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  • welcome everyone to the government's daily briefing.

  • I'm joined today by the chief executive of the N HS, Simon Stevens on the Deputy Chief Medical Officer Jenny Harris.

  • I'd like to update you all on the fax on the spread off covered 19 on the steps that we're taking in the battle against the Corona virus.

  • 113,777 people have now being tested for the virus off.

  • Those 14,543 have tested positive, an increase in the last day off 2885.

  • The best scientific analysis now is that the rate of infection has bean doubling every 3 to 4 days on off.

  • Those who have contracted the virus 759 have sadly died our thoughts and prayers over the families of those who have passed away.

  • These figures are a powerful reminder of the need for all of us to act.

  • We needed to slow the spread of the virus and strengthen the any chess is ability to protect us all.

  • Strict social distancing measures have been put in place to restrict the spread off covered 19 so fewer people should need hospital treatment at any one time.

  • The measures that we've put in place for the scientific and medical advice and are designed to reduce the rate of infection and as well as acting to slow the spread of the virus.

  • We're also acting to strengthen the N H s.

  • We're expanding the number of beds available for new patients.

  • We're increasing the number of staff in our hospitals, and we're also investing in lifesaving equipment for those with severe symptoms to give people the care they need when they need it most.

  • I'd like to thank all those involved in this effort to reinforce the front line in the battle against the virus, the military personnel were helping to fit out a new hospital in east London on door, helping to distribute personal protective equipment.

  • The amazing doctors, nurses and support staff in our any chess, those in manufacturing who've risen to the challenge of producing new ventilators on the hundreds of thousands who volunteered to help in innumerable ways.

  • This is a united national effort on the spirit off selflessness shown by so many is truly inspiring, and this voice, of course, affect us all as you're no doubt already aware the prime minister has coronavirus on itself.

  • I sleeping at home in Downing Street.

  • He began experiencing mild symptoms yesterday afternoon on was tested on the advice of England's chief medical officer, Professor Chris Witty.

  • The Prime mister is continuing to lead the government's response to Corona virus sharing meetings on communicating with key members off his team through video conferencing.

  • And earlier today, the Prime Mister led the effort in launching our latest front in the fight against Covered 19.

  • Today I can announce that the prime minister has brought together businesses, research institutes and universities in a new alliance to boost testing capacity for frontline workers.

  • Increasing our testing capacity is absolutely crucial in our response to and our fight against Corona virus.

  • This is a particular priority for those who work in the health and social care sector on are working so hard to keep us all safe.

  • This will be Auntie Jen testing, testing whether people currently have the disease so that our health and social care workers can have security in the knowledge that they're safe to return to work.

  • If the test is negative, these tests will be trialed for people on the front line, starting immediately with hundreds of take place by the end of the weekend, dramatically scaling up next week.

  • And, of course, protecting our frontline workers is at the forefront of everyone's minds.

  • At the moment last night, millions of people made a fantastic tribute to the heroes and heroines of the energy.

  • Yes, when he stepped outside their front doors and clapped our cares and alongside those in health and social care.

  • I also want to thank those who work in food production in retail, those who work for the Royal mail on public transport, our teachers and our social workers.

  • They all deserve our gratitude.

  • Having talked to trade union and business leaders, civil servants and public spirited volunteers on, of course, ministers and the devolved administrations in Scotland, Wales and Northern Ireland in recent days, I want to record my admiration for the national solidarity being shown in the fight against this disease.

  • All of us can support our any chess by continuing to follow the guidance, to stay at home, to protect or any chess and to save lives.

  • I will now turn to the chief executive of the N.

  • H.

  • s Simon Stevens sign.

  • Thank you, Michael.

  • Today, over 6200 confirmed positive Corona virus patients are in hospital across England, and we know that number is only Baron to rise over the coming days.

  • That's why, as Michael says, it is so important that everybody follows the medical advice to stay at home and in so doing, save lives.

  • But it's also why the N.

  • H.

  • S is making an extraordinary effort right across this country to ensure that we have care for those patients who need the looking after from Corona virus.

  • That's why any chest are for pulling out all the stops in an unprecedented response to this global health emergency.

  • As off today across England, we have reconfigured hospital service is so that 33,000 hospital beds are available to treat further Corona virus patients.

  • It's also why we are taking the extraordinary action to build new hospitals in very short order, starting with the MHS Nightingale Hospital in East London and today, because this is a problem, of course, not just confined to London, but across the whole country.

  • I have given the go ahead to the building off to further off these n hs Nightingale hospitals, beginning the Birmingham National Exhibition Center on Dhe, the Manchester Central Convention Center, with further such hospitals to follow.

  • In doing that, I obviously want to pay tribute to the contribution, not just off N HS staff, but the support that we're getting from volunteers from the armed forces, from social care from all of our partners.

  • It is remarkable.

  • I think, that in just the last two weeks we've seen 18,000 doctors and nurses returned to practice on the General Medical Council, and the Nursing Medical Council registers answering the call to arms on dhe.

  • It was therefore very gratifying for our staff across the N hs to see this remarkable act pouring in the clap for carers last night.

  • For many nurses coming home from a day at hospital or for other staff returning to start again for the night shift, it will have meant an enormous amount to know that the whole country is behind them.

  • But the best way we can show that support, of course, is actually by doing what it will take to reduce the rate of infection, because even simple actions following this advice will save lives Thank you very much.

  • Simon.

  • I'll now turn to the media to take questions.

  • I think our first question is from Vicky Young off the BBC.

  • Vicky.

  • Mr.

  • Goba, the Prime Minister has Corona virus.

  • Health Secretary does as well.

  • The chief medical officer is in isolation.

  • People will be looking at this and maybe wondering whether you haven't been taking your own advice or you may be acted too slowly.

  • But when it came to stopping the spread of Corona virus another question, please.

  • To Sirte.

  • Simon Stevens.

  • We've had cancer patients getting in touch with BBC today, Very worried about the cancellation or postponement of their treatment or operations.

  • Many of them worried of their own lives.

  • Maybe being put at risk under question for Dr Harris if I could.

  • Can you be more precise about the peak off this outbreak?

  • Well, thank you, Viki.

  • L turned Thio Simon to Jenny in a second.

  • I think the fact that both the prime Minister on Dhe, the health Secretary, have contracted the virus is a reminder that the virus does not discriminate.

  • We are all at risk.

  • And that is why it is so important that we practice social distancing measures.

  • Those are in place in government.

  • Ministers are working remotely and from home using videoconferencing in order to make sure that we can follow the strict advice that all of us should be following in order to help to protect the N.

  • H s son.

  • On the question of cancer care, we've been clear that we do want essential and urgent cancer treatments to continue, but that cancer specialists should have the opportunity with their patients to decide whether it is more risky for somebody to embark on treatment at this particular time.

  • Given that you are more vulnerable to infection if you begin a course of treatment, perhaps chemo or become immuno compromised as a result.

  • So those clinical decisions that will need to be taken.

  • We've also agreed a landmark deal with all of the independent hospitals across the country, which has given us the ability to look after patients away from the busy hospitals that are treating a corona virus.

  • On DDE in London, for example, the Royal Marsden is therefore coordinating cancer care right across the capital so that even if patients aren't being looked after their local hospital, they will be getting the care they need.

  • But these are very difficult and sensitive judgments that need to be made with the full involvement off cancer clinicians as well as patients.

  • Thank you so much.

  • Thank you.

  • Yes, I'm going to be a little bit repetitive.

  • The same question, I think, was asked yesterday from a different media colleague.

  • It would be very foolish of me, I think, to predict precisely when we expect the peak to be, not least because we have put in social distancing interventions on dhe, we are looking to see how well they work.

  • As I said yesterday, there's some early indication that the public are really now heeding that advice and we thank them for that.

  • It's really important that they continue to do that.

  • We do not expect to see a significant change in our numbers for two or three weeks until we really need people to stick with us and stick to those social distancing interventions for that period.

  • We are, of course, monitoring that day to daily on.

  • We will obviously put when we've got a firm prediction that will be happy to share that with you.

  • Thank you.

  • Thank you.

  • Thank you.

  • All know turn to call.

  • Didn't of ITV.

  • Thank you, Mr Go.

  • But obviously it's good news that we've heard that the Prime Minister is only experiencing mild symptoms.

  • But I'd liketo what is the plan?

  • Shoot the prime Minister not be able work on.

  • Also given it the dusting to be a limit to the number of tests that could be done.

  • What is the system for testing people like yourselves at the top of government who are dealing with this crisis we'll call the prime Mister has only mild symptoms.

  • Hey, two part in hey chaired a video conference earlier today on he was able to marshal the resources of the N hs and different government departments on deed of the private sector in order to bring forward the testing initiative that we've announced today.

  • But I'll hand over to Jenny just a little bit more about the testing protocols that guide the way in which people are tested and a little bit.

  • Then I'll turn to Simon.

  • Forgive me to say a little bit more about our ambitions to support frontline any chest staff with the extension off testing.

  • So Jenny first thank you.

  • So as a state of previously.

  • The primary objective of all of our testing is to ensure that we manage clinical cases safely.

  • So those patients who are admitted to intensive care with acute respiratory disease syndrome or with pneumonia are the ones we're focusing on.

  • Onda gained for other admissions into hospitals.

  • With those conditions, we test routinely in some other very specific areas.

  • So care homes, for example, where we know that there are critical patients at risk at higher risk on where there is a higher risk of disease spread.

  • The basis of all of this is, firstly that you must have clinical symptoms.

  • The default position without that is you would not be tested on then.

  • The only other criteria would be the centrality of your role to the cove it 19 response on DDE.

  • In this particular case, I'm sure your viewers will understand that the prime minister plays a very critical role in that on that's the basis for our testing.

  • Thanks, Jenny Son.

  • Well, from a known hs perspective, we think it is urgently important that we're able to test frontline staff who are off sick or otherwise isolating on DDE.

  • That's why I work the public health England has Bean leading is so important because it means that we're going to be able to double by this time next week.

  • The number of tests compared toe the number that we've been doing this week on Dhe.

  • So I can say that today we're announcing that we will be rolling out staff testing across the N H s beginning next week, starting with the critical care nurses.

  • Other staff in intensive care emergency departments.

  • Ambulance service is GPS on.

  • As the testing volumes continue to increase, we want to expand that to a wider range.

  • Off essential public service workers, including our social care service, is as well as, of course, continuing with the patient testing, which is so vital.

  • Thank you.

  • So will they turn to Beth Rigby from Sky?

  • Hi.

  • Hi.

  • Can you hear me?

  • Sorry.

  • Yes, We'll get the campus to go.

  • Just a couple of questions, please.

  • Mr.

  • Gave you say the prime minister in the health Secretary.

  • Getting the virus shows it doesn't discriminate.

  • Unfortunately, they only have mild symptoms.

  • But you can't guarantee that they won't become more pool poorly at the very moment that the country in the N.

  • H s Mason lead that need them to lead lots of people watching.

  • This will be asking why the prime minister, the health secretary and now the chief medical officer weren't better protected.

  • Isn't this at best?

  • Careless and at worst, negligent Onto Simon Stevens?

  • A Couple questions.

  • If I may, the new London hospital will have 500 intensive care beds by next week.

  • How much spare capacity is there in London's critical care beds today?

  • How do you expect that to change over the weekend?

  • And do you anticipate you'll be over capacity by next week?

  • And just on the testing and an itch staff great news that you're going to roll out testing.

  • But how many N.

  • H.

  • S staff currently unable to work?

  • Because they're either unwell or self isolating?

  • Thank you.

  • Oh, thank you, Beth.

  • The the fact that the virus is no respecter of individuals, whoever they are, eyes one of the reasons why we do need tohave strict social distancing measures so that we can reduce the rate of infection on reduce the pressure on the any chest, be in various estimates about the number of people in any country who may become infected over time we aim to, as the Prime Minister himself has pointed out flat on the curve, reduce the rate of reinfection in order to ensure that the N h s can be protected on dhe.

  • I think that many people were effect on the fact that the prime Minister succumbing to the virus is reminder of how seriously we all need to take the advice that the any chess has been giving us.

  • Simon.

  • Thank you.

  • Yes.

  • So, on the question of London hospital beds as off yesterday, the most recent figures we had just under 3000 empty and available hospital beds across London.

  • Ondas, you say?

  • Beth, we are bringing on additional beds next week at the New and Adjust Nightingale Hospital that is being configured initially to be ableto look after up to 500 patients.

  • But there is the physical capacity toe potentially take that to up to 4000 if it were required.

  • So there is obviously an enormous effort going on, not just across London but across the Midlands, A swell where we're seeing continued growth in cases.

  • And that's why, as well as freeing up the 33,000 hospital beds across our current English N HS hospitals were also taking these unprecedented steps to build in a few days hospitals that would normally take years, Thank you very much, and we'll turn now to Andrew Woodcock from the Independent Mr Grove.

  • There are large numbers of people around the UK who are reliant food distribution through food banks and other charitable efforts.

  • These charities, they're still working, but many food banks have closed and donations are down.

  • Many vote volunteers over 70 and they've been advised to stay home.

  • The Independence Launching her help the hungry appeal to sport the London Food Alliance but doesn't need right across the country.

  • The government says it's supporting all sections of society through this crisis.

  • So is there going to be financial and logistical support for these charities?

  • Are any of the 700,000 people who volunteered to help the N hs being committed to this effort?

  • And so some Stevens could announce Come, you've been head of the nightdress since 2013.

  • Do you regret the bed reductions and the failure to increase nurse training numbers during your tenure, which have left the N.

  • H.

  • S in a position where entered this crisis with its critical care bed base amongst the worst in Europe, with Italy, for example, having twice as many I seeyou beds on the UK having the lowest number of nurses and doctors for the head of Mark's develop nations, according to the D.

  • C.

  • D, isn't the lesson from this crisis that the end it just needs more capacity of A LL times If it's going to be ready to deal with this kind of surge in demand and it can't be made to operate with no slackers, it has been under your watch.

  • Andrew, thank you for these questions on food, on helping the vulnerable.

  • Let me say a few things.

  • The first thing is, I want to thank all those who work in preproduction and in our supermarkets for rising to the challenge of making sure that our shelves could be refilled on that people who need it are able to get the food that they need.

  • Now, of course, we need more than simply to have an effective food production chain.

  • We need to make sure that those most in need those who are self isolating get the food and the other support that they need That's why the N hs has identified upto 1.5 million people who are shielded, who've been advised to self isolate for 12 weeks.

  • And it's why government departments working together are ensuring that there will be food distributed direct to those individuals with community pharmacies also providing the prescription medicines that they need.

  • Now there are people beyond that 1.5 million who are not self isolating for 12 weeks, but who are vulnerable people who in the past have used food banks, people whom we need to sport now.

  • And it is the case that the volunteer networks that have been set up across the country are ensuring that we can match.

  • Volunteers were willing to go shopping and the hand food to those vulnerable people who are staying at home or who may not themselves have the social networks to get the food that they need.

  • And, of course, the tremendous response to the Good Sam initiative that Matt Hancock announced earlier this week with hundreds of thousands of people stepping up is amazing example off volunteerism in action on national solidarity, and we will be doing everything we can to support them on my colleague all over doubt in at the Department of Culture, Media and Sport is looking at a specific fund in order to support charities in the work that they do on.

  • We'll be seeing Maura about this in the days to come.

  • I also want to thank those people in the hospitality and catering sector who have stepped up on.

  • They're doing everything they can to support the vulnerable.

  • John Vincent of Leon is making sure that his stores remain open as takeaways in order to support wth e n hs at that sort of collaboration between citizens, the voluntary sector backing from government and enlightened business people that I think will help us to beat this virus on.

  • I'm grateful to you for the opportunity to thank all those who are making that contribution on the hand of a dishonest thank you.

  • So the N.

  • H s does need more staff, and it does need mawr hospital beds on.

  • We've bean saying that for some time on DDE that is what's going to be happening over the next five in the next 10 years.

  • But the reality is that what I've described is that over the last several weeks, we have freed up the equivalent off 50 hospitals across England, ready and waiting for Corona virus patients.

  • Under normal circumstances, you would not keep 50 hospitals fully staffed with nurses, and doctors are not actually looking after patients, which is why no health service in the world anywhere in Europe anywhere internationally would be able to withstand a Corona virus epidemic unless the sort of measures that the public are also involved with are also put into place.

  • And that's why it's so important that the public support the work of our very pressurized frontline nurses, doctors, therapists and other staff across the energy s by staying at home and in so doing, saving lives.

  • Thank you.

  • And we'll turn now to Tim Ross from Bloomberg.

  • Thank you, Michael.

  • Go, we were told before the decision was taken on Monday to impose much stricter rules on people's movements, that that decision would be based rigorously on the data around football, on public activity and transport.

  • Yes, despite asking every day this week, the government has not so far provided any data to justify the most sweeping restrictions on the population the country has ever seen.

  • Will you promise now to publish that data.

  • Could you explain why I haven't been published?

  • I saw, uh, to Simon Stevens.

  • Can you guarantee that the N hs is ready for what's about to come on?

  • If not, what is the one thing you still need from the government to prepare yourself?

  • Thank you, Tim, on on the data at every stage.

  • But we have followed through the scientific and medical advice that we've been given on.

  • We believe that we've taken the right steps at the right times on the evidence shows that since the measures that we took on Monday, the the British public have responded in a a fantastic way on.

  • We've seen a dramatic decline in the use of public transport, allowing public transport to be increasing the preserve of key workers.

  • Have you seen a decline in footfall on dhe?

  • People are the overwhelming majority of the British people are following the strong advice that has been given in order to protect our n hs.

  • And of course, we'll share that data with you.

  • One of the features of today's briefing was the set of numbers that I and Simon shared with you on.

  • Of course we will share figures share data in a spirit of transparency so that people can see that we're doing everything that we can.

  • But I'll hand over to Simon, first of all, to answer your question.

  • Um uh, on the, uh, additional help and support that we can give the N h s.

  • I honestly believe that everybody across the N.

  • H s is doing everything that can possibly be done to ensure that we're able to best look after patients who need our care during this Corona virus pandemic.

  • One of the points that I think has been particularly remarkable actually over the last several weeks is the way not only the N H s, but all public service's have come together.

  • That's true for local councils.

  • That's true for care homes.

  • It's true to the voluntary sector on across government.

  • We have had the support off the Ministry of Defense.

  • We have the support off other parts off government, helping us prepare in different communities because, as Michael said a moment ago, we earlier this week wrote to up to 1.5 1,000,000 people asking them to take special care, given their background, health conditions and for them to be ableto stay at home in that very self contained way requires people who can help with shopping who can help collector medicines from the pharmacy.

  • That's on enormous team effort, that the energy just by itself cannot do.

  • And we are getting that support.

  • I might just not Jenny just to see a little bit of it.

  • Data, social distancing measures and the appropriateness of the of the steps that we take.

  • Jenny, thank ee.

  • So I think we've said we've been trying to be a transplant this, but very confident that it'll stages.

  • The government has acted on the science.

  • It is unprecedented.

  • Event is I think we're all recognizing on there is some degree of uncertainty with this.

  • So with some of the data, as you acquire the data on the steps going to place, actually your data changes.

  • So the earlier conversation around when will the peak bay?

  • Well, it depends how successful we are.

  • So there is a bit off a moving agenda on some of the data, but absolutely clear that we have acted.

  • We have looked at the modeling.

  • We have taken those interventions in order which we know will produce the biggest impact on, we have steadily implemented those under last ones.

  • Of course, in relation Thio, strict social distancing and particularly the shielding of very, very clinically vulnerable people is an important step to time appropriately not because just least because of the risks of them with Corona virus but because they have multi morbidity is they have other problems, and they need a lot of social support.

  • So in this country, we have time from really carefully to ensure that those social support systems were around to maintain them through the period of isolation.

  • Thank you, Jenny.

  • I'll turn now to Hugo Guy from the Eye newspaper Hugo.

  • Mr Grove.

  • It sounds like you and your Cabinet colleagues are not going to be automatically tested the Corona virus, despite the fact that the prime minister and the health secretary have tested positive.

  • Can you confirm that that's the case that there's no plans to test your view on?

  • If so, explain exactly why, uh and can I ask?

  • I think this is probably a question for Doctor Harry's.

  • We've heard a lot about the prospect of getting kits that can test for whether or not someone has ever had Corona virus.

  • We're told that 3.5 1,000,000 of those are on order.

  • Can you clarify?

  • Have those kits already being manufactured, Aunt?

  • If so, by whom have been manufactured.

  • What company is producing?

  • Well, thank you.

  • Good.

  • Um uh, people are tested.

  • If they are symptomatic on dhe, those members off through the central effort in helping to defeat the virus who do show symptoms are appropriately tested.

  • But I think you can tell from the fact that the three of us are here demonstrates that there were three of us who have not yet demonstrated any symptoms.

  • But it is important in order, as we mentioned earlier, to try to ensure that we slow the spread of the virus, that everyone, everyone, wherever possible, practices the appropriate social distancing disciplines that we've announced earlier.

  • I'll hand over to Jenny and also to Simon just for a final word as well, Jenny.

  • So I might just add to the point you just made.

  • So as I said earlier, we have very clear testing criteria, so we would not.

  • In the early phase of the outbreak, we would have strong containment and contact tracing mechanisms.

  • That is not appropriate at this point in the epidemic in the UK, but we will test appropriately for clinical management.

  • The appropriate thing to do if you have symptoms is too self.

  • Isolate and remove yourself from the environment so you can't potentially transmit disease to anybody else.

  • And that applies just as much D Cabinet members as it does to myself or any other part of the population.

  • The only other criteria would be about the centrality of your role to covert 19.

  • It's exactly why Simon has highlighted the importance of testing our workforce and other first responders as well who are keeping the response going in relation to the 3.5 million testing that have you had.

  • It is a rock A supposed to the Have you got it to test?

  • They are coming from a variety of different manufacturers, and I think as Professor Witty has said before, it is really critical that each of those ones is tested.

  • We test the sensitivity and the specificity of the test.

  • So how frequently we can pick up the disease, and then how sure we are that it's a true positive test on each of the different types of those testing kits will will be evaluated.

  • Thank you.

  • I'm going to leave the last word with soil and some.

  • Well, I think it's simply to say that unfortunately, pressure on the N hs is going to intensify over the coming weeks.

  • There's no doubt about that before things hopefully begin to improve.

  • And so this is going to be a time when a lot of our frontline staff are going to be in highly stressful and pressurised circumstances.

  • But I think what they would want me to say to the rest of the country is no this, that everybody is pulling out all the stops to do the right thing on.

  • If you can help to buy following the measures that have been set out, staying at home, you will save lives.

welcome everyone to the government's daily briefing.

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