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From YouTube: Local Covid Outbreak Engagement Board - 26th May 2021
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A
Good
afternoon,
ladies
and
gentlemen,
and
welcome
to
may's
meeting
of
the
local
covid
outbreak
engagement
board
item
two
on
today's
agenda
is
a
notice
of
recording
so
to
inform
everybody
in
the
meeting
that
this
meeting
will
be
webcast
for
live
or
subsequent
broadcast
by
the
council's
internet
site.
Members
of
the
press
and
the
public
may
record
and
take
photographs
they
wish
to
do
so.
A
The
whole
of
this
meeting
will
be
filmed
except
where
there
are
confidential
or
exemptises,
but
I
don't
think
we
have
any
on
today's
agenda
a
little
bit
of
housekeeping.
Could
I
just
ask
those
who
wish
to
speak
and
make
a
contribution
to
the
meeting
please
to
raise
your
electronic
hand
to
indicate
you
want
to
speak,
and
I
will
call
you
in
accept
where
you
are
speaking.
A
Could
I
ask
everyone,
please
to
mute
their
microphones
and
turn
their
video
feed
off,
as
that
will
help
with
bandwidth,
particularly
for
those
whose
internet
connection
is
not
particularly
good.
Thank
you
item.
Three
is
apologies
and
given
we've
recently
had
local
elections,
you'd
perhaps
not
be
surprised
to
hear
that
we
have
apologies
from
three
elected
members
who
are
recovering
from
those
elections.
Those
are
councillor
bridget
jones,
council,
paul
hamilton
and
councillor
matt
bennett.
A
I
also
have
an
apology
from
paul
jennings,
with
paul
sharia
substituting
dr
justine
varney,
with
darafai
substituting
and
from
pip
mayo
and
elizabeth
griffis.
Are
there
any
other
apologies?
Anybody
wishes
to
give
no,
in
which
case
we
will
note
all
of
those
apologies
item.
Four
is
declarations
of
interest.
Does
anybody
wish
to
declare
an
interesting
respect
of
an
agenda
item
on
today's
agenda.
A
Zara,
were
you
were
you
wanted
to
speak?
No,
I
just
said
for
me
leader,
oh
okay,
thank
you.
In
which
case
we
don't
have
any
declaration
of
interest.
Then
item
five
is
the
minutes?
Are
we
all
content
that
they
are
accurate
from
our
meeting
on
28th
of
april?
Thank
you
which
takes
us
on
to
item
six,
which
is
the
kovid
19
situation.
Update
dara
is
going
to
present
the
slides
on
this
dhara
there's
a
multitude
of
slides
here
that
have
been
circulated.
A
B
Okay,
no
problem,
so
hopefully
you
can
see
those
slides.
Yes,.
A
B
Okay,
great,
I
just
want
to
just
check
one
thing
here:
okay,
it's
not
quite
giving
me
that
okay!
Well,
I
suppose,
just
going
on
to
the
the
third
slide
there,
the
fire,
sorry,
the
fourth
slide,
which
really
looks
at
the
overall
rates
up
until
the
23rd
of
may.
I
think
the
kind
of
most
salient
point
is
really
that
our
rates
have
increased
compared
to
the
last
week.
B
If
we
look
at
the
previous
two
three
weeks,
birmingham
was
continuing
to
trend
downwards
in
terms
of
its
rates
and
went
from
a
position
where
its
rates
were
consistently
higher
than
those
of
the
english
average
rates
to
one
where
it
was
lower
than
english
rates.
Currently
we're
we're
at
the
same
rate
as
the
english
rate.
So
we
need
to
be
very
careful
in
terms
of
monitoring
that
and
we'll
come
back
to
possible
reasons
for
that.
B
When
we
talk
about
the
indian
variant
and
currently
it's
ranked
first
in
the
west
midlands
region,
just
the
only
thing
to
say
about
the
testing
rates,
which
is
quite
significant,
is
that
we've
seen
an
increase
in
positivity
significant
increase
in
positivity
with
the
pcr
testing,
which
has
increased
from
1.3
percent.
Whereas
previously
it
was
at
0.9
percent,
although
it
has
increased
nationally
as
well
to
1.2
percent
and
actually
just
kind
of,
even
if
we
go
back
and
slide
just
to
slide
3
there.
B
If
you
look
at
the
the
second
graph,
you'll
see
how,
as
we
kind
of
had
seen,
trended
from
maybe
january
or
previously,
prior
to
that,
we've
seen
the
rates
continue
to
go
down
and
down
and
down,
and
then
the
slight
uptake
just
recently
in
the
past
week
or
two.
So
just
to
be
to
monitor
that
carefully.
B
I
won't
go
into
the
wastewater
report,
but
that
just
again
shows
that
there
is
considerable
evidence
of
variance
of
concern
in
our
waste
water,
which
is
often
very
helpful
epidemiological
data.
The
part
that
I
probably
want
to
focus
on
the
most
is
the
variance
of
concern,
which
we
know
often
have
often
are
more
infectious.
Have
higher
rates
of
hospitalization
or
mortality
or
can
be
a
vac,
can
be
more
vaccine
resistant
to
the
other
variants.
B
So
the
key
variants
of
concern
that
we
tend
to
focus
on
nationally
and
particularly
in
birmingham,
is
the
uk
kent
variant
which
at
the
moment
represents
the
majority
of
new
cases
in
birmingham.
But
actually,
if
you
look
at
the
figures
nationally,
the
indian
variant
has
overtaken
the
uk
kent
variant
as
the
most
the
more
predominant
strain
and
if
you
look
at
data
for
both
the
west
midlands
and
birmingham
you'll
see
that
our
rates
of
the
indian
variant
are
starting
to
increase,
whereas
our
rates
of
the
kent
variant
are
starting
to
decrease.
B
So
there's
a
very
real
possibility
that
we'll
get
to
a
situation
where
the
indian
variant
takes
over
from
the
ken
varian
in
birmingham
and
the
reason
why
that's
significant
is
that
one?
The
main
reason
is:
it's
thought
to
be
1.6
times
more
transmissible,
so
it
should
have
more
of
an
impact
in
terms
of
mortality
and
morbidity.
Of
course,
the
a
lot
of
this
is
contingent
on
on
the
level
of
vaccination,
and
we
do
know
that
those
who
are
vaccinated
do
receive
a
good
level
of
protection
against
at
this
variant.
B
So
if
we
look
at
the
actual
number
of
cases
in
birmingham
there's
been
26
cases
of
the
south
african
variant
and
43
cases
of
the
indian
variant,
the
other
variant
of
concern
is
a
brazilian
one,
although
we've
only
seen
one
case
so
far
in
birmingham
now.
One
of
the
things
that
you
might
start
coming
across
is
what
it's
called
the
s:
gene
positivity,
and
so
normally
what
happens?
If
you
do
a
pcr
test,
it
goes
off
to
lab
for
genomic,
sequencing
and
that'll.
Tell
us
which
variant
of
concern.
B
It
is,
however,
by
actually
looking
at
whether
the
virus
is
s,
gene
positive.
We
have
a
mechanism
which
is
much
quicker
and
and
easier
and
cheaper
than
the
genomic
sequencing
to
give
us
a
very
strong
indication
of
what
kind
of
variant
of
concern
we
might
have
in
birmingham
because
effectively,
if
you
have
the
uk
or
kent,
varian
variant,
you'll
be
s.
B
Gene
negative,
whereas
if
it's
the
south
african
or
indian
variant,
it'll,
be
s,
gene,
positive
and
a
study
was
done
or
an
epidemiological
review
was
done
between
the
6th
of
may
and
the
19th
of
may
in
birmingham,
and
we
found
133
s,
gene
positive
cases,
so
there's
quite
a
lot
of
variance
of
concern
circulation
at
the
moment
in
birmingham,
and
we
feel
those
rates
are
continuing
to
increase
and
there
was
also
a
sample
of
46
of
of
samples
were
tested
for
the
s.
Gene
in
birmingham
and
63
were
s
gene
positive.
B
One
or
two
core
epicenters
that
are
are
generating
the
high
numbers,
we're
actually
seeing
quite
a
large
sprinkling
of
cases
across
birmingham
and
across
the
west
midlands,
and
a
lot
of
these
are
linked
through
travel
or
through
community
contact,
but
no
real
core
epicenters
and
we're
particularly
seeing
cluster
cases
in
certain
schools
like
call
green,
north
and
higher
rates
in
places
like
hodge,
hill
and
lazelles,
and
this
this
graph
here,
particularly
the
graph
from
the
right.
B
It
just
shows
that
the
actual
rate
of
change
in
terms
of
the
increased
numbers
of
the
variance
of
concern,
the
indian
variant
of
concern,
is
increasing
quite
significantly
in
birmingham
and
the
particular
reason
why
that's
of
concern
is
that
you
know
from
talking
to
people
in
who
were
in
the
sorry
in
the
northwest,
where
they
have
very
high
numbers
of
the
indian
variant.
What
they
found
was.
It
was
a
gradual
increase
initially
and
then
it
rose
exponentially.
So
clearly,
that's
something
we
want
to
avoid
in
birmingham
and
effectively.
B
Our
our
response
is
a
combination
of
adhering
to
the
natural
directives,
as
well
as
our
own
local
response,
so,
for
example,
we're
expediting
the
second
dose
so
that
everybody
gets
their
vaccination
within
eight
weeks,
as
opposed
to
12
weeks.
We
have
pop-up
vaccination
clinics
that
we
have
in
place
in
areas
where
we
think
there
are
high
rates.
B
We
have
focused
surge
testing
in
response
to
linked
clusters,
so
this
isn't
quite
the
operation
eagle
type
response,
but
it
really
is
trying
to
identify
clusters
that
are
epidemiologically
linked
and
ensuring
that
all
the
cases
and
contacts
are
have
pcr
testing
have
enhanced
contact
testing
and
we
also
leverage
the
environmental
health
officers
to
ensure
enforcement
of
isolation
and
compliance
is
in
place
and
that's
all
combined
with
very
focused
communication
and
engagement.
So
people
understand
the
relevance
of
the
indian
variant.
B
You
will
have
heard
that
in
certain
parts
of
the
uk,
such
as
bolton,
the
government
has
basically
introduced
tier
two
restrictions
for
those
cities
and
and
boroughs,
whereas
birmingham
isn't
in
at
that
situation
at
the
moment,
but
we're
currently
on
a
watch
list
now
we're
way
down
the
list
in
terms
of
that
watch
list.
But
clearly
you
know
we're
under
some
level
of
scrutiny.
So
we
need
to
make
sure
that
we're
doing
the
right
thing
so
the
the
operation
eagle
response.
B
So
in
terms
of
testing,
I'm
conscious
of
time
when
you
know
there,
as
as
the
leader
said,
there's
a
lot
of
slides
here,
some
of
which
you've
seen
before
I
think
possibly
the
kind
of
the
highlights
to
say
is
in
terms
of
the
lateral
flow
test
that
our
lateral
are
fixed,
lateral
flow
testing
sites
and
collection
sites
have
now
closed
and
that's
in
line
with
the
national
move
to
home
testing,
and
we
ordered
the
home
testing
from
the
government
website.
But
testing
is
available
at
our
network
of
104
community
pharmacies.
B
B
This
just
reflects
the
different
age
groups
and
what
we're
seeing
in
terms
of
testing
rates,
it's
probably
higher
in
the
kind
of
school
to
college
age
groups,
as
we
might
expect,
okay
so
case
going
on
to
case
demographics,
as
you
can
see
here
that
so
we
as
we
initially
seen
this
case,
numbers
were
falling
since
the
start
of
lockdown.
B
However,
you
know
if
we
compare
the
weekend
in
the
23rd
of
may
to
the
previous
week,
there's
been
a
40
percent
rise
in
cases
for
those
aged
between
20
to
39
and
an
85
percent
rise
in
cases
for
those
aged
0
to
19.
So
again,
it's
kind
of
consistent
to
what
we
expect
and
again.
This
is
probably
just
reflecting
the
same
sort
of
data
and
case
rates
by
age
again,
so
you
know
that
trend.
These
are
just
different
ways
of
representing
what
we
have
really
seen
anecdotally,
with
an
increase
noticeably
a
noticeable
increase.
B
Recently,
sorry,
a
noticeable
increase
in
the
10
to
19
and
49
40
to
49
age
group,
which
probably
affects
pupils
and
their
parents
in
the
week
ending
the
23rd
of
may-
and
this,
I
think,
is
this-
is
again
a
similar
kind
of
date
in
terms
of
the
age
group.
So
a
bit
of
replication
there.
So
I'll
move
on
from
that,
we
can
see
there.
B
We
were
doing
really
well
in
terms
of
the
case
rate
in
the
population
age
over
60
with
the
constant
trend
downwards,
but
we
are
seeing
just
beginning
to
see
a
slight
rise
in
that
age
group
also
in
terms
of
ethnicity.
B
B
Writing
con
significantly
from
from
the
previous
weeks
again,
this
just
reflects
the
same
sort
of
numbers
here
in
terms
of
the
the
bangladeshi
population
pakistani
population
of
black
african
arabian,
okay,
so
they're
the
kind
of
key
groups
that
we
need
to
really
focus
and
target
on.
B
This
is
just
around
case
rates
for
the
index
of
multiple
deprivation
and
there
isn't
a
huge
change
in
terms
of
the
numbers
in
terms
of
the
different
categories,
but
a
later
slide
will
show
you
that
if
you
actually
look
at
the
testing
rates,
you'll
see
that
there
are
greater
testing
rates
in
those
who
are
in
the
least
deprived
areas
compared
to
those
sorry,
greater
testing,
yeah,
greater
testing
and
those
who
are
in
the
least
deprived
compared
to
those
who
are
in
the
most
deprived
areas,
and
I
think
that's
why
we
we're
not
seeing
much
of
a
differential
from
one
imd
category
to
another.
B
I
think
if
we
did
see
equivalent
testing
rates,
I
think
we
would
see
case
rates
being
much
higher
in
the
least
deprived
categories.
This
is
just
quickly
in
terms
of
nhs
situations.
I
think
we're
seeing
effectively
that
if
you
look
at
hospitalizations,
they
are
reducing
across
the
two
stps
and
hopefully
that
will
continue,
but
we
need
to
monitor
carefully
and
in
terms
of
debts.
If
it's,
if
you're
looking
at
debts
within
28
days
of
a
positive
cova
test,
there
was
no
debts
in
the
weekend
in
the
23rd
of
may.
B
But
if
you
look
at
covet
and
19
we
mentioned
on
the
death
surf
certificate.
If
we
look
at
the
week
prior
to
the
7th
of
may,
we
saw
three
registered
debts
in
birmingham
and
all
the
debts
occurred
in
hospital
and
that's
just
excess
debts.
So
in
terms
of
situations,
so
I
think
we
had
40
situations
in
the
past
week
or
so:
education,
accounting
for
24
workplaces,
accounting
for
11,
and
I
think
social
care
at
three
and
clinical
settings
too
common
exposure.
B
So
overall
the
number
of
common
exposures
identified
had
fallen
in
the
recent
weeks,
but
in
the
last
reported
week,
17th
of
may
all
common
exposures
occurred
in
education
in
the
12
to
17
year
old
settings.
B
Okay,
so
contact
tracing,
you
know,
there's
a
lot
there.
I
think,
just
to
say
that
the
the
total
number
of
positive
cases
in
may
was
622
with
a
completion
rate
of
87
compared
to
a
local
target
of
80
percent.
You
may
be
aware
of
this
local
zero
pilot.
B
In
which
so
prior
to
this
local
local,
zero
pilot,
the
national
contact
racing
team
would
contact
the
cases
initially
for
the
first
24
hours,
initially
by
text
and
then
follow-up
calls
and
if
they
failed
to
make
contact,
then
they'd
pass
it
on
to
us
locally,
where
we
have
a
bit
more
contact
information.
B
This
pilot
was
about
bypassing
that
system,
so
the
data
would
go
straight
to
our
local
team
and
so
that
we
would
do
the
contact
racing
directly,
so
that
pilot
is
effectively
over
now
and
has
worked
very
well
and
now
it's
become
part
of
our
mainstream
service.
B
Okay,
so
this
is
just
just
in
terms
of
the
exposure
activity
setting.
So
over
the
past
two
weeks,
the
household
category
has
been
the
most
common
in
terms
of
source
of
spread
with
an
under
an
increase
in
the
unknown
category.
B
Okay,
so
I
think
you
wanted
to
get
an
overview
of
what
we
were
doing
in
terms
of
communications.
I
think
obviously,
communications
at
the
moment
and
engagement
is
crucially
important,
particularly
given
that
there's
a
I
suppose,
two
things
I
think.
Obviously,
the
restrictions
are
being
lifted
and
there's
a
certain
sense
of
complacency.
I
think
that
is
creeping
in.
I
don't
think
it's
unique
to
birmingham.
I
think
it's
a
national
and
perhaps
an
international
piece
where
people
are
feeling
somewhat
fatigued.
There
are
also
a
lot
of
myths
going
on.
B
You
know
a
lot
of
myths
at
the
moment
in
terms
of
covert,
for
example,
people
believe
if
they're
vaccinated,
they're
fully
protected
and
can't
get
covered
again,
which
isn't
true
or
they
believe
that
they
can't
transmit
it
to
someone
else
which
again
isn't
true.
So
there's
a
lot
of
work
that
we're
doing
at
the
moment.
B
We
continue
to
focus
on
our
champion
program
and
we've
currently
got
820
covet
champions
with
good
representation
of
different
and
lgbtq
community,
but
more
representation
is
needed
for
males
bangladeshi
and
caribbean
communities,
young
people
aged
18
to
30
and
people
who
consider
themselves
to
have
a
disability.
B
So
in
parallel,
there's
an
awful
lot
of
work
be
done
in
terms
of
social
or
digital
engagement,
whether
it's
social
media
website
or
tweeting.
There's
a
lot
of
engagement
with
the
faith
groups
certainly
happy
to
go
into
the
detail.
There
but
that's
an
ongoing
iterative
process.
B
B
We
want
to
deliver
communication
networks
and
telephone
trees
in
conjunction
with
other
with
another
17
commission
community
providers,
and
so
that
would
be
a
good
way
to
get
some
key
messages
out
from
one
peer
to
another
one
member
of
a
community
to
another.
B
So
I
think
that
is
a
sensible
initiative
and
a
lot
of
ongoing
partnership,
not
only
with
our
community
champions,
but
we
have
a
lot
of
community
partners
that
we
either
have
direct
contractual
arrangement
arrangements
with
in
order
to
reach
out
to
the
hard-to-reach
communities
or
informal
arrangements
where
we
support
them
with
information
and
champions
and
marshals,
if
necessary,
so
and
and
particularly
we're
using
them
at
the
moment
to
communicate
in
relation
to
the
the
variance
of
concern
and
then
there's
further
work
in
development.
B
Okay,
so
that's
kind
of
a
whistle
top
stop
tour.
Hopefully
I
didn't
go
too
quickly
but
happy
to
take
any
questions.
A
Well
done
darry
very
well
to
get
through
all
those
slides,
in
so
short
amounts
of
time.
I
just
wanted
to
come
back
to
the
issue
of
the
indian
variant
of
concern.
Yes,
we've
seen
elsewhere
in
the
country,
particularly
bolton
and
blackburn,
and
darwin
that
case
rates
have
rocketed
up
as
a
result
of
the
indian
variant,
and
I
think
it's
still
too
early
to
tell
what
impact
that
variant
may
have
and
whether
or
not
it
may
affect
the
roadmap
out
of
out
of
lockdown
and
sure
everybody's
aware
june.
A
21St
is
the
next
the
next
date
on
that
roadmap,
where
all
restrictions
are
planned
to
be
lifted,
and
I
do
wonder
given
that
in
discussion
with
the
directors
of
public
health
earlier
this
week,
we
were
being
told
that,
if
case
rates
do
start
to
go
up-
and
your
slide
indicated
a
bit
of
slight
increase-
that
we
might
reach
a
tipping
point
and
then
suddenly
see
an
exponential
growth
in
case
rate.
So
we've
got
to
bear
in
mind.
A
I
I
do
wonder
about
some
of
the
messaging
that
the
governments
are
putting
out
here,
because
you
use
the
word
complacency
and
I
do
think
that
people
perhaps
need
to
be
reminded
that
this
virus
is
still
very
dangerous
and
it
will
seek
out
people
who
are
vulnerable
to
it
for
other
health
reasons
or
indeed
those
who
haven't
been
vaccinated,
which
essentially
is
what
we've
seen
in
bolton
and
blackburn
and
darwin.
I
do
think
we
need
to
be
cautious
and
reminding
people
that
they
should
stick
to
the
guidelines
as
they
currently
exist.
A
The
hands-faced
space
guidelines
and
should
really
take
care,
particularly
when
going
to
indoor
venues,
because
you're
much
more
risk
indoors
than
you
are
outdoors.
And
if
you
want
to
comment
on
any
of
that
dara
or
indeed
any
of
our
nhs
colleagues
in
this
meeting,
whether
they
might
want
to
comment.
B
I
mean
the
other
thing
I
would
say
I
mean
absolutely
agree
with
you.
I
mean
I
think
we
need
to
recognize
that
viruses
have
been
around
long
before
human
beings
and
they
are
built
to
survive
and
adapt,
and
they
will
continue
to
try
and
adapt.
You
know
to
whatever
immunity
we
provide
or
whatever
we
throw
at
them.
So
we
we
just
need
to
recognize
that
we
may
have.
You
know,
won
the
battle
initially,
but
we
haven't
won
the
war
and
we
have
to
continually
recognize.
A
Thanks
dara
steve
steve,
graham.
C
Thank
you,
cancer.
Just
the
one
thing
I
wanted
to
add
to
what
dara
said
there
is
that,
whilst
we've
spoken
there
about
personal
responsibility,
the
one
thing
to
remember
is
if
people
have
gotten
copied
they
do
have
to
isolate
and,
along
with
mark's,
teaming
environmental
health.
Given
I
know
this
all
this
is
broadcast
to
people
across
the
city.
There
is
enforcement
activity
taking
place
to
ensure
that
people
are
self-isolating
that
if
they
don't
do
so,
but
only
if
they're
doing
the
wrong
thing,
morally
they're
doing
the
wrong
thing
legally
as
well
and
clearly
we'd.
A
Yeah
thanks
steven,
it
is
worth
repeating
that
if
you
do
have
the
symptoms
of
the
virus,
it
is
confirmed,
you've
got
the
virus,
you
do
need
to
self-isolate
for
the
safety
of
others,
and
indeed
your
own
family.
You
need
to
take
precautions
because
there's
still
the
possibility,
even
though
the
vaccines
have
brought
down
the
right
level
of
hospitalizations
and
deaths
significantly,
it
is
still
possible
to
die
from
this
virus.
Dr
mania
aslam.
D
Yeah,
I
would,
I
would
echo
that
council
award.
I
think
we
need
to
take
a
cautious
approach
here.
We
suffered
have
suffered
in
this
region
more
so
than
nationally.
You
know
we
had
a
longer
sustained
peak.
On
the
first
occasion
we
had
a
more
devastating
second
peak.
We
are
in
danger
of
having
a
third
peak
here,
all
of
the
things
that
dara
has
talked
about
about
vaccination
levels
in
communities.
D
He's
got
a
couple
of
slides
later
on
that
show
four
areas
within
west
birmingham,
where
the
vaccination
rates
are
not
sufficient
enough
to
control
a
massive
spread
of
this
of
this
deadly
virus
and
if
it's
more
contagious-
and
we
need
to
know
that
if
it's
more
contagious,
it's
going
to
spread
even
quicker,
and
we
know
the
trend-
we've
seen
it
now,
it's
not
new
to
us.
We
know
the
trend
of
younger
people
being
infected,
leading
on
to
older
people
being
infected
and
the
hospitalization
that
that
leads
to
and
the
trauma
in
people's
lives.
D
So
a
cautious
approach
is
what
I
would
suggest.
I
don't
think
we
are
in
any
way
from
what
daryl's
described
out
of
the
woods
here.
We've
got
lots
of
work
to
do.
We've
got
lots
of
people
to
vaccinate.
We
have
vaccines
for
those
people,
we
need
to
get
on
and
do
it.
A
Thank
you
and
yes,
I
would
encourage
everyone
when
their
turn
comes
to
take
the
vaccination.
Do
please
come
forward
and
have
it.
The
vaccination
said
this
many
times
in
these
meetings.
Vaccination
saves
lives
and
that
has
been
proven
with
vaccination
regimes
in
the
past.
Then
this
one
is
no
different.
It
gives
you
protection
against
the
virus,
it's
not
100,
but
it
does
reduce
the
chances
of
you
being
hospitalized
and
it
doesn't
reduce
the
chances
of
you
dying
from
this.
So
please
do
come
forward
and
get
the
vaccination.
B
E
Afternoon
everybody
it's
nice
to
be
presented
with
this
group.
I've
been
asked
to
provide
a
kind
of
operational
overview
and
update
on
what's
referred
to,
as
operation
eagle
also
referred
to
as
search
testing.
E
So
I'll
kind
of
talk
you
through
the
approach
we've
taken,
you
may
be
aware
that
we've
just
completed
three
parallel
surge
testing
events
back
end
of
april,
beginning
of
may
so
as
you'll
see
from
the
slide
deck.
There's
some
detail
in
in
some
of
the
experience
you've
had
there
as
well
so
I'll
use
that
as
the
example
so
just
to
to
make
start.
E
So
not
I'm
sure,
quite
what
the
background
wasn't
in
people
on
the
call
so
for
people,
perhaps
who
are
less
familiar
just
a
few
statements
about
what
operation
eagle
search
testing
is
so
operation
eagle?
Is
the
project
name
nationally
for
surge
testing
activity
in
relation
to
variance
of
concern
and
that's
kind
of
dire
alleged
to?
E
There
are
other
activities
that
happen
before
research
testing
event
is
sort
of
initiated
lots
of
enhanced
contact,
tracing
trying
to
work
out
where
cases
of
variants
of
concern
have
come
from
and
to
try
and
identify
with
that
sort
of
that's
contained
search.
Testing
generally
happens
when
there's
a
concern
that
there
may
be
an
issue
around
containment.
E
So
it's
a
containment
strategy
to
try
and
make
sure
we
we
don't
let
the
variance
go
for
any
particular
area,
usually
two
weeks
and
very
targeted
on
post
code,
to
try
and
encourage
everybody
residents
and
workers
in
that
area
to
to
take
a
pcr
test,
whether
they've
got
symptoms
or
not,
and
those
ptr
tests
are
then
sequenced.
So
we
not
only
identifying
where
there
are
positive
cases,
but
if
they're
positive,
whether
they
they
offer
the
a
particular
variant
of
the
virus.
E
In
the
case
of
the
three
operations,
we've
just
done
just
a
little
bit
of
information
so
on
each
one
in
terms
of
where
the
cases
were
so
operation,
equal,
two,
which
was
one
case,
but
someone
travelling
between
birmingham
and
sandwell
and
in
fact,
sandwell
had
kicked
off
an
operation
eagle.
Just
before
we
started,
the
person
in
question
was
considered
to
be
a
resident
of
sandwell
and
then
identified
actually
to
be
living
in
birmingham
and
traveling
between
the
two
areas.
So
so
that
was
the
reason
we
were
asked
to
do.
E
The
surge
testing
there
operational
three,
someone
with
no
history
of
travel
or
contact
with
anyone
else
that
would
identify
so
so
that
sort
of
immediately
triggered
concern
about
where
that
case
had
come
from.
In
the
case
of
four
eagle,
four
two
cases
in
a
family
cluster
and
again
some
some
information
there
about
no
source
had
been
identified
and
the
use
of
public
transport
without
a
mask
so
again
a
concern
that
there
might
have
been
a
spread
of
the
variant.
E
In
that
case,
all
of
those
three
operations
were
related
to
the
b35
1.1
south
african,
as
it's
referred
to
variant
rather
than
the
aprilo2
indian
variant
as
it's
now
referred.
So
that
was
the
reason
that
they
were
triggered.
In
each
case,
we
were
asked
to
then
sort
of
initiate
such
testing
operations,
as
we
do
just
really
to
give
you
an
indication,
so
three
different
parts
of
the
city
not
too
far
apart
in
in
geographical
terms,
but
we
define
with
public
health
colleagues
a
target
geographical
area.
E
So
we
get
a
list
of
postcodes
and
I
just
tried
to
annotate
the
map
here
that
the
postcard
maps
aren't
as
clear
as
they
could
be.
So
hopefully
that
I
think
is
people
are
familiar
with
the
city
of
where
they
are,
as
you
can
see
that
the
first
one
was
around
the
sort
of
city
hospital
area.
The
second
operational
three
in
this
case
was
in
adam
rockwood
and
the
eagle
four
was
porsley
high
gate.
E
So
we
identified
the
postcodes,
that's
our
target
area
and
what
we're
really
doing
is
trying
to
encourage
everyone
who
lives
in
that
area
or
who
has
come
into
that
area.
For
work
over
the
previous
four
or
five
weeks
to
get
tested,
so
it's
really
about
trying
to
mass
test
as
many
people
as
we
can
in
that
targeted
area
in
terms
of
the
timeline.
E
So
we're
just
going
to
put
the
timeline
here
for
the
three
and,
as
you
can
see
very
much
three
operations
running
very
much
in
parallel
and
what
what
happens
prior
to
us
being
asked
to
initiate
surge
testing
is
there's
a
regional
meeting
which
is
discussing
a
particular
case,
or
in
this
case
there
were
three
meetings
for
three
different
cases
where
a
recommendation
is
made
regionally
if
they
feel
that
search
testing
is
required
and
then
signed
off
nationally
by
public
health,
england
and
the
department
of
health
and
social
care
to
actually
initiate
the
action.
E
So
so
we're
aware
of
that
there
being
a
possibility.
But
actually,
when
we
get
the
agreement,
we're
really
asked
to
mobilize
within
24-48
hours
and
really
sort
of
make
sure
that
we're
out
getting
the
test
out
to
as
many
people
as
we
can
and
actually
one
of
the
one
of
the
things
that
slowed
us
down
a
little
bit.
Only
slightly
in
operation,
eagle
2
is
actually
we
need
to
get
testing
kits
delivered.
E
So
it's
not
until
the
operation's
been
approved
that
we
get
the
test
kits
delivered
from
the
department
of
health
and
social
care
and
no
criticism.
It's
a
very
quick
turnaround,
but
actually
we
with
operation
eagle
2
we
could
have
actually
started
on
the
saturday
had
we
had
test
kits
available
in
the
end,
we
had
to
delay
it
by
the
day
to
sunday,
because
the
test
kits
didn't
arrive
until
saturday,
so
certainly
for
for
public
health.
E
Colleagues
and
my
team
very
fast
turnaround
and
the
end
really
is
to
from
getting
the
green
light
to
get
out
there
as
quickly
as
we
can
just
to
point
to
note
on
this
slide
that
the
gray
sort
of
period
in
the
8th
and
9th
of
may
over
that
weekend,
normally
we'll
do
search
testing
for
two
weeks
in
each
case,
possibly
a
little
bit
less.
E
So
we
extended
that
just
through
to
monday,
to
allow
us
to
collect
in
as
many
kits
as
we
could
from
from
some
of
the
organizations
and
businesses
that
we'd
engaged
with
so
just
to
talk
you
through
kind
of
probably
key
point
really
in
terms
of
our
approach,
what
we
do
when
it
comes
to
search
testing
and
how
we
we
go
about
it,
sort
of
three
key
elements
to
this.
So
in
terms
of
engaging
with
the
residents
and
getting
test
kits
and
getting
residents
tested
the
primary
strand
of
activity.
E
In
that
regard,
is
we
set
up
door
to
door,
delivery
and
collection?
So
we
have
teams
out
on
the
streets.
They're
given
target,
addresses
and
postcodes
each
day
and
asked
to
go
out
and
knock
on
doors.
Engage
with
residents,
engage
with
the
public,
explain
what
we're
doing,
why
it's
important
and
and
make
sure
that
we're
sort
of
persuading
as
many
people
as
we
can
to
take
a
test
kit.
E
It's
a
staging
point
and
my
team
will
start
that
point
with
a
couple
of
people,
basically
to
make
sure
we've
got
a
point
for
the
door-to-door
teams
to
coordinate
from,
but
also
that's
where
the
test
kits
come
back
to
when
they've
been
collected
back
in
and
then
the
team
will
make
sure
they
get
sent
off
to
the
lab
from
there
and
probably
worth
just
using
this
forum
to
just
to
thank
a
couple
of
local
organizations.
E
So,
in
the
case
of
operation
eagle,
two
birmingham
central
baptist
church
finally
gave
us
access
to
their
building.
As
our
staging
point
operation
eagle,
three,
the
ward
end,
fire
station
was
used
as
the
point
and
actually
for
operation
eagle
four.
We
used
the
hippodrome
theatre
where
we
were
already
doing
some
testing
anyway.
E
So
so
thank
you
for
all
three
of
those
organizations
and
it's
really
helpful
that
organizations
like
that
are
able
to
give
us
access
to
their
buildings
and
give
us
a
point
to
be
sort
of
situated
at
within
the
local
area.
So
that's,
that's
always
appreciated
local
testing
sites
lts.
So
these
are
the
department
of
health
and
social
care
operated
testing
sites,
the
normally
sort
of
pcr
sites,
currently
pcl
testing
sites
for
symptomatic
people
in
the
morning
and
they're
handing
out
lateral
flow
test
kits
in
the
afternoon.
E
We
turn
on
sequencing
at
all
of
those,
so
anybody
who
goes
to
one
of
those
sites
in
that
area
who
gets
to
test
whether
they're
in
our
target
area
or
not
their
results,
will
get
sent
to
the
lab
for
sequencing.
So
we
potentially
pick
up
any
additional
cases
in
in
terms
of
variants
through
those
lts
sites
as
well.
So
that's
the
residents
for
organizations,
so
this
is
schools
workplaces.
We
also
engage
with
faith
groups
and
communities
in
in
this
way,
as
well,
rather
than
trying
to
target
everybody
individually.
E
What
we're
trying
to
do
is
engage
with
them
and
try
and
get
them
to
help
us
do
the
testing.
So,
if
you're,
a
business
in
the
target
area,
you've
got
people
living
and
working
in
the
area
or
coming
into
the
area
outside
for
work
and
have
done
in
that
sort
of
four
to
five
week
period
prior
to
starting
what
we
ask
the
businesses
to
do
we'll,
arrange
to
deliver
a
batch
of
test
kits
to
them.
E
We
ask
them
to
organize
to
get
their
staff
to
do
the
tests,
and
then
we
will
collect
those
test
kits
back
in
from
them
normally
the
following
day,
and
we
will
then
send
them
off
to
be
processed.
So
so
that's
what
very
well
said.
He
also
worked
very
well
with
our
education
colleagues
and
with
schools,
and
we
had
some
some
good
engagement
with
faith
groups
as
well.
So
again,
someone
else
sort
of
helping
to
support
the
message
rather
than
just
the
council,
I
think,
is
really
helpful
in
these
situations.
E
As
far
as
the
business
is
concerned,
we
use
our
contact
center
at
the
council
to
try
and
engage
with
businesses,
make
contact
with
them
either
by
phone
by
email
or,
if
necessary.
E
So
we've
got
sort
of
particular
pages
on
the
council
website
that
are
switched
on
when
we're
doing,
search,
testing
anywhere,
and
one
of
the
key
elements
of
that
is
a
postcode
checker.
So
you
can
put
in
your
postcode
check
whether
your
postcard
is
one
of
those
ones.
That's
in
the
target
area
that
we're
looking
at
and
in
the
case
of
having
three
in
parallel,
we
just
expand
that
so
any
postcode
in
those
three
areas
is
picked
up.
E
Obviously,
quite
serious
sort
of
focus
on
social
media
trying
to
get
the
message
out
that
way,
also
engaging
with
local
media
had
some
some
good
engagement
with
local
radio
stations
in
the
community,
which
is
really
helpful,
again
sort
of
the
community
channels
that
people
may
be
listening
to
again,
it's
a
different
voice
to
the
one
that
they
might
normally
hear
from
the
council,
which
I
think,
really
works
recognizing
that
a
lot
of
these
communities.
E
You
know
english
may
not
be
the
first
language
for
many
people,
so
using
translated
materials
to
make
sure
we're
getting
getting
to
the
right
people
and
trying
to
make
sure
the
message
is
coming
across
to
them
in
the
right
way
and
community
engagement.
So
this
is
key
award
members,
business
groups,
faith
groups
really
just
trying
to
get
to
as
many
different
sort
of
contacts
within
a
given
area
that
we
can
and
one
of
the
things
we've
done
here
is
set
the
team
up.
E
So
again
we
expanded
my
team
to
be
able
to
support
setting
up
of
these
kind
of
community
engagement
events
which
work
very
similar
to
award
forum,
but
actually
that
gives
us
a
bit
of
capacity
to
better
do
those
quickly
when
we
need
to
so
in
terms
of
sort
of
how
how
that
sort
of
worked
for
the
operations,
but
that
we've
just
completed
the
two
three
and
four
operation
eagles
a
couple
of
graphs
here,
so
the
graph
which
is
on
your
left
in
relation
to
kit
delivery
and
collection
numbers.
E
So
it
just
gives
you
on
the
table
at
the
bottom,
the
sort
of
target
population.
That's
the
number
of
residents,
we've
identified
that
we
believe
live
in
each
of
those
postcode
areas
that
we
sort
of
outlined
on
those
maps
I
showed
at
the
beginning.
So
that's
who
kind
of
target,
and
then
that
shows
the
number
of
test
kits
we've
delivered
and
then
in
each
case
the
number
of
test
kits.
We've
we've
got
back
from
from
those
households
and,
as
you
can
see,
the
numbers
they're
actually
quite
low.
E
Actually,
to
be
honest,
in
those
cases,
what
we
did
in
these
operations
is
where
we
were
unable
to
engage
with
someone
on
the
door.
We
were
putting
test
kits
through
the
door
and
asking
people
to
either
do
them
and
recollect
them
the
following
day
or
they
have
the
option
to
post
them
or
they
could
take
their
test
kits
to
the
drop
off
point.
The
baptist
church,
the
fire
station,
the
hippodrome.
E
So
it's
probably
important
to
note
that
the
numbers
there
are
just
those
the
team
door-to-door
collected
back.
What
we
don't
have
is
the
ability
to
track
any
that
were
returned
by
post.
So
actually,
that's,
probably
the
minimum
number
of
kits
were
collected
back.
We
would
expect
more
to
have
been
sent
through
to
the
lab
through
the
postal
system
and
a
number
of
people's
honest
tasks.
Well,
they've
done
when
we
went
back
to
collect
a
kit,
so
that's
probably
a
minimum.
E
However,
I
think
probably
worth
pointing
out
that
for
operation
eagle,
one,
which
was
the
one
we
did
back
in
february
of
this
year
in
the
frankly
great
park
area,
we
did
see
a
much
much
higher
percentage
of
kits
collected
returned
compared
to
those
handed
out.
It
was
in
the
sort
of
80s
mid
80s.
E
At
that
point,
I
think
one
of
the
key
factors
of
the
view
of
the
team
is
obviously
operation
eagle,
one
in
february
we
were
still
in
the
national
lock
down
a
lot
of
children
weren't
at
school.
At
that
point,
and
therefore,
actually
probably
there
was
a
lot
more
opportunity
for
us
to
engage
people.
People
were
in
probably
more
of
the
time.
I
think
that's
one
of
the
struggles
here
is
in
a
lot
of
cases.
E
The
the
graph
on
the
right-hand
side,
engagement,
presidential,
addresses
just
sort
of
tries
to
show
the
total
number
of
residential
addresses
the
door-to-door
team
were
targeting,
and
then
the
number
of
test
kits
that
that
were
returned.
But
it
also
shows
a
number
of
addresses
where
they
had
an
engagement
on
the
door
spoke
to
somebody,
but
where
someone
wasn't
prepared
to
to
do
the
test
for
whatever
reason
and
the
percentage
at
the
bottom
really
just.
E
We
use
that
as
a
gauge
of
whether
we've
saturated
or
been
able
to
saturate
the
area
in
terms
of
engaging
with
people,
either
to
give
them
a
kid
and
get
a
kit
back
or
at
least
to
have
a
conversation
and
been
told
they
weren't
doing
a
kit
weren't
going
to
do
a
test
for
whatever
reason,
so
just
to
kind
of
follow
on
from
that
point
really.
E
This
is
information
that
sort
of
came
back
anecdotally
from
the
team
rather
than
constantly,
but
what
we
found
in
terms
of
reasons
for
people
not
wanting
to
do
a
test.
So,
where
we'd
engage
with
someone
on
the
door,
the
team
obviously
will
do
what
they
can
to
try
and
explain.
E
The
importance
of
testing,
why
we're
doing
it
all
the
things
that
have
been
mentioned
on
this
call
already
by
others,
certainly
but
the
sort
of
reasons
we're
getting
back
and
the
first
two
or
three
are
the
ones
that
were
most
prevalent
in
terms
of
the
responses
compared
to
the
others.
But
people
not
really
believing
in
the
cause,
perhaps
anti-vaccination.
E
Therefore,
anti-testing
you
know
concerned
about
covered
and
it
being
a
conspiracy
or
just
didn't
see
it
was
important
or
necessary
or
that
they
have
the
time
to
do
it,
and
that's,
I
think
you
know
really
is
a
concern,
perhaps
comes
back
to
some
of
the
points
I
made
earlier
in
this
conversation
about
sort
of
the
general
sort
of
state
of
people's
thinking,
people
saying
actually
vaccination
had
already
had
a
vaccination,
therefore
didn't
feel
the
need
to
test
which
isn't
the
case
and
again,
the
team
will
try
and
explain
that
to
them,
but
obviously
we
can't
force
people
to
take
a
test
and
therefore,
if
people
are
adamant
that
they
don't
need
to
then-
and
it's
difficult
for
us
to
do
much
else
and
then
the
third
one
I'm
going
to
talk
about
people
concerned
about
the
nature
of
the
test.
E
It
is
an
uncomfortable
test.
It's
not
the
nicest
thing
to
do.
It's
obviously
something
that
takes
time.
We
did
operations
two
three
and
four
where
during
ramadan-
and
there
was
a
sort
of
concern
from
some
people
on
the
doorstep
around
whether
or
not
that
doing
a
test,
doing
a
swab
breaks.
Your
fast,
we
had
spoken
to
a
number
of
the
faith
groups,
the
number
of
the
mosques
just
to
sort
of
discuss
that
with
them
and
the
feedback
we'd
had
from
them,
and
we
did
again
try
and
convey
this
on.
E
The
doorstep
was
the
view
was
that
doing
a
sword
was
much
like
cleaning
teeth
and
the
view
was
the
cleaning
teeth
is
an
acceptable
thing
to
do.
It
doesn't
break
you're
fast,
but
obviously
people
have
of
their
own
beliefs
and-
and
we
can't
sort
of
challenge
that
on
the
doorstep,
so
so
that
obviously,
is
an
individual
choice.
E
At
that
stage,
anyone
was
just
going
to
mention
was
was
number
six
in
terms
of
occasionally
we
found
people
who
were
kind
of
elderly
or
vulnerable
living
on
their
own
and
couldn't
do
the
test
themselves
or
found
it
difficult.
The
door-to-door
teams
aren't
set
up
to
do
the
testing
for
someone.
They
can't
assist
someone
in
doing
a
test.
That's
not
the
agreement.
They're
given
and
sort
of
clinically
they're
not
trained
to
do
that.
E
What
they
will
try
and
do,
though,
is
is
work
with
that
individual,
if
possible,
to
see
if
there's
a
neighbor
or
a
friend
or
a
family
member
who
will
help
them
do
the
test.
So
we
do
certainly
do
as
much
as
we
can
to
to
support
that,
and
just
on
the
final
slide,
just
sort
of
in
terms
of
lessons
learned.
After
each
of
these
operations
we
do
sort
of
regroup
and
sort
of
take
feedback.
They
generally
get
started
very
quickly.
E
It's
quite
a
sort
of
frenetic
two
week
period
when
you're
doing
three
at
once.
It
increases
that
sort
of
frantic
nature,
but
it's
important
to
it
to
review
things.
What
what
I
just
want
to
pick
up
on
was
certainly
from
the
team's
perspective.
Operation
eagle,
one
in
franklin
great
park,
was
a
learning
curve
for
everybody.
It
was
a
very
short
notice
set
up
and
and
sort
of
I've
said.
E
You
know
the
team
did
a
grand
job,
but
we
learned
a
lot
of
lessons
out
of
that
and
I
have
to
say
operations.
Two
three
and
four
were
remarkably
improved
in
terms
of
the
the
speed
of
response
and
generally
there's
the
operation.
That
said,
there's
always
things
we
can
improve.
In
every
case.
We
try
to
make
sure
we're
doing
that,
and
I
think
two
of
the
key
learning
points
really
coming
out
of
the
most
recent
three
that
importance
of
early
community
engagement.
E
So
I
talked
about
setting
the
team
up
to
do
ward
forums
so
in
operations.
Three
and
four,
the
award
forums,
perhaps
happened
a
bit
later
in
the
two
weeks
than
we
would
have
liked
so
being
able
to
engage
with
the
community
getting
everyone
together
for
for
sort
of
an
event
where
we
can
explain
what
we're
doing
earlier
in
the
process.
E
Just
just
gives
us
more
chance
of
getting
to
more
people
getting
more
support
and
getting
the
message
out
sooner,
which
I
think
is
key
and
what
we
also
learned
was
shifting
the
given
the
fact
that
people
are
no
longer
in
lockdown
in
the
same
way
as
they
were
in
february,
staggering,
the
door-to-door
team,
so
they
operated
later
in
the
day.
A
Yeah
a
couple
of
comments
from
me
nick
because
I
think
that's
a
huge
logistical
task
carrying
out
these
operation
eagles
and
just
on
your
your
last
slide.
There
you
had
reference
to
award
forum.
I
think
one
of
the
lessons
we
need
to
learn
may
have
been
in
operation
eagle.
Three,
I
think
where
the
ward
forum
meeting
was
was
an
optional
rather
than
a
required
element
of
the
operation.
A
I
think
we,
if
we
have
to
do
this
again
in
the
future,
we
do
need
to
make
sure
that
the
world
forum
is
mandatory,
has
to
be
held
no
matter
what
the
views
of
the
elected
members
might
be,
and
then
my
final
comment
is
a
little
bit
tongue-in-cheek,
but
your
very
last
bullet
point.
A
Those
of
us
on
this
call
that
are
in
the
habit
of
knocking
on
doors
to
pester
people,
for
their
voting
intention
would
have
been
able
to
tell
you
that
later
on
the
day,
you
do
catch
more
people
in
than
earlier
in
the
day
right.
Anybody
any
other
comments,
observations,
questions.
A
No
okay.
Thank
you
thanks
very
much
nick
for
that
presentation
on
operation,
eagle,
very,
very
informative
item.
8,
then,
is
the
vaccination
rollout
and
uptake
and,
as
we
know,
the
vaccination
rollout
has
been
the
real
success
of
the
period
of
the
pandemic,
which
now
stretches
back
over
12
months.
We
have
dr
mania
aslam,
who
is
a
gp
director
of
samuel
in
west
birmingham,
ccg
and
paul
sheriff
from
birmingham
and
sally
holt
ccg
are
going
to
update
us
on
the
vaccination
rollout.
I
think
we'll
start
this
time
with
dr
monir,
aslan.
D
Yeah,
thank
you
chair.
I
won't
talk
to
the
slides.
If
that's
okay,
because
I'll
let
paul
talk
to
the
slides.
If
that's,
if
that's,
I
think,
I
think
what
we
described
and
dara
described
earlier
on
is
a
sense
of
urgency
now
around
the
vaccination
programs.
While
I
accept
that
we've
done
well,
we
haven't
done
well
enough
for
me
to
feel
comfortable
that
we
are
in
exactly
the
right
place
and
I
think
that's
something
that
I
would
like
to
get
across
here
today.
D
I
think
it
is
really
important,
and
particularly
around
the
challenges
in
west
birmingham,
and
there
are
some
slides
in
the
pack
that
talk
to
the
level
of
vaccination
uptake
in
west
birmingham
in
four
of
the
wards
there
in
lady
wood,
in
aston,
in
the
jewellery
quarter
and
in
lozell
so
where
the
uptake
is
significantly
lower
than
we
would
like,
and
not
not
just
significantly
lower
than
white,
but
dangerously
low
in
an
environment
that
we
are
talking
about.
A
new
variant
that
is
rampaging
could
has
the
potential
to
rampage
through
through
communities.
D
So
I
am,
I
am
genuinely
concerned
about
the
state
of
where
we're
at
at
the
moment
now
we
are
talking
about.
We
have
gone
through
a
process
now
where
the
vaccination
program
has
been
found.
D
Ramped
up
and
we've
decreased
the
time
between
vaccinations
to
eight
weeks
now,
which
has
come
with
its
own
logistical
challenges
and-
and
we
still
remain
in
a
in
an
environment
where
we've
got
constrained
supply
now,
given
what
I've
just
said
about
west
birmingham
in
particular
and
the
constraint
supply,
what
we
have
done
is
preferentially
close
down
the
aston
villa
mass
vaccination
site
which
sits
in
those
communities.
As
you
know,
from
the
geography
of
the
city,
it
sits
in
those
communities,
and
so
so
we've
missed
out
on
a
mass
vaccination
site.
D
Although
the
millennium
point
is
close
by
it
doesn't
predominantly
seem
to
cater
for
the
west
birmingham
population.
So
it
is
something
that
we
are
concerned
about
and
we
need
to
do
something
about
and
we
will
I'll
go
through
the
kind
of
three
tiers
of
the
plan
that
we
are
developing.
We
we
have
talked
about
pharmacy
vaccinations.
D
I
mentioned
it
last
time:
we've
had
27
pharmacies
come
through
for
approval
to
provide
vaccination
access
and
unfortunately,
nhs
has
only
approved
two
of
them,
so
the
process
for
approving
pharmacies
or
increasing
the
opportunity
for
people
to
have
vaccinations
is
not
quite
as
good
as
we
would
like,
and
so
we're
working
with
nhs
england
to
improve
that,
and
I
I
suppose,
if
we
start
with
the
data,
I
think
there's
there's
work
for
us
to
do
with
dara
and
justin's
team
to
to
make
sure
that
we
have
all
of
the
data
that
we
need
to
understand.
D
Street
by
street
who's
been
vaccinated,
who's
not
been
vaccinated.
Where
can
we
park
vehicles
that
might
be
able
to
offer
vaccination?
How
can
we
improve
the
access
and
into
vaccination
for
those
people
in
low
vaccinated
areas,
and
I'm
talking
about
all
of
the
areas
in
west
birmingham
in
particular,
and
paul
will
talk
about
the
the
others.
We
have
particularly
low
uptakes
in
the
african
and
the
bangladeshi
communities,
and
that
is
a
concern
to
us
because
they
make
up
a
large
portion
of
that
population
of
people.
So
so
I
think
there's
something
about.
D
We've
got
enough:
az
in
the
system,
see
the
astrazeneca
vaccine
we're
going
through
a
process
now,
where
we're
increasing
the
number
of
general
practice
sites
that
will
have
access
to
pfizer
and
astrazeneca
and
we're
going
through
an
approval
process
for
that
at
the
moment,
which
we
aim
to
get
done
very
quickly.
D
So
by
the
end
of
next
week,
we'll
have
eight
new
gp
practices
that
are
on
site
to
deliver
that
this
vaccination
program
will
hopefully
have
got
them
through
an
approval
process
to
help
cater
for
second
doses
or
and
all
those
people
in
the
cohorts,
one
to
nine
that
we
that
have
missed
their
vaccination
opportunity,
but
can
get
vaccinated,
they've
changed
their
minds.
We
want
to
make
access
easy
for
them
and
and
then
to
move
on
to
the
the
other
cohorts
as
well.
D
We
are
gearing
up
for
the
challenges
around
this
and
I-
and
I
and
I
spoke
about
the
urgency
to
start
with.
I
think
we
are
gearing
up
to
to
vaccinate
on
a
even
more
enhanced
basis,
so
quicker
vaccinating
people
quicker
to
get
them
onto
their
second
vaccinations
as
well,
and
so
I
think
we
need
to
gear
ourselves
up
for
that.
So
so
I
think
there
are,
although
we've
done
well,
I
think
there
are.
D
There
remain
some
challenges,
particularly
in
west
birmingham
and
other
areas
within
within
birmingham,
and
they
are
matched
to
the
areas
of
deprivation,
so
where
the
deprivation
is
high,
the
vaccination
levels
are
low
and
that's
talked
to
in
in
dara
slides
as
well.
So
so,
while
I
think
we
are
in
a
good
place,
I
think
we
could
be
in
a
much
better
place
and
I
think
we
do
need
to
keep
that
sense
of
urgency.
Covert
is
here.
D
There
is
a
variant
we've
seen
all
the
challenges
that
india
have
had
dealing
with
this
particular
variant,
and-
and
you
know
it
reminded
me
of
looking
at
what
china
were
going
through
a
year
and
a
half
ago
and
thinking
that
would
never
happen
here,
and
it
happened
here,
and
this
has
the
potential
to
make
it
happen
again.
D
So
I
am
really
concerned,
so
I
would
encourage
you
know
the
the
bits,
the
bits
that
are
missing
in
the
jigsaw
about
making
the
data
add
up
about
making
sure
that
supply
is
available
and
access
is
available
in
those
areas
where
uptake
is
particularly
low
and
making
sure
people
are
encouraged
and
able
to
get
the
vaccine
at
an
appropriate
time.
It
was
they're
all
key
messages,
their
messages.
We've
said
time
and
time
again,
and
I'm
really
keen
to
reiterate
those.
The
messages
and
messaging
has
not
changed.
D
Get
a
vaccine
get
it
quickly,
we're
going
to
make
access
easy
for
you
and
we'll
work
with
communities,
particularly
and
we'll
we'll
support
financially
communities
to
work
together
so
that
they
can
encourage
members
of
the
communities
to
get
vaccinated
and
that's
and
that's
part
of
our
agenda
as
well.
So
so,
while
I'm
happy
that
we
are,
we
are
where
we
are.
We've
delivered
almost
a
million
doses
of
vaccination
into
into
the
black
country,
west
birmingham.
A
Thank
you
what's
happening
and
that's
happened
in
india
is
truly
truly
awful.
We
won't
want
to
see
anything
like
that
start
to
happen
here,
so
I
can
only
reiterate
what
you've
said
really
do
come
forward
and
get
the
vaccination.
If
you
have
any
reservations
or
doubts,
then
do
speak
to
a
health
expert
who
can
talk
you
through
the
exact
reasons
why
it
is
far
better
are
safer
and
far
better
in
terms
of
protecting
yourself
and
your
loved
ones
that
you
come
forward
and
have
that
vaccination
paul?
A
Do
you
want
to
talk
us
through
the
the
slides
that
are
in
the
in
the
agenda
papers?.
F
Thank
you
chair.
I
won't
take
us
through
all
of
the
the
slides,
because
I
think
there's
there's
some
further
information.
That's
been
included
in
the
additional
pack
from
from
dr
varney
a
bit
later
on.
I
also
won't
go
over
any
of
the
the
ground
that
that
both
yourself
and
dr
allen
just
covered
around
the
key
important
public
messages,
but
I
do
have
a
view
that
I
think
the
program
is
going
well.
I
do
support
the
view
that
there
is
more
to
do.
F
The
numbers
are
very
significant
now,
but
they
do
highlight
areas
of
inequality
and
I'm
sure
members
and
the
public
will
be
well
aware
of
those
those
observations
from
the
information
and
that's
the
target
really
of
a
lot
of
our
work
at
this
current
time.
So
we
are
focusing
on
increasing
in
cohorts
one
to
nine,
in
particular
the
areas
of
low
uptake
as
mania
said
in
west
birmingham,
and
also
in
areas
like
east
birmingham
and
central
parts
of
the
city.
F
F
We
are
seeing
numbers
of
people
actually
not
responding
to
their
follow-up
appointment,
so
we
we
are
having
to
focus
on
recalling
people
for
that
second
dose,
and
that
takes
an
awful
lot
of
time
and
energy
to
to
chase
people
that
have
missed
their
second
appointment.
So
we
would
really
encourage
diligence
for
members
of
the
public
to
make
sure
they
keep
their
second
appointment
and
the
increased
protection
that
you
get
from
two
doses
is
significant.
So
that
is
a
very
clear
message
we
would
like
to
get
across
to
the
public.
F
As
money
said,
there's
also
a
significant
challenge,
and
it's
mentioned
in
the
slides.
We
have
brought
forward
the
second
dosing
regime
from
12
weeks
to
eight
weeks,
and
I
think
for
for
this
system,
it's
probably
somewhere.
The
data
is
always
very
difficult
to
pin
down,
but
it's,
but
it's
certainly
over
150
000
appointments
that
we
would
have
had
to
have
brought
forward
from
12
weeks
to
eight
weeks,
and
that
presents
a
huge
logistical
challenge.
So
that's
also
been
a
significant
component
of
our
focus
over
these
last
few
weeks.
F
More
recently,
in
relation
to
some
of
the
items
that
have
been
discussed
earlier
on
the
agenda
around
new
variants
and
concerns
from
a
public
health
perspective,
the
surge
response
is
now
being
developed,
and
this
has
been
touched
on,
I
think
in
part
earlier
on,
but
we
will
have
a
mobile
pop-up
service
where
we
will
be
going
into
communities
where
we're
thinking
we're,
having
increased
prevalence
of
any
new
variant
and
being
able
to
provide
local,
accessible
vaccination.
F
F
It's
always
very
challenging
not
to
it
is
to
concentrate
on
the
here
and
now
the
position
this
week
or
today
and
not
looking
further
ahead,
and
I
know
it
seems
probably
bizarre
to
consider
what
might
happen
in
the
autumn
and
winter,
but
as
many
will
be
aware,
we're
now
having
to
planning
for
what
we
call
phase
three.
F
A
Very
much
both
and
we've
got
a
question
or
comment
from
dara
dara.
B
All
right,
thank
you
later.
I
was
just
really
on
the
back
of
what
paul
had
said
there,
something
I
meant
I
had
meant
to
say
during
my
own
presentation
in
terms
of
the
second
dose,
I
think
what
they're
finding
in
terms
of
the
indian
variant
and
vaccine,
susceptibility
that
if
you
get
what,
if
you
get
one
dose
the
level
of
immunity
provided,
is
not
as
good
as
you
would
get
against
the
kent
variant.
If
you
were
to
get
one
dose
of
the
vaccine.
B
But
if
you
were
to
get
two
doses,
then
you
get
equivalent
level
of
protection
as
you
would
against
the
kent
variant.
So
it's
even
more
important
to
get
the
second
dose
with
the
indian
variant
circulating
than
it
is
with
the
uk
varian
circulating.
So
that's
why
I
think,
there's
a
particular
focus
in
getting
that
second
dose
to
get
that
level
of
immunity.
A
Thanks,
tara,
yeah
and
I
think
we
can't
emphasize
enough
that
people
need
to
come
forward
and
be
vaccinated.
But
yes,
you
need
to
get
that
second,
one,
a
second
jab
as
well,
because
it
does
give
you
more
protection
than
if
you
just
have
the
one
and
that's
a
point
well
worth
making
anybody
else.
Any
any
comments
on
this
nymph.
D
Yeah,
just
I
just
wanted
to
recognize
what
paul
has
said
about
the
vaccination
program
now
and
then
what
we
will
be
expected
to
do
in
september
with
a
limited
capacity.
D
So
there
are
trade-offs
here,
as
there
are
always
are,
and
I
think
we
need
to
find
them
buy
into
them
together
because
actually
to
run
a
vaccination
program
at
this
scale
on
a
on
a
once
basis
on
a
second
basis
and
then
in
the
autumn
again
on
a
third
level
is,
is
a
massive
endeavor
and
we
haven't
gone
through
it
unscathed.
This
time,
we're
still
picking
up
the
pieces
of
high
deprivation
areas
where
the
vaccination
rates
are
low,
and
so
the
challenge
again
will
come
to
us
in
autumn.
D
So
it
does
involve
a
significant
logistical
effort
to
do
this
and
primary
care
are
delivering
the
vast
majority
of
the
vaccinations,
but
there
is
a
primary
care
problem
as
well
in
terms
of
demand
that
has
been
suppressed
by
going
through
a
lockdown
and
now
resurfacing.
So
the
demand
on
general
practice
is
now
probably
150
percent
of
where
we
were
a
couple
of
years
ago.
D
So
we're
dealing
with
that
demand
trying
to
recover
as
well
from
our
chronic
disease
reviews
and
all
of
the
support
that
we
give
to
people
with
chronic
diseases
and
then,
on
top
of
that,
to
run
a
vaccination
program.
That
is
much
more
significant.
We
are,
we
are
vaccinating
half
the
population,
and
so
it's
just
and
and
in
the
winter
we
will
try
to
vaccinate
almost
the
entire
population,
because
we'll
try
to
do
flu
and
covert
at
the
same
time,
and
so
it
is
the
logistical
challenge.
D
A
Yes,
thank
you.
That's
absolutely
right.
I'm
sure
we've
all
been
reading
in
newspapers
about
lengthening,
queuing
lists
for
other
forms
of
medical
operation
because
of
the
focus
on
vaccination
and
as
wonderful
as
the
nhs
is
there
are
limits
to
what
can
be
can
be
achieved
and,
as
you
point
out,
there's
a
trade-off
here
with
effort
going
into
vaccination.
F
Sorry,
sorry,
chad,
I
just
wanted
to
just
just
come
back
in
if
I
may,
it
was
something
I
intended
to
say
at
the
beginning.
I
just
wanted
to
place
on
record.
If
I
may,
to
to
my
colleagues
that
work
on
the
front
line
and
to
all
partners
across
the
system
we've
delivered,
I
would
say
nearly
two
million,
if
not
over,
two
million
vaccines
across
the
black
country
in
west
birmingham
and
birmingham
and
solid
hall
so
well
over.
F
A
million
vaccines
have
been
delivered
in
birmingham,
and
that
is
a
huge
effort
and
that's
taken
all
parts
of
our
system.
It's
gps!
It's
hospitals!
It's
the
community,
trust!
It's
the
local
authority,
it's
colleagues
right
across
the
board
and
I
just
want
to
take
the
opportunity
to
say.
I
think
we
should
acknowledge
that
and
I
welcome
continued
support
from
all
partners.
A
Thanks
very
much
for
that
paul.
I
think
you
are
absolutely
correct
that
what
we've
seen
throughout
this
pandemic
is
an
extraordinary
effort
from
all
parts
of
the
public
sector
in
helping
to
get
people
through
what
has
been
an
unprecedented
period
of
time.
Something
none
of
us
would
have
predicted
as
recently
as
a
couple
of
years
ago.
So
thank
you
and
thank
you
both
and
thanks
to
everybody
in
the
nhs
for
what
you
continue
to
do.
A
Moving
on
then
to
the
enforcement
update.
We've
got
azerba
mark
croxford
and
chief
superintendent,
steve
graham
mark.
Are
you
going
to
kick
off
this
presentation.
G
G
Perfect,
okay,
so
there
has
been
quite
a
significant
change
in
focus
and
stephen
talked
about
that.
We
had
a
conversation
I
think
at
the
last
board.
We've
also
had
a
conversation
with
steve
and
his
colleagues,
and
we
are
looking
very
much
more
at
as
much
education
as
we
possibly
can,
but
I
will
return
to
that
as
I
go
through
the
the
presentation.
G
So
we've
been
doing
a
lot
of
noting
of
any
problems
that
we've
that
we've
found
and
advising
people
that,
if
it
isn't
compliant,
if
it's
relatively
cheap
to
to
to
make
a
change,
then
please
could
they
change
it.
You
know
re
rearrange
a
table,
put
it
in
a
slightly
different
place,
but
if
there's
a
cost
implication
we
haven't
been
asking
people
to
incur
greater
costs.
G
We've
just
been
trying
to
support
them,
so
that's
been
going
on
as
we
going
through
stage
into
step
three
of
the
the
the
road
map.
So
we've
continued
to
give
out
the
face
covering
further
seven
thousand
have
been
given
out,
which
is
great
in
the
in
the
sense
that
people
are
taking
them
and
people
are
using
them
and
the
more
that
that
can
continue
the
the
better
because
the
as
as
you've
heard,
kovid
isn't
going
to
go
away
overnight.
Even
if
the
dates
go
past.
G
And
it
is
all
about
fundamentally
personal
choice.
G
Looking
after
yourself
and
looking
after
your
colleagues
and
your
friends
and
your
family,
and
we
continue
to
patrol
the
high
football
areas,
the
much
less
enforcement
orientations
have
said
giving
advice
trying
to
help
with
queuing
talking
to
people
outside
schools,
trying
to
increase
the
numbers
of
people
that
can
use
the
the
religious
establishments
of
food
banks
and
at
any
given
time
anyway,
where
there's
a
bit
of
pressure,
we're
trying
to
help
out
as
much
as
we
can
and
and
give
support,
and
we
were
also
working
around
with
the
police
and
trading
standards
around
the
recent
chandra
and
also
trying
to
support
people
with
prayer
outside
at
the
mosques
as
well.
G
In
the
last
month,
the
park
hovered
marshals
still
patrolling
the
parks
and
they
have
seen
quite
a
reduction
in
compliance
with
the
legislation
in
that
only
about
70
were
compliance.
That
means
there's
been
gatherings
which
have
been
greater
than
the
numbers
that
were
permitted,
but
as
again
as
we
move
forward
and
people
are
now
permitted
to
meet
indoors,
that's
becoming
less
of
a
problem.
Hopefully
we'll
see
better
improvement
on
that
on
the
compliance
rate,
and
those
are
the
parks
where
we've
we've
been
patrolling
and
giving
that
advice.
G
We
are
getting
ready
for
the
the
or
have
have
been
speaking
to
businesses
really
pleased
that
there's
been
a
great
reduction
in
the
number
of
complaints
that
we've
received,
as
we've
made
from
stage
two
to
stage
three.
So
that's
been
a
really
positive
step
and
really
pleased
with
the
effort
that
everybody's
making
to
you
know
to
do
it
as
in
in
as
good
common
sense
way
as
possible
and
there's
some
numbers.
There's
businesses
that
we've
been
we've
been
talking
to.
G
We
got
to
test
and
tracing
and
dealing
with
context.
The
the
officers
are
still
doing
that
there's
been
a
significant
improvement
with
local
xero,
which
is
the
if
I
can
be
crude
about
its
own
local
authority,
doing
some
of
the
the
telephone
calls
and
the
test
and
tracing
that's
reduced.
The
number
of
physics
that
we're
having
to
make
and
we've
really
improved
and
getting
information
in.
G
At
this
point,
I
just
want
to
make
the
point,
and
I'm
really
sorry
to
those
that
I've
talked
to
earlier
in
a
week
because
I'm
on
the
high
horse
again,
I
do
apologize
to
them,
but
we
keep
talking
about
test
and
trace,
but
it
is
test
trace
and
isolate,
and
it's
really
important
that
we
start
using
this
term
test
and
trace
and
isolate.
G
So
if
we
have
positive
cases,
we
we
need
the
isolation
to
break
the
chain
if
we
just
test
and
trace
we're
going
to
end
up
with
a
lovely
picture
like
we've
got
on
the
slide,
so
we're
going
to
know
where
all
the
problems
are,
but
it's
then
going
to
be
populated
with
even
more
dots
as
we
identify
where
the
problems
is.
So
I've
been
asking
people
to
use
the
the
three
terms
test
and
trace
and
isolate,
and
it's
really
important
that
that
message
is
coming
out.
We
have.
A
G
Few
difficulties
around
the
businesses
and
the
individuals
that
we've
gone
out
to
to
check
to
see
whether
people
are
isolating
steve's
team
have
been
absolutely
fantastic
in
offering
support
to
come
out
with
this.
G
If
we've
needed
it,
we
were
at
one
point
running
out
of
40
rate
of
non-compliance,
so
people
who
would
come
home
from
work
or
come
home
from
the
schools,
not
everybody
in
the
family
was
isolating,
but
I'm
really
pleased
to
say
that
the
work
that
we've
been
doing,
the
education
and
the
requesting
people
to
comply
has
been
everything
that's
necessary
so
far,
but
we
will
continue
to
do
everything
we
can
to
to
break
the
spread
of
any
of
the
the
outbreaks
that
we
come
across.
G
We
continue
to
support
the
faith
groups
and
it
was
a
very
important
time-
just
gone
by.
We've
had
really
good
feedback
on
that
and
really
good
cooperation
and
that's
been
absolutely
fantastic.
I'm
just
really
sorry
that
you
know
it
it.
It
again
occurred
in
in
the
period
of
of
a
lockdown,
hopefully,
fingers
crossed
things
will
be
better
as
we
go
further
into
the
the
year
and
next
year
and
that
that'll
be
the
last
time.
We
need
any
lockdowns
around
that.
G
With
regard
to
the
statistics
that
are
all
there
leader,
I
don't
propose
to
go
through
them
unless
anybody's
got
a
specific
point,
but
the
numbers
are
all
there,
but
they
are
numbers
and
I've.
Given
you
the
the
the
the
background
to
it
in
verbally.
A
Thanks
very
much
mark
steve,
steve,
graham
anything
from
the
police
side
of
this.
C
Thank
you,
so
I
haven't
got
as
many
fancy
graphs
as
or
charts
as
mark,
but
if
anyone
does
have
access
to
the
document
that
money
part,
my
report
even
starts
on
page
117,
but
I'll
just
give
a
little
bit
of
the
background
narrative
as
to
what
the
police
have
been
doing
roughly
over
the
last
six
weeks,
which
is
the
time
frame
of
this
report,
and
one
of
the
things
that
that's
important
to
bear
in
mind
when
we
do
come
to
the
data
later
on
is
to
reflect
that.
C
C
One
of
the
things
that
we've
started
to
see,
which
is
making
enforcement
fairly
challenging,
has
been
the
rise
of
the
number
of
protests
in
birmingham
city
centre,
in
particular,
but
across
the
city
as
a
whole,
and
clearly
you
know
we,
the
police
and
working
with
the
teams
in
the
council.
C
We
recognize
the
lawful
right
of
people
to
protest,
but
one
of
the
phenomena
that
we're
experiencing
recently
is
protests
that
don't
have
a
formal
organizer
and
that's
made
negotiations
for
us
and
colleagues
within
the
city
council
difficult
in
this
not
only
possible
because
people
are
supposed
to
provide
us
with
a
risk
assessment
to
show
us
how
they're
going
to
manage
the
risk
of
covered
nitin
as
well
as
other
risks
too.
C
And
so
what
we're
seeing
now
is
I've
got
this
it
it's
great
to
see
public
movement.
It's
great
to
see
people
coming
out
to
protest
about
things
that
they
feel
passionately
about.
C
But
at
the
moment
it's
not
being
done
in
a
particularly
safe
way
and
what
we're
now
finding
it's
really
difficult
for
us
to
walk
the
balance
between
policing
legitimacy
and
being
seen
as
clamping
down
on
people
protesting,
particularly
if
it's
something
that
people
think
the
police
might
not
agree
with
one
way
or
the
other
and
then
try
to
actually
enforce
the
covered
regulations,
and
you
know,
give
guidance
around
the
the
governmental
guidance
without
being
seen
as
being
overly
oppressive
and
being
disproportionate.
C
What
we
saw
over
the
weekend
just
gone
was
four
protests
in
virginia
center,
three,
which
were
all
in
victoria's
square
at
the
same
time,
and
that
made
the
place
to
get
that
really
quite
challenging
the
the
free
gaza
protests
that
we're
seeing
at
the
moment
pop
up
all
over
the
city,
and
we
know
we've
got
more
scheduled
for
this
weekend.
C
They
turn
up
with
marshals
and
streamers
and
advices,
given
around
masks
and
social
licensing,
whereas
what
we
saw
with
the
couple
of
the
large
pro-palestinian
demonstrations
that
started
in
victoria
square
and
then
went
on
spontaneous
possessions
around
the
city
center,
there
was
no
mask
no
social,
distancing,
no
stewards,
it
wasn't
done
in
a
safe
way
and
we
have
got
some
concerns
as
to
whether
or
not
but
that's
going
to
lead
to
some
transmission
in
the
short
or
medium
term
across
the
city.
C
So
I
just
wanted
to
share
that
number
one
for
your
information,
but
also
in
case
there
are
any
people
who
are
watching
this
live
stream,
live
or
watch
it
back,
because
it
is
something
that,
if
we
do
step
in
as
a
police
service,
we're
enforcing
for
the
public
good,
not
for
any
sort
of
political
process
or
little
statements.
C
C
Everyone
will
have
heard
we
talked
beforehand
about
the
four
e's
approach
that,
but
we
do
try
to
get
reinforcements
as
a
last
resort.
But
we
are.
We
continue
to
issue
fixed
penalty
notices
for
people
who
simply
has
really
patched
rise
now
that
they
don't
do
what
they're
told-
and
we
are
still
seeing
some
unlawful
mass
gatherings,
as
mark
described
with
the
change
in
the
legislation.
C
Some
of
the
rules
around
that
aren't
changing,
but
we
are
still
seeing
some
city
center
pubs
and
we
went
out
with
mark's
team
over
the
weekend,
who
are
encouraging
vertical
drinking
we've
got
djs
who
recover
who
are
encouraging
but
dancing.
You
know
putting
on
djs
and
really
loud,
amplified,
music,
and
so
just
over
the
weekend,
we
issued
a
couple
of
1000
pound
tickets
to
people
in
the
arcadian
center.
So
it's
people
who
should
know
better.
C
Quite
frankly
and
working
with
mark,
say
we
were
out
saying
some
really
prompt
and
I
considered
the
proportionate
enforcement
action
and
the
last
thing
that
I'll
mention
leader
is
covered
in
paragraph
3.12.
C
But
if
you're
black,
that
ratio
is
now
up
to
6.8
and
that
that's
gone
up
quite
a
bit.
Even
since
the
last
report,
we've
done
a
little
bit
of
d
into
this
as
the
way
we're
issuing
that
fixed
power
notices
and
a
lot
of
it
is
at
some
of
the
the
large
and
lawful
gatherings
which
have
been
disproportionately
attended
by
members
of
our
black
community
and
in
particular
by
our
young
black
community.
And
again,
it
was
spoken
about
earlier
on
how
young
people
can
carry
the
virus
and
then
take
it
home
with
them.
C
So
when
we
do
get
those
large
gatherings,
if
we
are
able
to
catch
people,
we
will
give
them
fixed
positive
notices
right
from
the
word
game,
and
we
are
still
seeing
that
the
people
who
are
at
those
sort
of
events
two
on
the
whole
or
are
disproportionately
from
our
our
black
communities.
C
And
so
that's
where
we
are
gonna
lead
that
in
terms
of
going
forward,
we
will
continue
to
enforce
the
same
way
as
mark
will
do
until
the
june
or
whenever
these
restrictions
are
lifting.
But
that's
my
report
and
I
recommend
it.
Florida
princeton.
A
Thanks
very
much
steve
and
thank
you
for
that
explanation.
At
the
end
there
about
fixed
penalty
notices
because
it'll
be
easy
people
to
get
the
the
wrong
impression
from
just
the
statistic
and
just
on
the
demonstrations
this
year.
I
think
it
is
worth
repeating
what
dr
mania
aslam
said
a
little
earlier.
A
We
are
not
out
of
this
pandemic
by
any
stretch
of
the
imagination
at
the
moment,
and
people
do
need
to
continue
to
follow
all
of
the
guidance,
and
that
includes
anybody
who
wishes
to
organize
a
a
demonstration,
and
I
I
know
that
it's
a
difficult
line
for
the
police
to
walk
this,
because
in
in
many
ways
you
don't.
A
If
you
do
any
damage,
if
you
don't,
but
I
do
think
myself
that
some
of
these
demonstrations,
where
they
won't
name
an
organizer,
is
an
attempt
to
really
get
around
the
rules,
and
we
do
need
to
take
a
bit
of
a
tough
line
on
this.
But
emphasize
again
the
rules
are
in
place
for
everyone's
protection.
A
H
Thank
you
on
on
that
specific
issue
leader.
I
wonder
whether
steve
and
the
police
are
following
the
social
media
because
to
call
a
demonstration
there
has
got
to
be
a
catalyst
on
social
media
things.
Don't
just
do
organically
happen,
and
I
mean
we've
all
seen
the
demonstrations
taking
place.
H
There's
been
no
social,
distancing,
no
masks
by
and
large,
so
it
is
a
threat
to
the
greater
public
health
and
I
don't
expect
steve
to
to
say
everything
that
the
police
is
doing,
but
I
I
make
a
presumption
that
they
are
watching
very
closely
where
the
social
media
starts.
C
C
People
have
realized
that
if
stephen
graham
promotes
an
account
on
his
personal
facebook
account
that
then
he
can
be
perceived
to
be
the
event
organizer
in
law,
so
what's
happening
now
is
that
people
are
circulating
all
around
whatsapp
on
various
flights
and
said
we're
not
able
to
or
they're
even
using
secure
and
free
platforms
such
as
telegraph,
which
are
harder
for
us
to
penetrate.
So
we
can't
work
out
who
the
source
was,
and
so
a
lot
of
people
suddenly
turn
up
at
the
either
victoria
square.
C
At
two
o'clock
on
a
saturday
or
the
belgrave
road
mcdonald's,
at
three
o'clock
on
a
friday,
no
one
claims
to
be
an
organizer.
Someone
will
then
assume
the
rise
of
what
they
call
a
spokesperson
which,
to
me
sounds
like
an
organizer,
doesn't
have
the
same
standing
in
law
and
then
they
go
off
and
and
do
their
business.
So
we
we
do
try,
we
do
scour
or
all
the
social
media
platforms.
We
do
have
other
tools
at
our
disposal,
which
is
you've
quite
likely
said.
C
C
We
don't
ban
protests
not
as
a
city
not
as
a
police
service,
and
so
people
are
doing
it
we'll
work
with
them.
But,
yes,
you
are
right.
We
are
doing
our
best
to
to
find
out
where
how
and
where
they've
been
organized.
A
Yes,
some
of
these
demonstrations
do
not
make
it
any
easier
and
they
do
put
people
at
risk
when
they
won't
name
an
organiser,
and
I
know
steve
that
there
are
a
number
of
demonstrations
planned
for
this
weekend,
one
in
particular
where
they've
refused
to
name
an
organizer,
and
I
know
that
city
council
has
been
in
discussions
with
the
police
about
that
particular
demonstration.
A
Okay,
if
there
are
no
further
comments,
thanks
very
much
steve
thanks
mark
item,
10
is
public
question
submitted
in
advance
and
we
do
have
a
question.
That's
been
submitted
this
month.
If
you've
looked
at
the
agenda
paper
under
item
10,
rather
strangely,
the
paper
doesn't
set
out
the
question
itself,
but
indicates
what
the
question
was
about
and
gives
an
answer.
I
wonder
if
I
could
ask
paul
sheriff.
F
I
can
thank
you
later.
I
will
do
my
best
to
try
and
find
the
question,
but
I
have
read
it
in
full,
but
primarily,
as
the
summary
indicates,
it
was
a
specific
question
around
an
initiative
within
the
city
to
vaccinate
in
multi-generational
households
and
whether
this
had
an
adverse
impact
on
people
that
would
do
their
vaccine
earlier
than
that
initiative
would
have
enabled
other
people
to
have
a
vaccine
and
it
specifically
references
cohort
4,
which
is
people
I
think
above
70
years
of
age
and
classified
as
clinically
extremely
vulnerable.
F
F
The
government,
through
the
joint
committee
for
vaccinations
and
immunizations
the
arms
length
advisory
body,
set
the
schedule
for
which
vaccines
would
be
administered
to
the
general
public
and
that
was
based
on
clinical
evidence
and
and
and
opinion,
and
the
release
of
vaccine
into
the
communities
within
england
and
wales
was
set
out
by
them
and
that
was
linked
to
time
schedules.
F
So
the
the
cohort
four
that
this
individual
refers
to
the
clinically
extremely
vulnerable
and
opened
up
on
the
8th
of
march
and
the
initiative
that
we
developed
locally,
would
it
wasn't
approved
until
the
end
of
march
and
just
to
give
you
a
little
bit
of
context.
If
that's
that's
helpful
in
terms
of
reassurance,
we
do
not
deviate.
We're
not
allowed
to
deviate
from
the
jcbi
guidance,
and
that
has
been
from
the
very
outset
of
this
program
where
we
do
deviate.
F
So
in
this
instance,
my
response
to
the
question
is
that
actually
this,
this
particular
initiative,
which
was
aiming
to
promote
uptake
in
those
cohorts
where
we
felt
that
there
might
be
hesitancy
linked
to
the
rest
of
the
household,
not
having
the
vaccine.
F
F
I
don't
know
if
that's
a
helpful
explanation.
It's
not
necessarily
a
straightforward
thing
to
describe,
but
I'm
happy
to
kind
of
set
out
a
more
detailed
written
response
which
we've
given
a
summary
to
within
the
pack
under
item
3.2.
A
Thanks
very
much
paula,
as
you
point
out
there,
the
multi-generational
vaccinations
in
multi-generational
homes
sorry
was
about
trying
to
reach
those
who
might
be
more
reluctant
to
come
forward
for
the
vaccination.
So
I
think
you've
explained
how
it
hasn't
impacted
on
the
on
the
person
concerned
who's
asking
this
question,
but
I
do
think
it's
worth
reiterating.
A
This
initiative
was
about
reaching
those
who
might
have
been
reluctant
coming
forward.
D
I
was
just
going
to
reiterate
that
point.
Don't
forget!
This
is
a
small
population
of
people
that
were
in
multi-generational
households.
We
have
always
had
vaccination
capacity
in
all
of
our
vaccination
places,
so
there's
been
capacity
there.
We
have
been
constrained
by
as
paul
said,
about
the
jcvi
guidance,
but
we've
always
had
capacity,
so
the
the
real
constraint
has
always
been
vaccine
supply,
but
but
given
the
number
of
people
that
have
been
involved
in
this
household
project,
it
hasn't
been
a
massive
number.
D
A
Thank
you.
Thank
you
both
very
much.
We
will
note
both
the
question
and
the
answer
that
has
been
supplied
test
and
trace
budget
overview.
Then
dara
back
to
you.
A
B
Okay,
great
okay,
look.
I
won't
take
up
too
much
time,
obviously
so,
if
we
kind
of
look
at
the
overarching
budget
for
the
test
and
trace
unit,
if
we
look
at
the
middle
column
there,
which
is
really
the
forecast,
spend
from
first
of
april
21
to
31st
to
march
22,
you
can
see
that
we've
allocated
19
million
or
just
over
19
million
in
the
budget.
B
B
So
it's
just
not
only
the
core
staff
within
the
test
and
trace
team
and
we
potentially
staff
to
support
community
swabbing
and
support
staff
to
sort
support
enforcement,
and
that
includes
the
covered
marsh
marshals,
who
are
very
helpful
in
supporting
the
cause,
and
I
think
then
there's
some
additional
lines
there
in
terms
of
translation
services,
equipment,
comms
software,
health
and
well-being,
support,
whistleblowing,
local
contact
tracing.
B
That's
also
a
staffing
course
because
includes
those
within
they're
not
actually
within
the
test
and
trace
unit
but
they're,
with
their
call
handlers
within
the
council
who
reach
out
to
people
to
support
contact,
trust,
tracing
and
isolation,
support,
testing
facilities,
asymptomatic
testing
and
supporting
compliance.
B
So
you
can
see
that
we've
also
gone
as
far
as
september
22,
which
effectively
is
really
50
percent
of
of
what
we've
forecast
for
21
22.
And
then,
if
you
see
the
very
first
column,
you
see
actual
span
to
date
from
the
first
of
april,
which,
as
you
can
see,
is
quite
small.
It's
only
178
000.
A
lot
of
that
reflects
the
fact
that
we
haven't
either
received
or
paid
the
invoices
yet
for
a
spend
within
that
period.
B
A
Thanks
very
much
dara,
I
think
quite
rightly,
we've
taken
a
very
prudent
approach
to
this
and
have
kept
money
aside
so
that
we
can
deal
with
any
implications
that
might
arise
from
the
current
variants
that
have
risen
from
different
places
around
the
world.
Okay,
if
there
are
any
questions,
no,
we
can
note
the
budgetary
position.
Then
item
12
is
other
urgent
businesses.
Anybody
have
any
other
urgent
business.
They
wish
to
raise
no
okay
dang
time
at
the
next
meeting.