Good news and bad news in the flu furore

The worst of the outbreak may be over, but there are still no plans for a comprehensive vaccination

The good news is that we appear to be over the worst of this year's flu outbreak.

The bad news (for worried parents like me) is that there is still no sign of the flu vaccine being made available to children and the under-fives in particular.

I aired my frustrations about being unable to vaccinate my 20-month-old daughter against this potentially fatal but utterly preventable disease on this blog earlier in the week – saying that I couldn't help feeling that it was all ultimately down to saving money.

On Thursday, I was given the opportunity to put these concerns directly to the NHS director of immunisation, Professor David Salisbury.

He spoke to me as the latest figures show seven confirmed deaths of children under five from flu since September, against 11 deaths in the five-to-14-year-old age range, 59 deaths among those aged 15-44, 78 deaths in those aged 45-64 and 55 deaths among the over-65s.

The cumulative total number of confirmed flu deaths since September currently stands at 254 – a sharp increase on last week's total of 112. But because of a two-week time lag in the death statistics filtering through, that sharp increase reflects the peak (fingers crossed) of the disease a few weeks ago, rather than the current picture.

I said to Professor Salisbury that it is all very well saying that children are at a comparitively low risk of dying from flu, but that this will provide little comfort for parents grieving the loss of those who have died from this preventable illness.

He said:

Supply of vaccine is driven by customers. If customers order the vaccine, industry then increases supply. It's not a capacity issue, it's an issue to do with what is the best use of the resources that we have available to us.

He said that the latest information was that those identified as being in the high-risk groups – who are being offered the vaccine on the NHS – are around 20 times more likely to die from influenza than others. So, he said, that is why the vaccine is being offered on a risk basis, rather than one based on age – as happened last year, when those aged under five were offered the jab.

Those in the high-risk groups include over-65s, pregnant women and those with certain underlying health conditions.

Recorded numbers of people with flu-like symptoms have dipped since last week and the number of people in NHS critical care beds with flu symptoms on 20 January dropped to 418, down from 661 a week ago. Some 20 in critical care with flu were under-fives.

For those worried parents (like me), whose children don't fall into an at-risk category, the only thing to do is hope that supplies return to private clinics – which have been offering the jab for between £10 and £25 a pop – or else keep pestering your GP.

Prof Salisbury said to me that NHS high command only makes recommendations, but that it is up to GPs to make their own clinical judgements.

Dominic Ponsford is the editor of Press Gazette.

Dominic Ponsford is editor of Press Gazette

Photo: Getty
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Like it or hate it, it doesn't matter: Brexit is happening, and we've got to make a success of it

It's time to stop complaining and start campaigning, says Stella Creasy.

A shortage of Marmite, arguments over exporting jam and angry Belgians. And that’s just this month.  As the Canadian trade deal stalls, and the government decides which cottage industry its will pick next as saviour for the nation, the British people are still no clearer getting an answer to what Brexit actually means. And they are also no clearer as to how they can have a say in how that question is answered.

To date there have been three stages to Brexit. The first was ideological: an ever-rising euroscepticism, rooted in a feeling that the costs the compromises working with others require were not comparable to the benefits. It oozed out, almost unnoticed, from its dormant home deep in the Labour left and the Tory right, stoked by Ukip to devastating effect.

The second stage was the campaign of that referendum itself: a focus on immigration over-riding a wider debate about free trade, and underpinned by the tempting and vague claim that, in an unstable, unfair world, control could be taken back. With any deal dependent on the agreement of twenty eight other countries, it has already proved a hollow victory.

For the last few months, these consequences of these two stages have dominated discussion, generating heat, but not light about what happens next. Neither has anything helped to bring back together those who feel their lives are increasingly at the mercy of a political and economic elite and those who fear Britain is retreating from being a world leader to a back water.

Little wonder the analogy most commonly and easily reached for by commentators has been that of a divorce. They speculate our coming separation from our EU partners is going to be messy, combative and rancorous. Trash talk from some - including those in charge of negotiating -  further feeds this perception. That’s why it is time for all sides to push onto Brexit part three: the practical stage. How and when is it actually going to happen?

A more constructive framework to use than marriage is one of a changing business, rather than a changing relationship. Whatever the solid economic benefits of EU membership, the British people decided the social and democratic costs had become too great. So now we must adapt.

Brexit should be as much about innovating in what we make and create as it is about seeking to renew our trading deals with the world. New products must be sought alongside new markets. This doesn’t have to mean cutting corners or cutting jobs, but it does mean being prepared to learn new skills and invest in helping those in industries that are struggling to make this leap to move on. The UK has an incredible and varied set of services and products to offer the world, but will need to focus on what we do well and uniquely here to thrive. This is easier said than done, but can also offer hope. Specialising and skilling up also means we can resist those who want us to jettison hard-won environmental and social protections as an alternative. 

Most accept such a transition will take time. But what is contested is that it will require openness. However, handing the public a done deal - however well mediated - will do little to address the division within our country. Ensuring the best deal in a way that can garner the public support it needs to work requires strong feedback channels. That is why transparency about the government's plans for Brexit is so important. Of course, a balance needs to be struck with the need to protect negotiating positions, but scrutiny by parliament- and by extension the public- will be vital. With so many differing factors at stake and choices to be made, MPs have to be able and willing to bring their constituents into the discussion not just about what Brexit actually entails, but also what kind of country Britain will be during and after the result - and their role in making it happen. 

Those who want to claim the engagement of parliament and the public undermines the referendum result are still in stages one and two of this debate, looking for someone to blame for past injustices, not building a better future for all. Our Marmite may be safe for the moment, but Brexit can’t remain a love it or hate it phenomenon. It’s time for everyone to get practical.