I find the whole "who made what where" argument distasteful. We need Europe to vaccinate as much as we do to protect us, as well as them. Having large outbreaks in your closest neighbours risk a vaccine resistant variant entering the UK.
The part where VdL made it clear that countries with a higher roll out rate than in the EU will be targeted for export bans is especially galling.
Not a virologist or epidemiologist, but I think it'll be a big challenge to persuade people that *some* level of social distancing measures need to remain even after all the >50 and clinically extremely vulnerable have been vaccinated.
The current strategy seems to be having the vaccinated to act like a shield wall, containing the virus in the less vulnerable population and prevent serious disease. This should stop healthcare systems being overwhelmed.
However, the virus will still be around.
With a lack of data in whether vaccines prevent asymptomatic/low grade symptom transmission, it's not safe to assume once you've had the vaccine you will not pass it on. (Though it'll be interesting to see what comes out of UK and Israel)
One of my favourite facts about Paris, it's one of the few cities with an entirely separate "grey" non potable water supply, from the canal de l'Ourcq, for street cleaning, fountains, watering parks etc.
Visitors will often notice (well I do cos I'm weird) water running down the gutters gushing from what might look like water leaks.
They are in fact deliberate, directed by a roll of old rug the street cleaners carry
Which then allows the hard working men and women in green of Propreté de Paris to sweep the gutters clean.
It's been pointed out to me that this is not the dhsc/nhse position, and that staff should be vaccinated regardless of whether they have an NHS number.
This does not negate the fact that at least one trust has taken the position not to vaccinate without.
For an organisation that has extensive requirements for training and awareness about indirect discrimination, the NHS trust seems blithely unaware how their policy will disproportionately affect staff less likely to have an NHS number.
Whilst I sympathize completely with having upcoming exams, needing time to study, and I will make the utmost effort to continue teaching you despite everything else, the most important lesson is that there is no task that is beneath anyone in healthcare if it helps the patient.
Also, here's a bit of training for free. If you ever find yourself writing a letter like this, write it, leave it for 12-24 hours, read it again (ideally get someone else to read it too) and think about how it comes off, then send it.
Forgive my naivete and general lack of understanding of fiscal matters, but it seems that the HMRC system of making the seller abroad pay VAT when selling to UK individuals either weirdly overcomplicated, or deliberately so to deter companies from selling into the UK.
Surely a more reasonable system would be:
1) seller takes payment without vat 2) seller goes to HMRC site, declares value, customs label and unique reference number generated 3) URN emailed to UK customer, who pays the tax and vat direct to HMRC
4) on arrival in UK, parcel is scanned, if VAT and tax paid, consignment sent straight to customer. 5) if not, consignment held until uk customer pays, or returned to sender.
Hospitals are not like parking garages, we don't just "need a space" for a patient. To have cancer treatment like surgery you need nurses, doctors, staff, and ICU that also needs that staff.
In March and April, much of the staff we would use for routine treatment like anaesthetists, theatre nurses, ODPs were deployed to cover ersatz intensive care beds. We had normal wards staffed by outpatient nurses, and acute medicine and surgery nurses moved to ICU