Misplaced Pages

#349650

74-813: NHS England , formerly the NHS Commissioning Board for England , is an executive non-departmental public body of the Department of Health and Social Care . It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012 . It directly commissions NHS general practitioners , dentists, optometrists and some specialist services. The Secretary of State publishes annually

148-593: A novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei , China, which was reported to the WHO on 31 December 2019. The case fatality ratio for COVID-19 has been much lower than SARS of 2003 , but the transmission has been significantly greater, with a significant total death toll. Scientists used statistical analysis of data from genetic sequencing, combined with epidemiological and estimated travel data, to estimate

222-866: A Federated Data Platform (FDP). An FDP would enable every hospital trust and integrated care system (ICS) to have their own platform through which they could connect and share information between them where helpful. The FDP would build on the work done with the Covid Data Store .The contract to provide the FDP would be worth up to £480 million. Palantir are widely thought to be the frontrunners to win. This has prompted further criticism from civil liberties groups. Specialised services are those provided in relatively few hospitals and accessed by comparatively small numbers of patients, but with catchment populations of usually more than one million. These services tend to be located in specialised hospital trusts that can recruit

296-529: A consensus for transformation and the practical steps to deliver it". In April 2017 it introduced a capped expenditure process, applied to NHS commissioners and providers in the 13 areas across England with the largest budget deficits. It is intended to reduce their spending by around £500 million, and health leaders were told to "think the unthinkable". In 2022 there were seven regional teams and 10,640 full time equivalent staff. NHS England allocates funding (£69.5 billion in 2016/2017) to CCGs in accordance with

370-553: A document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate. In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with NHS Improvement , and seven "single integrated regional teams" would be jointly established. NHS England

444-464: A funding formula. Until 2016, progress towards the amount indicated by the formula from the historical allocation was slow, and CCGs which were above their allocation did not suffer a reduction. From April 2016, however, CCGs with more than 10 per cent above their fair share were to receive "flat cash" – an effective reduction. This would also ensure than no CCG was more than 5 per cent below its target allocation in 2016/2017. In October 2016 it introduced

518-787: A further increase in cases that surpassed previous records, although the true number of infections was thought to be higher. It became mandatory for people to show proof of full vaccination or proof that they are not infected to enter certain indoor hospitality and entertainment venues. On 9 January 2022, the UK became the seventh country worldwide to pass 150,000 reported COVID-19 deaths. All remaining legally enforced COVID-19 related restrictions concluded in Northern Ireland and England during February 2022, with that step being taken in Scotland (partially extended into April) and Wales by

592-506: A hospital appointment, and 37% of older people felt less confident going to a GP surgery. Research by The Sunday Times reported that in 2021, the proportion of private school pupils receiving A*, a mark for exceptional achievement, was 39.5 per cent, rising from 16.1 per cent in 2019. The highest record in terms of increase came from the North London Collegiate School , where senior fees could surpass £21,000

666-680: A planning document – the Five Year Forward View – in October 2014 which envisaged development of new models to suit local needs. In conjunction with the other central regulators, the organisation established what is called a "success regime" in south and mid Essex, North Cumbria and north east and western Devon in June 2015. It was intended to tackle "deep rooted and systemic issues that previous interventions have not tackled across [a] whole health and care economy". In 2016 it organised

740-563: A significant impact on people's mental health—with particular damage to the mental health of foreign-born men whose work hours have been reduced/eliminated. The pandemic has had far-reaching consequences in the country that go beyond the spread of the disease itself and efforts to quarantine it, including political, cultural, and social implications. Sophie Grégoire Trudeau , the wife of Canadian Prime Minister Justin Trudeau , tested positive for COVID-19 upon her return from WE Day events in

814-543: A small secretariat from the parent department, and any expenditure is paid for by that department. These bodies usually deliver a particular public service and are overseen by a board rather than ministers. Appointments are made by ministers following the Code of Practice of the Commissioner for Public Appointments . They employ their own staff and allocate their own budgets. These bodies have jurisdiction over an area of

SECTION 10

#1732772447350

888-455: A team of staff with the appropriate expertise. NHS England is responsible for commissioning £19.3 billion of specialised services in 2021-2 and for dealing with Individual Funding Requests in respect of the specialist services it commissions. There are proposals to move some of this commissioning to integrated care systems . The Shelford Group expressed concerns in May 2022 about services "where

962-690: A year and the proportion of A* grades rose from 33.8 per cent in 2019 to 90.2 per cent in the summer of 2021. At 25 schools, the number of A* grades trebled or even quadrupled. These and other findings led MPs to call for an inquiry into the "manipulation" of the exam system during the COVID-19 crisis. The pandemic was widely disruptive to the economy of the United Kingdom, with most sectors and workforces adversely affected. Some temporary shutdowns became permanent; some people who were furloughed were later made redundant. The economic disruption has had

1036-609: Is responsible for their costs and has to note all expenses. NDPB differ from executive agencies as they are not created to carry out ministerial orders or policy, instead they are more or less self-determining and enjoy greater independence. They are also not directly part of government like a non-ministerial government department being at a remove from both ministers and any elected assembly or parliament. Typically an NDPB would be established under statute and be accountable to Parliament rather than to His Majesty's Government . This arrangement allows more financial independence since

1110-471: Is the best way to compare outcomes between countries. The study found that, compared to other countries, the UK tended to attribute more deaths to COVID-19. A Cambridge University epidemiologist, Raghib Ali, said that the study would correct "widespread misconceptions" about the way the UK had handled the pandemic, and that there was "no clear relationship between levels of excess mortality and different levels of restrictions... across western Europe or indeed

1184-629: Is the operating name of the NHS Commissioning Board and, before that, the NHS Commissioning Board Authority. It was set up as a special health authority of the NHS in October 2011 as the forerunner to becoming a non-departmental body on 1 April 2013. It was renamed NHS England on 26 March 2013, although its legal name remains the NHS Commissioning Board. Sir David Nicholson , who became Chief Executive at

1258-427: Is their best or only option, have no hope of access to funding. Most have been waiting many months. Approximately half of these patients are at imminent risk of a catastrophic event (renal bleed or kidney failure) with a high risk of preventable death." It authorises and pays for treatment of narcolepsy with sodium oxybate by means of individual funding requests on the basis of exceptional circumstances. In May 2016

1332-581: The European System of Accounts (ESA.95). However, Statistics UK does not break out the detail for these bodies and they are consolidated into General Government (S.1311). COVID-19 pandemic in the United Kingdom The COVID-19 pandemic in the United Kingdom is a part of the worldwide pandemic of coronavirus disease 2019 ( COVID-19 ) caused by severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ). In

1406-466: The NHS app was unveiled, with public backing from Matt Hancock , who presented it as the key to a radical overhaul of NHS technology. The NHS Long Term Plan set a target for all secondary care providers to move to digital records by 2024, which "will cover clinical and operational processes across all settings, locations and departments and be based on robust, modern IT infrastructure services for hosting, storage, networks and cyber security." In 2020

1480-536: The United Kingdom , it has resulted in 25,012,428 confirmed cases, and is associated with 232,112 deaths. The virus began circulating in the country in early 2020, arriving primarily from travel elsewhere in Europe. Various sectors responded , with more widespread public health measures incrementally introduced from March 2020. The first wave was at the time one of the world's largest outbreaks. By mid-April

1554-544: The coronavirus pandemic , the Secretary of State for Health and Social Care directed the NHS Commissioning Board to buy services from the private sector, thereby bypassing CCGs. The Exercise of Commissioning Functions by the NHS Commissioning Board (Coronavirus) Directions 2020 came into force on 20 March 2020, and were revised to widen the definition of independent providers on 27 March. The directive also allows NHS England to exercise functions normally carried out by CCGs, as

SECTION 20

#1732772447350

1628-616: The law . They are coordinated by His Majesty's Courts and Tribunals Service , an executive agency of the Ministry of Justice , and supervised by the Administrative Justice and Tribunals Council , itself an NDPB sponsored by the Ministry of Justice. These bodies were formerly known as "boards of visitors" and are responsible for the state of prisons, their administration, and the treatment of prisoners. The Home Office

1702-586: The severe economic impact . It also forwent the procurement process in contracts in response to shortages of PPE and medical equipment , major issues in the early months of the outbreak, and for developing a contact tracing app . There has been some disparity between the outbreak's severity in England , Scotland , Wales and Northern Ireland – health-care in the UK is devolved , each constituent country having its own publicly-funded healthcare system run by devolved governments. The COVID-19 pandemic led to

1776-415: The 20th-highest death rate worldwide. Since early 2021 the UK has had one of the world's highest testing rates. In March 2022, The Lancet published a study showing that, compared to other western European countries, with 127 per 100,000 population, the UK had a lower excess deaths rate during the pandemic than the average, and lower than Italy (227), Portugal (202), Spain (187), Belgium (147), and

1850-527: The Board deems appropriate. The direction will be in place until the end of 2020. Applications by GPs to reduce their catchment area are dealt with by NHS England. In November 2014, Mr Justice Popplewell declared that NHS England "has acted unlawfully by reason of its failure to make arrangements for the involvement of patients in primary care commissioning decisions as required by the National Health Service Act 2006". The case involved

1924-510: The High Court ordered NHS England to provide funding to treat a teenager with severe narcolepsy. The judge criticised their "thoroughly bad decision" and "absurd" policy discriminating against the girl when hundreds of other NHS patients already receive the drug. The Department of Health is also paying for the treatment of people whose narcolepsy was caused by the swine flu vaccine Pandemrix in 2009–10 by means of private prescriptions outside

1998-507: The Labour government in office from 1997 to 2010, though the political controversy associated with NDPBs in the mid-1990s for the most part died away. In 2010 the UK's Conservative-Liberal coalition published a review of NDPBs recommending closure or merger of nearly two hundred bodies, and the transfer of others to the private sector. This process was colloquially termed the "bonfire of the quangos". NDPBs are classified under code S.13112 of

2072-511: The NHS awarded an emergency contract to Palantir Technologies for the creation of a Covid Data Store system for a statutory fee of £1. Palantir then won a £23.5 million contract with the NHS to continue with its work in December 2020. Palantir's involvement with the NHS was subject to criticism from civil liberties groups, including Open Democracy . In 2023 the NHS began a procurement process for

2146-554: The National Health Service. In May 2022 it produced guidance that said 65 of the 154 services they commissioned were ready and suitable to be devolved to the integrated care systems . It is expected that most will be jointly commissioned with their neighbours, rather than on their own. The organisation's responsibilities include arbitration in disputes between clinical commissioning groups and NHS trusts . Non-departmental public body The term includes

2220-562: The Netherlands (140), that the difference between the UK, France (124), and Germany (121) was not statistically significant, and that Ireland (13) and the Scandinavian countries had a lower rate. The UK rate is marginally more than the world average of 120. The study was of excess mortality in 191 countries over the years 2020 and 2021 during the pandemic, the method that the chief medical officer of England , Chris Whitty , said

2294-600: The Omicron wave continued. Economic support was given to struggling businesses, including a furlough scheme for employees. As well as the major strain on the UK's healthcare service , the pandemic has had a severe impact on the UK's economy , caused major disruptions to education and had far-reaching impacts on society and politics . On 12 January 2020, the World Health Organization (WHO) confirmed that

NHS England - Misplaced Pages Continue

2368-577: The Operational Pressures Escalation Levels (OPEL) system for the management of operational difficulties in English hospitals, replacing the system of red and black alerts which was locally defined. OPELs range from 1 (normal) to 4 (a major crisis requiring external intervention either regionally or nationally). This is intended, among other things, to enable comparisons of trends over time and between areas. In view of

2442-594: The UK Government. This total included 198 executive NDPBs, 410 advisory bodies, 33 tribunals, 21 public corporations, the Bank of England , 2 public broadcasting authorities and 23 NHS bodies. However, the classification is conservative and does not include bodies that are the responsibility of devolved government , various lower tier boards (including a considerable number within the NHS), and also other boards operating in

2516-584: The UK and were given special permission to visit a dying parent. The women had entered the country on 7 June, after first flying into Doha and Brisbane . A 2021 study suggested that the SARS-CoV-2 Alpha variant , which was first detected in Kent , spread internationally via flights originating in London in late 2020. This article presents official statistics gathered during the COVID-19 pandemic in

2590-413: The UK in June 2015. The organisation was reported to be developing a strategy to support the use of personal health records in June 2015. This, it is hoped, could achieve up to £3.4 billion in annual efficiency savings by 2020. In April 2016 it published an index of digital maturity, where each of the 239 NHS trusts assessed its own "readiness", "capabilities" and "enabling infrastructure". In 2018

2664-500: The UK introduced advice for travellers coming from affected countries in late January and February 2020, and began contact tracing , although this was later abandoned. The government incrementally introduced further societal restrictions on the public as the virus spread across the country in the following weeks, initially resisting more stringent measures introduced elsewhere in Europe and Asia . Prime Minister Boris Johnson announced

2738-437: The UK went into a third lockdown . The second wave peaked in mid-January with over 1,000 daily deaths, before declining into the summer. The first COVID-19 vaccine was approved and began being deployed across the UK in early December, with a staggered rollout prioritising the most vulnerable and then moving to progressively younger age groups. The UK was the first country to do so, and in early 2021 its vaccination program

2812-832: The UK; on 12 March 2020 the Trudeau family entered two weeks of self-isolation. The first patient in Mauritius was a 59-year-old man who returned from the United Kingdom on 7 March 2020. When he arrived in Mauritius, the Mauritian had no symptoms. Other cases of the novel coronavirus resulting from travel to the UK were subsequently reported in India and Nigeria. On 16 June 2020, it was widely reported in British media that New Zealand's first COVID-19 cases in 24 days were diagnosed in two British women, both of whom had travelled from

2886-546: The United Kingdom. Reports from the Medical Research Council's Centre for Global Infectious Disease Analysis at Imperial College , London have been providing mathematically calculated estimates of cases and case fatality rates. In February 2020, the team at Imperial College, led by epidemiologist Neil Ferguson , estimated about two-thirds of cases in travellers from China were not detected and that some of these may have begun "chains of transmission within

2960-418: The aim is to reduce the health impact of the epidemic but not to stop transmission completely; and suppression, where the aim is to reduce transmission rates to a point where case numbers fall. Until this point, government actions had been based on a strategy of mitigation, but the modelling predicted that while this would reduce deaths by approximately 2/3, it would still lead to approximately 250,000 deaths from

3034-522: The countries they entered". They forecast that the new type of coronavirus could infect up to 60% of the UK's population, in the worst-case scenario. In a paper on 16 March 2020, the Imperial College team provided detailed forecasts of the potential impacts of the epidemic in the UK and US. It detailed the potential outcomes of an array of 'non-pharmaceutical interventions'. Two potential overall strategies outlined were: mitigation, in which

NHS England - Misplaced Pages Continue

3108-460: The country's healthcare system , leading to long waiting lists for medical procedures and ambulances, also led to an indirect increase in deaths from other conditions. It also had a major mental health impact . In August 2021, a report from Age UK found that 27% of people over 60 could not walk as far and 25% were living in more physical pain earlier this year compared to the start of the pandemic. 54% of older people felt less confident attending

3182-525: The country, localised lockdowns, social distancing measures , self-isolation laws for those exposed to the virus and rules on face masks were introduced (though certain exemptions were permitted), as well as efforts to expand COVID-19 testing and tracing. In autumn and winter 2020, further nationwide lockdowns were introduced in response to a surge in COVID-19 cases and the Alpha variant . A COVID-19 vaccination programme began in December 2020. In mid-2021,

3256-638: The creation of a "public appointments commissioner" to make sure that appropriate standards were met in the appointment of members of NDPBs. The Government accepted the recommendation, and the Office of the Commissioner for Public Appointments was established in November 1995. While in opposition, the Labour Party promised to reduce the number and power of NDPBs. The use of NDPBs continued under

3330-518: The decision to scrap the minimum practice income guarantee. Richard Stein, a partner at Leigh Day , said the declaration could mean that patients would have to be involved in discussions on changes to the GP contract. NHS England awarded a four-year contract to Capita to become sole provider of administrative services including payment administration, management of medical records, and eligibility lists for practitioners for GPs, opticians and dentists across

3404-473: The delay in the reporting of deaths from the virus meant there was a risk of underestimating the steepness of the rising epidemic trend. In December 2021 scientists from the London School of Hygiene and Tropical Medicine predicted that Omicron could cause from 25,000 to 75,000 deaths in England over the five months to April 2022 unless there were more stringent restrictions, and would probably become

3478-481: The disease and the health systems becoming overwhelmed. On 16 March, the Prime Minister announced changes to government advice, extending self-isolation to whole households, advising social distancing particularly for vulnerable groups, and indicating that further measures were likely to be required in the future. A paper on 30 March 2020 by the Imperial College group estimated that the lockdown would reduce

3552-410: The dominant variant by the end of 2021. As of 20 December 2021, there had been 11.4 million confirmed cases – the most in Europe and fourth-highest worldwide. By that date there had been 232,112 deaths among people who had recently tested positive – the world's seventh-highest death toll and 28th-highest death rate by population . This is Europe's second-highest death toll after Russia , and

3626-686: The early weeks of the pandemic, case numbers were underestimated, obscuring the extent of the outbreak. A legally-enforced Stay at Home Order, or lockdown , was introduced on 23 March, banning all non-essential travel and contact with other people, and shut schools, businesses, venues and gathering places. People were told to keep apart in public. Those with symptoms, and their households, were told to self-isolate , while those considered at highest risk were told to shield . The health services worked to raise hospital capacity and established temporary critical care hospitals , but initially faced some shortages of personal protective equipment . By mid-April it

3700-581: The end of March. Cases rose following the relaxation of restrictions but began, along with hospitalisations and deaths, to fall shortly after. The UK Health Security Agency publishes a weekly "national influenza and coronavirus (COVID-19) report", which summarises COVID-19 levels and other seasonal respiratory illnesses. In response to the COVID-19 pandemic in the United Kingdom, the UK Government introduced various public health and economic measures to mitigate its impact. Devolution meant that

3774-546: The establishment of the Board, retired at the end of March 2014 and was replaced by Simon Stevens . One of Stevens' first acts was to announce a restructure of the 27 area teams, in response to a requirement to reduce running costs, which would reduce staffing by around 500. The 27 teams outside London were reduced to 12 in 2015. Amanda Pritchard , the Chief Operating Officer of NHS England, was promoted to Chief Executive on 1 August 2021. NHS England produced

SECTION 50

#1732772447350

3848-487: The first national lockdown on 23 March 2020 and Parliament introduced the Coronavirus Act 2020 , which granted the devolved governments emergency powers and empowered the police to enforce public health measures. As the governments began lifting the nationwide stay-at-home order, policies and approaches diverged between the four nations. The Scottish government uniquely pursued an elimination strategy . Across

3922-699: The four nations' administrative responses to the pandemic differed; the Scottish Government , the Welsh Government , and the Northern Ireland Executive produced different policies to those that apply in England. Numerous laws were enacted or introduced throughout the crisis. The UK government had developed a pandemic response plan in previous years. In response to the first confirmed COVID-19 cases in January 2020,

3996-419: The four types of NDPB (executive, advisory, tribunal, and independent monitoring boards) but excludes public corporations and public broadcasters ( BBC , Channel 4 , and S4C ). The UK Government classifies bodies into four main types. The Scottish Government also has a fifth category: NHS bodies . These bodies consist of boards which advise ministers on particular policy areas. They are often supported by

4070-480: The geographical division of England into 44 sustainability and transformation plan areas, with populations between 300,000 and 3 million. These areas were locally agreed between NHS Trusts , local authorities and clinical commissioning groups (CCGs). A leader was appointed for each area, who is to be responsible for the implementation of the plans which are to be agreed by the component organisations. They will be "working across organisational boundaries to help build

4144-490: The government is obliged to provide funding to meet statutory obligations. NDPBs are sometimes referred to as quangos . However, this term originally referred to quasi-NGOs bodies that are, at least ostensibly, non-government organisations , but nonetheless perform governmental functions. The backronym "quasi-autonomous national government organization" is used in this usage which is normally pejorative. In March 2009 there were nearly 800 public bodies that were sponsored by

4218-545: The government lifted most restrictions during the third wave driven by the Delta variant , until the "winter plan" reintroduced some rules in response to the Omicron variant in December that year. Remaining restrictions were lifted in England from 24 February 2022 under a " living with COVID " plan announced by the government on that date. Economic support was provided to struggling businesses and to furlough employees to mitigate

4292-535: The highly transmissible SARS-CoV-2 Delta variant . However, mass vaccination continued to keep deaths and hospitalisations at much lower levels than in previous waves. Infection rates remained high and hospitalisations and deaths rose into the autumn. In December, the SARS-CoV-2 Omicron variant was confirmed to have arrived and begun spreading widely in the community, particularly in London , driving

4366-409: The largest fall in life expectancy in England since records began in 1981. On average, British COVID-19 victims lost around a decade of life; the last time deaths rose so sharply in the UK was during World War II . In 2020, the disease was the leading cause of death among men, and second leading cause among women. Research in 2021 suggests over 1 million people in the UK have had Long COVID , with

4440-478: The majority reporting substantial impacts on day-to-day life. Professor Danny Altmann of Imperial College London said in March 2022, "It's kind of an anathema to me that we've kind of thrown in the towel on control of Omicron wave infections and have said 'it's endemic, and we don't care any more, because it's very benign'," he said. "It just isn't. And there are new people joining the long Covid support groups all

4514-555: The new Delta variant , began in July 2021, but the rate of deaths and hospitalisations was lower than with the first two waves – this being attributed to the mass vaccination programme. By early December 2021, the Omicron variant had arrived, and caused record infection levels. The UK government and each of the three devolved governments (in Scotland, Northern Ireland and Wales) introduced public health and economic measures , including new laws , to mitigate its impact. A national lockdown

SECTION 60

#1732772447350

4588-467: The number of dead from 510,000 to less than 20,000. This paper and others relied on data from European countries including the UK to estimate that the combined non-pharmaceutical interventions reduced the reproduction number of the virus by 67–87%, enough to stop infections from growing. However, followup work concluded that the effectiveness of interventions was lower in later waves of infections. In April 2020, biostatistician Professor Sheila Bird said

4662-480: The numbers and evidence base supports the planning and provision of care being done at a population size larger than a typical ICS footprint." In 2015 there was criticism of delays in deciding on a policy for the prescription of Everolimus in the treatment of tuberous sclerosis . Twenty doctors addressed a letter to the board in support of the charity Tuberous Sclerosis Association saying "around 32 patients with critical need, whose doctors believe everolimus treatment

4736-413: The peak had been passed and restrictions were gradually eased. A second wave, with a new variant that originated in the UK becoming dominant, began in the autumn and peaked in mid-January 2021, and was deadlier than the first. The UK started a COVID-19 vaccination programme in early December 2020. Generalised restrictions were gradually lifted and were mostly ended by August 2021. A third wave, fuelled by

4810-611: The public sector (e.g. school governors and police authorities). These appointed bodies performed a large variety of tasks, for example health trusts , or the Welsh Development Agency , and by 1992 were responsible for some 25% of all government expenditure in the UK. According to the Cabinet Office their total expenditure for the financial year 2005–06 was £167 billion. As of March 2020, there were 237 non-departmental public bodies. Critics argued that

4884-458: The source locations of the virus in the UK up to the beginning of March 2020, and following the initial importations which were likely from China or elsewhere in Asia. From this analysis they estimated that about 33% were from Spain, 29% from France, 12% from Italy and 26% from elsewhere. Notes: Though later reporting indicated that there may have been some cases dating from late 2019, COVID-19

4958-683: The system was open to abuse as most NDPBs had their members directly appointed by government ministers without an election or consultation with the people. The press , critical of what was perceived as the Conservatives' complacency in power in the 1990s, presented much material interpreted as evidence of questionable government practices. This concern led to the formation of a Committee on Standards in Public Life (the Nolan Committee) which first reported in 1995 and recommended

5032-467: The time with their disabilities. It's really not OK, and it's heartbreaking." The Office for National Statistics estimated that the number of people in the UK with continuing COVID symptoms like fatigue, muscle pain and breathing problems had doubled in a year from one million in May 2021 to two million in May 2022. The Guardian reported in June 2022 that treatment facilities for patients with long COVID were inadequate. The pandemic's major impact on

5106-412: The virus is thought to have originated in Kent around September 2020. Once restrictions were lifted, the novel variant rapidly spread across the UK. Its increased transmissibility contributed to a continued increase in daily infections that surpassed previous records. The healthcare system had come under severe strain by late December. Following a partial easing of restrictions for Christmas, all of

5180-648: Was at the time one of the largest worldwide. By the autumn, COVID-19 cases were again rising. This led to the introduction of social distancing measures and some localised restrictions. Larger lockdowns took place in all of Wales, England and Northern Ireland later that season. In both England and Scotland, tiered restrictions were introduced in October, and England went into a month-long lockdown during November followed by new tiered restrictions in December. Multi-week 'circuit-breaker' lockdowns were imposed in Wales and Northern Ireland . A new variant of

5254-420: Was confirmed to be present in the UK by the end of January 2020 with the first confirmed deaths in March. Subsequent epidemiological analysis showed that over 1000 lineages of SARS-CoV-2 entered the UK in early 2020 from international travellers, mostly from outbreaks elsewhere in Europe , leading to numerous clusters that overwhelmed contact tracing efforts. Limited testing and surveillance meant during

5328-563: Was introduced on 23 March 2020 and lifted in May, replaced with specific regional restrictions. Further nationwide restrictions were introduced later in 2020 in response to a surge in cases. Most restrictions were lifted during the Delta-variant-driven third wave in mid-2021. The "winter plan" reintroduced some rules in response to the Omicron variant in December 2021, and all restrictions were lifted in February and March 2022 as

5402-493: Was one of the fastest in the world. By August 2021, more than 75% of adults in the UK were fully vaccinated against COVID-19. Quarantine rules for all incoming travellers were introduced for the first time in late January. Restrictions began to ease from late February onwards and almost all had ended in Great Britain by August. A third wave of daily infections began in July 2021 due to the arrival and rapid spread of

5476-405: Was reported that restrictions had " flattened the curve " of the epidemic and the UK had passed its peak after 26,000 deaths. The UK's overall death toll and by population surpassed that of Italy on 3 May, making the UK the worst affected country in Europe at the time. Restrictions were steadily eased across the UK in late spring and early summer that year. The UK's epidemic in early 2020

#349650