hospitals under pressure. loud and clear — covid is serious. some of the shifts that i have had are the toughtest i've ever had. and the race to vaccinate the public. i got the letter yesterday, and i'm booked in today. i three, two, one! welcome back, everyone! cheering lockdown ends. i can literally not stress how much i missed being able to go out. but there's the threat of a new variant. there is a tidal wave of omicron coming. the year began with intensifying pressure on the nhs. covid infections were rising, and there was a worrying increase in hospital admissions. the second wave of the virus was going to prove more deadly than the first. with covid cases rising, the new school term began with confusion. some teachers and children stayed at home. there's 21 members of staff that have opted not come into school, because they would consider it to be an unsafe environment. in my school, that's led to nursery, year 3—4 not coming to school. the empty classrooms were a warning of what was coming. another lockdown announced in the uk's nations. the government is, once again, instructing you to stay at home. primary schools, secondary schools, and colleges across england must move to remote provision from tomorrow. as cases continued to rise, so did the number of sick patients admitted to hospital. in mid—january, i visited croydon university hospital in south london. this is a&e — but not as you know it. all staff are in full protective equipment. they know that most patients coming in have either tested positive or have symptoms. how are you feeling now? 0h...it's the breath that's the problem, and the cough. can i have a little listen, is that all right? shubra is the consultant here. sit forward for me a little, and take a nice, deep breath. and he's assessing hanifa, who's just arrived in an ambulance. she's 42 — she tested positive a week before, and her condition steadily got worse. i felt i was dying. i've been healthy, have no illness, nothing. covid just struck me down, just like that. aftertreatment, hanifa began to recover. she was discharged from hospital soon afterwards. the sickest patients need to be in intensive care, and staff have to be on constant alert because patients can take a rapid turn for the worse. it's a very, very sudden thing, and you just have to respond and reassess. and that patient looks like whatever the problem was, we have sorted. staff have noticed that, compared to the first wave, the age of covid patients in intensive care is lower. for example, right here now, there are two people in their 30s with no underlying health conditions. the chances of someone under a0 needing intensive care for coronavirus are much smaller than for those who are older. the number of younger patients may be more noticeable because cases have risen across all age groups. doctors are clear no—one is safe. and i think, you know, for someone who says it's a myth or, you know, "it won't affect me", come and see the 30—40—year—olds in the intensive care — with no guarantee that we're going to be able to get them out. and that's the bottom line, that's how serious it is. you've seen some in that age group dying, have you? yes. as patient numbers in hospitals rose, so too did the numbers dying. on 26january, the uk reached 100,000 deaths — people who didn't survive within 28 days of getting covid. today, we're using candles to represent those who died. 0ne light for every life lost. something really precious has been taken away from me, and it's really hard. this is a life that's gone, and the impact is huge. i i'm left now with a young family, who've gotten older. my life is destroyed — everything is gone. by new year's eve, the death toll had reached 76,000. now it's taken just a few more weeks to get to 100,000. and this is not over yet. it's a loss that should never have happened. it should never have gotten to that scale. it's notjust 100,000 people. it's100,000 people whose families are going to miss them _ for the rest of their lives. as the second wave moved north... ..more hospitals were feeling the pressure. i visited kingsmill hospital, in mansfield. every day in intensive care is a daunting challenge for staff, as they strive to keep patients alive. some of the shifts i have had, are the toughtest i've ever had. in particular, one night shift i had last week was the worst i've ever had in 21 years of nursing. from experience, i can tell you that i'm seeing more sicker patients this time than i saw in the first wave. doctors are trained to deal with death, but nothing like this. 0uma has had to cope with the savage impact of covid both in hisjob and at home. my parents have got covid, my mother—in—law's in the icu at the moment. i have just lost my very dear family, relatives of covid. so when you see these patients in the hospital, it just gives you that flashback, as well. but you've got to shut that down, and you've got to continue looking after your patients as best as you can. it'sjust so sad, you know? because for every person that dies, |we know there's a family that's not| being able to do the normal things that we'd do for— that loved one who's died. edith is a hospital chaplain. she has to face up to grief most days — comforting the dying and their families, but also supporting staff who feel the losses intensely. whenever you've got lots of people dying on the ward, you know, - it comes at a huge cost to the staff, as well- as to the families. and at london's royal free hospital, staff spoke openly of the mental strain on the front line. families are upset. we shed tears for our patients, we do. when we met this nurse, she'd only started her nursing career a few months earlier. but already, she'd seen more deaths and bereavement than some who'd been nursing for many years. to protect her parents, she's moved out of the family home and is living on her own. we don't have time, you know — if a patient dies, i have seven other patients to take care of. i have to cry and wipe my tears and go to my next patient and say, "hi, are you ready for your evening meds?" and be happy — because they won't know. but when you go home and there's silence, and there's no family, that's when it hits. when people die and when we can't actually make them better, i think the feeling is so awful and so overwhelming, and so devastating. claire is head chaplain at royal free london. her role involves visiting patients in the wards and comforting their families. and she supports staff, and understands the immense emotional strain on them. when you're in the middle of that trauma and seeing patients dying — and also in very traumatic circumstances, often alone — i think for staff, that's just incredibly heartbreaking. and things that might happen once a year, or once in a while, are happening every day. hello, good morning! i've got your lunches. a different kind of support is offered by debbie. we are testing people's resilience to the nth degree. she's a psychologist working with intensive care staff. here, she organises an informal listening session. everyone's not having time to rest and recover because it's been nonstop for us in intensive care. and it's a lot of- nightmares about work. you wake up in a cold sweat- and you can't get back to sleep, because you've got to be at work in the next four hours. _ it has been probably one of the most challenging experiences of my career. i think we are very concerned about the years ahead. i don't think it's just about now and about staff retention. i think it's actually about, how are people, emotionally, going to come back from this? in particular, as you can see from young people, this has really scarred them. the best defence against the virus was vaccination. the race was on to getjabs in as many arms as possible — and that was a huge logistical exercise. some sports stadiums opened their doors. second doses for some... thank you for coming in today. the jab will be the pfizerjab. ..while younger people were encouraged to get their firstjab. churches and cathedrals were also turned into vaccine hubs. but some concerns emerged about rare blood clots linked to the 0xford—astrazeneca vaccine. fergus walsh: business as usual in northeast london. headlines about blood clots didn't put people off getting the astrazeneca vaccine. the thought of catching covid is more severe than having a blood clot. taking any medicine, there's always a side effect. so i wasn't really unduly concerned about having the jab. 79 rare blood clots have been identified out of 20 million doses of the astrazeneca vaccine. the link isn't proven — but in future, the under—30s will be offered a different vaccine. the government says there'll be enough pfiizer and moderna doses for 8.5 million 18—29—year—olds yet to be vaccinated. the message from ministers, one of reassurance. we know the roll—out�*s working, we know the safety system's working, and we're on track to meet the goal of offering to all adults by the end ofjuly. and the speed of the roll—out won't be affected by these decisions. so, you know, when you get the call, get the jab. scientists tracking the epidemic in england say vaccines are weakening the link between cases and deaths. there are now far fewer fatalities per infection because so many of us are protected — a reminder why all this really matters. hugh pym: by the spring, infections were falling steadily. some hospitality venues were opening with seating outside. restrictions could be eased in gradual, cautious stages — with each uk nation setting out its own road map. we're setting out on what i hope and believe is a one—way road to freedom. and this journey is made possible by the pace of the vaccination programme. talk of lifting the lockdown, as if it's a flick—of—a—switch moment, is misguided. 0ur steps, when we take them will need to be careful, gradual, incremental and probably quite small to start with. this is a significant. package of measures. | a series of steps forward in our| journey back towards normality. we will not be driven by hard dates. we recognise that everyone will be looking for certainty, but we do not want to set set potentially unachievable dates that will only disappoint. but as things were improving here in the uk, the situation in india was getting much worse. a new variant, which became known as delta, was taking hold — and it was spreading much more quickly than previous variants. the impact was deadly. the front line. an emergency room in a covid hospital, just about standing under the weight of an unfolding disaster. to get past the shortage of beds, they've packed in stretchers, wheelchairs — as many as they can. but the first line of treatment against covid—19 is oxygen. and they've almost run out. at this point, there was just one hour of supply left. the staff knows how many lives hang in the balance. but in the uk, the mood was very different. the lifting of restrictions continued. by the summer, night clubs were allowed to open their doors once more. crowd: three, two, one! welcome back, everyone! for some, this is what freedom looks like — no social distancing, very few masks. # everybody�*s free to feel good... # many nightclubs across england reopened at midnight, 16 months since they were shut in the first lockdown. it's felt like a dream, like, we've all waited for this moment for a long time. i can literally not stress how much i've missed being able _ to go out and just - dance and have a life. however, the delta variant was quickly spreading. infections began to rise again, as well as hospitalisations. there's been no summer let—up. and now, another covid surge is developing. king's college hospital in london, like many others, is treating more covid patients — and they're younger. in this covid ward, there's a range of different ages. 80% of the patients here have not had a first dose of the vaccine. of the rest, some have immune conditions — which might make the vaccines less effective. doctors here say the pressure is different this time round. in general, the patients are younger and tend not to be as sick as they did in the first two waves. so on average, the number of days they're staying in hospital is fewer. also, there are fewer number of patients needing the admission to the intensive care unit. but for staff who've worked through the pandemic, another surge is the last thing they wanted. with the nhs understandably devoting so much time and resource to treating covid patients, there was an impact on other parts of the health service. waiting lists for non—urgent operations and procedures hit record levels. gail is struggling to walk a needs spinal surgery. she has two collapsed discs in her neck. she's been waiting for an operation for nearly a year, and she doesn't know when it might happen. if i had a date for my surgery, there's a light at the end of the tunnel. with no date, there's no light at the end of the tunnel. it isjust a long, dark tunnel of pain medication and sofa—sitting, and... that's my life. as the autumn progressed, daily cases continued to be high. older people and clinically—vulnerable groups began to be invited for a third vaccine — the booster. it means that i'm at less risk of infecting others and spreading the disease, so it's really important to me. the third dose is very important. the booster programme i is there for the people that need the third dose, and need immunity. in the coming season. so we've got no beds on trauma, no medical beds, no surgical beds. the pressure on hospitals continued. how many patients in the department currently waiting for beds? i visited the royal victoria infirmary, in newcastle. at the moment, we've got about eight patients waiting for admission. my concern is not only that we have high levels of bed—waits, waits to be seen — the risk of clinical incidents goes up by the day. but my bigger concern is that i'm not sure what we can do about it. and that's what worries me the most. the ambulances keep on coming, but beds are hard to find because patients in the hospital are staying longer. it really breaks my heart to see some elderly- people lying on trolleys, - because they're really vulnerable. and, you know, they might have been |waiting a long time for an ambulance| before they came in. this ward is where the uk's first covid patients were treated early last year. few would've imagined then that, nearly two years on, covid patients would still need to be cared for in hospitals like this one. numbers aren't nearly as high as injanuary, but everyone needs a dedicated specialist. dedicated specialist care. it was tough — very tough. tariq has been seriously ill with covid. now getting better, he praised the nurses. beautiful angels, beautiful. so kind. jade, who's the senior sister on this ward, says the stress of the pandemic is beginning to tell. i'd be lying if i said that it hadn't affected me mentally. i think everyone is tired, everyone's lethargic, and everyone... it's difficult because i don't think anybody can see an end to this. so it's difficult to see a light at the end of the tunnel. then, just as people were being told christmas parties could go ahead, events took a sudden turn. a new variant, 0micron, was detected in south africa. after months of opening up, a new coronavirus variant means travel restrictions are back. at heathrow, the last flights from south africa arrived this morning. i feel extremely relieved, because, yeah, who knows how long this is going to last? we've been told we have to isolate at home. - so, that shouldn't be too bad. from sunday, only uk and irish residents will be allowed in from six southern african countries, and they'll have to pay to quarantine in a hotel. testing for the new 0micron variant was increased, cases were spreading quickly and the warnings got much more serious. i need to speak to you this evening because i'm afraid we're now facing an emergency in our battle with the new variant, 0micron. and we must urgently reinforce our wall of vaccine protection to keep our friends and loved ones safe. to be blunt, because of the much greater and faster transmissibility of this new variant, we may be facing — indeed, we may be starting to experience a potential tsunami of infections. the sheer speed at which the variant moves means that it has— the potential to infect large numbers of people. - this variant is much more transmissible, around two—and—a—half times more so than delta. and you will have a larger number of people in our population contracting the virus. high—level concern about the new variant is increasing, and the rapid roll—out of booster jabs is seen as a vital part of the official response. there was no shortage of people queuing for boosters in bristol today — though finding staff to do them hasn't been easy. it is difficult to recruit enough staff, both vaccinators and admin people. and they've all been working in this programme since the beginning of the year. and, in swindon, a long queue as well, and a wait of several hours. i've been here since 9am, and i'm supposed to have work at 2pm. but they told me that the queue will be till 3.30pm. | not happy, i've got better things| to do than stand here in a queue. just under five hours. and when we got in, there were only two people jabbing. long lines had built up after the acceleration of the booster offer to more adults. since the system in england was opened up to people aged 30 and over early on monday morning, around a million people have booked their boosters — and that doesn't include walk—ins. the question now, can that momentum be maintained? at some vaccine centres, deliveries fell behind, and there were temporary closures. all this as the chief medical officer, chris whitty, warned the cabinet of a likely increase in covid hospital numbers — a view echoed by other senior officials. we are concerned with the large volume of individuals who are being infected every day in the population, that we're going to have a very difficult four weeks ahead with cases in the community. their key message is "get yourjab", with military personnel helping in taunton and at other centres. they'll hope they can keep up with the spread of the virus. then, starting in scotland, appeals for people to reduce mixing indoors with other households, and to think carefully about who they socialise with. the warnings were stark. i am not asking you to cancel or change your plans for christmas day, boxing day, or whenever you have your main festive celebration. but in the run—up to and in the aftermath of christmas, i am asking — i am appealing to everyone to cut down, as far as possible, our contacts with people in other households. my key request to all of you today is, as far as you can, please minimise your indoor social interactions with other households at this time. this is a really serious| threat at the moment. how big a threat? there are several things we don't know, but all the things - that we do know are bad. and the principal one being - the speed at which this is moving — it is moving at an absolutely phenomenal pace. - the national covid memorial wall by the river thames, in london, where families have commemorated their loved ones, is a reminder of the terrible toll taken by the virus. the heartfelt tributes show how cruel covid—19 is. the optimism offered by the vaccines knocked back by the speed at which the virus changes. so the year ends as it began — with the nhs under intense pressure, and with more families losing those they love. but the hope for the year ahead is that science offers a way out of the pandemic — with new drugs and therapies and continued take—up of the boosters. hello. it's still very mild out there. we've also had quite a few showers today, so a damp picture through this evening and overnight. it is going to turn colder, colder compared to what we have right now. so the current of mild air from the southern climes, the azores, coast of portugal and france, that air still very much over us. it's spread right across europe into belarus and ukraine and southern parts of scandinavia, but here in the north, notice that colder weather setting in, and it is preceded by this weather front here, which will be arriving in northern scotland through the course of tonight. to the south of that, notice the wind. it is still blowing in from the west, south—west, so mild air, a really mild morning, eight or 9 degrees for many of us. the north of scotland, here in stornoway, three degrees. this weather front will bring some sleet and snow to the mountains particularly, some hills as well, maybe one or two towns or cities, but it will be a slow process, so it will be moving slowly south through the course of monday. so on monday, yes, it's a bit colder in scotland, seven in aberdeen, nine in glasgow and edinburgh, which is still above the average, but double figure temperatures across england and wales. that weather front will continue to make its wayjourney further south, again a bit of wintriness here, particularly across the southern uplands, but here's another look at that weather front, the air mass graphic, showing the temperature of the atmosphere higher up. you see the cold air settling in, pushing that mild air to the south. so by early on tuesday morning, so this is the following night, you can see a frost setting in early on tuesday across more than northern parts of the country, whereas further south, we're still hanging on to some of that mild weather. so here is a weather map for tuesday. i think cold winds across scotland, and bringing some wintry showers, particularly to the hills but not exclusively. some coastal areas as well, a real wind chill for scotland on tuesday. 5 degrees in aberdeen, 5 degrees in glasgow, and closer to the seasonal normal, bang on, actually, across the south of the country. 8 degrees in london is the average this time of year. on wednesday, we are between weather systems, a weather front approaching out of the west. we are ahead of it, so i think calm weather, lighter winds and some sunshine. i think on wednesday overall, a fine, crisp day on the way. this is bbc news. these are the latest headlines in the uk and around the world. a huge fire has completely destroyed the south african national assembly. a man has been arrested on suspicion of arson. two people are killed during mass anti—coup protests in sudan, and in the last half an hour, the country's beleagured prime minister abdullah hamdok resigns. us medical chief dr fauci warns of the danger of a hospitalisation surge, due to the large number of covid cases. a surge asurge in a surge in affections affects travel. 0ver a surge in affections affects travel. over 4000 flights are cancelled worldwide. and the kenyan anthropologist and conservationist, richard leakey, famous for his fossil discoveries that shed light on human evolution, has died, aged 77.

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