What does a ‘major incident’ in London mean?

[Fivemoreminutes1]

Sadiq has declared a major incident in London regarding the surge in cases, but what does it mean for those who live/work/visit London in the next few days?

@me4real

I'd imagine it means he can invent random rules etc as he's virtually declared it an emergency.

No it doesn't

London went through this in Jan/Feb this year

As the BBC describes it

A major incident is any emergency which requires the implementation of special arrangements by one or all of the emergency services, the NHS or the local authority
It means the emergency services and hospitals cannot guarantee their normal level of response

So if you you work for NHS or one of the emergency services, your Xmas and NY plans are probably fucked

@KittenCatcher

No cactus I wouldnt which is why I mentioned carers and hcp. Hospitals are not run entirely by health professionals. Many other people can be trained up to be carers which is often what medically fit patients receive in the community.

With the exception of some elderly people waiting for a care package/care home, people in hospital need medical staff to provide medical care. Honestly, it’s not feasible.

Strange, when I worked in a medically fit nurse led unit the patients rately saw a doctor, if they did it was a local gp not a hospital doctor.

@TwoLeftSocksWithHoles

Oh I assumed that they had run out of sausage rolls or the cheese and pineapple hedgehog' had rolled off the table at one of the Government parties...

Lol!

They have changed the little yellow bulb in Sadis Khan’s office to a little red one…

@DottyHarmer

Just what are we going to do about the unvaxxed?

I have on excellent authority that in my city hospital 80% of covid patients are unvaxxed. The 20% vaccinated are elderly.

Of course vaccinated people can pass the virus on and indeed be ill, but if the NHS and thereby treatment for all patients for whatever disease or injury is in peril because of those who refuse vaccination then we seem to be in a really unfair situation.

Will we have to suffer continual lockdowns/travel bans and general disruption and just accept it because of some people’s “bodily autonomy”?

Where do you draw the line with this stance? No treatment for drivers in accidents if they weren't wearing a seat belt? No treatment for anyone indulging in high risk sports? Deny treatment for alcoholics or smokers?

@KittenCatcher

No cactus I wouldnt which is why I mentioned carers and hcp. Hospitals are not run entirely by health professionals. Many other people can be trained up to be carers which is often what medically fit patients receive in the community.

Providing the social care that would mean no bed blockers (ie those patients fit to be discharged, but who cannot because of lack of social care) would be transformative

It doesn't mean anything much if you live in London unless you are unfortunate enough to end up in a hospital. Wear your seatbelts.

I suspect public mood will change a lot of hospitals are over run by un jabbed. Most people are so be it to personal choices but not when it’s your loved ones dying in carpark of heart attack or children with broken bones being left for days because no one is able treat them. In that situation I imagine things would turn nasty quickly. At moment your friends being unvaccinated don’t affect your day to day life.

carers need to work as usual in the community, not be relocated to nightingale

but the london hospitals take patients from all over the country, particularly from where live,
good advice to take extra care

@ToughTittyWhompus

I really dont think that it is @DottyHarmer that needs to give their 'head a wobble'.

Its the unvaccinated that are overwhelmingly needing hospitalisation. If not preventing outright, vaccination is at least diminishing the severity of new variants.

I'd really like to shove bodily autonomy up its own ass, and I suspect most frontline healthcare professionals right now would like to do the same.

It's probably protocol in order to access some additional powers/support etc. For example, I work in the police and declaring a major incident starts the ball rolling for various protocols to be put in place. That's what I imagine this will be - it will be to give, for example, police the powers to recall all officers to duty; for fire to crew up ambulances etc

[quote motherofgodhaudyerwheesht]@ToughTittyWhompus

I really dont think that it is @DottyHarmer that needs to give their 'head a wobble'.

Its the unvaccinated that are overwhelmingly needing hospitalisation. If not preventing outright, vaccination is at least diminishing the severity of new variants.

I'd really like to shove bodily autonomy up its own ass, and I suspect most frontline healthcare professionals right now would like to do the same.[/quote]
Wow.

@Toastmost

Apparently he's done it so they don't have essential workers having to isolate over the coming weeks which is looking likely due to the rise in numbers. I'm not sure what it will actually mean though, probably not much.

But essential workers are exempt from the isolation rules ( in Scotland anyway). Only isolating if testing positive.

I think the antivaxxers are victims of targeted misinformation, or poor scientific education, or are mistrusting of a system that doesn't work for them. Or all three.

I'm severely immunosuppressed and am at really high risk (jabs don't really work for me) and haven't really had much interaction with anyone except dp and kids, zoom and walks since it started.can't shield because of school and dh job. I was lucky to be able to afford to resign.

I don't think much hope of getting planned treatment in the new year with this pressure on the NHS.

But feel a bit sorry for antivaxxers. All through history people have been misled in large numbers for other people's agendas.

@Akire

I don’t have massive group no,I am surprised though as normally you hear things on grapevine from friends with larger social groups. I expect next few days it will change.

Confirmed cases in London are higher than they've ever been.

@KittenCatcher

Can they reopen nightingales for fit patients with low needs staffed by redeploying hospitality staff, chefs, shop staff, admin staff who are at risk of losing their jobs with carers and hcp (if they can find them).

If they're that fit they can be at home surely!

There’s an incident alright.
A quarter of Londoners have refused the vaccine and they’re now clogging up the hospitals.

@DottyHarmer

Just what are we going to do about the unvaxxed?

I have on excellent authority that in my city hospital 80% of covid patients are unvaxxed. The 20% vaccinated are elderly.

Of course vaccinated people can pass the virus on and indeed be ill, but if the NHS and thereby treatment for all patients for whatever disease or injury is in peril because of those who refuse vaccination then we seem to be in a really unfair situation.

Will we have to suffer continual lockdowns/travel bans and general disruption and just accept it because of some people’s “bodily autonomy”?

Source or official statistics for your ‘excellent authority’ or say nothing at all. We can all pull statistics out of where the sun doesn’t shine.

It’s Sadie putting himself in the spotlight , there’s a lot of omnicron cases in London than anywhere else do it’s an emergency as there’s more hospital admissions. This is the same man who said of Londoners that terrorism is part of living in a major city. He’s an utter wanker

Sadiq not Sadie

Pubs should be closed immediately. Furlough payments and supports would be much better value for our money than exhausted, dejected NHS staff trying to cope with this wave of transmission.

There would be fewer drunken assaults, street violence, accidents etc. for A+E to deal with and transmission would lessen a lot I think. Someone has to make the hard decisions.

I don't care if I sound like a Holy Mary (I am not), but seriously who thinks keeping pubs and clubs open during this extreme wave is a good idea?

Sexy Sadie

@codexa

Pubs should be closed immediately. Furlough payments and supports would be much better value for our money than exhausted, dejected NHS staff trying to cope with this wave of transmission.

There would be fewer drunken assaults, street violence, accidents etc. for A+E to deal with and transmission would lessen a lot I think. Someone has to make the hard decisions.

I don't care if I sound like a Holy Mary (I am not), but seriously who thinks keeping pubs and clubs open during this extreme wave is a good idea?

codexa what numbers do you think of as an extreme wave?

Here's where we are, I think this is the most up to date one available

www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2021/12/Weekly-covid-admissions-and-beds-publication-211216.xlsx