Transcripts For BBCNEWS BBC News 20200417 09:00:00 : compare

Transcripts For BBCNEWS BBC News 20200417 09:00:00

We have to face the reality of that. We were too slow with a number of things. But we can make sure that in the second wave were not this is bbc news with the latest headlines for viewers in the uk too slow. And around the the Health Secretary, world. The boss of a uk nhs trust warns his staff could run out matt hancock, has responded of protective gowns this weekend, despite assurances from ministers to concerns that there are enough to go round. About a shortage of protective gowns by saying that 55,000 gowns with a number of countries will be arriving today. Changing their advice on facemasks i would love to wave a the mayor of london calls for people to wear them, whenever magic wand and have large quantities of ppe they fall from the sky and be able to leave answer your questions about when it home. Will be British Government ministers set out five key tests before lockdown restrictions might be eased, resolved. Including a sustained fall in daily death rates. And there are calls for the public chinese officials revise to be urged to wear face masks upwards by 50 per cent to halt the spread of the virus. The number of people whove died, after testing positive also this lunchtime for covid 19 in wuhan as chinas economy slumps, the city where the pandemic started. The International Monetary fund warns the outlook for other economies around the world could be President Trump outlines proposals far worse than originally predicted. For a phased lifting the duke and duchess of cambridge of coronavirus restrictions speak to the bbc about the need to protect Mental Health across the united states. During lockdown and their feelings when Prince Charles and the duke and duchess was diagnosed with coronavirus. I thought to of cambridge on life in lockdown, and Prince Charles being myself, diagnosed with coronavirus. If anybodys going to at first i was be able to beat this it will quite concerned. He fits the profile be him, and actually he was of somebody at the age hes at, which is very risky very lucky. And so i was a little bit worried he had mild symptoms. And actually he was very lucky. And also speaking to him made me but i thought to myself, if anybody feel more reassured that he was ok is going to be able to beat this, and he was through the worst of it. Its going to be him. And the leeds united legend Norman Hunter has died, after contracting coronaviras. He was 76. And coming up on bbc news, as premier league clubs meet hello and welcome to audiences in the uk and around the world. Were covering all the latest coronavirus developments, both here and globally. As the uk enters another three weeks of lockdown, the head of one nhs Hospital Trust has asked for help finding more protective clothing and equipment, despite uk government assurances that theres enough to go round. The nhs boss said his trust has less than 2a hours supply of protective gowns. As governments around the world consider lifting lockdown, ministers in the uk have set out five key tests before restrictions might be eased, including a reduction in deaths and confidence that any adjustments wont risk a second peak. Chinese officials in wuhan where the coronavirus outbreak began say the number of deaths was 50 higher than previously reported. They deny a cover up. China has seen a 7 shrinking of its economic output, reflecting the impact of the pandemic. Its a first in china for at least three decades. President trump has set out plans for a phased lifting of the us lockdown. And, the duke and duchess of cambridge have said nhs staff treating critically ill coronavirus patients are taking home the pain they witness every day. Our first report is from charlotte gallagher. Cheering and applause. For the fourth week in a row, millions of us, young and old, clapped for our carers, coming out to make a noise on our doorsteps, in bradford. Applause. In stoke. Pots and pans clang. Bagpipes skirl. And a hilltop in the north east of scotland a National Show of appreciation for the people risking their lives to save others. And for these nurses, doctors and carers to do theirjob properly, they need more than applause. Cheering and applause. They need Personal Protective Equipment the gowns, masks and goggles that keep them safe. But a major nhs trust has contacted the bbc, requesting phone numbers for barbour and burberry to ask them for gowns. It fears it does not have enough stock to even get through today. It said other trusts were resorting to washing and reusing single use gowns and masks. The department of health says it is working around the clock to provide protective equipment where needed. The figures remain grim a further 861 people have died from coronavirus in uk hospitals and there are 4,618 new cases. The infection rate and fears of overwhelming the nhs has led the British Government to extend the lockdown for at least another three weeks. If we rush to relax the measures we that have in place, we would risk wasting all the sacrifices and all the progress that has been made. And that would risk a quick return to another lockdown with all the threat to life that a second peak of the virus would bring and all the economic damage that a second lockdown would carry. The uk government will not be drawn on when the restrictions might end but opposition politicians say a plan is needed. Now, an expert panel at the Royal Society is looking at how and when the uk can ease restrictions, while scotlands first minister Nicola Sturgeon says she will set out a possible exit strategy within the coming days. But for the next few weeks at least, lockdown life continues. Charlotte gallagher, bbc news. Our political correspondent, leila nathoo is at westminster. Very shortly we are expecting the Health Secretary matt hancock to appear before the Health Select committee. They are going to have a lot of questions to put to him today . Absolutely. Select Committee Hearings are still continuing gradually although parliament is officially in recess and we had the Health Secretary matt hancock being questioned by his predecessorjeremy hunt, in the role, now the chair of the Health Select committee. Jeremy hunt has been quite a vocal critic of Government Strategy in parts, especially on testing and there are a huge number of issues that i think he is going to be pressed on. The admission yesterday that transmission within the community was going down, but actually within hospital settings, certain hospital settings and social care settings, transmission rate of coronavirus is increasing, i think thats a huge point and that draws attention back to testing, draws attention back to ppe and why nhs staff had taken so long to be equipped with the releva nt long to be equipped with the relevant ppe, are there still bottlenecks . We heard the transport secretary grant shapps talking about that this morning saying it had been a huge challenge to get ppe to the front line. I know this has been an unbelievably difficult logistical task. The army, who id like to thank for their work, have been helping with the logistics of distributing nearly a billion pieces of ppe, im not going to pretend its straightforward or had lots of difficulties along the line. It clearly has been. That is the nature of this Global Pandemic that we face and the work thats gone into trying to ensure everyone, including care homes, are getting the right pieces of ppe has been tremendous. Grant shapps. Thank you very much for now. Lets take you to the uk parliament, the Health Select committee, hearing evidence, its been done remotely in the uk government handling of the coronavirus pandemic. You see in front of you former Health Secretary jeremy hunt, now the chair of this committee, later this hour, jeremy hunt, now the chair of this committee, laterthis hour, in jeremy hunt, now the chair of this committee, later this hour, in about 20 minutes or so, we are expecting that hancock the Health Secretary to appear in front of this committee by remote hearing, it has to be said. Lets listen in. The courage they are showing, risking life and limb to keep us all safe. Lots of issues with ppe testing and so on but could you give us an update as to how things are at the moment on the front line . Everyone has worked together to try and meet this demand. Everyone has worked incredibly hard, obviously critical ca re incredibly hard, obviously Critical Care is at the front line of this. But its notjust in Critical Care, its everywhere else as well. The only way that weve been able to get anywhere near being able to meet this demand is by working in very different ways. So weve had to look at expanding capacity in areas of the hospital, weve got the Nightingale Hospitals as well. And everyone is working incredibly hard together as a team. But i think what staff at the front line are concerned about is the way weve had to change the way we work so we have non Critical Care staff helping us, theyve been incredible in using their skills to be able to help us as part of a team. But we are working differently, working in different environments, different ways. So that for instance, the normal standard of care for a critically ill patient would be one highly trained Critical Care nurse per patient and in order to be able to meet the increase in demand weve had to change those ratios. So although we do have Spare Capacity, thatis although we do have Spare Capacity, that is capacity that isnt at the normal standard so weve had to spread ourselves more thinly. And we have developed guidance to try and make sure that continues to be safe. But if we had to expand even more and spread ourselves even more thinly, there would be concern that safety could be compromised. So everyone is working really well. We are doing everything that we cant but staff are genuinely concerned. And then, that on top of concerns about availability of ppe, testing issues and everything else, means that staff are under increased stress and we need to make sure that notjust stress and we need to make sure that not just doctors but mercers and all the allied Health Professions that work with us to provide Critical Care, they remain resilient so we can see Critical Care, they remain resilient so we can see this pandemic through to care for patients and also to be able to continue to provide that ca re able to continue to provide that care afterwards when we start to get back to normal. Thank you very much. We will come back to you, if we may but id like to go now to another contributor, dame donna, thank you for the incredible courage being shown by nurses. Their work is a lwa ys shown by nurses. Their work is always up close and personal. At high risk to themselves. Perhaps you can tell us what the situation is like in the front line but both are nurses in hospitals and the communities. If i start with hospitals, i note this week i have worked as one of those nurses that isnt a Critical Care nurse but helping critical nurses on the front line in the Nightingale Hospital in london. What you see there is that nurses are working incredibly hard, so are nurses are working incredibly hard, so are others and i worked with a clinical scientist this week who is taking on the role as a health professional. There is an issue with capacity but there is also an issue that actually, when people are volunteering, you dont get the same staff all the time and therefore, thats where you sometimes are compromising safety standards. Because although we are all fit to do the work, you are only one critical nurse to a range of other people, trying to deliver the care to those under and in an intensive ca re to those under and in an intensive care environment. 50 to those under and in an intensive care environment. Sol to those under and in an intensive care environment. So i think on the front line, people are working and changing and adapting the way they work. But they are concerned. So even in some of our environments, such as the Nightingale Hospital, people have become ill, there is an issue about how we get nurses and others to be able to be tested. Because actually, its not quite clear. You would expect an employer, if you started to become ill, you would be able to have a defined place to go to and your employer, Occupational Health would instruct you where to go. Im hearing from the front line, nurseries are sometimes driving two hours, feeling very u nwell sometimes driving two hours, feeling very unwell with possible symptoms of coronavirus. And driving to testing stations. Sometimes if you havent got an appointment you are turned away. Only to be told to come back another time. We need some really clear direction of how we can access testing, both in the nhs but more so access testing, both in the nhs but more so for social care. Because they dont have the same infrastructure as the nhs. So for me, there is something about the stp, giving clear instructions to the hospitals, social care outlets, in theirenvironment, the hospitals, social care outlets, in their environment, about how to get tested so that people arent turned away, we can make appointments and that people who are feeling very unwell with those symptoms can get access to this. Thank you very much. We will come back to you as well if we may but that was very helpful. Id like to turn now to professor costello. Youve been a very prominent critic of the government approach to testing so far. And on april the 4th, the Health Secretary announced this big target of 100,000 tests every day, id like to ask you to what extent that has assuaged your concerns about the overall approach the government is taking. Yes, i mean look, we are going to suppress the chain of transmission of this virus in the next stage, we all heard that the National Lockdown and social distancing will bring about a large suppression of the epidemic so far but we are going to face further waves and so we need to make sure that we have a system in place that cannotjust do that we have a system in place that cannot just do a that we have a system in place that cannotjust do a certain number of tests in the laboratory. But has a syste m tests in the laboratory. But has a system at district and Community Level and listen, i pay a huge tribute to the people on the front line, intensive care nurses, doctors and the like but there is also a massive transformation going on right now with general practices, with the Public Health local authority and reach management teams and it will fall on them to put into place a system that enables you to test people rapidly in the community, in care homes, and to make sure that the results have got back to them very quickly. And that we also maintain social distancing ofa we also maintain social distancing of a kind after we left the National Lockdown. And if we can do that, then we are going to be focusing on then we are going to be focusing on the people we really want to lockdown which our cases and contacts. As the who said all along you need to find cases, you need to test them if you can, you trace their contacts, you isolate them, do social distancing but most important of all, you do it all at speed. And the harsh reality and one of the reasons, i hope ive been constructively critical, also i believe we should not have any blame at this stage, we should have a no blame audit, where there are system errors that led us to have probably the highest death rates in europe, we have to face the reality of that, we have to face the reality of that, we we re we have to face the reality of that, we were too slow with a number of things that we can make sure in the second wave we things that we can make sure in the second wave we are not things that we can make sure in the second wave we are not too slow. Actually, im not sure we need 100,000 tests per day. In reality. If we can get this epidemic damped down. More important is to have the systems in place and id like to know much more from matt hancock, how are they restructuring the Public Health teams, have they got plans in place . Will they need additional volunteers for example, weve got 750,000 people queueing up. I bet theres a lot of retired doctors and nurses that could maybe come in and help with some of the Contact Tracing, being online, giving that personal service because just asking people to self isolate is not going to achieve the quarantine you want to. Korea did it with testing and perhaps we need to hear about apps, china and a lot of the asian states did it by symptomatic identification and careful quarantining, some in hospitals, people with milder symptoms in a special places where they could rest and others in hotels, actually, so we need to think this all through because all of them right now, nature, are facing little flare ups. And we will face the same and we need to damp that down. Its the number of tests andl that down. Its the number of tests and i think we will get there now, why didnt the reach of who is helping with the testing. But we have to have the systems and the logistics in place so that we can suppress this and maintain it for a long time and that way we will get the economy going again. My my colleague Tom Tugendhat has got a q

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