The Government assert that they do not have a zero covid policy or a zero covid strategy. If I accept that that is the case, it does seem as though it is a 0.1 covid strategy: it is almost zero, but not quite. At the same time, the Government accept that the disease is endemic. This is a very curious position, in which it is endemic, but the Government are still trying to get the disease as close to zero as possible. I would suggest that that requires pretty robust action from the Government for the long term.
The original lockdown was to flatten the curve and protect the national health service. Even though the Nightingale hospitals were soon mothballed and then closed, that was not enough. Lockdown was then intended to enable test, track, trace and isolate to get up to speed, and it must surely be there by now, but again, that was not enough. Then it was to vaccinate the most vulnerable—the over-50s or the most frail in our society. This was when the narrative was that the first dose would provide the vast majority of the protection required—far better than the influenza jab—and the second jab, at that point, was only really to give longevity to the resistance to covid that would be required. The expectation, at that stage, was that this would cut the overwhelming majority of deaths and hospitalisations, and this is the case, but still that was not enough. Then it was to have everyone then given the second dose. That has almost been achieved, but as the Secretary of State announced a short while ago, the roll-out of vaccinations has now extended so that 21-year-olds can sign up to get them. Again, that seems not to be enough.
In Bolton, we have been through a very difficult time—there has been an amazing amount of good work and hard work from so many locally—but with this new Indian variant, or variant of concern, we have coped. The impact on our health service was far less than during the peak in January. The NHS held up, and I believe that it is quite clear now that the link between transmission, hospitalisation and death has been severed. Again, that is not enough to find our lockdown terminus.
The narrative seems to have shifted in recent weeks. It was initially about dealing with the Indian variant and seeing how risky and dangerous it was to the country. I think that the evidence available at the moment shows that we can cope with it, but the position now seems to have shifted from dealing with the Indian variant and trying to understand it to offering the first dose to every adult of 18 and over. As night follows day, that will still not be enough.
Earlier this week, the Health Secretary was to some extent downplaying the value of the first dose and promoting that of the second. Should we now anticipate a shift later in the year to every adult being offered the second dose as well? That would take us well into September and perhaps a little beyond. We can see the rolling of the pitch for child vaccinations and for compulsory vaccination of certain care workers and perhaps others.