Living with Covid doesn’t mean ignoring it, says BMA ahead of PM announcement
Prime Minister Boris Johnson says his latest “living with Covid” recovery plan will return people’s freedom as he prepares to scrap the legal duty to self-isolate in England.
The prime minister will meet the Cabinet later this morning before updating parliament on his plans this afternoon.
Mr Johnson said the end to restrictions would “mark a moment of pride as we begin to learn to live with Covid” – despite serious concerns being expressed by health professionals.
Health organisations have warned that Johnson’s determination to sweep away Covid regulations are premature.
WHATEVER HAPPENED TO ‘FOLLOWING THE SCIENCE’?
Responding to calls from NHS leaders for free Covid tests and self-isolation rules to continue ahead of the UK Government’s Living With Covid Strategy announcement today, Dr Chaand Nagpaul, BMA council chair, said: “It’s clear that we will have to learn to adjust to the reality of Covid-19.
“However, the BMA agrees with NHS leaders that living with Covid doesn’t mean ignoring its continued harm to many, and must not result in removing protections to some of the most vulnerable in our society.
“Scrapping all restrictions and allowing the infection to spread in an unmonitored and unfettered manner would be damaging to the health of millions, including for those who go on to suffer Long Covid symptoms.
“Without access to free testing for the public or a legal requirement for the sick to self-isolate, protecting others from illness and surveillance of the disease and its prevalence vanishes; we won’t know where outbreaks are happening, whether they are circulating among more vulnerable populations, and this means local public health teams will be lacking key information to be able to respond effectively to Covid outbreaks in their local areas.
“Charging for tests will only discourage people from checking if they have Covid, especially if their symptoms are mild enough for them to continue socialising and mixing with others.
“Currently, case rates remain exceptionally high. When Plan B measures were introduced in December, there were 7,373 patients in hospital in the UK. While rates are now falling, the latest figure sits at 11,721. The ONS also estimates that around 1 in 20 people in England were infected last week, and there continues to be significant work absence due to Covid.
“The decision to remove all restrictions is not based on current evidence and is premature. It clearly hasn’t been guided by data or done in consultation with the healthcare profession.
“As the BMA has previously warned, Covid poses a serious risk to public health as well as NHS capacity if cases are allowed to spread rapidly again. Living with Covid-19 doesn’t mean ignoring it. As well as keeping free testing and self-isolation measures, it’s vital that the ONS infection survey carries on, and that local authorities are supported to contain outbreaks with necessary restrictions.
“This is particularly important for protecting the vulnerable, and Government must ensure that these groups are allowed to live as normal a life as possible as the pandemic subsides. This means giving them access to free FFP2/3 masks where required so they can protect themselves, and providing healthcare professionals with clear, clinical guidance to advise them and other patients in the community.
“Healthcare settings are places which people attend to get better not to get sick, so it would be totally wrong to remove the protections in healthcare settings that currently exist, such as mask wearing, without discussion with healthcare workers and without evidence to support it.
“Only yesterday, the World Health Organisation released updated guidance for contact tracing and quarantine, saying in its report that any interruption or shortening of these measures will increase the risk of onward transmission.
“Of course, we all want to see a time when measures are no longer needed. However, relaxing them must be done sensibly, based on data, and gradually, in consultation with the profession, and not at the cost of public health or our already-stretched NHS.”
Leaving it up to individuals and employers to decide on isolation periods will place health care staff and patients at risk, the Royal College of Nursing has warned.
the government is expected to confirm plans to end the legal requirement to self-isolate following a positive COVID-19 test, in a move described as signalling the end of the pandemic.
But the pandemic is far from over for health care staff, and the lack of clarity and guidance on isolation rules going forwards could put our members and their patients at risk.
By “passing the buck” to nursing staff and employers to decide when to work if staff fall sick with COVID-19, the government is leaving the way open to increased infection rates and yet more pressure on an already overworked NHS.
The RCN is calling for the government to produce a specific plan for nursing staff working in health and social care which supports them when unwell.
RCN General Secretary & Chief Executive, Pat Cullen, said: “Ending the legal requirement to self-isolate following a positive test is a big leap in the dark. The government has yet to present any scientific evidence to support its plan.
“The public messaging around this is very mixed and unclear: with any other highly infectious disease you would be expected – and supported – to stay away from work if you caught it, yet with COVID-19 we’re being told you should learn to live with it. This doesn’t add up.
“Health and social care isn’t like other sectors – staff treat some of the most vulnerable in society whose wellbeing, and their own, mustn’t be put at risk.”
The RCN also stresses that nursing staff must continue to have access to free lateral flow tests for their and their patients’ sake amid reports they could be scrapped.
Despite advice and warnings from a range of health professionals the Prime Minister seems determined to take the gamble and sweep away Covid regulations, however, and whatever is decided in England will have an impact on public health in the other nations of the UK.
First Minister Nicola Sturgeon is expected to announce the Scottish Government’s response tomorrow.