Police to hand out on-the-spot fines for anyone not wearing a face covering in shops from July 24
Face masks fiasco: Mass confusion over mandatory coverings in shops as police say it’s ‘IMPOSSIBLE’ to enforce £100 fines while retailers call for clarity on staff… and now government minister hints OFFICES could be next
- The government’s new face mask rule requiring wearing of cloth face coverings comes into place on July 24
- Shoppers who fail to comply risk £100 fine under the plans to stop second wave – but shop owners left furious
- Retailers and police forces have slammed the ‘impossible’ new rules and called for greater clarity on the rules
- Will the new rules affect your business? Email amie.gordon@mailonline.co.uk
By Jason Groves Political Editor For The Daily Mail and Amie Gordon For Mailonline
Published: 17:30 EDT, 13 July 2020 | Updated: 07:18 EDT, 14 July 2020
Boris Johnson’s plan to make face masks mandatory in shops descended into chaos and confusion today as his own ministers were openly split on the issue and police said they will find it ‘impossible’ to hand out £100 fines to those flouting the riles from July 24.
The Prime Minister has been accused of confusing millions of Britons by forcing people to wear face coverings in confined spaces despite his deputy chief medical officer Jenny Harries cautioning that wearing a face mask ‘is not a good idea for the public’ at the start of lockdown.
Boris Johnson and other senior ministers have been wrestling to balance their instinctive dislike for ‘nanny state’ moves with rules to ensure public safety – and Michael Gove – regarded as one of the most libertarian ministers in Cabinet – sparked fresh confusion by saying on Sunday that masks in shops should be a matter of ‘courtesy’ and ‘common sense’ rather than required.
The split among ministers was laid bare today as Mr Gove was pictured picking up breakfast in a Westminster Pret a Manger this morning without a mask – minutes later Trade Secretary Liz Truss arrived wearing a blue face covering similar to the one worn by the Prime Minister yesterday. The confusion was also increased by Environment Secretary George Eustice, who refused to rule out the mandatory use of face coverings being extended to offices and other workplaces during a BBC interview this morning.
Today Ken Marsh, chairman of the Metropolitan Police Federation, added the enforcement of compulsory masks and the levying of £100 fines was ‘impossible to enforce’, adding, ‘we can’t have police outside every shop’.
Shopkeepers have also said they are not sure if they have to wear masks themselves – or if they are expected to refuse to serve customers or even call police if a customer arrives not wearing one.
And Mayor of London Sadiq Khan revealed that since lockdown began to be eased more than a month ago just 59 people have been fined for not wearing masks on the Tube and admitted that the delay in making them compulsory has only caused more confusion in the UK. Speaking on BBC Radio 4 today, Mr Khan admitted some 10 per cent of people travelling at rush hour in the Capital are still refusing to wear a mask on public transport.
Michael Gove was in Westminster’s Pret a Manger this morning without a mask as he said it should be left to people to decide whether to wear one
Shoppers who fail to comply risk fines of £100 under the plans to stop a second wave of coronavirus. Pictured: Prime Minister Boris Johnson wearing a face mask during the Coronavirus while campaigning in his Uxbridge constituency
How the government’s line on face coverings has changed over the months
March 12: Deputy chief medical officer Dr Jenny Harries: ‘For the average member of the public walking down a street, it is not a good idea… in fact, you can actually trap the virus in the mask and start breathing it in.’
April 16: Chief medical officer Professor Chris Whitty said: ‘The evidence is weak, but the evidence of a small effect is there under certain circumstances.’
April 21: Revealed in meeting minutes a month later, Sage advised: ‘On balance, there is enough evidence to support recommendation of community use of cloth face masks, for short periods in enclosed spaces, where social distancing is not possible.’
April 23: Dr Jenny Harries said there could be ‘a very, very small potential beneficial effect in some enclosed environments’.
April 24: Health Secretary Matt Hancock said: ‘On masks, as more information comes through, the science is constantly evolving and we always bear in mind that science and then take the decision. As of today, the government position is unchanged.’
April 30: Boris Johnson said: ‘I do think that face coverings will be useful, both for epidemiological reasons, but also for giving people confidence that they can go back to work.’
May 20: Researchers in Hong Kong found face masks reduced infection by up to 75 per cent.
June 4: Transport Secretary Grant Shapps announced that face coverings will be mandatory on public transport from June 15. He said: ‘With more people using transport the evidence suggests wearing face coverings offers some – albeit limited – protection against the spread for the virus.’
June 5: Health Secretary Matt Hancock revealed plans to make face coverings compulsory in hospitals for all staff, visitors and outpatients from June 15, but a furious NHS boss said the decision was made ‘without any notice or consultation’. Meanwhile, Grant Shapps said masks would not be required in other settings such as shops because people spend little time in close proximity.
June 12: German study suggests making face masks compulsory could slow the spread of Covid-19 by as much as 40 per cent.
July 10: The PM says the government ‘needs to be stricter in insisting people wear face coverings in confined spaces’. A government source later briefs that it is a ‘fair assumption’ that masks will become mandatory in shops and other indoor settings within a few weeks.
July 12: Michael Gove says masks will not be compulsory in shops in England, insisting it is best to ‘trust’ the public and wearing a face covering is a matter of ‘good manners’.
July 13: Justice Secretary Robert Buckland made it worse that ‘perhaps’ masks should be mandatory., Hours later Mr Johnson was forced to steps and says an announcement will be made ‘in the coming days’ on upgrading the advice on using face coverings.
July 14: George Eustace says that shops will have to play their part to enforce the wearing of masks and refuses to rule out masks being mandatory in offices.
Boris Johnson’s struggle over imposing rules on the public has been evident from early in the crisis, when the PM initially delayed enforcing a full lockdown after urging the public to obey social distancing rules. After weeks of dithering, Mr Johnson finally set the stage for face masks to be made compulsory in shops during a ‘People’s PMQs’ session on Friday.
Speaking as Nicola Sturgeon imposed the rule in Scotland, Mr Johnson conceded that ‘scientific opinion has shifted’ and said it was a good idea to wear them in confined spaces. Downing Street sources then briefed that making them compulsory could be expected within days.
However, Michael Gove – regarded as one of the most libertarian ministers in Cabinet – then sparked fresh confusion by saying on Sunday that masks in shops should be a matter of ‘courtesy’ rather than required.
Aides immediately tried to quell signs of a rift by arguing that Mr Gove had been ‘over-interpreted’, while No10 also tried to signal that a ban was still on the cards.
However, Justice Secretary Robert Buckland made the situation worse yesterday when he desperately dodged taking a position in interviews yesterday, saying he was in the camp that ‘perhaps’ masks should be mandatory.
By last night, with a backlash at the shambles gathering pace, Downing Street decided that it needed to clarify the position and briefed that masks will be required in shops from July 24.
Retailers and police forces have today slammed the government’s ‘impossible’ new rules making face masks compulsory in all stores from next week.
Retailers will be asked to advise customers to wear masks but their staff will not be expected to enforce the law. Instead, police will be given powers to dish out fines.
Shoppers who fail to comply risk fines of £100 under the new regulations which come in on Friday, July 24, to stop a second wave of coronavirus.
But the move has sparked confusion among retailers, who remain in the dark over whether they will be made to wear a mask behind a perspex screen, and how to deal with customers not following the rules.
Chief executive of the British Retail Consortium Helen Dickinson said ‘more clarity was needed’ on how to protect shop workers from aggressive customers refusing to wear face masks.
Speaking on BBC Radio 4 today, Sadiq Khan admitted some 10 per cent of people travelling at rush hour in the Capital are still refusing to wear a mask on public transport.
The government’s move to make face mask compulsory comes as:
- The UK announced 11 more coronavirus deaths in the preliminary daily toll, taking the total number of victims to 44,840;
- More than 100 outbreaks of coronavirus in schools, businesses and pubs are ‘swiftly and silently’ being dealt with every week across the UK, Health Secretary Matt Hancock revealed;
- The drive to bring workers back to the office from coronavirus lockdown hit a roadblock after some of country’s biggest firms said only 40 per cent will return from home;
- Councils in England are preparing to make significant cuts in jobs and services after losing income on investments in airports, cinemas and offices amid the coronavirus pandemic;
- British pharmaceutical giant AstraZeneca is preparing to launch human trials of an antibody treatment that could protect old and vulnerable people from coronavirus;
- Beauty salons, nail bars and tattoo shops in England opened the first time in four months as part of the latest relaxation of lockdown restrictions;
- Immunity to Covid-19 might be lost within months, according to research that suggests the virus could infect people on an annual basis, like the flu.
The law will require people to wear simple cloth face coverings, rather than the medical grade masks used by front-line NHS workers. Only young children or those with certain disabilities will be exempt from the new regulations.
Ken Marsh, Chairman of the Metropolitan Police Federation – which represents rank-and-file officers – told BBC Radio 4’s Today programme: ‘Shopkeepers need to step up to the plate and take some responsibility.
‘They can quite easily put signs up on their doors ‘No mask on, no entry, this is private property’.
‘That’s the first point we need to get across because this cannot all be laid on the shoulders of the police yet again.
‘The second point is it will be nigh-on impossible for enforcement because you won’t have a police officer on every shop door because there isn’t enough of us.
‘If a shopkeeper calls the police because someone hasn’t got a mask on, they haven’t got the power to detain them so that person can just walk away.
‘We’ll be driving around and around London looking for people who aren’t wearing masks, it’s absolutely absurd.’
JD Sports chief executive Peter Cowgill criticised the delay in the Government ordering the mandatory use of face masks in shops in England, suggesting it could hit consumer confidence.
Mr Eustice said the face coverings would not be compulsory for shop staff, or in pubs and restaurants, and he defended the delays to introducing the measure.
He told the BBC that ministers want to ‘give people time to plan and prepare’ by delaying the enforcement of the measure until July 24.
The Cabinet minister said the measure, which had been in place in Scotland since Friday, was now backed by the Westminster Government because the evidence ‘has been evolving’.
The move follows a weekend of confusion over whether ministers intended to make face coverings compulsory after Boris Johnson said they were looking at ‘stricter’ rules.
He told Sky News today: ‘The evidence, the understanding, has been evolving.
‘So the World Health Organisation changed their guidance back in June and following that the Government changed its guidance and we recommended that people wear face coverings in enclosed spaces when they’re out and about.
‘We then sharpened that and made it compulsory for public transport in the middle of June and what we’ve really got here is, as we loosen the lockdown and allow more venues to open, we need to consider the mix of measures we have in place to limit the transmission and control the virus.
‘And that’s why we’re making this next step, which is to say it’s mandatory to wear masks in retail environments.’
Mr Eustice said the mandatory use of face masks in England would apply to ‘all shops’, but not pubs and restaurants, as he appeared to contradict guidance for hairdressers.
‘Hairdressers, you’ve always required a mask to go to,’ he told Sky News.
But the Government guidance says: ‘There is no requirement for the client to wear any additional protection such as a mask or face covering, when the practitioner is wearing a visor.’
Mr Eustice added: ‘We’re not for instance mandating the wearing of masks in pubs and restaurants, because obviously people have got to eat.
‘We’ve been evolving the measures we’ve had as we come out of lockdown and we’ve been strengthening the guidance progressively on masks making it mandatory first on public transport and now we’re going to that next step to make it mandatory in retail environments.’
Only young children or those with certain disabilities will be exempt from the new regulations which come in on Friday, July 24. Pictured: Pedestrians pass a John Lewis store in central London
Retailers will be asked to advise customers to wear masks but their staff will not be expected to enforce the law. Pictured: Members of the public wear face masks as they shop on Princess Street, Edinburgh
Masks are already compulsory on public transport and the Prime Minister hinted on Friday that the Government is poised to extend the requirement to retail premises to help control the virus spread
Sadiq Khan admits one in ten passengers refuse to wear a mask at rush hour
London mayor Sadiq Khan, who has been pressing for face coverings to be made mandatory, said ministers should not wait until July 24.
‘It’s a disgrace that there’s been days of mixed messages and confused communications from ministers,’ he said.
‘We can’t afford to wait another day and the Government should bring this policy in immediately – further delay risks lives.’
But speaking on Radio 4, he was asked why more people had not been fined for failing to wear masks on public transport.
He said: ‘The amount of fines that have had to be issued so far is only 59. During rush hour we have more than 90% compliance.
‘The problem is not the enforcement the problem is the mixed messaged and the confused communication, that has been the issue.
‘The government needs to ensure that the test, trace, isolate system is fully operational – all these things will lead to consumer confidence and the public having confidence to return to the shops.
‘If it’s safe to do so of course I want people to return to return to the fantastic culture we have in London, to their place of work if it’s safe to do so.
‘Very few places of work will be able to have 100% of staff returning to the level they had pre-Covid.
‘It’s really important the government gets a grip, makes sure the public has confidence the virus is under control.
‘Then you’ll see people returning to the shops, return to work.’
The British Retail Consortium today said more ‘clarity’ was needed on the use of face coverings in shops in England after days of ‘mixed messages’.
Helen Dickinson told the Today programme: ‘Our expectation is that [shop staff] would not need to wear a mask behind a screen.
‘The whole point about face coverings is that it’s another level of mitigation – we have social distancing, the importance of hygiene measures.
‘Within a retail environment there is a huge amount of time, resource and investment that has gone into putting the infrastructure like those Perspex screens in place and it’s also quite different for a retail colleague to be required to wear a mask for eight hours a day.
‘The job of the retailer is to encourage compliance but where the boundary gets more difficult for people who work in retail is that they are often on the frontline of that very small minority of people who don’t want to comply with the rules or become verbally aggressive to the shop worker.’
Sadiq Khan, meanwhile, said he welcomes the Government’s ‘U-turn’ on making face coverings mandatory in shops in England.
Speaking on BBC Radio 4’s Today programme, he said masks should be worn in shops, supermarkets and gyms.
He said a suggestion that people refusing to wear a face covering on the Tube were not being fined or stopped was ‘not true’.
He said TfL enforcement officers and the BTP have stopped in the region of 18,500 people from travelling on public transport and issued 59 fines, with ‘more than 90% compliance,’ from passengers traveling at rush hour.
Mr Khan claimed the government’s concern about police standing on the streets issuing fines was ‘misfounded and misplaced.’
He added: ‘The problem is not the issue of enforcement, the problem is the mixed messaged and the confused communication, that has been the issue.
‘The government needs to ensure that the test, trace, isolate system is fully operational – all these things will lead to consumer confidence and the public having confidence to return to the shops. It’s really important the government gets a grip, makes sure the public has confidence the virus is under control.’
JD Sports chief executive Peter Cowgill criticised the delay to introducing the measure, saying ‘it will have an impact on consumer confidence’ as he blamed ministers for ‘inconsistencies and the indecisiveness’.
He told BBC Radio 4’s Today programme: ‘It’s come as a surprise at the lateness, a little bit like quarantine, and it seems to have come at the back end rather than the front end of the pandemic, and even more so it’s been delayed until July 24, which is very difficult to work out and seems quite indecisive.
‘I’m not sure about the rationale for the delay, but I do think it will have an impact on consumer confidence.
‘Maybe it will be a positive for older customers but a deterrent for younger ones. I think it’s the inconsistencies and the indecisiveness that causes the lack of confidence.
‘I actually think the delay up to the 24th is quite confusing as well.’
Nine out of ten Britons back mandatory face masks in shops
Nine out of ten Britons back the latest Government moves to make the wearing of face masks mandatory in shops as well as on public transport, according to a new report today.
Over half would go further and make coverings obligatory when leaving home and mingling with others in open spaces, the latest research shows.
Donning masks has become more commonplace with the study, carried out for fashion supplier Elle, showing almost three in four adults claiming to have worn some sort of protection since the lockdown was first announced 17 weeks ago, compared with only a quarter in a survey carried out in late April.
One in five claimed they regularly put on a mask when in an enclosed public space.
However some members of the public still need convincing that they should be worn at all despite evidence they offer some protection from the Covid virus.
Middle aged men are the most skeptical with almost six out of ten of 45-65 year olds branding face masks unnecessary.
Some 26 per cent of the adult population, around 13 million people, admit they don’t have a mask and 7%, one in 15 of the population, saying they would defy official instructions to wear one despite the threat of a £100 fine. 15% of Britons complained they had been unable to obtain face masks.
The study was carried out by research company Manu for Elle which has turned to making masks for the public after its regular work of providing hosiery for leading designers suffered because of the pandemic.
He suggested his store will offer face coverings to anyone not wearing them but said it will be for police to enforce.
‘The guidance so far is that our store colleagues are not really to get involved and it’s a police matter to enforce rather than for them to get involved in any potential public disturbances,’ he said.
The Daily Mail revealed yesterday that the Government has procured ten factory production lines capable of making five million masks a week.
Face coverings have been compulsory on public transport since June 15 and, last Friday, Scotland ordered shoppers to wear them.
Government sources said guidance on masks in other settings would be ‘kept under review’.
The move may anger those who find them uncomfortable or dislike the idea of state compulsion.
One libertarian Tory MP has already vowed to stop shopping rather than wear a mask.
But Boris Johnson yesterday said they were important in confined spaces as ‘a kind of extra insurance’.
A Downing Street spokesman said: ‘There is growing evidence that wearing a face covering in an enclosed space helps protect individuals and those around them from coronavirus.
‘The Prime Minister has been clear that people should be wearing face coverings in shops and we will make this mandatory from July 24.’
The move follows days of confusion about the Government’s stance on the issue.
On Sunday, Cabinet Office Minister Michael Gove said that while it was ‘basic good manners’ to wear masks in shops it would not be made compulsory.
He said it was ‘always better to trust to people’s common sense’.
A Whitehall source played down the idea of a Cabinet split, but acknowledged that Mr Gove’s intervention had been ‘unhelpful’.
Mr Johnson, who was initially sceptical about face masks, yesterday said there was growing evidence they could help slow the spread of coronavirus.
Speaking on a visit to the London Ambulance Service yesterday, the Prime Minister, who was wearing a mask, said they had ‘a great deal of value in confined spaces’ where people are coming into contact with those they do not normally meet.
He added: ‘As the virus comes down in incidence and we have more and more success, I think face coverings are a kind of extra insurance we can all use to stop it coming back and stop it getting out of control again.’
Face masks have been compulsory in shops in many European countries for months.
The Czech Republic introduced the requirement on March 18, with Austria following suit on April 6, Germany on April 22, France on May 10 and Spain on May 20.
But in the UK, both Government scientists and ministers have questioned their value.
A further 21 people have died from coronavirus in 24 hours bringing the UK’s total death toll to 44,819
THE TRUTH ABOUT FACE MASKS: WHAT STUDIES HAVE SHOWN
Research on how well various types of masks and face coverings varies but, recently, and in light of the pandemic of COVID-19, experts are increasingly leaning toward the notion that something is better than nothing.
A University of Oxford study published on March 30 concluded that surgical masks are just as effective at preventing respiratory infections as N95 masks for doctors, nurses and other health care workers.
It’s too early for their to be reliable data on how well they prevent infection with COVID-19, but the study found the thinner, cheaper masks do work in flu outbreaks.
The difference between surgical or face masks and N95 masks lies in the size of particles that can – and more importantly, can’t – get though the materials.
N95 respirators are made of thick, tightly woven and molded material that fits tightly over the face and can stop 95 percent of all airborne particles, while surgical masks are thinner, fit more loosely, and more porous.
This makes surgical masks much more comfortable to breathe and work in, but less effective at stopping small particles from entering your mouth and nose.
Droplets of saliva and mucous from coughs and sneezes are very small, and viral particles themselves are particularly tiny – in fact, they’re about 20-times smaller than bacteria.
For this reason, a JAMA study published in June still contended that people without symptoms should not wear surgical masks, because there is not proof the gear will protect them from infection – although they may keep people who are coughing and sneezing from infecting others.
But the Oxford analysis of past studies- which has not yet been peer reviewed – found that surgical masks were worth wearing and didn’t provide statistically less protection than N95 for health care workers around flu patients.
However, any face mask is only as good as other health and hygiene practices. Experts universally agree that there’s simply no replacement for thorough, frequent hand-washing for preventing disease transmission.
Some think the masks may also help to ‘train’ people not to touch their faces, while others argue that the unfamiliar garment will just make people do it more, actually raising infection risks.
In March, deputy chief medical officer Jenny Harries said wearing a mask could ‘trap the virus’ and cause the person wearing it to breathe it in.
‘For the average member of the public walking down a street, it is not a good idea [to wear a face mask],’ she added.
But scientists have changed their view as evidence of the risk of asymptomatic and airborne transmission has grown.
‘Officials now believe that face coverings can help stop people spreading the virus, particularly when they do not know they have it.
Royal Society president Dr Venki Ramakrishnan yesterday said the evidence was ‘now quite strongly in favour of using face coverings in enclosed spaces where we’re likely to come into contact with strangers’.
He added: ‘The Government should be very clear.
‘It’s not consistent to make it mandatory on public transport and not make it mandatory in other enclosed and busy public spaces, because the behaviour of the virus is the same in all of these spaces.’
The move is part of a wider push to open up the economy and give consumers confidence to go out and spend.
Downing Street yesterday confirmed that official advice to work from home where possible is now under review.
‘The PM said last week that people should ‘start to go to work now if you can’.
Mr Johnson is planning to set out a new ‘road map’ this week setting out a nine-month timetable for easing social distancing measures in the hope of giving people the confidence to return to near-normal life.
But Tory MP Sir Christopher Chope said the mask policy would have the opposite effect. Speaking at the weekend, he said: ‘I don’t think I will be going in shops if they impose a condition that people wear masks.’
James Daunt, managing director of bookseller Waterstones, yesterday said asking customers to wear a face covering was not a problem.
He told Radio 4’s Today programme: ‘If it reassures people, then it is a perfectly reasonable measure to take.’
But Mr Daunt said staff working across his chain of stores could not be asked to police the policy.
‘There will be a tiny, tiny minority of people who will be confrontational over it and it is not the position of shop workers to enter into that situation,’ he said.
Labour health spokesman Jonathan Ashworth said the Government’s policy was muddled.
He added: ‘Why yet again have ministers been slow in making a decision in this pandemic, and why will it take another 11 days before these new guidelines to come into force?’
The regulations will be made under the Public Health (Control of Disease) Act 1984, with a maximum fine of £100 – reduced to £50 if it is paid within 14 days.
As is the case on public transport, children under 11 and those with certain disabilities will be exempt.
For Labour, shadow health secretary Jonathan Ashworth said ministers needed to explain why it had taken them so long to act.
‘The Government has been slow and muddled again over face coverings,’ he said.
Eight out of 10 Covid-19 patients died in one English hospital as NHS data reveals ‘stark’ differences in death rates across the country with fewer than half surviving at 11 trusts
By Sam Blanchard Senior Health Reporter for MailOnline
Coronavirus death rates vary massively across NHS hospitals in England, according to shocking data.
Eight out of 10 infected patients have died in one hospital in the South West — but just 12.5 per cent succumbed to the illness in a London trust.
The data, seen by The Guardian, showed more than half of Covid-19 patients have died in at least 11 hospital trusts across the country.
Data from a study presented to government scientists last month showed the death rate for hospitalised patients is 28 per cent across the UK, on average.
But information being sent to senior doctors, which the NHS denies is official, shows that this varies wildly between hospitals.
Twenty-six NHS trusts had death rates lower than a quarter — between 12.5 per cent and 25 per cent. But rates were higher at the remaining 109.
Experts said the huge disparity in death rates did not necessarily mean patients were getting worse care, but that it could be a consequence of the population in the area or the number of patients they had treated.
Older people are more likely to die from coronavirus and some regions have far more older people — the average age in the South West, for example, is eight years higher than it is in London.
NHS England said it did not produce the data — which the newspaper said had been adjusted for age — and say they appear to be ‘experimental’.
For comparison, the national death rate for everyone who tests positive — not only hospital patients — is 4.2 per cent in the US, 4.6 per cent in Germany, and 15.5 per cent in the UK. The infection itself is thought to kill around 1 per cent of all cases — but not everyone who catches the virus gets spotted.
Hospitals across the country have varying death rates from coronavirus, according to secret NHS data (stock image)
The NHS data showed that two of the five hospital trusts with the highest death rates were in the South West — one with 80 per cent and another with 62 per cent.
Specific trusts were not named in the report, The Guardian said, and were referred to only by the region they were in.
Other hospitals where more than half of patients were dying included one in the North West (68 per cent), the East of England (60 per cent) and one in London (54 per cent).
Three of the hospitals with the lowest death rates were in London — with 12.5, 14 and 15 per cent — along with one in the Midlands (13 per cent) and one in the South East (15 per cent).
Dr Alison Pittard, chief of the Faculty of Intensive Care Medicine, told the newspaper: ‘That is a huge variation, a huge range.
HOW DO OFFICIAL DEATH RATES COMPARE BY REGION?
Public Health England publishes weekly reports which show the total number of people who have been diagnosed, and the total number of deaths, in each region.
These should include all hospital patients but also include people who have tested positive and died outside of hospital.
This is how the regions break down:
- London (19.8%)
- West Midlands (19.6%)
- East of England (18.6%)
- South West (16%)
- South East (15.9%)
- North East (15.6%)
- North West (15.4%)
- East Midlands (14.8%)
- Yorkshire & The Humber (13%)
‘I’m surprised at the degree of variation. A spread between 12.5 per cent and 80 per cent is quite stark.’
She added: ‘We know that poorer communities and BAME communities have a higher risk of mortality, so if a trust is in an area of higher-risk individuals you would expect that trust’s Covid-related mortality rate to be higher.’
The exact factors that have played into some NHS trusts having significantly higher death rates are not clear.
The ethnicity of patients in a NHS trust’s area, how wealthy they are and their general health are all contributing factors.
Data has shown non-white people, those in poorer areas and people with existing health conditions are all more likely to die if they catch Covid-19.
Hospitals with small numbers of patients may also have an artificially high death rate because an increase of one could push the average up significantly.
The NHS data gives a breakdown of 135 major hospital trusts around the country and calculated how many of the diagnosed patients died, to get a rate of death.
It is not publicly available, however, so it is unknown whether some regions’ hospitals were suffering significantly more fatalities than others.
NHS England denied that it had produced the data.
It said in a statement: ‘We do not recognise these figures, which appear to be experimental analysis of unverified data, but there is now a wide range of published data on the role that health inequalities, including pre-existing conditions and other health factors, have played when it comes to the impact of Covid, including from the ONS and PHE.
‘The NHS is accelerating work to tackle health inequalities, and will shortly be providing local services with a range of actions they should build in to their plans for the coming months.’
Public Health England publishes weekly data showing how deaths break down by region, which shows that London has the highest overall death rate for all patients.
In the capital 19.8 per cent of people — not necessarily all admitted to hospital — have died of the virus, compared to 19.6 per cent in the West Midlands and 18.6 per cent in the East of England.
The lowest regional death rate has been in Yorkshire and The Humber, where 13 per cent of people officially diagnosed have died.
The other regions had death rates of 16 per cent in the South West, 15.9 per cent in the South East, 15.6 per cent in the North East, 15.4 per cent in the North West and 14.8 per cent in the East Midlands.
Separate regional data from Public Health England shows that London has the highest death rate among people who have officially tested positive for Covid-19. There, 19.8 per cent of patients have died
Government papers published last week after being presented to officials in June showed that the average hospital death rate has been just over a quarter across the UK.
A study of 64,066 hospital patients with Covid-19 in the UK found that 28 per cent of them – more than one in four – die with the disease.
Deaths were higher for people admitted to intensive care, of whom 35 per cent succumbed to the disease, and even higher for those who had to be put onto ventilators – 42 per cent.
The COVID-19 Clinical Information Network (CO-CIN), comprised of university experts from around the UK, presented the results to SAGE – the Scientific Advisory Group for Emergencies – on June 22.
The study had found people spend an average of nine days in hospital if they are admitted with coronavirus, or catch it while on a ward.
Some 16 per cent of patients require high-flow oxygen therapy to help them breathe.
The most common symptoms for hospital patients are coughs (63 per cent), fever (62 per cent) and shortness of breath (61 per cent) – but a worrying one in 16 people (6 per cent) claimed to have had no symptoms at all, the study found.
NHS trust name | Total |
---|---|
ENGLAND | 29,079 |
UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | 960 |
BARTS HEALTH NHS TRUST | 623 |
LONDON NORTH WEST UNIVERSITY HEALTHCARE NHS TRUST | 608 |
PENNINE ACUTE HOSPITALS NHS TRUST | 551 |
UNIVERSITY HOSPITALS OF DERBY AND BURTON NHS FOUNDATION TRUST | 518 |
KING’S COLLEGE HOSPITAL NHS FOUNDATION TRUST | 511 |
ROYAL FREE LONDON NHS FOUNDATION TRUST | 486 |
LIVERPOOL UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 468 |
MANCHESTER UNIVERSITY NHS FOUNDATION TRUST | 437 |
IMPERIAL COLLEGE HEALTHCARE NHS TRUST | 427 |
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST | 424 |
EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST | 419 |
BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST | 417 |
LEWISHAM AND GREENWICH NHS TRUST | 411 |
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST | 379 |
WEST HERTFORDSHIRE HOSPITALS NHS TRUST | 368 |
FRIMLEY HEALTH NHS FOUNDATION TRUST | 363 |
UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST | 352 |
EAST SUFFOLK AND NORTH ESSEX NHS FOUNDATION TRUST | 351 |
LEEDS TEACHING HOSPITALS NHS TRUST | 333 |
MID YORKSHIRE HOSPITALS NHS TRUST | 326 |
SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST | 325 |
CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST | 308 |
BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 305 |
NORTHAMPTON GENERAL HOSPITAL NHS TRUST | 302 |
CROYDON HEALTH SERVICES NHS TRUST | 300 |
ST GEORGE’S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 295 |
THE ROYAL WOLVERHAMPTON NHS TRUST | 285 |
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST | 285 |
LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST | 282 |
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST | 276 |
EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST | 275 |
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST | 270 |
NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST | 267 |
THE DUDLEY GROUP NHS FOUNDATION TRUST | 263 |
SURREY AND SUSSEX HEALTHCARE NHS TRUST | 259 |
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST | 254 |
WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST | 253 |
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST | 252 |
LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST | 247 |
SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST | 243 |
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST | 238 |
WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST | 238 |
BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST | 237 |
NORTH WEST ANGLIA NHS FOUNDATION TRUST | 234 |
GUY’S AND ST THOMAS’ NHS FOUNDATION TRUST | 230 |
BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST | 230 |
WALSALL HEALTHCARE NHS TRUST | 229 |
DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FOUNDATION TRUST | 229 |
PORTSMOUTH HOSPITALS NHS TRUST | 229 |
BOLTON NHS FOUNDATION TRUST | 226 |
COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST | 224 |
BEDFORD HOSPITAL NHS TRUST | 219 |
STOCKPORT NHS FOUNDATION TRUST | 215 |
KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST | 214 |
YORK TEACHING HOSPITAL NHS FOUNDATION TRUST | 214 |
MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST | 212 |
TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST | 212 |
DARTFORD AND GRAVESHAM NHS TRUST | 209 |
ST HELENS AND KNOWSLEY TEACHING HOSPITALS NHS TRUST | 207 |
HULL UNIVERSITY TEACHING HOSPITALS NHS TRUST | 204 |
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST | 202 |
THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST | 201 |
EAST LANCASHIRE HOSPITALS NHS TRUST | 200 |
THE ROTHERHAM NHS FOUNDATION TRUST | 196 |
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST | 196 |
MID ESSEX HOSPITAL SERVICES NHS TRUST | 194 |
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST | 194 |
ASHFORD AND ST PETER’S HOSPITALS NHS FOUNDATION TRUST | 189 |
ROYAL BERKSHIRE NHS FOUNDATION TRUST | 186 |
OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 181 |
MEDWAY NHS FOUNDATION TRUST | 180 |
SALFORD ROYAL NHS FOUNDATION TRUST | 178 |
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST | 175 |
GEORGE ELIOT HOSPITAL NHS TRUST | 174 |
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST | 169 |
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST | 169 |
THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST | 165 |
EAST AND NORTH HERTFORDSHIRE NHS TRUST | 164 |
KINGSTON HOSPITAL NHS FOUNDATION TRUST | 164 |
HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 161 |
NORTH CUMBRIA INTEGRATED CARE NHS FOUNDATION TRUST | 159 |
CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST | 156 |
UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST | 151 |
SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST | 149 |
THE QUEEN ELIZABETH HOSPITAL, KING’S LYNN, NHS FOUNDATION TRUST | 148 |
BARNSLEY HOSPITAL NHS FOUNDATION TRUST | 148 |
HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST | 147 |
BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST | 147 |
EAST CHESHIRE NHS TRUST | 143 |
UNITED LINCOLNSHIRE HOSPITALS NHS TRUST | 141 |
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST | 140 |
WARRINGTON AND HALTON TEACHING HOSPITALS NHS FOUNDATION TRUST | 136 |
GATESHEAD HEALTH NHS FOUNDATION TRUST | 135 |
CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST | 132 |
MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST | 131 |
BUCKINGHAMSHIRE HEALTHCARE NHS TRUST | 130 |
GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST | 125 |
CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 124 |
SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST | 124 |
NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 123 |
NORTH BRISTOL NHS TRUST | 119 |
NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST | 118 |
JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST | 117 |
SOUTH WARWICKSHIRE NHS FOUNDATION TRUST | 117 |
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST | 116 |
WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST | 113 |
WHITTINGTON HEALTH NHS TRUST | 111 |
AIREDALE NHS FOUNDATION TRUST | 108 |
MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST | 104 |
ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST | 97 |
EAST SUSSEX HEALTHCARE NHS TRUST | 91 |
HARROGATE AND DISTRICT NHS FOUNDATION TRUST | 81 |
UNIVERSITY HOSPITALS PLYMOUTH NHS TRUST | 81 |
WEST SUFFOLK NHS FOUNDATION TRUST | 79 |
THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST | 67 |
ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST | 66 |
ROYAL CORNWALL HOSPITALS NHS TRUST | 65 |
WYE VALLEY NHS TRUST | 56 |
SALISBURY NHS FOUNDATION TRUST | 56 |
ROYAL BROMPTON & HAREFIELD NHS FOUNDATION TRUST | 49 |
POOLE HOSPITAL NHS FOUNDATION TRUST | 48 |
KENT COMMUNITY HEALTH NHS FOUNDATION TRUST | 47 |
ROYAL DEVON AND EXETER NHS FOUNDATION TRUST | 46 |
NORTH EAST LONDON NHS FOUNDATION TRUST | 44 |
SOMERSET NHS FOUNDATION TRUST | 43 |
ISLE OF WIGHT NHS TRUST | 39 |
TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST | 39 |
BIRMINGHAM COMMUNITY HEALTHCARE NHS FOUNDATION TRUST | 37 |
GLOUCESTERSHIRE HEALTH AND CARE NHS FOUNDATION TRUST | 34 |
NORFOLK COMMUNITY HEALTH AND CARE NHS TRUST | 28 |
WORCESTERSHIRE HEALTH AND CARE NHS TRUST | 28 |
CORNWALL PARTNERSHIP NHS FOUNDATION TRUST | 26 |
YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST | 26 |
ANGLIAN COMMUNITY ENTERPRISE CIC – FRYATT HOSPITAL | 25 |
DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST | 24 |
OXFORD HEALTH NHS FOUNDATION TRUST | 23 |
ROYAL PAPWORTH HOSPITAL NHS FOUNDATION TRUST | 22 |
LEICESTERSHIRE PARTNERSHIP NHS TRUST | 21 |
NORTHERN DEVON HEALTHCARE NHS TRUST | 21 |
BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST | 20 |
THE ROYAL MARSDEN NHS FOUNDATION TRUST | 19 |
LIVERPOOL HEART AND CHEST HOSPITAL NHS FOUNDATION TRUST | 19 |
SUSSEX COMMUNITY NHS FOUNDATION TRUST | 18 |
ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST | 17 |
EAST LONDON NHS FOUNDATION TRUST | 17 |
DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST | 17 |
SOUTHERN HEALTH NHS FOUNDATION TRUST | 17 |
DORSET HEALTHCARE UNIVERSITY NHS FOUNDATION TRUST | 16 |
SHROPSHIRE COMMUNITY HEALTH NHS TRUST | 15 |
THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST | 15 |
NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST | 13 |
CITY HEALTH CARE PARTNERSHIP CIC – EAST RIDING COMMUNITY HOSPITAL | 13 |
THE CHRISTIE NHS FOUNDATION TRUST | 13 |
MIDLANDS PARTNERSHIP NHS FOUNDATION TRUST | 12 |
NORTHAMPTONSHIRE HEALTHCARE NHS FOUNDATION TRUST | 11 |
HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST | 10 |
CENTRAL LONDON COMMUNITY HEALTHCARE NHS TRUST | 10 |
Royal Hospital for Neuro-Disability West Hill | 10 |
THE WALTON CENTRE NHS FOUNDATION TRUST | 10 |
HCA UK – The Wellington Hospital North Building | 9 |
Hospital of St John & St Elizabeth – Hospital of St John & St Elizabeth | 9 |
GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST | 9 |
HERTFORDSHIRE COMMUNITY NHS TRUST | 8 |
CUMBRIA, NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST | 7 |
TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST | 7 |
PROVIDE – BRAINTREE COMMUNITY HOSPITAL | 6 |
CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST | 6 |
The London Clinic – 20 Devonshire Place | 6 |
NORTH STAFFORDSHIRE COMBINED HEALTHCARE NHS TRUST | 6 |
NHS NIGHTINGALE HOSPITAL NORTH WEST | 6 |
PENNINE CARE NHS FOUNDATION TRUST | 6 |
TAUNTON AND SOMERSET NHS FOUNDATION TRUST | 6 |
THE ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST | 5 |
WILTSHIRE HEALTH & CARE – SAVERNAKE COMMUNITY HOSPITAL | 5 |
ANGLIAN COMMUNITY ENTERPRISE CIC – CLACTON HOSPITAL | 4 |
NHS NIGHTINGALE HOSPITAL LONDON | 4 |
OXLEAS NHS FOUNDATION TRUST | 4 |
ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST | 4 |
WEST LONDON NHS TRUST | 4 |
LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST | 4 |
ROTHERHAM DONCASTER AND SOUTH HUMBER NHS FOUNDATION TRUST | 4 |
ALDER HEY CHILDREN’S NHS FOUNDATION TRUST | 4 |
CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST | 4 |
VIRGIN CARE LTD – PAULTON MEMORIAL HOSPITAL | 4 |
EAST COAST COMMUNITY HEALTHCARE – BECCLES HOSPITAL | 3 |
LINCOLNSHIRE COMMUNITY HEALTH SERVICES NHS TRUST | 3 |
MERSEY CARE NHS FOUNDATION TRUST | 3 |
Central Surrey Health – WALTON COMMUNITY HOSPITAL | 3 |
NORFOLK AND SUFFOLK NHS FOUNDATION TRUST | 2 |
PROVIDE – ST PETERS HOSPITAL | 2 |
HCA UK – London Bridge | 2 |
HCA UK – The Princess Grace | 2 |
SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST | 2 |
DERBYSHIRE HEALTHCARE NHS FOUNDATION TRUST | 2 |
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST | 2 |
Sheffield Health and Social Care NHS Foundation Trust | 2 |
BMI Healthcare – Mount Alvernia | 2 |
Oldercare (Haslemere) Limited – ST MAGNUS HOSPITAL | 2 |
SOLENT NHS TRUST | 2 |
VIRGIN CARE SERVICES LTD – SHEPPEY COMMUNITY HOSPITAL | 2 |
LIVEWELL SOUTHWEST – MOUNT GOULD HOSPITAL | 2 |
WESTON AREA HEALTH NHS TRUST | 2 |
WILTSHIRE HEALTH & CARE – CHIPPENHAM COMMUNITY HOSPITAL | 2 |
WILTSHIRE HEALTH & CARE – WARMINSTER COMMUNITY HOSPITAL | 2 |
CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUST | 1 |
Elysium Healthcare Limited | 1 |
PROVIDE – HALSTEAD HOSPITAL | 1 |
HCA UK – The Lister | 1 |
LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST | 1 |
Ramsay Health UK – Nottingham Woodthorpe | 1 |
HUMBER TEACHING NHS FOUNDATION TRUST | 1 |
SHEFFIELD CHILDREN’S NHS FOUNDATION TRUST | 1 |
NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST | 1 |
Central Surrey Health – WOKING COMMUNITY HOSPITAL | 1 |
KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST | 1 |
Nuffield Health – Woking | 1 |
VIRGIN CARE SERVICES LTD – LIVINGSTONE COMMUNITY HOSPITAL | 1 |
Cygnet Health Care Limited | 1 |
VIRGIN CARE LTD – ST MARTINS HOSPITAL | 1 |