictions currently in place.

A scientist advising the Government’s top scientists warned today that national restrictions must be imposed to prevent a ‘catastrophe’ in January and February, and said the Government should act ‘early’.

It could become clear whether Tier 4 is putting the brakes on the spread of the virus within days, because it can take up to two weeks for someone who has been infected to develop symptoms and then get a Covid-19 test. But the Christmas break may mean it takes longer for the tiers impact to become clear. 

The spread of the virus is being driven by a mutant strain, scientists have said, which is thought to be at least 50 per cent more infectious than other strains. 

Whitehall sources told The Telegraph that Tier 4 could be expanded across the country following tomorrow’s review.

‘I would expect more than half of England to move into Tier 4, but it wouldn’t surprise me if two thirds end up in the top tier,’ a health official told the publication.

‘There is also real concern about the South African variant which seems to be spreading fast.

‘Unfortunately, more action is needed to combat rising cases across the board.’

Covid-19 hospitalisations are already rising in every region.

The biggest surge over the last seven days was in London, where the mutant strain of the virus is already thought to have taken hold.

The number of beds occupied by Covid-19 patients jumped 44 per cent from 1,551.6 to 2,236.7 over the past seven days.

The second highest jump was in the East of England, where they rose 43.9 per cent from 1,118.6 to 1,610.4.

And the third highest was in the South East, where they rose by 27.8 per cent from 1,579.1 to 2,018.

In England overall the number of Covid-19 patients in hospital rose by 16.6 per cent, from 11,685.3 to 13,623.9.

In the South West they rose by 11.4 per cent, in the Midlands by 5.6 per cent, in the North East and Yorkshire by 2.7 per cent and in the North West by 1.6 per cent.

Professor Hayward added: ‘I think we are entering a very dangerous new phase of the pandemic and we’re going to need decisive, early, national action to prevent a catastrophe in January and February.

‘A 50 per cent increase in transmissibility means that the previous levels of restrictions that worked before won’t work now, and so Tier 4 restrictions are likely to be necessary or even higher than that.

‘I think we’re really looking at a situation where we’re moving into near lockdown, but we’ve got to learn the lessons from the first lockdown.’ 

Professor Hayward said the rise in cases was ‘very largely driven’ by the new, more infectious variant of coronavirus, and suggested that allowing pupils to return to schools would mean stricter restrictions in other areas of society.

He said: ‘We’ve had control measures that were previously controlling the old variant are not enough for this variant.

‘And so if we want to control the new variant we are going to need much tighter restrictions.’

Professor Hayward said he thought schools would have to return ‘maybe a little bit later’ but that it would mean ‘we’re going to have to have increased, strict restrictions in other areas of society to pay for that’.

‘We need to be more or less in a similar sort of messages of stay at home unless you really, really have to, so there’s that combined with incentivisation of testing, incentivisation of isolation – those sorts of things that will carry us through the next few months while we get as many people as possible vaccinated.’

The Government has not ruled out tougher new ‘Tier 5’ restrictions, which could see schools and universities close, or the prospect of a new national lockdown in January.   

But Government sources say the ‘immediate’ plan is to expand Tier 4 restrictions, the Telegraph reports. 

‘I would expect more than half of England to move into Tier 4, but it wouldn’t surprise me if two thirds end up in the top tier,’ one source told the paper today.

‘There is also real concern about the South African variant which seems to be spreading fast. Unfortunately, more action is needed to combat rising cases across the board.’     

Cabinet Office minister Michael Gove yesterday failed to dismiss the idea of putting the entire country in Tier 4.

He said: ‘We review which tiers parts of the country should be in on the basis of scientific evidence.

‘The Joint Biosecurity Centre will be making a recommendation to ministers, but I can’t pre-empt that because it obviously has to be a judgment based on the medical situation. The NHS is under pressure and these are difficult months ahead.’

It comes as analysis of official figures by MailOnline found more than 90 per cent of councils in England saw their coronavirus outbreaks grow before Christmas.

The data suggests Cumbria could be the next area to be plunged into Tier Four tomorrow. 

Three of the Tier 2 county’s six boroughs seeing their Covid infection rate – the number of new cases per 100,000 people – double in size during the week ending December 22.

Department of Health statistics show Eden, home to around 50,000 people, had a rate of 422.5 during the most recent week data is available for – up from 200.9 in the previous seven-day spell. It stood at 41.3 at the start of the month.

University College London's Professor Andrew Hayward, a member of SAGE, has warned England needs to be put in a third national lockdown to prevent a 'catastrophe' between now and February

University College London’s Professor Andrew Hayward, a member of SAGE, has warned England needs to be put in a third national lockdown to prevent a ‘catastrophe’ between now and February

It means the borough, which includes Penrith, recorded more confirmed Covid cases for the size of its population than several councils already placed under Tier Four, including parts of Surrey, Berkshire and Oxfordshire.

Allerdale (163.7) and Copeland (64.5) also saw outbreaks double in size over the same time-frame. However, the latter Cumbrian borough still has England’s lowest coronavirus infection rate.

And Barrow-in-Furness – another part of the county – was one of just 27 areas that recorded fewer cases week-on-week. England’s 288 other boroughs saw their outbreaks stay stable or grow, with 35 authorities seeing infections double over the same duration.

Local health bosses fear the rapid growth in cases across parts of the county, which borders Scotland, is being driven by the same coronavirus mutation that spread rapidly across the Home Counties.