COVID sitrep: We are definitely now entering another wave of hospital admissions in the UK. In the NHS Trust where I work, we are admitting more COVID-19 patients to hospital and more to intensive care, although the pattern seems different to the winter.... 1/8
What we are seeing locally in east London fits with the national pattern of infection rates. The number of patients coming to our hospital group who test positive for COVID had dwindled to single figures but is now back up to 40+ each day and rising. 2/8 https://coronavirus.data.gov.uk/
Hospital admissions are rising too. Both older patients yet to take up the invitation to be vaccinated, and young fit patients in their 20’s and 30’s who have not yet had the chance. There are ~1500 COVID patients in NHS hospitals. The January peak was just under 40,000. 3/8 https://coronavirus.data.gov.uk/
Still very early in this wave but it does seem that fewer ICU patients are needing a ventilator. Many are managing with mid-level support from devices such as CPAP and High-Flow Nasal Oxygen which is good news. We currently have 250 COVID patients in ICU beds across the UK. 4/8 https://coronavirus.data.gov.uk/
Looking at the pattern across the UK, the north-west of England seems to have most COVID cases and around one third of the hospital and ICU in-patients. London hospitals are treating about one fifth of the UK patients. 5/8 https://coronavirus.data.gov.uk/
Putting this all together, vaccination does seem to be having a big impact despite the rising infection rate. Fewer patients are coming to hospital and fewer are getting seriously ill. Please accept the vaccine if offered. The benefits far outweigh any risks. #DocsForVax 6/8 https://coronavirus.data.gov.uk/
BUT it’s still early and the numbers will rise quickly. We are planning for a peak of hospital admissions around early August. Tried and tested plans for ‘surge’ ICU beds are in now place in most NHS hospitals. A few units have already opened surge areas. Anxious times. 7/8
So we definitely have another COVID wave in the UK. Patient numbers are currently manageable and we hope they will remain lower than the winter peak. People continue to die from this awful disease so please #staysafe and get vaccinated. Thanks for all you are doing. 💙💙💙 8/8

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Rupert Pearse

Rupert Pearse Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @rupert_pearse

19 Jun
Covid sitrep: Was not planning on doing another one but things are definitely changing on the ground in some NHS hospitals. Vaccination has been a huge help but we are seeing more patients admitted to hospital and to ICU. Frustrating but there are reasons to be hopeful 1/11:
First thing to explain is that although there has definitely been an increase in new admissions to hospital, the numbers are very small. We are reassured by @DHSCgovuk reports that vaccination is reducing the number of severe cases of Covid 2/11. https://coronavirus.data.gov.uk/details/healthcare
The flow of patients with covid needing intensive care had almost stopped for a few weeks but is rising again. ICU staff are seeing a change. Again, the numbers are very small but we also know they start small. 3/11 https://coronavirus.data.gov.uk/details/healthcare
Read 12 tweets
13 Mar
COVID sitrep: The situation in NHS hospitals continues to improve as new infections reach the lowest level since mid-September. Lots of green on the map now. Many patients now well enough to be cared for at home. Still lots going on though. 1/9 coronavirus.data.gov.uk
We now have fewer than 10,000 COVID patients in NHS hospitals, and the lowest number since 24th October. A great milestone but still a vast number for a single infectious disease. The NHS is a long way from business as usual. 2/9 coronavirus.data.gov.uk
National patterns can often hide regional variations but it’s great to see both hospital admissions and deaths from COVID now falling in every region of England. 3/9
Read 9 tweets
7 Mar
A family member asked me to explain why I wasn’t convinced by a clinical trial of ivermectin. Yet again (apologies) it’s complicated. But here’s ten things for the non-expert can look for to help them understand how much a clinical trial should influence patient care.
1. Beware the tabloid headline: We all want a nice simple message but science just isn’t like that. Clinical trials need careful nuanced interpretation. But media, politicians, and often researchers themselves, want a snappy success story. These are generally misleading.
2. Evidence before eminence: your first impressions should be made by the trial and the data, NOT the researcher(s), however brilliant they may be. In particular, if the reputation of one individual is used strongly in support of the trial findings, then be careful.
Read 13 tweets
6 Mar
Sitrep: Yesterday marked a year since the first COVID-19 patient was admitted to @teamaccu @royallondonhosp. A year like no other. East London was badly hit by both the first and second waves. Many stories to tell. Here’s mine (long thread but easy read!). 1/22 Photo: @jometsonscott
The four hospitals in @NHSBartsHealth has treated more than 8000 patients with COVID-19. This was beyond our wildest imagination a year ago. Even the worst winter ‘flu epidemic was tiny by comparison. The entire organisation forced to configure around a single disease. 2/22
Our expanded @teamaccu has admitted 648 COVID patients in 12 months to an ICU which expanded three and a half times our original size to 150 beds. For ICU staff this is just mind boggling. An incredible logistical effort from staff of all grades from across @NHSBartsHealth. 3/22
Read 22 tweets
3 Mar
Not the first time in the past year that a non-expert has offered a simple narrative on a complex healthcare problem...
Let's gloss over the use of percentages without explanation of what they mean, and the failure to quote a data source, and look at some facts....
Firstly, many NHS staff are not clinically trained eg porters, cleaners, managers, admin staff, etc. They don't have any more reason to understand vaccination than any other members of the public.
Read 9 tweets
27 Feb
More positive news as new coronavirus infections subside in the UK. The NHS is looking to recovery from the impacts of COVID and planning the re-boot of usual healthcare which has suffered badly in the past 12 months. We have a huge backlog to clear. 1/10
bbc.co.uk/news/uk-562007…
Before we think about the recovery, the usual points need to be made – we still have more than 15,000 hospital in-patients with COVID…. 2/10
….and we still have more than 2000 COVID patients in ventilated intensive care beds (almost half the usual footprint of ICU in the whole of the UK). So still many months to go before the second wave is over for NHS staff. 3/10
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(