Why did we need a lockdown? For many people, their lives have not (yet) been touched by COVID as an illness – only by public health measures. But we need a lockdown to protect everyone’s healthcare, even those who aren’t ill. Here's why... 1/8
NHS hospitals are under extreme pressure. We now have more than 21,000 hospitalised patients with COVID-19. This number continues to rise and will carry on rising for most of January. Many of these patients will need to stay in hospital for several weeks. 2/8
The NHS cannot and will not turn emergency patients away. We treat every patient who comes to hospital. But when hospitals fill with emergency patients, there is always an impact on elective (planned) care. This often happens in Winter but is far far worse this year. 3/8
More than 82,000 people have died with COVID-19 so far. But more people die from other causes, even at the peaks of infection. The pandemic has mopped up all the spare NHS capacity and more besides. We have no choice but to move resources in response to the crisis. 4/8
This means surgery and out-patient clinics are cancelled so doctors, nurses and other staff can look after COVID patients in hospital. Non-emergency treatment of cancer, heart disease, diabetes and many other illnesses is delayed. Every patient is affected one way or another. 5/8
In the last few days, doctors and nurses from all fields have volunteered to work alongside our trained ICU nurses supporting them with patient care. We couldn’t have managed without them but we know that, by helping us, they have left an unmet need elsewhere. 6/8
Some argue the pandemic isn’t bad where they live. But if your nearest hospital is in a city with lots of COVID patients then YOUR healthcare is affected. If you have an accident, heart attack or stroke, you may need specialist treatment in a hospital miles from your home. 7/8
So whether you are young or old, live in a rural area or a busy city, healthy or have a long-term illness, the NHS cannot protect you today as it would normally. This is why the lockdown keeps us ALL safe and well. So thank you for all you do. It truly makes a difference. 💙8/8
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Media reports of pressures on the NHS are all true. The situation in London is now MUCH worse than the first wave, and still deteriorating. Sad to see long queues of ambulances outside the hospital where I work. Re-visiting reasons for hope and also words of caution…. 1/10
1. We understand the disease: The baptism of fire in the spring taught us how COVID-19 behaves. NHS teams have reflected on what worked and what didn’t. For example, we know we will see problems like blood clots and kidney damage more often than usual. 2/10
2. Treatments are more focused: The media furore around wonder drugs was a massive distraction but @NIHRresearch and others have rapidly delivered major clinical trials which busted a few myths eg hydroxychloroquine and showed simple things can save lives eg dexamethasone. 3/10
Situation in London continuing to deteriorate as expected. Many doctors are worried that other parts of the UK will follow. A lot of misinformation around, so some fairly blunt observations here, for which I apologise. But we all need to understand the equation. 1/10
As with the first wave, the sharp rise in people testing positive for SARS-CoV-2, will be followed by a sharp rise in hospital admissions for COVID-19, and then a similar rise in excess deaths in January.... 2/10
….but like all disasters, for every death we can expect many more people to be injured and survive. And so it is with COVID-19. Most hospitalised patients will survive but they will take a long time to recover. Many will experience so-called ‘Long COVID’. 3/10
News of the lockdown was greeted with grim relief by NHS staff on Saturday. On the one hand, it will ease the pressure on hospitals affected by COVID-19. On the other, everyone’s Christmas is affected including NHS staff, many of whom live away from their families. 1/5
NHS hospitals are under huge pressure and expect to remain so until well into January. The number of people testing positive for the virus SARS-CoV-2 has risen sharply and so have hospital admissions with the disease COVID-19. 2/5
The south-east England and south Wales are worst affected but now some areas of the midlands are seeing high numbers of positive tests as well. With news that the new virus mutation is more infectious, we should prepare for a rebound rise across the UK. 3/5
On the intensive care unit today covering a colleague who is unwell, so only time for a brief update this week. You may have seen a lot of coverage that London hospitals are very badly affected by COVID-19 right now. This is all pretty accurate I’m afraid. 1/10
Hospitals in the north of England seem to be stabilising now which is a relief, but the situation in south Wales, east London and the north Kent remains very difficult. COVID patient numbers have doubled where I work in the last week. 2/10
Compared to the first wave, we are looking after a much larger number of patients with ‘usual’ illnesses. Heart attacks, strokes, trauma, cancer surgery etc. NHS staff are getting pulled in lots of directions. 3/10
Spoke too soon. Two weeks ago I was hopeful that the second COVID tide was starting to turn. Things weren’t easy but had stabilised and national numbers were down. Now we're seeing rising numbers at national level in and several regions, including where I work in east London. 1/7
The number of people testing positive for SARS Cov-2 is definitely up in the last 7 days, while the number of patients admitted to hospital with COVID-19 is beginning to rise, and the number of deaths (which lags behind admissions) was falling but has now levelled off. 2/7
Government data fit with the independent data from @ICNARC describing intensive care admissions. The number of patients in ICU with COVID-19 appeared to be falling 7 days ago but not any more. 3/7
I’m not a vaccine expert so it’s reasonable to ask why I am confident that I want to be vaccinated for COVID-19. I will have the jab for myself, my family, friends, my work colleagues and even for people I don't know. A few reflections... #DocsForVax 1/9
First of all, I have seen first-hand too many times what COVID can do to people. It’s a truly horrible disease. It damages the lungs, the kidneys, the heart. It causes blood clots. It kills people and those who survive can take a long time to recover. #DocsForVax 2/9
As an ICU doctor, I know that every treatment I give can bring benefit or harm to my patient. I routinely balance these risks in my mind. Like all drugs, vaccines can have side-effects, but they will likely be rare compared to the harms of COVID-19. #DocsForVax 3/9