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Rupert Pearse Profile picture
@rupert_pearse
Aug 7, 2021 • 10 tweets • 4 min read • Read on X
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COVID sitrep: We are now fairly confident we have passed the high water-mark for this latest wave in the UK. Both infection rates and hospital admissions in decline. Good news but the NHS faces several competing major challenges as we look towards another difficult winter. 1/8
The daily number of COVID infections is consistently falling, and now the number of patients admitted to hospital each day with COVID-19 is on a downward trend as well. 2/8 https://coronavirus.data.gov.uk/
Meanwhile, admissions to Intensive Care with COVID seem to be levelling off and possibly even beginning to fall as well. The national picture fits with what colleagues are seeing in hospitals around the UK. 3/8 https://coronavirus.data.gov.uk/
Passing the peak is an important moment in the NHS response to each wave. Once we know we are past the worst, we can stop planning for extra COVID capacity, we can re-focus on the patients we have, and all the other ‘routine’ NHS work. This makes a big difference. 4/8
We have seen regional variations throughout the pandemic and there are still a few infection hotspots around. What this map doesn’t show is the NHS COVID workload which is currently worst in the North of England. 5/8 https://coronavirus.data.gov.uk/
The bad news is that current wave of hospital admissions will keep us busy through to October (only 8 weeks away now), and will then combine with other problems to create what we expect to be another major winter crisis for the NHS. 6/8
acmedsci.ac.uk/more/news/wint…
Along with COVID, NHS hospitals are seeing a huge number of attendances at Emergency Depts, and an epidemic of childhood viral infections usually seen in winter. All while we try to get back to business as usual and clear a huge backlog of surgeries amongst other tasks. 7/8
Heading into winter, flu vaccination will be important for people at greater risk and for NHS staff. COVID vaccination remains vital and we can expect plans for booster doses soon. Meanwhile, keep up the good work with #HandsFaceSpace & fresh air. #StaySafe - it's not over. 💙8/8
Worth noting the global picture too. Infections rising at global level which is why we cannot relax. Data from @WHO.
...and the map showing where things are worst.

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More from @rupert_pearse

Rupert Pearse Profile picture
Jan 29, 2022
COVID Sitrep: Only a short update as on call this weekend with this amazing team covering covid ICU. TLDR: Things may be settling but the work is far from over. 1/8 Image
Lots of talk this week about new covid infections hitting a plateau. This is probably driven by children going back to school. So not ideal, but better than the rebound peak we feared would happen after New Year. 2/8 https://coronavirus.data.go...
New hospital admissions continue to fall but slowly. A large proportion of these are those 'incidental' covid patients admitted for other 'usual' medical problems not covid disease. 3/8 https://coronavirus.data.go...
Read 9 tweets
Rupert Pearse Profile picture
Jan 22, 2022
COVID sitrep: Some positive news to report this week. We are definitely feeling a fall in NHS hospital and ICU admissions with covid in London this week. The rest of the UK should see a similar pattern in the coming days. This below appeared on our ICU board this week! 1/10
As mentioned in previous weeks, being confident we are past the peak is a big deal for the NHS. Every day things get a little easier, a little simpler. We can do more ‘usual’ NHS work. We can get back to clearing the backlog of surgery and other patient care. 2/10
The colours on the national map are getting lighter every week which reassures us that the number of new infections continues to fall in most areas of the UK. 3/10 https://coronavirus.data.gov.uk/
Read 10 tweets
Rupert Pearse Profile picture
Jan 15, 2022
COVID sitrep: Lots of topics to choose from this week. Good news is we have probably passed the peak in new COVID-19 infections in several UK regions. This week’s map (right) is not so dark. But what will happen next is not so clear. A thread from the NHS perspective. 1/12 https://coronavirus.data.gov.uk/https://coronavirus.data.gov.uk/
All eyes have been on London as the first UK region to get hit by the omicron variant. Cases seem to have peaked both in younger and older people (light blue line=<60yrs, dark blue line=60+ yrs). But we aren’t sure whether new case rates will fall quickly or plateau out. 2/12 https://coronavirus.data.gov.uk/
Why so cautious when others seem confident cases are falling? Well, passing the peak defines the NHS response. When we know we are past the worst we stop planning extra covid capacity, re-focus on the patients we have, and plan more routine NHS work. A big shift in strategy. 3/12
Read 12 tweets
Rupert Pearse Profile picture
Jan 8, 2022
First COVID sitrep of the New Year: The number of omicron variant COVID-19 infections remains extremely high in the UK and still far higher than anything we have seen up until last month. Here’s what’s happening in the NHS… 1/14 https://coronavirus.data.gov.uk/
London was the first UK region to get hit by the omicron variant before spreading across the country. This week’s million dollar question is whether new infections have peaked in London. Many say yes, but it seems too early to be sure…. 2/14 https://coronavirus.data.gov.uk/
…and being sure we are past the peak is a key moment in the NHS response to each wave. Once we *know* we are past the worst, we can stop planning extra covid capacity, we can re-focus on the patients we have, and all the other routine NHS work. This makes a big difference. 3/14
Read 14 tweets
Rupert Pearse Profile picture
Dec 31, 2021
COVID sitrep for New Year’s Eve: The wave of omicron variant COVID-19 infections continues to spread around the world. Hospital admissions are rising across the UK but there are important differences to earlier waves…. 1/12
This omicron variant seems to spread much more easily. Infection rates are smashing all previous records. 189,000 ‘cases’ yesterday. Yes, we are testing a lot more people, but the proportion who test positive is also going up (blue line in graph). 2/12 https://coronavirus.data.gov.uk/
The big discussion now is how harmful the omicron variant might be. Lots of reports of high rates of ‘incidental’ infections in hospital - patients testing positive for coronavirus who were admitted to hospital for a different illness. So what’s happening on the ground? 3/12
Read 14 tweets
Rupert Pearse Profile picture
Dec 24, 2021
COVID sitrep for Christmas Eve: The huge wave of COVID-19 infections, driven by the new omicron variant, is spreading across the country. Hospital admissions are now rising in London but the good news is we think things won’t be as bad as last winter. 1/12 bbc.co.uk/news/uk-597587…
The wave of infections with SARS CoV-2 is simply huge, passing 100,000 ‘cases’ two days in a row and way in excess of the previous record peak of 81,000 in January 2021. Yesterday 119,000 people tested positive 2/12
Before anyone suggests it, this is NOT simply because we are doing more tests. Firstly, the proportion of tests done which are positive has increased too (blue line in graph). Secondly, people get tested for a reason - symptoms or a covid contact – it’s not random behaviour. 3/12
Read 12 tweets

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