120-706: NHS Digital was the trading name of the Health and Social Care Information Centre , which was the national provider of information, data and IT systems for commissioners, analysts and clinicians in health and social care in England , particularly those involved with the National Health Service of England . The organisation was an executive non-departmental public body of the Department of Health and Social Care . NHS Digital provides digital services for
240-556: A budget-holder, NHSX commissions projects from NHS Digital. On 22 November 2021 it was announced that NHS Digital would be merged with NHSX and incorporated into NHS England. The merger was completed on 1 February 2023. NHS Digital ran the Spine service for the NHS, which is a central, secure system for patient data in England. This enables a number of services for patients, including: As
360-518: A ceremonial county, or be a district tier within a shire county , be a royal or metropolitan borough , have borough or city status , or be a unitary authority . At the community level, much of England is divided into civil parishes with their own councils ; in Greater London only one such parish, Queen's Park , exists as of 2014 after they were abolished in 1965 until legislation allowed their recreation in 2007. From 1994 until
480-480: A chat feature. On 11 May, a set of COVID Alert Levels were published by the Government and many restrictions in England were eased; people who were unable to work from home were encouraged to return to work, but where possible avoid public transport. On 12 May, the number of people in hospital fell below 10,000 and the total number of deaths in hospital since 1 March had grown to at least 24,500. By 21 May,
600-611: A family of Chinese nationals staying in a hotel in York , one of whom studied at the University of York , became the first confirmed cases of COVID-19 in the UK. Upon confirmation, they were transferred from Hull University Teaching Hospital to a specialist isolation facility, a designated High Consequence Infectious Diseases Unit in Newcastle upon Tyne 's Royal Victoria Infirmary . On
720-512: A geographical frame of reference. Of these, 38 developed gradually since the Middle Ages ; these were reformed to 51 in 1974 and to their current number in 1996. Each has a Lord Lieutenant and High Sheriff ; these posts are used to represent the British monarch locally. Some counties, such as Herefordshire , are only divided further into civil parishes. The royal county of Berkshire and
840-747: A possible risk of having the virus, in isolation. That day, the Arrowe Park Hospital , Merseyside, and the Kents Hill Park hotel and conference centre, Milton Keynes became designated isolation units. The following day, two of the eight confirmed cases in the UK were reported by BBC News to be general practitioners . A ninth case was confirmed in London on 11 February. On 1 March, further cases were reported in Greater Manchester , some of them believed to be contacts of
960-660: A profound and permanent effect on the English language. Subsequently, the House of Plantagenet from Anjou inherited the English throne under Henry II , adding England to the budding Angevin Empire of fiefs the family had inherited in France including Aquitaine . They reigned for three centuries, some noted monarchs being Richard I , Edward I , Edward III and Henry V . The period saw changes in trade and legislation, including
1080-450: A struggle for hegemony between Northumbria and Mercia, which in the 8th century gave way to Mercian preeminence. In the early 9th century Mercia was displaced as the foremost kingdom by Wessex. Later in that century escalating attacks by the Danes culminated in the conquest of the north and east of England, overthrowing the kingdoms of Northumbria, Mercia and East Anglia. Wessex under Alfred
1200-588: A unified state in the 10th century and has had extensive cultural and legal impact on the wider world since the Age of Discovery , which began during the 15th century. The Kingdom of England , which included Wales after 1535, ceased to be a separate sovereign state on 1 May 1707, when the Acts of Union brought into effect a political union with the Kingdom of Scotland that created the Kingdom of Great Britain . England
1320-436: A vacancy for a receptionist. Indoor gyms and pools started to re-open on 25 July. During July the total number of COVID-19 hospital admissions fell to around 3,050, the number of deaths in hospital from COVID-19 fell to around 480, and around 4,200 patients with the disease were discharged from hospitals. August saw the fewest monthly hospital admissions (1,600) since the start of the pandemic and hospital deaths (208);
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#17327987078321440-487: A whole. The earliest known evidence of human presence in the area now known as England was that of Homo antecessor , dating to about 780,000 years ago. The oldest proto-human bones discovered in England date from 500,000 years ago. Modern humans are known to have inhabited the area during the Upper Paleolithic period, though permanent settlements were only established within the last 6,000 years. After
1560-703: Is a country that is part of the United Kingdom . It is located on the island of Great Britain , of which it covers about 62%, and more than 100 smaller adjacent islands . It has land borders with Scotland to the north and Wales to the west, and is otherwise surrounded by the North Sea to the east, the English Channel to the south, the Celtic Sea to the south-west, and the Irish Sea to
1680-544: Is a non-departmental public body, established in 1995 and sponsored by the Department for Environment, Food and Rural Affairs with responsibilities relating to the protection and enhancement of the environment in England. The Secretary of State for Environment, Food and Rural Affairs is the minister responsible for environmental protection, agriculture, fisheries and rural communities in England. COVID-19 pandemic in England The COVID-19 pandemic
1800-719: Is also the national collator of information about health and social care, and publishes over 260 statistical publications each year, including Official Statistics and National Statistics. It also runs " The NHS Website " ( www.nhs.uk , formerly NHS Choices), which is the national website for the NHS in England. NHS Digital has taken on the roles of a number of predecessor bodies including the NHS Information Centre , NHS Connecting for Health , and parts of NHS Direct . The organisation produces more than 260 official and national statistical publications. This includes national comparative data for secondary uses, developed from
1920-546: Is damp relatively frequently and is changeable. The coldest months are January and February, the latter particularly on the English coast , while July is normally the warmest month. Months with mild to warm weather are May, June, September and October. Rainfall is spread fairly evenly throughout the year. Important influences on the climate of England are its proximity to the Atlantic Ocean , its northern latitude and
2040-541: Is expected. NHS Digital compiles national data about the NHS and social care, with over 260 publications every year. In addition, they provide data analysis, and access to data and clinical indicators. The NHS website www.nhs.uk , formerly NHS Choices, is the public website for the NHS Services in England, and is run by a team at NHS Digital, mandated by DOH with input from Public Health England . In November 2022 it had been visited more than one billion times in
2160-641: Is governed directly by the Parliament of the United Kingdom , although other countries of the United Kingdom have devolved governments. There has been debate about how to counterbalance this in England. Originally it was planned that various regions of England would be devolved, but following the proposal's rejection by the North East in a 2004 referendum , this has not been carried out. In 2024, an England-only intergovernmental body, known as
2280-669: Is high moorland in upland areas, indented by fertile valleys of the region's rivers. They contain two national parks , the Yorkshire Dales and the Peak District . In the West Country , Dartmoor and Exmoor of the Southwest Peninsula include upland moorland supported by granite. The English Lowlands are in the central and southern regions of the country, consisting of green rolling hills, including
2400-505: Is home to the two oldest universities in the English-speaking world: the University of Oxford , founded in 1096, and the University of Cambridge , founded in 1209. Both universities are ranked among the most prestigious in the world. England's terrain chiefly consists of low hills and plains , especially in the centre and south . Upland and mountainous terrain is mostly found in the north and west, including Dartmoor ,
2520-780: Is known as the lost colony after it was found abandoned on the return of the late-arriving supply ship. With the East India Company , England also competed with the Dutch and French in the East. During the Elizabethan period, England was at war with Spain. An armada sailed from Spain in 1588 as part of a wider plan to invade England and re-establish a Catholic monarchy. The plan was thwarted by bad coordination, stormy weather and successful harrying attacks by an English fleet under Lord Howard of Effingham . This failure did not end
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#17327987078322640-585: Is now the German state of Schleswig-Holstein . The earliest recorded use of the term, as " Engla londe ", is in the late-ninth-century translation into Old English of Bede 's Ecclesiastical History of the English People . The term was then used to mean "the land inhabited by the English", and it included English people in what is now south-east Scotland but was then part of the English kingdom of Northumbria . The Anglo-Saxon Chronicle recorded that
2760-458: Is part of the United Kingdom, a constitutional monarchy with a parliamentary system . There has not been a government of England since 1707, when the Acts of Union 1707 , putting into effect the terms of the Treaty of Union , joined England and Scotland to form the Kingdom of Great Britain . Before the union England was ruled by its monarch and the Parliament of England . Today England
2880-472: Is similar to that of other areas in the British Isles with a wide range of vertebrate and invertebrate life in a diverse range of habitats. National nature reserves in England are designated by Natural England as key places for wildlife and natural features in England. They were established to protect the most significant areas of habitat and of geological formations. NNRs are managed on behalf of
3000-678: Is the direct responsibility of the UK Government . As a result of each country having different policies and priorities, a variety of differences now exist between these systems. In May 2020, the BBC reported that several members of a choir in Yorkshire had developed COVID-19-like symptoms shortly after the partner of one of the choir members returned from a business trip to Wuhan , China, on 17 or 18 December. Earlier, in March 2020, it
3120-494: Is the origin of the English language , the English legal system (which served as the basis for the common law systems of many other countries), association football , and the Anglican branch of Christianity; its parliamentary system of government has been widely adopted by other nations. The Industrial Revolution began in 18th-century England, transforming its society into the world's first industrialised nation. England
3240-519: The 1535–1542 acts . There were internal religious conflicts during the reigns of Henry's daughters, Mary I and Elizabeth I . The former took the country back to Catholicism while the latter broke from it again, forcefully asserting the supremacy of Anglicanism . The Elizabethan era is the epoch in the Tudor age of the reign of Queen Elizabeth I ("the Virgin Queen"). Historians often depict it as
3360-595: The Age of Discovery . Henry VIII broke from communion with the Catholic Church, over issues relating to his divorce, under the Acts of Supremacy in 1534 which proclaimed the monarch head of the Church of England . In contrast with much of European Protestantism , the roots of the split were more political than theological. He also legally incorporated his ancestral land Wales into the Kingdom of England with
3480-590: The Battle of Trafalgar confirmed the naval supremacy Britain had established during the course of the eighteenth century. The Napoleonic Wars fostered a concept of Britishness and a united national British people , shared with the English, Scots and Welsh. London became the largest and most populous metropolitan area in the world during the Victorian era , and trade within the British Empire – as well as
3600-536: The Battle of Watling Street . The author of one study of Roman Britain suggested that from 43 AD to 84 AD, the Roman invaders killed somewhere between 100,000 and 250,000 people from a population of perhaps 2,000,000. This era saw a Greco-Roman culture prevail with the introduction of Roman law , Roman architecture , aqueducts , sewers , many agricultural items and silk. In the 3rd century, Emperor Septimius Severus died at Eboracum (now York ), where Constantine
3720-676: The British Isles , but also from the Commonwealth , particularly the Indian subcontinent . Since the 1970s there has been a large move away from manufacturing and an increasing emphasis on the service industry . As part of the United Kingdom, the area joined a common market initiative called the European Economic Community which became the European Union . Since the late 20th century the administration of
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3840-610: The Cotswold Hills , Chiltern Hills , North and South Downs ; where they meet the sea they form white rock exposures such as the cliffs of Dover . This also includes relatively flat plains such as the Salisbury Plain , Somerset Levels , South Coast Plain and The Fens . England has a temperate maritime climate : it is mild with temperatures not much lower than 0 °C (32 °F) in winter and not much higher than 32 °C (90 °F) in summer. The weather
3960-690: The Court of Appeal , the High Court of Justice for civil cases, and the Crown Court for criminal cases. The Supreme Court of the United Kingdom is the highest court for criminal and civil cases in England and Wales . It was created in 2009 after constitutional changes, taking over the judicial functions of the House of Lords . A decision of the Supreme Court is binding on every other court in
4080-583: The Courts of England and Wales continued, under the Treaty of Union , as a separate legal system from the one used in Scotland . The general essence of English law is that it is made by judges sitting in courts, applying their common sense and knowledge of legal precedent – stare decisis – to the facts before them. The court system is headed by the Senior Courts of England and Wales, consisting of
4200-701: The Domesday Book of 1086 covered the whole of England, meaning the English kingdom, but a few years later the Chronicle stated that King Malcolm III went "out of Scotlande into Lothian in Englaland", thus using it in the more ancient sense. The earliest attested reference to the Angles occurs in the 1st-century work by Tacitus , Germania , in which the Latin word Anglii is used. The etymology of
4320-736: The French Revolution , under George III and William Pitt the Younger . The regency of George IV is noted for its elegance and achievements in the fine arts and architecture. During the Napoleonic Wars , Napoleon planned to invade from the south-east ; however, this failed to manifest and the Napoleonic forces were defeated by the British: at sea by Horatio Nelson , and on land by Arthur Wellesley . The major victory at
4440-735: The Labour Party , 116 from the Conservative Party , 65 from the Liberal Democrats , five for Reform UK and four for the Green Party of England and Wales . The English law legal system, developed over the centuries, is the basis of common law legal systems used in most Commonwealth countries and the United States (except Louisiana ). Despite now being part of the United Kingdom, the legal system of
4560-656: The Lake District , the Pennines , and the Shropshire Hills . The country's capital is London , the metropolitan area of which has a population of 14.2 million as of 2021, representing the United Kingdom's largest metropolitan area. England's population of 56.3 million comprises 84% of the population of the United Kingdom, largely concentrated around London, the South East , and conurbations in
4680-424: The Mayoral Council for England , was established to bring together ministers from the UK Government , the Mayor of London and the leaders of combined authorities . In the House of Commons which is the lower house of the British Parliament based at the Palace of Westminster , there are 543 members of parliament (MPs) for constituencies in England, out of the 650 total. England is represented by 347 MPs from
4800-406: The Midlands , the North West , the North East , and Yorkshire , which each developed as major industrial regions during the 19th century. The name "England" is derived from the Old English name Englaland , which means "land of the Angles ". The Angles were one of the Germanic tribes that settled in Great Britain during the Early Middle Ages . They came from the Angeln region of what
4920-438: The Ministry of Justice , manages most prisons, housing 81,309 prisoners in England and Wales as of September 2022 . The subdivisions of England consist of up to four levels of subnational division , controlled through a variety of types of administrative entities created for the purposes of local government . Outside the London region, England's highest tier is the 48 ceremonial counties . These are used primarily as
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5040-518: The Severn is the longest river flowing through England. It empties into the Bristol Channel and is notable for its Severn Bore (a tidal bore ), which can reach 2 metres (6.6 ft) in height. However, the longest river entirely in England is the Thames, which is 215 miles (346 km) in length. There are many lakes in England ; the largest is Windermere , within the aptly named Lake District . Most of England's landscape consists of low hills and plains, with upland and mountainous terrain in
5160-479: The State Opening of Parliament by the British monarch when the doors of the House of Commons are slammed in the face of the monarch's messenger, symbolising the rights of Parliament and its independence from the monarch. With the founding of the Royal Society in 1660, science was greatly encouraged. In 1666 the Great Fire of London gutted the city of London, but it was rebuilt shortly afterward with many significant buildings designed by Sir Christopher Wren . By
5280-451: The Stuart dynasty England expanded in trade, finance and prosperity. The Royal Navy developed Europe's largest merchant fleet. After the parliaments of England and Scotland agreed, the two countries joined in political union , to create the Kingdom of Great Britain in 1707. To accommodate the union, institutions such as the law and national churches of each remained separate. Under the newly formed Kingdom of Great Britain, output from
5400-433: The Trinovantes . The Romans invaded Britain in 43 AD during the reign of Emperor Claudius , subsequently conquering much of Britain , and the area was incorporated into the Roman Empire as Britannia province . The best-known of the native tribes who attempted to resist were the Catuvellauni led by Caratacus . Later, an uprising led by Boudica , Queen of the Iceni , ended with Boudica's suicide following her defeat at
5520-470: The canal age in Britain . In 1825 the world's first permanent steam locomotive-hauled passenger railway – the Stockton and Darlington Railway – opened to the public. During the Industrial Revolution , many workers moved from England's countryside to new and expanding urban industrial areas to work in factories, for instance at Birmingham and Manchester , with the latter the world's first industrial city. England maintained relative stability throughout
5640-435: The decline of the Roman Empire , Britain was left exposed by the end of Roman rule in Britain and the withdrawal of Roman army units, to defend the frontiers in continental Europe and partake in civil wars. Celtic Christian monastic and missionary movements flourished. This period of Christianity was influenced by ancient Celtic culture in its sensibilities, polity, practices and theology. Local "congregations" were centred in
5760-434: The golden age in English history that represented the apogee of the English Renaissance and saw the flowering of great art, drama, poetry, music and literature. England during this period had a centralised, well-organised, and effective government. Competing with Spain , the first English colony in the Americas was founded in 1585 by explorer Walter Raleigh in Virginia and named Roanoke . The Roanoke colony failed and
5880-473: The jet engine led to wider air travel . Residential patterns were altered in England by private motoring, and by the creation of the National Health Service in 1948, providing publicly funded health care to all permanent residents free at the point of need. Combined, these prompted the reform of local government in England in the mid-20th century. Since the 20th century, there has been significant population movement to England, mostly from other parts of
6000-404: The last ice age only large mammals such as mammoths , bison and woolly rhinoceros remained. Roughly 11,000 years ago, when the ice sheets began to recede, humans repopulated the area; genetic research suggests they came from the northern part of the Iberian Peninsula . The sea level was lower than the present day and Britain was connected by land bridge to Ireland and Eurasia . As
6120-426: The 32 London Boroughs and the 25 Wards of the City of London . Geographically, England includes the central and southern two-thirds of the island of Great Britain, plus such offshore islands as the Isle of Wight and the Isles of Scilly . It is bordered by two other countries of the United Kingdom: to the north by Scotland and to the west by Wales. England is closer than any other part of mainland Britain to
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#17327987078326240-516: The 6th century. Contemporary texts describing this period are extremely scarce, giving rise to its description as a Dark Age . Details of the Anglo-Saxon settlement of Britain are consequently subject to considerable disagreement; the emerging consensus is that it occurred on a large scale in the south and east but was less substantial to the north and west, where Celtic languages continued to be spoken even in areas under Anglo-Saxon control. Roman-dominated Christianity had, in general, been replaced in
6360-416: The European continent. It is separated from France ( Hauts-de-France ) by a 21-mile (34 km) sea gap, though the two countries are connected by the Channel Tunnel near Folkestone . England also has shores on the Irish Sea , North Sea and Atlantic Ocean. The ports of London, Liverpool , and Newcastle lie on the tidal rivers Thames , Mersey and Tyne respectively. At 220 miles (350 km),
6480-403: The Great was left as the only surviving English kingdom, and under his successors, it steadily expanded at the expense of the kingdoms of the Danelaw . This brought about the political unification of England, first accomplished under Æthelstan in 927 and definitively established after further conflicts by Eadred in 953. A fresh wave of Scandinavian attacks from the late 10th century ended with
6600-540: The HSCIC changed from a special health authority to an executive non-departmental public body on 1 April 2013. Effective at this time, HSCIC took over parts of the troubled NHS National Programme for IT from the agency NHS Connecting for Health (CfH) which ceased to exist. It also runs the Health Survey for England . On 20 April 2016, it was announced that HSCIC would be rebranding, changing its name to NHS Digital in July 2016. NHSX , created in February 2019, has oversight of digital strategy and policy in NHS England. As
6720-461: The HSCIC, the organisation ran the care.data programme, which was cancelled in 2016. NHS Digital collected the national 'Hospital Episode Statistics' (HES), which is a record of every 'episode' of admitted patient care (counted by completing care with a consultant, meaning that more than one episode can be associated with a single stay in hospital) delivered by the NHS in England, including those done under contract by private providers. This involves
6840-457: The NHS and social care, including the management of large health informatics programmes. They deliver national systems through in-house teams, and by contracting private suppliers. These services include managing patient data including the Spine, which allows the secure sharing of information between different parts of the NHS, and forms the basis of the Electronic Prescription Service, Summary Care Record and Electronic Referral Service. NHS Digital
6960-400: The National Record Locator, which spans different health economies and is intended to enable paramedics, community mental health nurses, children’s health teams and maternity services to access the records of mental health patients across England. In August 2020 it launched a pilot electronic prescription service in three hospital trusts, where hospital prescriptions were sent electronically to
7080-439: The North, and the successful Norman Conquest in October 1066, accomplished by an army led by Duke William of Normandy invading at Hastings late September 1066. The Normans themselves originated from Scandinavia and had settled in Normandy in the late 9th and early 10th centuries. This conquest led to the almost total dispossession of the English elite and its replacement by a new French-speaking aristocracy, whose speech had
7200-408: The Pope. During the 14th century, the Plantagenets and the House of Valois claimed to be legitimate claimants to the House of Capet and of France; the two powers clashed in the Hundred Years' War . The Black Death epidemic hit England ; starting in 1348, it eventually killed up to half of England's inhabitants . Between 1453 and 1487, a civil war known as the War of the Roses waged between
7320-685: The Royal Society and other English initiatives combined with the Scottish Enlightenment to create innovations in science and engineering, while the enormous growth in British overseas trade protected by the Royal Navy paved the way for the establishment of the British Empire . Domestically it drove the Industrial Revolution , a period of profound change in the socioeconomic and cultural conditions of England, resulting in industrialised agriculture, manufacture, engineering and mining, as well as new and pioneering road, rail and water networks to facilitate their expansion and development. The opening of Northwest England's Bridgewater Canal in 1761 ushered in
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#17327987078327440-408: The Saxon tribe gave their name to the word for England ( Sasunn ); similarly, the Welsh name for the English language is Saesneg . A romantic name for England is Loegria , related to the Welsh word for England, Lloegr , and made popular by its use in Arthurian legend . Albion is also applied to England in a more poetic capacity, though its original meaning is the island of Britain as
7560-444: The UK government unveiled their Coronavirus Action Plan , which outlined what the UK had done already and what it planned to do next. On 2 March, the first COVID-19 death occurred in a care home, but at that time care home data were not yet published. On 3 March, the first three hospital deaths were reported in Nottingham, Essex, and Buckinghamshire. On 15 March, the COVID-19 Hospitalisation in England Surveillance System (CHESS)
7680-525: The UK had at least 1,356 origins, mostly from Italy (late February), Spain (early-to-mid-March), and France (mid-to-late-March). In the same month, it was reported that a 53-year-old woman fell ill on 6 January, two days after returning from Obergurgl resort in Austria . In August 2020, the Kent coroner reportedly certified that the death of Peter Attwood (aged 84) on 30 January had been related to COVID-19 ('COVID-19 infection and bronchopneumonia', according to an email on 3 September, after COVID-19
7800-433: The UK reached eight as four further cases were confirmed in people linked to the affected man from Brighton. Globally, the virus had spread to 28 countries. On the morning of 10 February, the Secretary of State for Health and Social Care , Matt Hancock , announced The Health Protection (Coronavirus) Regulations 2020 , to give public health professionals "strengthened powers" to keep affected people and those believed to be
7920-407: The UK's CMOs expanded the number of countries where a history of previous travel associated with flu-like symptoms – such as fever, cough and difficulty breathing – in the previous 14 days would require self-isolation and calling NHS 111 . These countries included China, Hong Kong, Japan, Macau, Malaysia, Republic of Korea, Singapore, Taiwan and Thailand. On 10 February, the total number of cases in
8040-432: The United Kingdom has moved towards devolved governance in Scotland, Wales and Northern Ireland. England and Wales continues to exist as a jurisdiction within the United Kingdom. Devolution has stimulated a greater emphasis on a more English-specific identity and patriotism. There is no devolved English government, but an attempt to create a similar system on a sub-regional basis was rejected by referendum . England
8160-443: The United Kingdom as part of the Allies . Two decades later, in World War II , the United Kingdom was again one of the Allies . Developments in warfare technology saw many cities damaged by air-raids during the Blitz . Following the war, the British Empire experienced rapid decolonisation , and there was a speeding-up of technological innovations; automobiles became the primary means of transport and Frank Whittle 's development of
8280-413: The area, the Beaker culture people made bronze , and later iron from iron ores. The development of iron smelting allowed the construction of better ploughs , advancing agriculture (for instance, with Celtic fields ), as well as the production of more effective weapons. During the Iron Age , Celtic culture , deriving from the Hallstatt and La Tène cultures , arrived from Central Europe. Brythonic
8400-505: The auspices of James VI and I the Authorised King James Version of the Holy Bible was published in 1611. It was the standard version of the Bible read by most Protestant Christians for four hundred years until modern revisions were produced in the 20th century. Based on conflicting political, religious and social positions, the English Civil War was fought between the supporters of Parliament and those of King Charles I , known colloquially as Roundheads and Cavaliers respectively. This
8520-403: The case in Surrey who had no history of travel abroad. On 2 March, four further people in England tested positive. All had recently travelled from Italy; they were from Hertfordshire, Devon and Kent. The total number of UK cases was reported as having reached 40, though this was revised to 39 after additional testing. The following day, when the number of confirmed cases in the UK stood at 51,
8640-585: The conquered territories by Anglo-Saxon paganism , but was reintroduced by missionaries from Rome led by Augustine from 597. Disputes between the Roman- and Celtic-dominated forms of Christianity ended in victory for the Roman tradition at the Council of Whitby (664), which was ostensibly about tonsures (clerical haircuts) and the date of Easter, but more significantly, about the differences in Roman and Celtic forms of authority, theology, and practice. During
8760-541: The conquest of this united kingdom by Sweyn Forkbeard in 1013 and again by his son Cnut in 1016, turning it into the centre of a short-lived North Sea Empire that also included Denmark and Norway . However, the native royal dynasty was restored with the accession of Edward the Confessor in 1042. A dispute over the succession to Edward led to an unsuccessful Norwegian Invasion in September 1066 close to York in
8880-454: The course of the fifth and sixth centuries, initially in the eastern part of the country. Their advance was contained for some decades after the Britons' victory at the Battle of Mount Badon , but subsequently resumed, overrunning the fertile lowlands of Britain and reducing the area under Brittonic control to a series of separate enclaves in the more rugged country to the west by the end of
9000-728: The disease that were discharged in April. In April, the ITV News health and science editor Emily Morgan filmed inside the intensive care unit at the Royal Bournemouth Hospital in Dorset , showing critically ill coronavirus patients being treated. It was the first time cameras in the UK had been allowed to film inside an intensive care unit. By 3 May, daily admissions to hospital had further reduced to around 1,000, while discharges continued to exceed admissions and thus
9120-637: The early 2010s England was divided for a few purposes into regions; a 1998 referendum for the London Region created the London Assembly two years later. A failed 2004 North East England devolution referendum cancelled further regional assembly devolution with the regional structure outside London abolished. Ceremonially and administratively, the region is divided between the City of London and Greater London ; these are further divided into
9240-438: The following day. The number of patients in hospital with COVID-19 continued to reduce and on 31 May was around 5,900. During the month at least 22,400 patients were admitted to hospital with COVID-19, the number of hospital deaths was around 5,200 and around 23,900 patients were discharged. A study published on 8 June which included genome sequencing data concluded that in mid to late February travel from Italy resulted in
9360-538: The hierarchy, which must follow its directions. The Secretary of State for Justice is the minister responsible to Parliament for the judiciary , the court system and prisons and probation in England. Crime increased between 1981 and 1995 but fell by 42% in the period 1995–2006. The prison population doubled over the same period, giving it one of the highest incarceration rates in Western Europe at 147 per 100,000. His Majesty's Prison Service , reporting to
9480-560: The infections. Also on 17 March, Chancellor Rishi Sunak announced that £330bn would be made available in loan guarantees for businesses affected by the pandemic. By 18 March, over 1,000 patients were in hospital with COVID-19. This number rapidly grew and by 31 March exceeded 11,000. Admissions to hospital grew from less than 700 a day on 20 March to more than 2,400 a day by 31 March. By 20 March, genome sequencing had identified ten viral lineages of COVID-19 in England (A, B, B1, B10, B10.2, B11, B12.1, B5, B8, B9). The research, which
9600-643: The long-running Hospital Episode Statistics which can help local decision makers to improve the quality and efficiency of frontline care. The organisation was created as a special health authority on 1 April 2005 by a merger of the National Programme for IT, part of the Department of Health , the NHS Information Authority , and the Prescribing Support Unit. Following the Health and Social Care Act 2012 ,
9720-525: The majority of importations. By 1 March this had changed to Spain and by mid-March it changed again to France; because of the travel restrictions imposed, importations after mid April were at very low levels. It was estimated that around half of the importations were by UK nationals returning to the UK. In the period up to 3 May, approximately 34% of detected UK transmission lineages arrived via travel from Spain, 29% from France, 14% from Italy and 23% from other countries. Less than 0.1% were from China. By 15 June
9840-689: The maximum number of hospital admissions in a day during the first wave was reached (around 3,000 patients); the number of daily hospital deaths from COVID-19 was now more than 600. On 12 April, the number of patients in hospital, for the first wave, peaked at 18,974 and the number of daily admissions due to COVID-19 had reduced to less than 1,900; more than 700 COVID-19 hospital deaths were recorded. Up to 24 April, ONS death registrations for England and Wales showed 19,643 had occurred in hospital, 5,890 in care homes, 1,306 in private homes and 301 in hospices. Of these deaths, 1,149 occurred in Wales. On 29 April,
9960-426: The method of reporting deaths in England was changed. Data from three sources are now cross checked against the list of people who have had a diagnosis of COVID-19 confirmed by a Public Health England or NHS laboratory. The three sources are: After checking, the records are merged into one database and duplicates removed so there is no double counting. The new method of counting deaths results in higher numbers than
10080-453: The metropolitan counties have different types of status to other ceremonial counties. The second tier is made up of combined authorities and the 27 county-tier shire counties . In 1974, all ceremonial counties were two-tier; and with the metropolitan county tier phased out, the 1996 reform separated the ceremonial county and the administrative county tier. England is also divided into local government districts. The district can align to
10200-707: The mid-to-late 17th century, two political factions had emerged – the Tories and Whigs . Though the Tories initially supported Catholic king James II , some of them, along with the Whigs, during the Revolution of 1688 invited the Dutch Prince William of Orange to defeat James and become the king. Some English people, especially in the north, were Jacobites and continued to support James and his sons. Under
10320-569: The monastic community and monastic leaders were more like chieftains, as peers, rather than in the more hierarchical system of the Roman-dominated church. Roman military withdrawals left Britain open to invasion by pagan, seafaring warriors from north-western continental Europe, chiefly the Saxons, Angles , Jutes and Frisians who had long raided the coasts of the Roman province. These groups then began to settle in increasing numbers over
10440-457: The nation's health and to address inequalities". As of 14 September 2021, there have been 6,237,505 total cases and 117,955 deaths in England. In January 2021, it was estimated around 22% of people in England have had COVID-19. Healthcare in Scotland , Wales and Northern Ireland is administered by the devolved governments, but there is no devolved government for England and so healthcare
10560-611: The nation, many by Natural England themselves, but also by non-governmental organisations, including the members of The Wildlife Trusts partnership, the National Trust , and the Royal Society for the Protection of Birds . There are 221 NNRs in England covering 110,000 hectares (1,100 square kilometres). Often they contain rare species or nationally important populations of plants and animals. . The Environment Agency
10680-613: The north and west of the country. The northern uplands include the Pennines , a chain of uplands dividing east and west, the Lake District mountains in Cumbria, and the Cheviot Hills , straddling the border between England and Scotland. The highest point in England, at 978 metres (3,209 ft), is Scafell Pike in the Lake District. The Shropshire Hills are near Wales while Dartmoor and Exmoor are two upland areas in
10800-642: The number of hospital patients was below 8,000 and daily admissions were around 700. On 21 May, the lockdown rules were amended in England to allow people to meet one other person from another household, outdoors, but to remain 2 m (6 ft) apart. Outdoor sports such as golf or tennis were allowed with members of the same household or with one other person from another household, while maintaining social distancing. Households were allowed to drive any distance in England to destinations such as parks and beaches, but not to Wales or Scotland. On 27 May, Matt Hancock announced NHS Test and Trace would begin operations
10920-714: The number of people in hospital had fallen steadily to around 3,900 and daily admissions were down to around 360, but each day there were still around 50 deaths reported. On 30 June the government imposed the first local lockdown in the UK after 10% of all positive cases in the UK over the past week were found in Leicester . Non-essential shops in the city had to close, and the public houses and restaurants hoping to reopen on 4 July had to delay opening for at least two weeks; schools would also be shut for most pupils. By 30 June daily COVID-19 hospital admissions were fewer than 200 and COVID-19 daily deaths in hospital were around 30;
11040-585: The number of people in hospital was now around 10,500. An app for the adult social care workforce in England was launched on 6 May to support workers during the COVID-19 outbreak. The Care Workforce app was developed by NHSX and the NHS Business Services Authority . The GMB union told members not to use the app, saying that managers could identify staff who had complained about pay, testing and personal protective equipment through
11160-477: The patient’s community pharmacy, as during the COVID-19 pandemic in England most outpatient consultations were held remotely. A troubleshooting operation was established in 2018 to help NHS trusts when major IT deployments go wrong. Eight trusts needed emergency assistance in 2018 after a deployment led to severe service disruptions. Funding of £2 million a year for the service has been allocated and expansion
11280-517: The previous 12 months. Simon Bolton, formerly chief information officer at Jaguar Land Rover and NHS Test and Trace , was appointed as interim chief executive officer in June 2021. He replaced Sarah Wilkinson , CEO from August 2017 until she decided to step down in March 2021. England – in Europe (green & dark grey) – in the United Kingdom (green) England
11400-551: The previous method. On 29 April, the total number of deaths reported by NHS England was 21,400. The new method identified 23,550 deaths of people who had a positive test result confirmed by a PHE or NHS laboratory. The number of patients with COVID-19 in hospital steadily reduced until on 30 April it was around 12,900; at least 54,100 patients were admitted to hospital in April with COVID-19. The total number of deaths in hospital during April from COVID-19 exceeded 17,500; this data suggest that there were around 36,000 patients who had
11520-479: The regulations were venues where wearing a mask might be 'impractical', such as restaurants and gyms. Exemptions were available for children under 11, individuals with physical or mental illness or disability, and for anyone to whom it would cause significant distress. On 24 July it was reported that, as a result of the pandemic and job losses, almost 1,000 people applied to a restaurant in Manchester advertising
11640-756: The same day, an evacuation flight from Wuhan landed at RAF Brize Norton and the passengers, none of whom were showing symptoms, were taken to quarantine, in a staff residential block at Arrowe Park Hospital on the Wirral . There had previously been contention over whether the government should assist the repatriation of UK passport holders from the most affected areas in China, or restrict travel from affected regions altogether. Some British nationals in Wuhan had been informed that they could be evacuated but any spouses or children with mainland Chinese passports could not. This
11760-468: The seas rose, it was separated from Ireland 10,000 years ago and from Eurasia two millennia later. The Beaker culture arrived around 2,500 BC, introducing drinking and food vessels constructed from clay, as well as vessels used as reduction pots to smelt copper ores. It was during this time that major Neolithic monuments such as Stonehenge (phase III) and Avebury were constructed. By heating together tin and copper, which were in abundance in
11880-450: The settlement period the lands ruled by the incomers seem to have been fragmented into numerous tribal territories, but by the 7th century, when substantial evidence of the situation again becomes available, these had coalesced into roughly a dozen kingdoms including Northumbria , Mercia , Wessex , East Anglia , Essex , Kent and Sussex . Over the following centuries, this process of political consolidation continued. The 7th century saw
12000-477: The signing of Magna Carta , an English legal charter used to limit the sovereign's powers by law and protect the privileges of freemen. Catholic monasticism flourished, providing philosophers, and the universities of Oxford and Cambridge were founded with royal patronage. The Principality of Wales became a Plantagenet fief during the 13th century and the Lordship of Ireland was given to the English monarchy by
12120-636: The south-west of the country. The approximate dividing line between terrain types is often indicated by the Tees–Exe line . The Pennines, known as the "backbone of England", are the oldest range of mountains in the country, originating from the end of the Paleozoic Era around 300 million years ago. Their geological composition includes, among others, sandstone and limestone , and also coal. There are karst landscapes in calcite areas such as parts of Yorkshire and Derbyshire . The Pennine landscape
12240-547: The standing of the British military and navy – was prestigious. Technologically, this era saw many innovations that proved key to the United Kingdom's power and prosperity. Political agitation at home from radicals such as the Chartists and the suffragettes enabled legislative reform and universal suffrage . Power shifts in east-central Europe led to World War I; hundreds of thousands of English soldiers died fighting for
12360-491: The threat: Spain launched two further armadas, in 1596 and 1597 , but both were driven back by storms. The political structure of the island changed in 1603, when the King of Scots , James VI , a kingdom which had been a long-time rival to English interests, inherited the throne of England as James I, thereby creating a personal union . He styled himself King of Great Britain , although this had no basis in English law. Under
12480-411: The total number in hospital with COVID-19 was fewer than 2,700. On Friday 24 July 2020 new regulations made it compulsory to wear face coverings in most indoor shops, shopping centres, banks, post offices and public transport hubs. Those breaking the rules could be fined up to £100. Face coverings remained optional in other indoor public places including museums, cinemas and hairdressers. Excluded from
12600-442: The tracking of around 16 million 'episodes' of care every year. This information is used for a range of statistical analysis, as well as for determining payments to providers. In addition to admitted patient care, HES also provides data for outpatient and emergency care encounters. The Emergency Care Data Set has been created to replace HES A&E data and provide better data on emergency care encounters. In November 2019 it launched
12720-826: The tribal name itself is disputed by scholars; it has been suggested that it derives from the shape of the Angeln peninsula, an angular shape. How and why a term derived from the name of a tribe that was less significant than others, such as the Saxons , came to be used for the entire country is not known, but it seems this is related to the custom of calling the Germanic people in Britain Angli Saxones or English Saxons to distinguish them from continental Saxons (Eald-Seaxe) of Old Saxony in Germany. In Scottish Gaelic ,
12840-803: The two branches of the royal family, the Yorkists and Lancastrians . Eventually it led to the Yorkists losing the throne entirely to a Welsh noble family the Tudors , a branch of the Lancastrians headed by Henry Tudor who invaded with Welsh and Breton mercenaries, gaining victory at the Battle of Bosworth Field where the Yorkist king Richard III was killed. During the Tudor period , England began to develop naval skills , and exploration intensified in
12960-541: The warming of the sea by the Gulf Stream . Rainfall is higher in the west, and parts of the Lake District receive more rain than anywhere else in the country. Since weather records began, the highest temperature recorded was 40.3 °C (104.5 °F) on 19 July 2022 at Coningsby , Lincolnshire , while the lowest was −26.1 °C (−15.0 °F) on 10 January 1982 in Edgmond , Shropshire. The fauna of England
13080-458: The west. Continental Europe lies to the south-east, and Ireland to the west. At the 2021 census , the population was 56,490,048. London is both the largest city and the capital . The area now called England was first inhabited by modern humans during the Upper Paleolithic . It takes its name from the Angles , a Germanic tribe who settled during the 5th and 6th centuries. England became
13200-576: Was an interwoven part of the wider multifaceted Wars of the Three Kingdoms , involving Scotland and Ireland . The Parliamentarians were victorious, Charles I was executed and the kingdom replaced by the Commonwealth . Leader of the Parliament forces, Oliver Cromwell declared himself Lord Protector in 1653; a period of personal rule followed. After Cromwell's death and the resignation of his son Richard as Lord Protector, Charles II
13320-699: Was at an early stage, concluded that the data were consistent with a large number of independent introductions into the UK, from places around the world, particularly Italy and other European countries. It was very likely that the true number of independent introductions was substantially higher. By 31 March, England was the worst affected country in the United Kingdom with over 21,000 confirmed infections; In March there were around 4,500 deaths in hospital but more than 6,700 patients who had recovered were discharged. ONS data for England and Wales suggests that by 31 March, England had seen over 200 COVID-19 deaths in care homes and more than 200 deaths at home. On 2 April
13440-584: Was detected in his lung tissue), making him the first confirmed England and UK death from the disease. He first showed symptoms on 15 December 2019. Attwood had not travelled abroad. In November 2020, it was reported that a 66-year-old man had experienced symptoms of COVID-19 shortly after returning from holiday in Italy in September 2019, and his 44-year-old daughter had experienced similar symptoms. Scientists had previously speculated about COVID-19 in Italy as early as September 2019. On 31 January, two members of
13560-502: Was established with the Bill of Rights in 1689. Among the statutes set down were that the law could only be made by Parliament and could not be suspended by the King, also that the King could not impose taxes or raise an army without the prior approval of Parliament. Also since that time, no British monarch has entered the House of Commons when it is sitting, which is annually commemorated at
13680-425: Was first confirmed to have spread to England with two cases among Chinese nationals staying in a hotel in York on 31 January 2020. The two main public bodies responsible for health in England were NHS England and Public Health England (PHE). NHS England oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England, while PHE's mission is "to protect and improve
13800-399: Was initiated across all NHS Trusts. On 17 March, NHS England announced that all non-urgent operations would be postponed from 15 April to free up 30,000 beds. Additionally, many patients were discharged into care homes, initially this thought to have caused significant infections, and as a result deaths in care homes, however it is now believed that community infections were responsible for
13920-588: Was invited to return as monarch in 1660, in a move called the Restoration . With the reopening of theatres, fine arts, literature and performing arts flourished throughout the Restoration of the "Merry Monarch" Charles II. After the Glorious Revolution of 1688, it was constitutionally established that King and Parliament should rule together, though Parliament would have the real power. This
14040-538: Was later overturned, but the delay meant that some people missed the flight. On 6 February, a third confirmed case, a man who had recently travelled to Singapore prior to visiting a ski resort in the Haute-Savoie , France, was reported in Brighton . He had been the source of infection to six of his relatives during a stay in France, before returning to the UK on 28 January. Following confirmation of his result,
14160-508: Was reported that a 50-year-old man from East Sussex fell ill with COVID-19 symptoms on 20 January after he returned from Ischgl in Austria ; the resort was under investigation because it allegedly failed to report possible cases. Three members of his family, two friends from Denmark and one from Minnesota , US had the same symptoms. In June 2020, the BBC reported it was found COVID-19 in
14280-620: Was subsequently proclaimed emperor a century later. There is debate about when Christianity was first introduced; it was no later than the 4th century, probably much earlier. According to Bede , missionaries were sent from Rome by Eleutherius at the request of the chieftain Lucius of Britain in 180 AD, to settle differences as to Eastern and Western ceremonials, which were disturbing the church. There are traditions linked to Glastonbury claiming an introduction through Joseph of Arimathea , while others claim through Lucius of Britain. By 410, during
14400-517: Was the spoken language during this time. Society was tribal; according to Ptolemy 's Geographia there were around 20 tribes in the area. Like other regions on the edge of the Empire, Britain had long enjoyed trading links with the Romans. Julius Caesar of the Roman Republic attempted to invade twice in 55 BC; although largely unsuccessful, he managed to set up a client king from
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