Rules explained as Greater Manchester added to Tier 2 in new COVID alert system
In the new tier system outlined by the Prime Minister yesterday, which separates areas by their risk level ('medium', 'high', and 'very high'), Greater Manchester and its 10 boroughs were placed into the second category, or Tier 2.
Number 10 – Boris Johnson announced the new tier system this week
So, now we know.
After days and weeks of speculation, rumour and hearsay surrounding the prospect of a second lockdown, the people of Greater Manchester have finally been given an official answer as to whether they can continue living their lives and running their businesses.
It’s a ‘yes’… but with a warning.
In the new tier system outlined by the Prime Minister yesterday – which separates England regions by their risk level (‘medium’, ‘high’, and ‘very high’) – Greater Manchester and its 10 boroughs were placed into the second category, or Tier 2.
The headline, of course, is that we avoided the harshest measures.
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Cities and towns within Tier 2 do not have to close hospitality or non-essential stores – which means that pubs and restaurants will continue to trade as normal, despite initial fears they’d be shut down.
The government has now published the guidance for each tier online, as well as a full list of the regions that fall within each category.
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Number 10 – Speculation has been rife as to which category Greater Manchester would find itself a part of
Tier 1 – ‘Medium’ risk
Most places in England have been categorised in Tier 1 – areas where the risk of COVID transmission is considered ‘medium’.
Regions placed in Tier 1 must continue to follow national rules, which include:
The Rule of Six: People must not meet in groups larger than six, indoors or outdoors
A 10pm curfew for hospitality
Businesses and venues selling food for consumption off the premises can continue to do so after 10pm as long as this is through delivery service, click-and-collect or drive-thru.
Many businesses and education facilities in this tier are permitted to remain open (except for the likes of nightclubs), with funerals and weddings permitted to go ahead with restrictions on attendee numbers.
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Any location in England not listed below (in Tier 2 or Tier 3) is under Tier 1.
Number 10 – Chief Medical Officer Chris Whitty isn’t convinced the current measures go far enough, and believes more restrictions may be necessary later down the line
Tier 2 – ‘High’ risk
Greater Manchester has been placed in Tier 2.
This is for areas with a higher level of infections. Anyone within these regions must adhere to the rules of Tier 1 (Rule of Six, 10pm curfew etc) but also consider the following guidance:
People must not meet with anybody outside their household or support bubble in any indoor setting, whether at home or in a public place
People can meet in groups of up to 6 outside – including gardens
People should aim to reduce the number of journeys they make where possible and avoid peak times and public transport.
Businesses, pubs and bars remain open.
Currently, the places in England listed in Tier 2 include:
Tier 3, the ‘very high’ alert level, has seen the reintroduction of restrictions for areas where the virus is spreading quickly.
Locations in this category must:
Close pubs and bars; although restaurants may remain open
Ban wedding receptions
Avoid mixing with anybody outside a household or support bubble in any indoor or outdoor setting
Avoid travelling outside the area except for work, education and youth services
Overnight stays in this area are also banned. Residents of Tier 3 locations should also avoid staying overnight in other parts of the UK.
According to the government, “consultation with local authorities will determine additional measures,” which means local leaders will need to decide if further restrictions will be necessary in the event that “baseline” measures prove ineffective.
NHS releases list of first conditions set to be eligible for new ‘online hospital’
Emily Sergeant
The first conditions that are set to be eligible for video appointments via the new NHS online hospital have been revealed.
In case you hadn’t heard, back in September of last year, the Government has announced that the NHS would be setting up an ‘online hospital’ known simply as NHS Online – which will not have a physical site and instead digitally connect patients to expert clinicians anywhere across the country.
Ultimately, this means patients can be seen faster than normal, as teams triage them quickly through the NHS App and let them book in scans at times that suit them at centres closer to their home.
NHS Online – which will begin to see its first patients in 2027 – is expected to deliver the equivalent of up to 8.5 million virtual appointments and assessments in its first three years, according to the NHS, which is four times more than an average NHS trust.
And now, the NHS has selected nine ‘common’ conditions which will be the first to be treated by the NHS Online service.
📲 Introducing NHS Online 📲
A new digital hospital will transform healthcare.
From 2027, you'll be able to get specialist care:
✅ straight to your home via the NHS App ✅ faster than a traditional hospital appointment ✅ wherever you live in England
Women’s health issues, including severe menopause symptoms and menstrual problems that can be a sign of endometriosis or fibroids, will be among the conditions available for online referrals, as will prostate problems like prostate enlargement and a raised prostate specific antigen (PSA) level, along with eye conditions including cataracts, glaucoma, and macular degeneration.
NHS Online will also provide support for other painful and distressing conditions, such as iron deficiency anaemia and inflammatory bowel disease (IBD).
So, how will NHS Online work then? Well, when a patient has an appointment with their GP, they will have the option of being referred to the online hospital for their specialist care instead, and then from there, they’ll be able to book directly through the NHS App.
Once referred to the online hospital, patients will have the ability to see specialists from around the country without leaving their home or having to wait longer for a face-to-face appointment.
The NHS has released a list of the first conditions set to be eligible for the new ‘online hospital’ / Credit: Nordwood Themes (via Unsplash) | rawpixel
If they need a scan, test, or procedure, then they’ll be able to book this in at a time that suits them at Community Diagnostic Centres closer to home.
Patients will also be able to track their prescriptions and get advice on managing their condition at home too.
“We’ve selected nine common conditions which the NHS Online service will initially provide support for when it launches next year, including some women’s health issues as well as prostate problems,” commented Professor Stella Vig, who is the National Clinical Director for Elective Care at NHS England.
“We know that these conditions can be painful and difficult to cope with so providing faster, more convenient access to diagnosis and treatments will have a real and positive impact on people’s lives.”
Junk food adverts are now banned on TV before 9pm in the UK to ‘protect’ kids’ health
Emily Sergeant
Junk food advertisements are now banned on television before 9pm in the UK in a bid to help protect children’s health.
In what is being considered a ‘landmark’ move by the Government, as of today, adverts for less-healthy food and drinks will be banned on television before 9pm and online at all times, as part of world-leading action that is expected to remove up to 7.2 billion calories from children’s diets each year, and reduce the number of children living with obesity by 20,000.
It’s also expected that this ‘decisive’ action will deliver around £2 billion in health benefits over time.
According to the Government, evidence shows that advertising influences what and when children eat – shaping their preferences from a young age, and ultimately increasing the risk of obesity and related illnesses.
At the start of primary school, 22.1% of children in England are overweight or living with obesity, and this rises to 35.8% by the time they leave.
Junk food adverts are now banned on TV before 9pm in the UK / Credit: Alan Hardman | Kobby Mendez (via Unsplash)
This change is part of a range of measures that the Government is taking to ‘lift children out of poverty’ and help give them the ‘best start’ in life – with other measures being the introduction of the Healthy Food Standard, and giving local authorities the power to stop fast food shops opening outside schools.
“We promised to do everything we can to give every child the best and healthiest start in life,” explained Health Minister Ashley Dalton, as the junk food advert ban comes into force.
“By restricting adverts for junk food before 9pm and banning paid adverts online, we can remove excessive exposure to unhealthy foods – making the healthy choice the easy choice for parents and children.
“We’re moving the dial from having the NHS treat sickness, to preventing it so people can lead healthier lives and so it can be there for us when we need it.”
Featured Image – Karolina Kołodziejczak (via Unsplash)
The Manc -
13th October 2020 
