A new three-tier system of coronavirus restrictions is being introduced in England, Boris Johnson has announced, with Liverpool put in the highest tier.
The Local COVID Alert Levels – “medium”, “high” and “very high” – will be implemented in different areas depending on local infection rates.
The move, planned to come into force on Wednesday, is aimed at simplifying the range of different COVID-19 restrictions that were already in place across various parts of England.
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There were 13,972 new cases of coronavirus in the UK announced on Monday, with 50 more deaths recorded of people who tested positive within the previous 28 days.
The prime minister warned the “stark reality” of a second wave of coronavirus infections had seen the number of cases quadruple in the last three weeks, with more people now in hospital with the disease than had been before the UK entered its national lockdown in March.
However, Mr Johnson told MPs he did not believe it would be the “right course” to put the country back into national lockdown.
He also dismissed suggestions that the public’s patience for restrictions had now been “exhausted” and the government should “let the virus rip” across the country.
And he argued that shielding the vulnerable and elderly while allowing the virus to take hold among younger people was “no answer”.
“Because the virus would then spread with such velocity in the general population that there would be no way of stopping it from spreading among the elderly,” the prime minister added.
Mr Johnson said the country was already suppressing the R rate of infection “well below its natural level”, but added: “We need to go further.”
Explaining the new system, Mr Johnson said the medium level will cover a significant part of England and includes the current national restrictions such as the “rule of six” and the 10pm curfew for pubs, bars and restaurants.
The high level will see people prevented from socialising with other households indoors, although support bubbles will still be permitted.
In these areas, the rule of six will continue to apply outdoors in public spaces, as well as private gardens.
Most of those areas already living under local restrictions – such as Greater Manchester, West Yorkshire and the North East – will move into this category.
The prime minister said that, following rising infection rates, Nottinghamshire, East and West Cheshire, and a small area of High Peak will move into the high level.
The very high alert level will see people banned from socialising with other households both indoors and in private gardens, while bars and pubs will be closed unless they can operate as restaurants.
Alcohol could be served in pubs operating as restaurants in these areas, but only as part of a meal.
Residents will also be advised against travelling in and out of these areas, while it will be up local politicians as to whether other leisure venues such as gyms and casinos should also close.
However, non-essential shops, schools and universities will remain open.
These restrictions will have to be renewed every four weeks and will be kept under “constant review”, the prime minister said.
Mr Johnson told MPs that the Liverpool City Region will be placed in the very high level and, following talks with local leaders, that indoor gyms, fitness and dance studios, sports facilities, leisure centres, betting shops, adult gaming centres and casinos will close alongside pubs and bars in the region.
Wedding receptions will not be permitted and people are being urged to avoid staying overnight in another part of the UK.
A total of 280 patients are now in Liverpool hospitals with COVID-19, Sky News has learnt.
This means 17% of their patients have coronavirus.
If this reaches 20%, which it is on course to in the next few days, it means the trust here will have to reduce day-to-day procedures and tasks.
The government will give the region £14m to enhance enforcement and the NHS Test and Trace scheme.
In very high areas, the NHS “could soon be under unbearable pressure without further restrictions”, the prime minister warned.
He highlighted how Chancellor Rishi Sunak last week announced further economic support for those businesses forced to shut due to local restrictions.
The prime minister also said the government would provide local authorities across England with around £1bn of new financial support.
In very high areas, Mr Johnson pledged more support for local test and trace schemes, more funding for local enforcement of restrictions, and the offer of help from the Armed Forces.
The prime minister told MPs that the months ahead will “test the mettle” of the country, but he said he had “no doubt at all that together we will succeed” and that the UK was “becoming better and better at fighting this virus”.
MPs will be given a vote to approve the new three-tier system on Tuesday.
A postcode search on gov.uk, as well as the NHS COVID-19 app, will show which local alert level applies in each area.
Labour leader Sir Keir Starmer said he was “deeply sceptical that the government has actually got a plan to get control of this virus, to protect jobs, or retain public trust”.
“It increasingly feels like the prime minister is several steps behind the curve and running to catch up with a virus that he has lost control of long ago,” he said.
Steve Rotherham, mayor of the Liverpool City Region, told Sky News he was “still waiting” for the “scientific evidence” behind the new measures.
He also issued a joint statement, along with the leaders of local councils, to reveal an economic support package had yet to be agreed with the government.
“The national furlough scheme is inadequate and risks pushing tens of thousands of low paid workers below the national minimum wage, while the direct support to businesses is also less than that offered during the national lockdown,” the statement said.
London mayor Sadiq Khan’s office warned the capital could move to further restrictions as soon as this week due to a “rapidly increasing” number of cases.
A spokesperson for the mayor said: “As of today, London is at ‘medium’ in the government’s new alert levels.
“However, Londoners should understand that this could change very quickly – potentially even this week.”
The prime minister set out the details of the new three-tier system in the House of Commons after chairing a meeting of the government’s emergency COBRA committee on Monday morning.
Mr Johnson will later hold a news conference with Chancellor Rishi Sunak and England’s chief medical officer Chris Whitty later.
England’s deputy chief medical officer, Professor Jonathan Van-Tam, gave a public briefing on the latest coronavirus infections across the UK.
He revealed that NHS Nightingale hospitals – set up during the first peak of COVID-19 infections to stop the health service becoming overwhelmed – are being told to prepare to start accepting patients in Manchester, Sunderland and Harrogate.