NHS chief warns of hospital backlog pressure as staff work ‘full pelt’ and PM faces 21 June lockdown decision

Boris Johnson faces a difficult decision about whether to end England’s lockdown on 21 June with hospitals already under “worrying” pressure, a health chief has warned.

The continued spread of the Indian coronavirus variant has cast doubt on the ability to scrap restrictions, with ministers considering plans to keep some measures – such as the continued use of face masks and guidance on working from home – in place.

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NHS Providers chief executive Chris Hopson said hospital bosses were concerned about the transmissibility of the B1617.2 variant and the large number of people who have still to receive doses of the vaccine.

He warned that although hospitals were not expecting to be overwhelmed by a surge of Covid-19 cases, they were already stretched by going “full pelt” on dealing with the backlog of cases built up during the pandemic and urgent care needs.

Current pressure on hospitals ‘worrying’

Hospitals are operating under reduced capacity due to Covid-19 restrictions and increased numbers of coronavirus patients will add to difficulties by requiring wards to be reconfigured, he added.

But he said it was “very significant and important” that the evidence suggests the success of the vaccination campaign means much lower levels of hospital admissions, serious illness and death than previously experienced.

“Significant numbers of Covid-19 hospital inpatients will adversely impact care backlog recovery,” he said. “(The) current degree of pressure on hospitals is worrying especially since we saw clear summer demand surges in the two years before Covid-19.

“But if, as evidence above suggests, success of (the) vaccination campaign means much lower levels of hospitalisation, serious illness and mortality, even with (the) new variant, that is very significant and important. This means there is a difficult decision to make for 21 June.”

He also suggested the Government needs to consider the increased burden on hospitals in UK holiday hotspots in coming months with people not travelling abroad, saying one trust chief on the south coast had warned they will “struggle” to meet the “significant extra demand”.

What has the Government said?

Vaccines minister Nadhim Zahawi said the Government would wait for the latest data on 14 June before deciding whether to proceed the following week.

He said the Government aimed to offer two doses of vaccine to all over-50s by 21 June, but he told Times Radio “I could do with more supply” because “I will be able to protect more people more rapidly”.

Asked whether the remaining restrictions could be eased if cases were still increasing, he told BBC1’s Andrew Marr Show: “What I’m saying to you is we have to be cautious. We have to look at the data and share it with the country.

“Are we still vaccinating at scale? Big tick. Are the vaccines working? Yes. But are infection rates too high for us to then not be able to proceed because there are too many people getting into hospital? I don’t know the answer to it.

“But we will know it on, hopefully on the 14th, a few more weeks.”

He said that as the virus becomes endemic “we’re going to have to live with a certain amount of Covid being transmitted”.

Pressed on whether there could be a partial lifting of restrictions, with mask-wearing and working from home continuing, Zahawi said: “We need to look at the data.”

Labour leader Keir Starmer suggested the biggest risk to easing the lockdown on 21 June was “incompetence” in the Government.

He said “weak, slow decisions” by the Government on border policy had allowed the Indian variant to spread.

Current data suggests that although hospital admissions are rising in some parts of the country affected by the Indian variant, they are at a very low level compared with the winter peak.

Between 19 and 25 May, 870 people went into hospital with coronavirus, an increase of 23.2 per cent compared with the previous seven days.

Meanwhile, the reproduction number – the R value – for England is 1 to 1.1, up from 0.9 and 1.1 the previous week, suggesting the epidemic is growing.

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