HOWARD, DAVID, DR HENNY 

WELL GOOD AFTERNOON EVERYONE

COMIN MET FOR A CHAT ABOUT THE MEASURES

GONNA TAKE YOU THROUGH OUR VIEWS AND WHAT THIS MEANS FOR NEXT STEP, BUT FIRST…

NUMBERS

0 AWAITING 

0 NEW CASES

48 ACTIVE 

1 HOSPITAL 

NEW FEATURE: DAVID’S TOPICS

TOPIC 1 – OVER 80 LETTERS

FINAL LETTERS GOING OUT TODAY 

EVERYONE SHOULD HAVE THEIR LETTER BY THE END OF NEXT WEEK 

CONTACT 111 IF YOU ARE IN THAT BRACKET AND DON’T GET A LETTER

FILL OUT YOUR FORM AND BRING IT WITH YOU TO THE APPT (DON’T SEND TO 111)

IF YOU’VE MOVED, TELL YOUR GP SO WE CAN UPDATE YOUR ADDRESS 

TOPIC 2 – PATIENT TRANSFERS / VACCINATION 

TRANSFERS CAN BE BOOKED FROM 25TH JAN 

DAILY SLOTS WILL BE ALLOCATED FOR THIS PERSON 

PATIENT ONLY BECAUSE THEY ARE VULNERABLE, NOT ESCORTS 

CLINICAL ASSESSMENT WILL TAKE PLACE FIRST BY RELEVANT MEDICAL CARER 

PATIENT TRANSFER TEAM WILL COLLATE INFO AND THEN BOOK VACCINE WITH 111

TOPIC 3 – 1ST & 2ND DOSE

WE HAD PLANNED TO FOLLOW THE INSTRUCTIONS FOR THE SECOND DOSE:

  • 21 DAYS PFIZER

  • 28 DAYS OXFORD

UK HAVE CHANGED THEIR APPROACH, WE KEEP OUR APPROACH UNDER REVIEW

THERE IS CLINICAL OPINION ON BOTH SIDES OF THE ARGUMENT 

IOM HAS CLINICIANS ARE ALSO ON BOTH SIDES 

BUT AFTER MUCH CONSIDERATION WE’RE FOLLOWING THE MANUFACTURERS INSTRUCTIONS 

DEPT HAVE ACCEPTED THE RECOMMENDATIONS OF THE MEDICS

TOPIC 4 – GETTING TO YOUR VAX APPT IF YOU CAN’T DRIVE

VACCINATION APPT IS ESSENTIAL CARE SO TRANSPORT IS FINE 

SOMEONE FROM A DIFFERENT HOUSEHOLD CAN TRANSPORT SOMEONE ELSE FOR THE PURPOSE OF CAREGIVING: GUIDELINES;

  • SOCIAL DISTANCING

  • SIT IN THE BACK

  • FACE COVERING

  • DROPPED AND COLLECTED DOOR TO DOOR

TOPIC 5 – RONALDSAY HUB 

WE HAVE SOME PICS…

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HUB ONLINE NEXT THURSDAY AS PLANNED

10 X CUBICLES WHICH CAN BE USED SIMULTANEOUSLY 

DR HENNY 

SURPRISE CASES ARE ALWAYS A CONCERN 

GOOD NEWS IS THAT WE HAVEN’T HAD ANY FOR 9 DAYS 

5 SINCE NEW YEAR THAT WE COULDN’T LINK. 

GENOMIC SEQUENCING HAS HELPED US TO IDENTIFY 3 AS BELONGING TO KNOWN CLUSTERS AND TRANSMISSION TRAINS

RESULTS ON TWO OTHERS DUE BACK, THEY MIGHT BE LINKED TO A CLUSTER TOO 

CAUTIOUS OPTIMISM 

WE’VE ALREADY GONE PAST AVERAGE INCUBATION TIME (6 DAYS) 

BECOMING LESS LIKELY THAT WE HAVE ONGOING SPREAD

HOWARD

COMIN WANTED A DETAILED PICTURE NOW THAT WE’VE PASSED A WEEK OF NO SURPRISE CASES

WE DON’T WANT TO STEP BOLDLY OUT, THEN HEAD BACK IN BECAUSE WE SHOT OUR LOAD TOO QUICKLY 

BUT WE ARE STARTING ON OUR PATH TO NORMALITY 

CHANGES FROM SAT AM 

OR WHEN THE CLOCK STRIKES MIDNIGHT ON FRIDAY  

CONSTRUCTION, BUILDERS, WINDOW CLEANERS, JOINERS, TELECOMS ETC CAN GO BACK TO WORK

BUT THEY MUST HAVE MITIGATION IN PLACE:

  • WORKING ALONE OR MAINTAIN SOCIAL DISTANCING

  • USE FACE COVERINGS

  • ONLY WORK INDOORS IF YOU ARE IN AN EMPTY PROPERTY

  • FOCUS ON LOW-RISK ACTIVITY

DECKCHAIRING 2.0 

WE KNOW BEING WITH PEOPLE OUTSIDE IS LESS RISKY 

FRIENDS, FAMILY: YOU CAN EXERCISE AND MEET WITH OTHERS IF YOU CAN DO IT OUTDOORS AND MAINTAIN SOCIAL DISTANCING AND WEAR A FACE COVERING 

SO WHY NOT GO FOR A WALK WITH A MATE?

OR DUST THE DECKCHAIR OFF?

WE HOPE THAT SOCIAL DISTANCING AND FACE MASKS CAN BE REMOVED SOON 

WHAT’S NOT CHANGING

  • DON’T MEET INDOORS – WE NEED TO MINIMISE HOUSEHOLDS MIXING

  • WFH

  • NON ESSENTIAL SHOPS STILL SHUT

  • SCHOOLS STILL SHUT

GOING FORWARD 

THERE WILL BE TWO PHASES 

LAST TIME IT TOOK US 12 WEEKS TO LIFT EVERYTHING AND FULLY OPEN UP 

THIS WEEK WE’RE LOOKING AT 12 DAYS

WE COLLECTIVELY AGREE THAT WE SHOULD WORK TOWARDS A FULL EXIT AFTER 28 DAYS OF NO COMMUNITY TRANSMISSION 

MEANING THAT ON AND AROUND THE 1ST FEB* – WE COULD BE FREE

*BUT I CANNOT AGREE THAT THIS WILL BE THE PRECISE THE DAY, WE NEED TO KEEP IT UNDER REVIEW. BUT THIS IS THE DATE WE ARE WORKING TOWARDS

SOMETHING FOR US ALL TO AIM FOR, IF WE ARE CONFIDENT WE WILL LIFT THE MEASURES 

SCHOOLS

IT’S IMPORTANT THAT STUDENTS DON’T MISS OUT 

DR A AND CO ARE SPEAKING TO HEADS

HOPING TO OPEN TO ALL STUDENTS ON THE 1ST FEB 

AND EXPECT ALL BUSINESSES WILL BE BACK UP AND RUNNING 

FYI – THERE ARE STILL SOME RISKS

  • SOME VIRUS MAY STILL BE CIRCULATING – IF SURPRISE CASES POP UP, WE MAY HAVE TO PAUSE OR EVEN REWIND. HOPE NOT BUT JUST BEING HONEST

  • STILL LIKELY TO HAVE CASES OCCURRING FROM TRAVELLERS – LIKELY BUT EXPECTED

  • A MORE TRANSMISSIBLE VIRUS COULD ENTER THE ISLAND – SO NO CHANGES TO BORDER CONTROL, STRONGEST SHIELD WE HAVE. WE KNOW IT ISN’T EASY, BUT IT’S THE RIGHT THING TO DO

MORE ON BORDERS

COMPASSIONATE AND CONTRACTUAL TRAVELLERS – FROM NEXT TUESDAY 26TH WE WILL ACCEPT NEW APPLICATIONS. WILL NEED TO DO THE 3 X TEST. 

PLEASE DON’T TRAVEL UNLESS NECESSARY 

THERE WAS A POSITIVE DEBATE ABOUT BORDERS IN TYNWALD

THE WORD ‘PIVOT’ CAME UP A LOT. WE ACCEPT WE CAN’T KEEP BORDERS CLOSED FOREVER

KEY MOMENTS WILL BE:

  1. WHEN WE HAVE VACCINATED EVERYONE WHO IS AT RISK OF GETTING SICK – END OF MAY (DEPENDING ON SUPPLY)

  2. WHEN WE HAVE VACCINATED EVERYONE

LORD BISHOP SAID, “WHILE THE WORLD MAY NEVER FULLY ELIMINATE THE VIRUS, IT NEEDS TO ELIMINATE THE THREAT OF THE VIRUS AND THE DANGER IT POSES.”

WISE WORDS, I LIKED THEM

MORE DETAIL ON BORDERS COMING SOON 

QUESTIONS 

SAM: ARE YOU SURE THE AWAITING TESTS FIGURE IS CORRECT? WE KNOW SOME THAT ARE STILL AWAITING RESULTS?

DAVID: 24 HR SNAPSHOT FROM LAB REPORT, THAT PERSON MAY HAVE FALLEN OUTSIDE OF IT 

SAM: CLARITY ON FACE COVERINGS?

HQ: STRONGLY ADVISED BUT NOT LEGAL REQUIREMENT

SAM: BUSINESS SUPPORT PACKAGES, WILL THEY END THIS WEEKEND OR WILL THEY CONTINUE UNTIL THE END OF THE MONTH?

HQ: THEY WILL CONTINUE UNTIL THE END OF THE MONTH

ROB: IF ALL GOES TO PLAN WE COULD HAVE 12 DAY TRANSITION. BUT THERE IS THE POSSIBILITY OF PAUSING AND ROLLING BACK. SHORT TIME-FRAME, HOW CAN YOU OFFER CLARITY FOR TEACHERS ETC?

HQ: WE CAN’T LOOK INTO THE FUTURE, WE ARE SPEAKING TO THE TEACHERS, SO THEY CAN PREPARE. PLANNING TO OPEN ON THE 1ST 

ROB: WILL PATIENT TRANSFER KIDS GET A VACCINE? AND THE TRAVELLING ADULT?

DAVID: CLINICAL DECISION. NOT ABOUT LIKELIHOOD, ABOUT THEIR RISK LEVEL, SHOULD THEY CONTRACT COVID -19. ADULT WON’T GET ONE UNTIL THEIR COHORT IS CALLED UPON THE NATIONAL PROGRAMME 

JOSH: DO YOU WORRY THAT THE 1ST OF FEB IS TOO SOON TO EASE RESTRICTIONS?

HQ: LAST TIME WE CAME OUT AFTER 26 DAYS, LAST TIME WE HAD 50 SEPARATE CLUSTERS, THIS TIME WE HAD ONE

DR HENNY: SAMES, 28 DAYS = 2 X FULL INCUBATION PERIOD. THOUGH WE NEED TO MAKE SURE WE DON’T GET ANY MORE SURPRISES.

JOSH: 6 PHASE PLAN LAST TIME. YOU PUTTING OUT A ROADMAP THIS TIME?

HQ: TWO PHASES THIS TIME. NO RULE BOOK FIRST TIME ROUND. WE HAVE EXPERIENCE UNDER OUR BELTS THIS TIME. PHASE 2 – 1ST FEB – EVERYTHING OPEN 

SIMON: CHAMBER TRACKER SAYS BUSINESSES ARE SUFFERING, HAS THIS IMPACTED THE DECISION?

HQ: ALL BUSINESSES WILL BE FEELING THE PINCH. HAVE CONCERNS, HOPE BUSINESSES WILL BE OK, CONTACT DFE. REPORT DIDN’T IMPACT THE LOCKDOWN BEING LIFTED, 

SIMON: HOW PLEASED ARE YOU WITH THE LEVEL OF TAKE UP FOR THE VACCINE?

DAVID: HIGH UPTAKE FROM THE OVER 80’S IS GOOD, HEALTH WORKERS GOOD, CARE HOMES GOOD. V PLEASED. 

TIM: SHIELDING – WHAT SHOULD THEY DO? HAVE ALL OF THE LETTERS GONE OUT?

DAVID: THOSE ASKED TO SHIELD LAST TIME SHOULD CONTINUE THIS TIME. SHIELDING BASED ON PRIMARY CARE RECORDS. GP’S MIGHT PHONE THEM INSTEAD. CONTINUE TO SHIELD UNTIL THE 1ST FEB. 

TIM: HAD A BIZARRE PHONE CALL. A CHAP SAID HE WAS MEANT TO GET HIS VACCINE BUT NEWLANDS WAS CLOSED?

DAVID: NEWLANDS IS 3 DAYS A WEEK. CARE HOMES ARE 4 WEEKS. WE WERE PUZZLED TOO AS 111 SHOWS NO RECORD, CHAP SAID HE GOT A TEXT – WE DON’T SEND TEXTS FOR VAX

PAUL: AIRPORT IS GONNA HAVE TESTING AREAS IN THE CHECK-IN SPACE?

DAVID: YEP, IT IS, IT WAS INTENDED TO BE THERE. WE WERE LOOKING AT OTHER OPTIONS BUT SETTLED ON SPACE IN MAIN CONCOURSE. 

PAUL: LATE IN THE DAY. GUERNSEY HAD THEIRS IN THE SUMMER?

DAVID: HUBS ARE RAMPING UP IN LINE WITH OUR SUPPLY INCREASING OF THE VACCINE. NO-POINT HAVING THEM THERE WITH NO VAX TO JAB PEOPLE WITH 

PAUL: NO NEWS ON RAMSEY?

DAVID: NOT YET, COMMITTED TO A HUB IN THE NORTH, BRING ONLINE IN FEB, MANY SITES BEING CONSIDERED

HQ: THANKS PAUL…..

PAUL: GIVE US MORE DATA. ARE YOU GETTING WHAT YOU WANT FOR OXFORD?

DAVID: SUPPLY IS STEADY AND WILL BUILD OVER TIME. 

WHAT WAS YOUR OTHER POINT?

PAUL: I DUNNO I WASN’T LISTENING, I WAS LOOKING UP JERSEY

HQ IN THE BACKGROUND – WE’VE HAD A NUMBER OF QUESTIONS FROM YOU PAUL

DAVID: AH! YOU CAN’T REMEMBER PAUL, BUT I CAN. GOT A SNAZZY NEW WEBSITE DROPPING NEXT WEEK, LOADS OF DATA TO DIG INTO.

HQ: THANK YOU VERY MUCH PAUL, ONTO HELEN  

HELEN: AFTERNOON MINISTERS. BORDERS, OPENING MAY?

HQ: THAT MAY BE THE CASE, BUT WE CAN’T SAY AN EXACT DATE WHEN WE’LL OPEN UP THE ISLAND. DEPENDS ON SITUATIONS AND CIRCUMSTANCES BUT WE’LL LOOK AT IT ONCE WE VACCINATE MOST VULNERABLE.

HELEN: CAN YOU TELL US ABOUT THE VARIANT?

DR H: BEEN AROUND A LONG TIME, ONE OF THE MANY VARIANTS CIRCULATING IN THE UK. NOT A SURPRISE. 

AL BELL: DECK CHAIRING, IS THERE A LIMIT?

HQ: DON’T GO INSIDE, KEEP YOUR DISTANCE, PREFER ONLY TWO HOUSEHOLDS MIX. ONLY FOR A WEEK. CAN’T BE A FEW DOZEN MIXING ON THE DOORSTEP, HAVE A BIT OF COMMON SENSE. DON’T HAVE A GARDEN PARTY, TRYING TO BE HELPFUL. WE KNOW PEOPLE WILL BENEFIT.

AL BELL: TRADE AND CONSTRUCTION COMEBACK? ARE TRADE STORES OPEN TO PUBLIC?

HQ: ESSENTIAL REPAIRS ONLY, NOT LONG TO GO UNTIL THE FIRST OF FEB.

DAVID: BE SENSIBLE FOR THE NEXT 7 DAYS. USE COMMON SENSE AND RESPONSIBILITY TO GET THE ISLAND WHERE IT NEEDS TO BE 

CLOSING 

SAT = TRANSITION PHASE

DON’T FORGET THERE IS STILL A RISK 

ACT LIKE IT’S OUT THERE 

REMEMBER THE BASICS 

WE MUST NOT DROP OUR GUARD

THANKS VERY MUCH

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