Tuesday, 19 May 2020

Covid#23 - Finding our way to that happy bar at the bottom of the mountain



Lockdown is over.  Sort of.

Since Boris’ latest announcement – just over a week ago – we’ve been gradually feeling our way out of isolation; not entirely sure what we’re supposed to be doing or how far we’re supposed to go, experimenting a bit, pushing the boundaries of the lockdown like mischievous children, breath bated, waiting to see if the ‘R’ rises. 

Apparently, Boris refers to this as ‘unlockdown’ and like much of his speech the weekend before last, no-one really knows what that means.  There’s been a lot of criticism.  ‘Stay at home’ was replaced with ‘Be alert’ but none of us is sure of how to do this, what we should be alert to or how to be more alert than we are usually.  Coronavirus doesn’t come with flashing neon lights and bells so we can’t look out for signs of it and presumably, if being alert was as straightforward as avoiding anyone with obvious symptoms of fever or a cough, few people would have ever contracted it.  Scotland, Wales and Northern Ireland swerved this message completely, cautiously sticking with ‘Stay at home’, while those of us in England feel like they’re watching us, lab-rat like.  For many of us though, it came as a relief to be told that we no longer had to stay at home.  The once-a-day limit on exercise is at an end; we can drive elsewhere for a walk; we can lounge outdoors in parks or on the beach; garden centres and golf courses have reopened; we can meet another person outdoors and sit with them at what has become the normal social distance. 

I don’t exactly have sympathy with Boris but I think this phase was always going to be difficult politically and to communicate.  The near-complete lockdown we endured from late-March couldn’t last until all risk of the virus has gone – at best, a vaccine won’t be widely available for another year and it may take much, much longer to develop one.  The economic effect of the pandemic is already severe; continuing shutdown would be catastrophic.  Isolation was already becoming hard to endure – harder for some than others – and the impact on the emotional wellbeing and mental health of many continuing to suffer it would be dire.

The risk now may be close to the lowest it’s going to get until there’s a vaccine.  Crucially, the NHS wasn’t overwhelmed by the peak of the pandemic and there is capacity within hospitals to cope with any new surge in cases.  When Boris spoke, the ‘R’ (the reproduction rate of the virus) was below one (it may have risen closer to one now) and last week, sampling revealed that approximately one in four hundred of us has the virus.  The easing of restrictions could be delayed by another three weeks or another three months, but little would have changed and the risk may not be much lower.  It’s understandably hard for Boris to persuade everyone that now is the right time for ‘unlockdown’ though – and not just because he’s Boris.

Many of us took to lockdown far better than we ourselves or anyone else thought we would and, as all the graphs, charts and reports of the falling ‘R’ attest, we’ve seen the positive impact, so there’s apprehension about changing it.  Some of us are relieved, eager to seize the opportunity and personally happy to take some risk; some are more tentative; some understandably fear the risk and aren’t yet ready to emerge; and for others, the risk is too great and they must continue shielding themselves.  Being an SEND teacher, I share Boris’ enthusiasm for a five-point scale (he unveiled his as part of his address) so perhaps, our various responses to this phase of the emergency can be summed up thus:

5
Socialising with other people in larger groups.  Visiting family or friends in their homes.  Never wearing a mask.  Not always observing social distance.
4
Driving elsewhere for walks or exercise.  Visiting family in their gardens.  Sometimes meeting more than one other person.  Not always wearing a mask.  Popping to the shops more regularly.  Maintaining social distance.
3
May be returning to work or continuing to work from home.  Going outside more often and for longer.  Strictly maintaining social distance.  Wearing a mask.  Shopping only once or twice each week.  Occasionally meeting another person outdoors. 
2
Continuing lockdown – isolating at home with family, exercising once per day, shopping once each week, working from home or not at all.
1
Shielding at home – elderly or vulnerable.

I’m a four.  I’ve had long walks along the prom at home in Bournemouth or driven for up to an hour for a walk somewhere different and followed that with a run later in the day.  Usually, I’m on my own but I’ve met a small number of friends for a socially-distanced glass of wine in their gardens or a catch-up at the beach and I’ve sat in the street for a drink with neighbours.  I’ve popped to a local shop a couple of times to supplement the weekly big-shop.  There may be occasions when I swiftly pass someone at less than two metres but most of the time, I try to keep to those social distancing guidelines, and I’ve bought myself some masks.

To most of us, ‘five’ seems reckless.  Otherwise, we shouldn’t be too judgmental of each other for our response; everyone’s is reasonable, personally responsible and sensible.  Boris himself has talked about ‘common sense’.  It’s a nebulus thing that makes us anxious.  Each of us probably thinks we have generally good common sense (allowing for occasional lapses) but we can also be suspicious of each other’s – even untrusting.  Usually, our ‘common sense’ decisions have minimal effect on others, but now they are responsible for keeping the virus under control; now they could have life-and-death implications.  Nonetheless, there was always going to come a time when, with due regard for others, we make our own decisions about the level of risk we are prepared to take and we take more personal responsibility.  For many of us with concerns for individual liberty, it’s also imperative that we defer less to the state.

Boris talked of the route back down a mountain being the most difficult and dangerous.  We sustained terrible, tragic losses on the way up, but we made it to the peak, and in doing so, we understood the magnitude of our shared endeavour, we looked out for each other and our trust in each other grew.  Like standing at the top of a mountain though, we all know we can’t stay there forever so now, we’re each finding our moment to leave the summit.  Some of us throw ourselves into the descent with the eager courage and ferocity of a black-run skier whilst others of us find a gentler, slower path.  We know there will be many more sad losses and undoubtedly, there will be bumps and obstacles.  Our faith may be shaken by a few rogues who try a more dangerous route, seemingly going too fast with less regard for others.  We’ll keep looking to our scientific sherpas for advice and support and we may need to pause and wait a while before continuing.  However, with the trust in each other and the hope we discovered on the way up, and with the same mutual respect, consideration and support, we’ll get ourselves to that happy bar at the bottom of the mountain.

Saturday, 9 May 2020

Covid#22 - VE Day


Today, for the first time in weeks, disease and death wasn’t the headline news; VE Day was a much-needed distraction from coronavirus.  Scenes of busy hospital wards and locked-down care-homes were replaced with those of street parties: bunting strung across house-fronts, Union Flags flying proudly, people coming together to dance in their streets – albeit sensibly spaced two metres apart.

Interviews with workers on today’s frontline were replaced with interviews with those who had served on another or on the home-front and remember Churchill’s announcement of the German surrender, the crowds outside Buckingham Palace, the cakes at their street parties seventy-five years ago.  The sad tears of those bereaved by Covid19 were briefly replaced with the happier memories of victorious fathers returning to their families after months of fighting or imprisonment abroad.  Grief and despair at the rising number of deaths today was replaced with remembrance of the far greater number who gave their lives in a far greater fight and gratitude for the fortitude and sacrifices of that wartime generation.

Many didn’t celebrate today.  Doctors, nurses and carers on today’s frontline were too busy caring for the sick and dying, engaged in today’s fight against the virus and to save lives.  There were those worried for elderly and vulnerable friends and relatives, or anxious for someone sick or in hospital.  Some were alone and fearful for themselves.  And, of course, there were those in mourning. 

Equally, not everyone celebrated seventy-five years ago.  Then too, many felt terrible loss; some were too haunted by the devastation of the blitz, the battlefields of Europe and the appalling suffering of the occupied across the continent; others were exhausted by years of terror, fear, fighting and loss; and all knew that victory in Europe was less a full-stop than a comma – the war in the east remained to be fought and then came the struggle for a lasting peace.  As Churchill said, celebration would only be an interlude, ‘a brief moment of rejoicing’.

Just for today though, perhaps we could be forgiven our distraction from those realities.

Comparison of our modern-day emergency with that my grandparents’ generation endured and the battles they fought isn’t right.  The tyranny and the horrors they confronted and the sacrifices they made in total war far exceed our own challenges and remain unimaginable to us.  What has become more imaginable though is the sadness of separation they too experienced, the solidarity and strength they found in their communities and their eventual joy in coming back together with family and friends.  The words of Vera Lynn’s ‘We’ll meet again’ have taken on greater poignancy.

There was great hope today in the way neighbours came together in defiance of the virus.  There’s great hope too in the coming together of the world’s scientific community to learn more about coronavirus and find treatments or a vaccine.  We’re fighting a very different enemy today but still there is a great sense that we’re all in this together. 

For all of us, VE Day wasn’t the celebration it was supposed to be.  There was no sharing of our homes and gardens to fancy-dress wearing family and friends.  There wasn’t the same sharing of food there would have been without fear of infection.  We didn’t gather around the barbecue, debating whether or not the burgers were properly cooked and toasting marshmallows.  There weren’t any drunken dances with neighbours.  No-one got to enjoy my Eton mess!  It wasn’t just the lockdown that subdued our celebrations though; how can you really party when over thirty-thousand people have died in the past few weeks and you know thousands more will die?  No-one was really in the mood for a proper knees-up.

Some people talk of parties when all this over, on the other side of the lockdown, once coronavirus is finally beaten, whenever that will be.  There will be gratitude, relief and joy, just as there was seventy-five years ago: gratitude for sacrifices made and the incredible efforts of workers on our frontline, relief that it’s all over and joy at seeing friends and family once more.  Celebration may be hard though.

626 people died in the UK today, bringing the total to 31,241. 

Saturday, 2 May 2020

Covid#21 - Now I've got that off my chest ...



A few days ago I was feeling upbeat after completing my 2.6 Challenge for Alzheimer’s Society, then I watched Panorama, with all its shocking revelations about the Government’s failures, and all my positivity was replaced by frustration and anger.  I got that off my chest in my last post so now I can return to something more sanguine.

My 26,000 steps around the Cornish coast, which actually turned out to be 27,061 steps or 12.7 miles, was my way of remembering my Gran, who had dementia and died four years ago in a care home, and of showing my admiration for and gratitude to carers and care-home workers on the frontline during this emergency.  So far, friends, colleagues, family and people unknown to me have donated an amazing £770 to Alzheimer’s Society and they have helped me to appreciate how coronavirus has brought out the good in us.

I’d originally set a vague target to raise £100, counting on those ever-dependable friends and family members to support me, but others donated too, including – thanks to social media – some complete strangers.  To raise nearly eight times as much was overwhelming.  Such generosity is one of the hallmarks of this pandemic.  It seems to have made people think about others, recognise the plight of the disadvantaged at a really desperate time and want to give.  Millions have been raised for NHS charities, the BBC ‘Big Night In’ raised £27million for Comic Relief and Children in Need, the 2.6 Challenge has raised £8million and a quick glance at websites like JustGiving shows large sums being raised for a range of charities.  It may not total the £4billion charities reckon they will lose out on in the first few months of this emergency, but hundreds of millions could well be raised. 


My personal effort seems small.  I am fortunate to be in a beautiful place where walking the clifftops is a great way to occupy my time, good exercise and a simple pleasure, and it’s something I do every day.  Walking so far in one day was a challenge and I certainly ached for a few days after, but it was nothing compared to the remarkable efforts of others: six year old Frank Mills walks ten metres every day on his frame despite his spina bifida; Nick Spooner is cycling the 2,200 mile distance of the Tour de France on his exercise bike after operations on both his legs to ease a condition that often caused fractures and sprains of his ankles; wheelchair-bound Brynn Hauxwell has embarked on a 1,679 mile marathon in five-mile, six-hour stints; and, of course, Captain Tom walked lengths of his garden on his new hip as he neared his one-hundredth birthday. 

Giving in this crisis hasn’t just taken the form of pound coins either.  Volunteers have sprung to action, sewing scrubs for healthcare workers, making visors and face-masks, delivering food parcels and medicines, preparing meals for needy families, the elderly and the vulnerable.  Children have provided groceries to their neighbours from stalls outside their homes.  Postmen, delivery drivers and dustmen have donned fancy dress to bring a smile to their customers.  Musicians and performers have taken to the Internet to entertain all of us with time on our hands, and they’ve staged impromptu concerts from their windows, gardens and streets.  People with all manner of skills offer free online classes in everything from yoga and languages to baking and coding, while artists paint the portraits of some of our heroes.  Their generosity with their time, imagination and compassion and the lengths they have gone to have been just as heart-warming as all those fundraisers’.

All these people would probably play down their efforts but their response to crisis wasn’t fearful and hopeless or to panic and hide; it wasn’t enough to just follow the rules and self-isolate; they needed to do something for others who were suffering more and in doing so, they provide hope and inspire the rest of us to do and give whatever we can.

Not everyone can do so much and this pandemic effects people differently.  Many are anxious and afraid, those who are especially vulnerable to the virus need to shield themselves at home, the circumstances of many mean they can’t volunteer or embark on a charitable challenge, not everyone wants to share their talents from their balcony or a website and some simply choose to keep themselves to themselves.

For all of us though, social contact at this time of social distance is more important than ever and for some – those on their own, the vulnerable, sick or disabled, people prone to anxiety – it’s critical.  Instinctively, we have taken each other to our hearts, found new reserves of compassion and even greater capacity to care, and instinctively, we’ve connected with each other by whatever means we can.  We’ve seemingly found new value in family members we previously rarely spoke to, rediscovered old friendships and got to know our neighbours.  I’ve been in touch with some relatives more in the last couple of months than I have in the last couple of years.  I’ve searched out long-lost friends and tried to stay more regularly and frequently in touch with a wider circle than (sadly) I might usually.  I find myself a couple hundred miles from home, but better friends with my neighbours there nonetheless, whilst simultaneously feeling taken into this, my adopted Covid-community.  The out-of-the-blue Whatsapp message or phone call – the three word ‘How are you?’ question – suddenly carries so much more weight and meaning than it used to.  The simple thoughtfulness and kindness they represent means so much; it makes us smile, warms our hearts, strengthens our relationships and, in these tough times, it keeps us going.

There’s talk of how this experience will change us once the emergency has passed and we return to normal.  Might there be a ‘new normal’?  Will we have found such value in our relationships – both old and new – that we sustain them?  Will those text messages and phone calls continue with similar regularity?  Will we still take advantage of our new-found confidence with video-conferencing apps?  Will neighbours find time to share a cuppa in closer quarters when they can once again also share their lounges?  When it’s harder to find time, will we find it nonetheless and stay in touch and visit each other?  Will ‘How are you?’ mean so much?

It’s good to find light in dark times and natural to hope that, for all our travails, the post-Covid future might in some way be brighter and better.  I suspect we were all so settled in our old way of life and we’ll be so relieved when this is all over that we’ll too quickly revert to our old ways.  In spite of what may come then, I’ll make the most of all the good that coronavirus has brought out in us for however long it lasts.

Wednesday, 29 April 2020

Covid#20 - On the Government's scandalous neglect of frontline workers



I’d planned to write a really upbeat, positive blog-post today about how coronavirus has brought out the good in so many people.  Then I watched last night’s Panorama.

Over one hundred NHS workers have now died from Covid19 and there is no doubt in the minds of some of their colleagues that many may have lived if they’d had the personal protective equipment they needed to protect them.

PPE has been in the news since this emergency began.  Healthcare professionals have been on the news every day questioning the quality and adequacy of the equipment with which they have been provided.  Relatives of those who have died have publicly asked why they weren’t better protected; on the radio this morning, the son of one doctor asked the Health Secretary for an apology.  Fearful carehome managers have been crying out for better supplies.  Carers, nurses and doctors have been making do with flimsy plastic aprons – described by one doctor as suitable only for dinner-ladies – and scrambling to buy their own PPE – or doing the best they can with bin-bags.  Volunteers are making facemasks, gowns and visors for hospitals, medical centres, surgeries and carehomes and seeking charitable donations for the materials they need.  My own school has placed an order from one collective of volunteers; incredibly, it’s suggested that panty-liners are used in the masks as filters. 

Matt Hancock and his cabinet colleagues have told us over and over again that everything in their power is being done to deliver the PPE so desperately needed across the country.  Two weeks ago Hancock launched a new plan for guidance, distribution and future supply of PPE, which emphasised the need to ‘ramp up’ domestic production, and said he would ‘stop at nothing’ to protect those on the frontline and that there was a ‘herculean effort, supported by the military’.  That was the very same day that saw the biggest rise in Covid19 deaths in UK hospitals, by which time nearly 9,000 deaths had been recorded in total.  Horses bolting spring to mind.

Still today, Hancock seeks to reassure an increasingly sceptical and critical public that the Government is on top of the PPE problem.  ‘What we do have is constant focus on the realities of getting PPE to the frontline,’ he said at today’s briefing, adding, ‘we have been moving heaven and earth’ in a ‘mammoth effort’.  His present-tense claims about what is being down now are intended to deflect from questions about what they should have done in the past, yet the questions keep coming and his broken-record answers seem increasingly desperate.  The effort has been herculean, ramped-up and mammoth, but still it isn’t enough; still it was necessary for Boris Johnson to focus on PPE today at his first coronavirus cabinet meeting since returning to work – as if it is a new problem; still the frontline they claim to protect, complains that it’s being neglected. 

Cynical-me thought he couldn’t be shocked by anything revealed on Panorama last night.  I was wrong.  It emerged that stockpiles of PPE have been run down despite that a pandemic has been deemed the greatest threat to Britain for almost a decade.  No hospital gowns or visors were purchased.  Elsewhere, it’s been suggested that our preparedness for a pandemic has been the victim of the Tories’ austerity agenda and the diversion of officials to Brexit planning. 

Most days now, we’re told how many millions of items of PPE have been delivered to the frontline, but in a typically tricksy bit of Government number-work, it turns out this includes such things as cleaning equipment and bin-bags and that gloves are counted singly rather than as pairs.  Ministers hail a total of 1.3 million hospital gowns delivered to the frontline, but hundreds of thousands are needed every day.  In five weeks, a total of 360 gowns were delivered to one NHS Trust, equating to a total of ten per day across the whole Trust; guidance issued at the start of February by the European Centre of Disease Control specified that for the most serious cases of Covid19, around twenty sets of full PPE would be needed per patient, per day.  Having not yet been approached by the Government for supplies, potential PPE manufacturers based in the UK offered their help in March but were ignored so took their orders from other countries instead.  Michael Gove has explained that important safety standards had to be met in the manufacture of essential equipment; meanwhile, doctors and nurses made do with whatever they could find at home!

In March, Covid19 was downgraded from a high consequence infectious disease despite having been designated such just two months previously and being the most dangerous outbreak in a century.  Conveniently for the Government, the conclusions of the Health and Safety Executive for what PPE was required for the worst type of disease could therefore be disregarded and it’s indifference to the advice of the World Health Organisation concerning PPE is seemingly justified.

If a pandemic had been completely unexpected, the Government’s unpreparedness could be understandable.  If its own plans hadn’t specified exactly what we needed and now lack, it may have been able to justify not having it.  If it had sprung into action in January when the threat first emerged or at least a few weeks later when the virus reached Europe, we might now forgive continuing shortages.  As one doctor put it, however, ‘It is unprecedented but it wasn’t unexpected’.  It’s all well and good the Prime Minister prioritising PPE on his return to work, but where was he at the start of this crisis when the Government had the opportunity to hit the ground running and get ahead of the virus and, as The Sunday Times reported, he was absent from all five of the first COBRA meetings?

The Government exhorts us to protect the NHS in order to save lives.  Meanwhile, it fails to protect our doctors and nurses and too many of them are dying.  Today, there was a minute’s silence for key workers who have died during this emergency.  Every Thursday, we’ll applaud the living once again, but as the weeks pass our gratitude for their hard work will be matched with sadness for their colleagues who have succumbed to the virus and anger at the Government’s scandalous neglect of them.

Thursday, 23 April 2020

Covid#19 - On feeling inadequate



I sat in the sunny garden this afternoon, reading about King John as background for a History lesson, occasionally throwing a ball for the dog, and pausing from time to time to listen to the birdsong, watch a blackbird peck in the grass for grubs or follow a swooping, chattering swallow over the hedge and across the field.  It was blissful; it was easy to forget about a ravaging virus; and once again, I felt lucky.

I also felt hopelessly inadequate.

The most useful thing I can do to combat the spread of coronavirus is stay at home and follow the social distancing rules.  It protects the NHS and saves lives.  The graphs they show on tv seem to show that longed-for flattening of the curve in the numbers of infections and patients in hospital and a gradual decline in the number of deaths.  759 deaths were reported yesterday, bringing the total in the UK to 18,100.  It looks like the peak was a couple of weeks ago when 980 deaths were recorded on 10 April, which suggests that it took about three weeks for the lockdown to start having an effect.  They reckon that before the lockdown, one infected person passed the virus on to 2.7 others; now the transmission rate may have fallen to below one.  For all it’s the only thing I can do, isolating like this seems to be working.

Just sitting around at home and basking in sunshine makes me feel guilty though.  Sure, I’m working – researching and planning lessons, sending work to the students in my class, checking on their welfare and staying in touch with them – but it’s nothing compared to the efforts of others.  We have a small number of children attending school and a rota of staff working with them each day.  So far, I haven’t been required in school myself so I can’t claim the credit my colleagues across the teaching profession deserve for caring for the children of key workers so they, in turn, can do their essential work, nor for the increased risk to which they put themselves. 

Doctors, nurses, paramedics, hospital staff and carers on the front line selflessly confront the virus every day, caring for the sick and dying, and saving lives.  Volunteers are making visors, sewing scrubs, providing meals and delivering food parcels.  Dustmen, postmen, supermarket staff, bus drivers, police officers … they’re all out there, doing their day-job, working hard, knowing that at any moment, they could have a life-threatening encounter with the virus.  Captain Tom walked his garden and raised £28million for charity and an army of other fundraisers are raising many more millions for NHS charities. Meanwhile, I watch tv, walk the dog, play cards, bake cakes. 

I know that by staying at home, I’m helping to limit the spread of the virus and protect others, but it feels selfish, like I’m just looking after number one, shielding myself.  It’s frustrating not being able to do more while others are doing so much.

I’ve thought about what more I can do, which is why I’ve joined the 2.6 Challenge, walking the Cornish clifftops, not just for my own pleasure and peace-of-mind but for charity and with care home workers in mind.  The £400 I’ve raised so far for Alzheimer’s Society seems paltry next to the millions being raised elsewhere, but it’s something.

I can be thankful for the hard work of others too.  Personally, I can put four names and faces to the frontline workers saving lives: my cousin, Anne is a nurse in Perth, Australia, and in Bournemouth, Adam is a doctor, another Adam is a paramedic and Claire is a nurse.  When I see masked medics on the news, it’s their faces I see behind the visors; when I think about and applaud the heroes of the NHS, I picture them.  Every day, I want each of them to know how much I admire them and how grateful I am for what they’re doing.  I want to send them gifts, buy them a drink, throw them a party, but I can’t, and it wouldn’t be enough anyway; nothing I can do and no words I can write can truly express my admiration and gratitude for them.

I’ve wondered when each of them decided to join their professions, what or who inspired them.  I like to think that for some of our medics and social care workers, their understanding, knowledge, skill, compassion, and the values they demonstrate in their relentless hard work, care for others and the courageous way they tackle the biggest challenges of their career is, in no small part, thanks to good teachers.  Perhaps my friends had great teachers who cared for them, nurtured their interests and ambitions, helped them to learn and achieve their goals and set them on the road to be the heroes of this emergency that they have become.

My friends and all our key workers will be role models for the Covid Generation; maybe one of the children I’ll teach in the coming years will want to be a doctor, nurse or paramedic just like them.  I’ve concluded then that being a teacher might be no small thing, not if I too can nurture ambition in the students I teach and help them to achieve their goals, not if I can help some of them to be the Adams, Claires and Annes of tomorrow.




Friday, 17 April 2020

Covid#18 - Time to do my bit



Four years ago yesterday, my gran died.  She spent her last few months living in a care home with dementia.  Grampy had died four months earlier, just before Christmas, and until then they’d lived together in their own home, largely independently but with support too from family.  I only visited Gran once in the care home – the last time I saw her, a few weeks before she died – and it was funny, poignant and sad.  I was wonderfully lucky that until then, she had still been pretty lucid when I’d seen her, confusing me with my brother at times but still conversational and still good company.  Her condition deteriorated a great deal after Grampy died and when she last saw me, it was as if a thick fog separated us.  I’d baked cakes for her and naively expected her usual enthusiasm for them even though they were decidedly average, but she was suspicious of them and refused to eat one.  She’d spent the night camping in a tent on Dartmoor, she told me, and did I recognise the old man sat opposite us?  She was convinced he was her own father.  Sadly, this time she didn’t know who I was.  Nonetheless, I think she knew I was someone important to her; we held hands and there was a lifetime of recognition in that touch.  In fact, she never let go.

If Gran and Grampy were alive today, she’d be ninety-seven and he’d be ninety-four.  I miss them both, but I’m glad they’re not living through coronavirus.

Were they alive, they may well have been living in a care home, probably among those at highest risk of dying of Covid19.  We would have been desperately anxious for them and the thought of them isolated in a small room, shielded from the virus as best they could be, would have made us desperately sad.  I’ve tried to find words to describe how it would feel not to be able to visit them, have a cuppa with them, reassure and comfort them, and hold their hand; the fear that the inconsequential previous time we’d seen them could be the last time we saw them.  I can’t find the words. 

I’m reminded again of a woman on the television news, trying to talk to her confused father through the window pane of his care home, their hands touching only the cold glass, their kiss on the glazing and the tears she shed when they parted.  There are so many heart-breaking stories like this as we endure this pandemic, and many are worse.  Every day, bereaved family members tell of how a mother, father or grandparent passed away alone in hospital, comforted only by kind nurses; of the awfulness of final words spoken only over a telephone or through an intermediary medic; of grief exacerbated by not being able to give a final kiss or hold hands for one last time.  It’s utterly tragic.

If Gran and Grampy were in a care home now, we’d have enormous admiration and gratitude for the carers looking after them.  Remembering those who cared for Gran, we’d have confidence in their understanding and compassion and know they would do their utmost to stay cheery, setting aside their concerns and fears for their own safety and their own families.  We’d be worried for their safety though and frustrated by the lack of PPE available to them and the lack of testing in care homes.  They’d be our heroes alongside the doctors and nurses of the NHS.

This week ninety-nine year old Captain Tom Moore has captured the nation’s imaginations and hearts by raising £18million (and counting) for NHS charities by walking lengths of his garden.  NHS Charities Together has set a target of £100million to raise altogether; I predict they’ll smash it.  It’s a very worthy cause but it’s also highlighted the plight of the country’s other charities.  It was reported at the end of March that UK charities expected to lose a-third of their income over the next three months – approximately £4billion.  Charity shops have closed and major fundraising events like the London Marathon have been cancelled whilst demand for support from some charities has soared directly as a result of the pandemic.  Many charities have been left fearing for their future.  We’re all reminded of the importance of the work they do and how much, as a society, we rely on them.

I think it’s time to do my bit!  Organisers of mass-participation events like the London Marathon have launched the 2.6 Challenge and it’s a brilliant initiative.  To plug the gap in charitable donations left by coronavirus, the challenge is to raise money by doing something on the 2.6 theme on or from 26 April, which would have been the date of the London Marathon.  I’m setting myself the goal of walking 26,000 steps on 26 April, which – judging from the walks I usually take – will equate to around thirteen miles or a half-marathon.

The money I raise through my JustGiving page (https://www.justgiving.com/fundraising/mrmikeparker) will go to the Alzheimer’s Society, to honour the amazing work of carers at this most challenging of times and in memory of my lovely Gran.   

Thursday, 16 April 2020

Covid#17 - Boris' conversion on the road to recovery



I was glad to see the Prime Minister discharged from hospital on Easter Sunday – no more so than for any other patient who has recovered from Covid19, but glad nonetheless.  His personal relief and emotion were clear when he spoke of his illness and treatment at St. Thomas’.  After thanking the medical team that had treated him, singling out nurses Jenny from New Zealand and Luis from Portugal for special praise, he went on to say, ‘Our NHS is the beating heart of our country, the best of our country, unconquerable and powered by love.’

They were powerful words from a powerful man and good to hear but they made me suspicious and I wondered how closely matched his words were to his previous positions.

Most recently, of course, he’s wanted to be seen to be a champion of the NHS, promising it £350million per week once he’d won the Brexit referendum, funding it to the tune of an extra £34billion, pledging to build forty new hospitals and recruit 50,000 nurses, and happily being filmed and photographed with medics on hospital wards as he campaigned for votes in the run-up to last December’s election.  He’d probably rather we forgot his dismissal of photographs of a four year old lying on the floor of an overcrowded hospital.

There are, of course, problems with every one of Boris’ commitments.  £350million wasn’t accurate; £34billion equates to £20.5billion in real terms, adjusted for inflation – the same amount announced by Theresa May in the summer of 2018 – and represents a 2.9% increase according to analysis by the Institute for Fiscal Studies compared to average rises of 3.7% since the NHS was established; forty new hospitals turned out to be funding for six hospitals to upgrade existing buildings; and 50,000 nurses will actually be 31,000 new recruits.

The bigger question though is whether, if they are realised, Boris’ plans will make up for his party’s previous neglect of the NHS.  2.9% increased spending over the next few years sounds good even if it is less than the historic average, but between 2009/10 and 2018/19, during the Tories’ years of austerity, budgets rose by just 1.4% each year on average.  UK health spending per person is now the second lowest in the G7 – way behind France and Germany.  In 2018, when Theresa May announced the increased funding for the NHS, the Health Foundation described it as ‘simply not enough to address the fundamental challenges facing the NHS, or fund essential improvements to services that are flagging’.  Earlier this year, the National Audit Office questioned the financial sustainability of the NHS and warned of an increasing risk of harm to patients.

In the same period, the number of beds in NHS hospitals & other facilities fell by 14,463 or 10% of the total.  The numbers of acute & general medical beds fell by 7,547 despite warnings that bed reductions were unwise given the increased pressure caused by the ageing and growing population.  In 2019, Chief Executive of the NHS, Simon Stevens said the policy had gone too far and that hospital beds had become ‘overly pressurised’ as a result of years of closures. 

By the end of last year, the number of people on hospital waiting lists had risen to nearly five million and one in six people visiting Accident and Emergency Departments in England waited more than four hours to be seen – the highest proportion since 2004.  Essential parts of the NHS in England are experiencing the worst performance against waiting times targets since they were set.  According to the Health Foundation, ‘longer waits are a symptom of more people needing treatment than the NHS has the capacity to deliver.  This reflects a decade of much lower than average funding growth for the NHS and workforce shortages’.

There are now around 40,000 nursing vacancies in the NHS.  Arguably, the reasons for this include Boris’ Brexit.  By December 2019, 8,800 nurses and midwives from EU countries had left while the number joining the register from the EU dropped dramatically.  Additionally, in 2017 the Conservative government cut funding for the nursing and midwifery student bursary, resulting in students facing £9,000 per year tuition fees instead of fully-funded degrees, a decline in the number of applicants, and certain courses having to cease due to poor intake.  In the same year, Boris himself voted against scrapping the 1% cap on pay-rises for nurses.  At the end of last year, itv.com suggested that many point out the lack of a long-term plan for increasing staffing levels.  This probably shouldn’t come as a surprise given the Tories failed to deliver on their 2015 pledge to recruit 5,000 doctors; the intervening period actually saw doctor numbers fall.

In October 2016, the government ran a national pandemic flu exercise, codenamed Exercise Cygnus.   One conclusion reached by then Chief Medical Officer, Sally Davies was that Britain faced the threat of ‘inadequate ventilation’ in a future pandemic.  She was referring to the need for ventilation machines.  According to the New Statesman, the government’s planning for a future pandemic did not change, despite that not one of the three plans published in 2011, 2012 and 2014 mentioned ventilators.  The 2011 preparedness strategy referred to plans for increasing the capacity of critical care services but according to the Sunday Times on 15 March, such planning was non-existent.  ‘Pre-existing pandemic plans never went into the operational detail’, a Downing Street official is quoted as saying.  At about the same time, then Health Secretary, Jeremy Hunt was preoccupied with the first strikes by junior doctors in forty years, after he dismissed their concerns for how his proposed working conditions would directly impact on patient care and safety.

It’s not thanks to the Conservative Party that the NHS is ‘unconquerable’ but Boris himself can’t be held responsible for the failings of his party in government from 2010; he himself only re-joined the House of Commons in 2015 before joining Theresa May’s government in July 2016.  Arguably, however, he was highly influential throughout, yet very quiet when it came to his party’s policies on the NHS.  Moreover, we know from the position he took on the EU withdrawal deal – resigning from May’s government – that when something really matters to Boris, he’s not afraid to stand up for it, even against others in his own party.  It seems then that he approved of his party’s policies; either that or the NHS just didn’t matter to him.

Historically, Johnson has not exactly been an effusive fan of the NHS.  In a 2004 column for The Daily Telegraph, it was not for him unconquerable but ‘unimprovable’ and he has long been a proponent of greater involvement by the private sector in health services, defending Michael Howard’s plans to give NHS patients choice to be referred for private treatment with a portion of the cost covered by the NHS, for example.  In a column for the Spectator Magazine in 2005, he criticised his own party as cowardly for not introducing charges for some health services and in a 2002 speech to the House of Commons, he criticised the ‘monopolistic’ NHS, advocating provision by the private sector.  ‘We need to think about new ways of getting private money into the NHS,’ he wrote in his book ‘Friends, Voters, Countrymen’ in the same year.  It’s a theme he’s returned to regularly with almost ideological fervour.  Given these views, the fears of some that they could lead to a two-tier health service and a diminished NHS could be understandable.

On another issue – that of immigration – Boris told Sky News in December that he would stop EU migrants treating Britain ‘as their own country’.  What, I wonder, did Luis from Portugal make of that?!  Now that he has seen first-hand just what many immigrants contribute to the NHS and now that his own life has been saved by them, perhaps the Prime Minister will rethink his assertion that they have no right to think of this country as their home.

I hope Boris’ apparent conversion on the road to recovery and his new sentiments for the NHS are genuine.  I hope too that he remembers them long after he shakes off the mantle of poster-boy for recovery from this emergency.  You’ll forgive my scepticism though if I have some doubts.


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