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From YouTube: Local Covid Engagement Board 30th June 2021
Description
This is the online streamed meeting of the Birmingham Local Covid Board. The meeting was streamed live on 30th June 2021 at 2pm.
Link to agenda and associated documentation - https://birmingham.cmis.uk.com/birmingham/Meetings/tabid/70/ctl/ViewMeetingPublic/mid/397/Meeting/12110/Committee/415/SelectedTab/Documents/Default.aspx
A
Welcome
everyone
to
june's
meeting
of
the
local
kobe
outbreak
engagement
board
meeting.
I
won't.
I
won't
make
introductions
of
everybody
in
the
meeting,
because
I
would
use
it
for
too
much
time,
but
if
even
when
you
do
speak
in
the
meeting,
please
do
feel
free
to
introduce
yourselves
a
couple
of
items
to
changes
on
today's
agenda.
First
of
all,
item
10
international
travel
will
be
deferred
to
a
later
meeting
should
due
to
some
personnel
changes
at
birmingham
city
council
and
then
secondly,
item
nine.
A
The
enforcement
update
I'd
like
to
take
that
immediately
after
item
five
because
chief
superintendent,
stephen
chiefs,
chief
superintendent,
stephen
graham
as
a
result
of
england's
victory
over
germany
last
night,
stephen
has
to
go
to
rome
because
he
gets
deployed
for
overseas
england.
Football
matches.
It's
a
tough
life
for
some
of
us.
A
Yes,
I'd
volunteer
myself
as
well.
Stephen
needs
to
take
a
covered
test
before
he
earned.
He
passed.
He's
got
to
do
that
315
today.
So
I'd
like
to
move
item
nine
earlier
up
the
agenda.
If
everybody's
comfortable
with
that
item
two
then
is
a
noticeable
recording
just
to
advise
everyone
that
this
meeting
is
being
recorded
and
will
be
webcast
for
live
or
subsequent
broadcast
by
the
council's
new
youtube
site.
The
members
of
the
press
and
public
may
record
and
take
photos
except
where
there
are
confidential
or
exempt
items.
B
A
Have
just
asked
that
anybody
wishing
to
speak
during
the
meeting
indicates
by
raising
their
electronic
hand
or
by
posting
something
in
the
chat,
and
please
could
you
keep
your
microphones
and
videos
off
when
not
not
speaking
in
the
meeting.
Thank
you
for
your
cooperation
item.
Three's
apologies
and
there
are
a
number
of
apologies.
First
of
all
councillors,
bridget
jones
and
paula
hamilton,
then
stephen
raymond,
paul
jennings,
with
morad
gates
substituting
dr
nia
aslan
with
dr
substituting
and
richard
burton.
Does
anybody
wish
to
submit
any
other
orders.
A
Okay,
we
should
note
all
of
those.
Then
item
four
is
declarations
of
interest.
Does
anybody
wish
to
declare
an
interesting
respect
of
any
item
on
today's
agenda
now?
Item
five
minutes.
Are
we
all
happy
that
the
minutes
of
our
meeting
held
on
the
26th
of
may
are
an
accurate
record
and
I
will
sign
them
then,
in
due
course.
C
A
Silences
agreement.
Thank
you
very
much.
I'm
now
like,
then,
to
take
item
nine
next,
in
order
that
steve
can
get
away
to
take
his
test
item.
Nine
is
the
enforcement
update
and
we
have
marx
mark
croxford,
head
of
environmental
health
with
the
city
council
and
the
chiefs
and
lieutenant
stephen
graham
from
west
midlands
police
who
are
going
to
present
this
item
mark.
Are
you
going
first.
D
Yes,
thank
you
loida.
I
too,
I've
worked
really
well
with
steve,
so
if
he
needs
a
bad
carrier,
I'm
more
than
happy
to
work
well
with
him
for
that.
I
think
everybody's
going
to
say
the
same,
so
yeah
very
jealous
covered
marshall.
Sorry,
I
was
just
going
to
share
my
screens
for
the
presentation
and
fire
it
up.
D
There
we
go
right,
so
the
the
kovid
marshals
they've
continued
to
work
for
the
last
month
between
the
15th
may
and
16th
of
june,
which
covers
the
period
of
the
report.
Later
we've
given
out
another
nearly
10
000
masks
or
face
coverings
and
which
brings
a
total
to
44
000
face
coverings
been
being
handed
out
again.
It's
a
really
good
icebreaker.
It's
this
way
of
going
up
to
people
and
saying:
have
you
forgotten
your
mask?
Would
you
like
one
is
much
easier
than
saying
to
people?
Please?
D
D
The
parks
are
pretty
good.
They've
been
they've,
been
running
about
80
compliance.
There
are
a
few
parts
where
we
have
regular
problems
and
again
we're
working
with
the
police
on
those
those
issues
in
general.
The
non-compliance
in
the
parks
where
it
occurs
is
that
there's
gatherings
of
greater
than
30
and
they
tend
to
have
a
little
bit
of
organization.
D
Behind
those
ones,
but
in
general,
the
parks,
the
parks
work,
is
going
going
really.
Well,
I'm
really
pleased
with
the
efforts
that's
going
on
on
there
with
regard
to
the
environmental
health
side
and
the
the
enforcement
offices
that
we've
got
within
environmental
health.
Both
enforce
officers
and
ai
shows.
We
still
like
doing
proactive
patrols
and
the
interesting
one
with
the
two
photographs
here
is
that
the
the
distillery
is
set
up
well
for
the
football
and
on
the
saturday
that
we
played
the
football.
D
The
lower
picture
was
actually
a
shot
of
the
crowds
that
were
queuing
at
7
30
in
the
morning,
and
then
we
were
basically
getting
a
space
for
the
game
that
occurred
in
the
evening.
There
was
quite
a
lot
of
problems
around
the
sheer
number
of
people
that
were
there
and
the
police
were
in
attendance
and
led
very
much
on
it.
But
what
was
really
pleasing
is
the
distillery
itself
and
on
the
premises
was
really
well
managed
and
we
got
really
good
feedback
from
the
officers
who
were
in
attendance.
D
It
was
much
more
about
the
queuing
and
queueing
to
try
and
get
a
space
to
be
at
an
event
which
shows
where
the
demand
was
we're.
Also
looking
at
more
places
than
we've
ever
looked
at
before
bowling
alley,
cinemas
soft
play
areas
and
giving
advice
50
before
we
go
are
pretty
green,
but
then
we're
giving
advice
to
the
40
and
the
10
percent,
which
are
red
or
or
amber
by
and
large.
D
We
then
return
to
the
the
red
ones
to
bring
them
at
least
to
amber,
if
not
green,
if
we
can,
but
most
of
that,
if
not
all
of
it
is
still
being
done
on
advice
and
that's
working
well
as
you're
aware
as
well.
We're
also
working
with
some
hotels
about
kovid
security
as
well
on
on
the
setup
of
those
hotels
and
the
operation
of
the
hotels
testing
trace
is
going
well.
We
are
making
visits
and
great
strides
forward
with,
chose
the
screen,
making
great
strides
forwards
with
the
police.
D
D
We
are
triaging
them,
so
if
we
can
talk
to
people
on
a
home
line
and-
and
they
are
at
home-
that's
great-
where
they
don't
we'll
go
knock
doors
and
to
give
you
an
example,
we
did
a
hundred
visits
in
a
48-hour
period.
Asking
people
either
come
to
the
door,
whether
their
face
at
the
windows.
Unfortunately,
we
still
have
a
small
percentage
of
people
who
don't
isolate.
Although
they've
been
told
to
isolate
and
west
midlands
police
have
issued
a
number
of
fixed
penalties
for
those
now
continuing
to
work
with
the
faith
groups.
D
This
has
been
really
well
received
and
I'm
quite
I'm
very,
very
pleased
with
the
social
media
coverage
that
we've
had
from
this
we're
trying
to
do
our
best
to
try
and
keep
it
keep
faith
groups
open
and
not
have
any
outbreaks
there
and,
as
a
result,
we're
working
and
giving
advice,
and
that's
going
down
really
really
well
and
in
addition
to
that,
we're
also
giving
out
compliance
certificates.
I'm
working
on
trying
to
support
the
faith
setting
so
of
the
400.
D
We're
aware
of
we've,
we've
been
around
290
of
the
of
the
premises
and
again
we've
we've
ranked
them
green,
amber
and
red
working
particularly
hard
with
those
that
are
red,
but
the
really
nice
thing
is
once
we've
got
them
into
the
chartered
status.
We've
then
got
this
list
of
things
that
we
can.
We
can
we've
previously
purchased,
which
they
can
access,
so
they
can
use
zoom
licenses.
Webcams
we've
got
cleaning
materials
that
they
can
use.
D
We've
got
disposable
prayer
mats,
so
there's
lots
of
work
going
on
and
and
really
positive
work
and
responding
to
requests
from
the
groups
and
what
we
can
do
to
support
them
and
in
the
last
bit
of
enforcement.
That
we've
had
to
do,
unfortunately,
is
that
there's
still
some
premises
such
as
nightclubs
and
shishi
bars,
which
are
closed
under
step.
Three
on
the
road
map
that
was
extended
for
a
further
four
weeks.
Unfortunately,
we're
seeing
a
number
of
shishi
bars
now
which
are
open.
D
This
is
where
they
share
the
pipes,
so
they're
passing
the
pipe
from
person
to
person
to
person
and
obviously
there's
a
real
risk
of
spread
of
the
kovid.
From
that,
this
is
one
premises
where
they've
had
a
number
of
fixed
penalties.
They've
had
a
number
of
ten
thousand
pound
fixed
penalties
and
we
work
with
the
police
to
go
in
and
to
seize
their
equipment.
D
Unfortunately,
they
still
replace
that
equipment
and
are
continuing
to
trade
and
we're
we're
working
with
government
and
others
to
try
and
see
other
ways
of
trying
to
get
compliance,
bearing
in
mind
the
number
of
weeks
that
are
left,
but
that
was
a
good
operation
between
ourselves
and
the
place
and
that
will
continue
if
necessary,
leader.
The
remainder
of
the
slides
are
the
statistics.
So
if
it's
okay
with
your
stop
at
this
point
and
just
take
questions
on
those.
E
E
Excellent,
thank
you.
I
don't
have
any
slides
per
se,
but
but
within
the
the
delegates
pack.
My
written
report
is
contained
on
from
page
96
onwards,
and
in
that
I
describe
that.
We've
continued
with
the
same
forees
approach,
which
people
must
be
sick
to
the
back
death
of
hearing
about,
but
it
has
been
something
that
we've
consistently
applied
so
that
we
do
continue
to
treat
all
people
across
the
city
with
dignity
and
respect,
and
only
using
enforcements
as
a
last
case
and
so
building
on
what
marx
described
there.
E
With
that
shisha
bar,
we
do
try
to
give
people
the
opportunity
to
change
their
behaviors
through.
You
know
all
of
that
engagement,
but
ultimately
people
won't
comply.
Then
we
do
enforce
on
them
clearly
that
this
term
of
the
report
covers
a
period
when
we've
been
in
step
three,
and
so
there
have
been
fewer
opportunities,
might
be
the
wrong
word,
but
a
few
chances
of
people
to
break
the
regulations,
because
so
much
of
indoor
hospitality
has
been
open.
E
Scotland
game
is
quite
interesting
and
so
we're
actually
moderately
pleased
that
we've
seen
a
reduction
in
the
size
and
the
number
of
protests
in
birmingham
city
center,
because
victoria
square
was
becoming
a
bit
of
a
a
rallying
point
for
all
sorts
of
protests
that
have
been
occurring
and
so
in.
In
one
sense,
we've
been
seeking
to
start
to
try
and
dial
down
some
of
our
enforcement
activity.
E
However,
a
few
weeks
ago,
when
birmingham
was
placed
in
the
the
enhanced
support
status,
we
wanted
to
show
that
we
were
going
to
help
in
in
terms
of
this.
This
last
final
push
hopefully
against
the
virus,
and
so
we
had
some
funding
from
the
home
office
and
we've
used
that
to
resource
four
double
crew,
cars
and
earlies,
and
four
double
crew.
Cars
and
lates,
specifically
tasked
with
covered
enforcing
and
so
they've,
been
linking
in
with
the
the
office
of
the
dbh,
linking
in
with
mark
and
his
team
in
environmental
health
enforcement.
E
So
that's
what
we've
been
doing
in
in
terms
of
the
excuse
me
that
the
number
of
directions
to
leave
that
we've
recorded
in
the
last
four
week
period
we
only
recorded
126,
which
is
you
know,
a
a
fraction
of
what
we
were
giving
out
per
month.
Three
or
four
months
ago.
However,
what's
still
interesting,
if
not
disappointing,
is
that
those
126
directions
to
leave
actually
impacted
on
2165
people.
E
You'll
see
what
we
would
describe
as
a
starboard
starburst,
where
dozens,
if
not
hundreds
of
people,
suddenly
come
surging
out
of
premises
and
it's
not
practical
or
proportionate
for
us
to
try
and
capture
everyone
or
start
striking
them
with
batons
and
so
on
and
so
forth.
But
what
does
happen
in
that
case?
When
I
spoke
about
that
four
re
approach,
people
who
are
attending
those
those
unlicensed
music
events,
they're
getting
fixed
penalty
notices
straight
away?
E
Now,
in
terms
of
the
people
who
are
attending
those
events,
they're
having
a
a
bit
of
a
knock-on
in
terms
of
the
proportion
of
ethnic
minority
directions
to
leave
that
are
issued,
we
keep
data
and,
if
you
like,
you'll,
be
scored
that
the
likelihood
of
being
a
white
person
issued
with
a
direction
to
leave
compared
to
the
white
person
is
clearly
at
one.
When
we
look
at
the
asian
population
that
that
ratio
drops
to
0.2,
however,
the
black
population,
the
ratio
sits
at
7.6,
which
is
an
increase
of
6.8.
E
If
I'm
honest,
we
hope
to
see
the
asian
population
increase,
is
that
when
you
look
at
the
10
to
15
wards
that
were
having
the
higher
outbreak
levels-
and
I
know
that
dr
viney
will
probably
give
some
of
the
those
statistics
later
on,
they
are
from
areas
that
have
got
a
significantly
higher
asian
proportion
within
their
communities,
and
so
I
I
do
want
to
be
open
and
transparent
when
it
comes
to
that
that
ethic
minority
breakdown.
But
that's
that's
pretty
much.
The
the
background
to
that.
E
C
B
D
Some
space
to
talk
to
the
management
there
and
for
them
to
put
their
views
over
to
the
cabinet
officer,
because,
obviously
we
gave
our
side
when
we
were
in
the
transit
van
going
from
site
to
side
to
site,
so
yeah
they're
adamant
that
they
feel
that
they're
being
picked
on
it's.
What
the
legislation
says.
There
is
a
real
risk
of
of
spread
because
people
are
sharing
the
ends
of
the
pipe
it
goes
from
mouth
to
mouth
to
mouth.
People
don't
tend
to
use
a
tip
in
it.
A
Thanks,
thanks
mark,
they
have
been
warned
and
we
have
been
for
some
considerable
time
now,
communicating
with
businesses
around
the
city
about
the
need
to
follow
all
of
the
regulations,
so
they
really
in
placing
other
people
at
risk.
It's
quite
right
that
we've
taken
the
steps
we've
taken
in
my
view,
if
there's
no
further
questions
either
mark
or
steve,
could
I
thank
you
both
and
steve?
Good
luck
on
your
trip
to
rome.
Let's
hope
you
bring
some
further
good
luck
to
the
england
team.
A
F
F
So
what
we
are
seeing
at
the
moment
is
that
the
case
rates
are
continuing
to
climb.
We
have
seen
a
small
increase
in
our
case
rates
in
our
over
60s,
but
this
is
an
unvaccinated
people
and
I
think
the
big
push
which
I
will
come
to
at
the
end
is
really
on
getting
people
to
get
the
first
date
of
the
vaccine
and
the
second
dose
when
it
is
due,
because
we
are
seeing
consistent
evidence
now
that
the
vaccines
that
are
available
provide
good
protection
from
death
and
hospitalization.
F
But
you
do
need
both
doses
to
be
protected
and
we
are
seeing.
Sadly,
some
people
who
have
only
had
one
dose
can
catch
the
virus
and
they
can
become
unwell.
So
it
is
important
that
everyone
keeps
testing
even
if
you've
been
vaccinated,
because,
unfortunately,
the
new
variants,
particularly
the
delta
variant,
do
do
create
more
challenges.
F
We
have
seen
some
increases
in
hospital
admissions
and
in
intensive
care
admissions,
and
there
is
pressure
in
the
nhs
at
the
moment
as
a
result
of
the
case
rates
that
have
been
rising
now
for
about
a
month
across
the
city.
You'll
remember
from
previous
boards.
It
takes
about
a
month
for
case
numbers
to
convert
into
hospitalization.
F
So
what
we're
seeing
now
in
hospitals
is
really
a
reflection
of
where
we
started
to
see
a
rapid
increase
with
the
delta
variant
about
a
month
ago,
and
we
compare
you
know
compared
to
the
rest
of
the
black
country
region
and
the
west
midlands.
We
are
in
general
doing
worse
in
the
sense
that
we
have
higher
case
rates
and
that's
really
a
reflection
that
the
delta
variant
took
hold
in
birmingham
ahead
of
many
other
parts
of
the
west
midlands.
F
F
This
is,
of
course,
population
that
haven't
been
able
to
get
vaccine
until
very
recently,
and
this
will
defer
that
then
being
able
to
get
vaccine
because
they
have
to
wait
28
days
after
their
infection
before
they
get
the
vaccine.
So
it
will
will
impact
on
some
of
the
delivery
there.
The
universities
all
have
in
place
emergency
accommodation
provision
where
the
unfortunate
situation
of
a
landlord
evicting,
someone
who
should
be
isolating
happens,
so
there
is
support
from
student
welfare
for
students
who
find
themselves
in
that
very
difficult
position.
F
So
just
moving
forward
through
the
information.
As
I
said,
the
vast
majority
of
cases
in
birmingham
are
now
the
delta
variant.
It's
unusual
to
some
extent
to
see
any
other
variants
in
the
city
and
that's
following
a
pattern
where,
nationally
now,
the
delta
variant
is
becoming
the
dominant
variant
in
the
uk.
F
F
Overall,
our
uptake
of
of
pcr,
the
symptomatic
testing
has
some
hot
spots
in
the
city,
and
that
does
relate
to
the
outbreaks,
but
in
general
it's
pretty
even
and
now
most
people
are
accessing
symptomatic
testing
through
home
testing
all
through
the
the
pcr
sites,
lateral
flow
testing,
the
rapid
test,
which
is
testing-
am
I
infectious
today
or
not,
whereas
the
pcr
is
testing,
am
I
infected
so
lateral
flow?
Am
I
infectious
today
the
vast
majority
of
people
are
now
testing
at
home.
It's
very
easy
to
do.
F
The
kits
can
be
ordered
directly
from
the
government
website.
We
also
have
a
series
of
pop-up
sites,
handing
them
out
and
also
collection
sites
as
well,
and
we've
been
running
a
very
specific
pilot
with
our
homeless
sector
partners
to
enable
homeless
citizens
to
access
these
tests.
Because
one
of
the
limiting
barriers
of
the
test
is,
you
need
to
have
a
phone
or
a
computer
to
be
able
to
register
the
results.
F
F
If
you
need
help
and
assistance,
and
what
we've
seen
is
that
testing
uptake
is
improving
and
that
lateral
flow
is
finding
positive
cases
and
is
helping
us
get
control
of
of
the
spread
of
the
virus
and
this
I've
included
as
a
new
slide.
For
the
board
just
compares
where
we
were
on
the
5th
of
june
with
where
we
are
on
the
27th,
and
although
the
map
on
the
right,
which
is
the
more
recent
map,
is
darker
and
we
are
clearly
filling
in
some
of
the
gaps.
F
The
bit
I
do
want
to
highlight
is
that
the
bottom
range
so
that
pale
gray,
blue
color
represents
a
higher
uptake
of
tests
per
hundred
000
population
than
on
the
map
on
the
left.
So,
overall,
we've
seen
a
really
significant
improvement
in
testing
uptake
across
the
whole
city,
and
the
baseline
has
risen
as
well
as
increasing
it
in
very
large
amounts.
In
some
of
the
areas
where
we've
been
doing,
that
additional
support
and
additional
work
we
are
seeing.
F
F
F
They
do
follow
the
rules,
etc.
It's
a
lot
of
the
stuff
that
happens
outside
where
people
outside
of
that
education,
setting
where
people
are
mingling
and
unfortunately
spreading
the
virus,
and
that
means
they're,
taking
it
potentially
home
to
unvaccinated
populations
as
well,
and
as
you
can
see
in
this
the
age
bands,
it's
very
much
that
11
to
24
age
groups
where
these
case
rates
are
highest
and
that's
why
we
have
given
the
advice
to
school
to
suspend
transition
days
to
avoid
the
mixing
between
different
schools.
F
Moving
on
in
terms
of
ethnicity.
Again,
there's
been
quite
marked
increase
in
the
proportion
of
cases
in
our
white
community
compared
to
other
communities,
and
I
think
that
very
much
reflects
some
of
the
the
change
in
the
way
that
the
delta
virus
is
spreading.
Fortunately,
at
the
moment
that
is
not
translating
into
hospitalizations
large-scale
hospitalizations
or
deaths
of
children
and
young
people.
F
However,
it
does
happen
and
there
have
been
cases
in
which
young
people
and
children
have
ended
up
in
hospital
with
kovid
and
unfortunately
have
died.
So
it's
important
to
say,
although
the
risk
is
lower,
it
is
not
non-existent
and
we
also
have
yet
to
see
what
happens
around
long
covered
and
children
and
young
people.
F
Why
do
you
want
to
just
highlight
from
this
diagram?
Is
that
the
very
high
case
rate
in
our
black
african
community,
which
is
one
of
our
least
vaccinated
communities
in
the
city,
and
I
think,
does
correlate
with
what
steve
graham
was
sharing
from
the
police
perspective
and
the
dispersal
information
that
we
have?
You
know
when
we've
looked
into
this.
Actually,
it's
very
difficult
from
the
information
we
have
from
the
contact
tracing
service
to
explain
it
these
don't.
F
The
rapid
rise
in
the
black
african
community
does
not
link
back
to
schools
or
particularly
to
households,
and
it
does
reflect
the
demographic
that
steve
was
describing
in
terms
of
being
younger.
So
that
may
well
explain
why
we're
seeing
some
of
this
rapid
rise
in
that
community
and
it's
a
particular
threat
to
the
community
because
of
the
very
low
vaccine
uptake
in
the
community.
So
I
I
am
quite
nervous
and
not
particularly
positive
about
what
that
will
then
translate
to.
F
It
is
nowhere
near
where
we
were
in
the
early
spring,
but
it
is
increasing
steadily
and
I
know
in
other
parts
of
the
region
they
have
seen
hospitalization
of
younger
adults
in
a
way
that
we
weren't
seeing
previously.
So
we
continue
to
watch
this
closely
for
any
signs
that
the
delta
variant
is
becoming
even
more
dangerous
to
younger
adults,
which
would
which
reinforces
why
it's
important
everyone
over
18
gets
the
vaccine,
because
we're
not
confident
that
there
is
no
risk.
It's
just
lower
risk
deaths
remain
low,
fortunately,
which
is
positive.
F
I
wouldn't
expect
those
hospitalizations
to
translate
into
death
for
about
another
four
weeks,
but
I
am
hopeful
because
of
the
evidence
from
the
vaccination
and
the
hard
work.
The
nhs
has
been
doing
particularly
around
the
clinically
extremely
vulnerable
and
those
who
are
clinically
at
risk
to
close
the
gaps
that
we
will
weather
this
wave
with
a
much
lower
death
rate
because
of
the
protection
that
vaccination
gives.
But
we
do
still
have
a
significant
proportion
of
the
population
who
are
unvaccinated
and
are
in
a
higher
risk
category.
F
We
have
seen
a
fluctuating
numbers
of
workplaces
and
we
are
still
seeing
a
number
of
situations
coming
through
from
care
homes,
but
they
are
predominantly
care
home
staff
where
the
where
there
are
outbreaks
rather
than
care
home
residents.
I
think
the
nhs
and
adult
social
care
have
done
an
amazing
job
to
ensure
the
vast
majority
of
residents
in
care
homes
have
had
vaccine
and
have
received
their
second
dose.
F
Contact
racing
is
going
well
and
we
have
a
good
completion
rate
and,
as
mark
set
out
we're
working
extremely
closely
with
environmental
health
and
the
police.
I
think
that's
been
a
really
successful
initiative
in
terms
of
following
people
up
and
we
have
brought
in
additional
staffing
resource
to
cope
with
the
surge
in
numbers,
which
meant
we
has
meant.
We've
been
able
to
maintain
this
despite
moving
to
over
2
000
new
cases
a
week,
rather
than
standing
it
down
and-
and
I
do
want
to
acknowledge
the
extreme
hard
work
of
my
team.
F
Responding
to
this,
because,
rather
than
saying
no
we're
going
to
stop
and
cap
it,
they
have
carried
on
they've
brought
in
additional
work.
They've
worked
additional
hours
to
put
the
extra
effort
in
to
contain
the
spread
of
the
virus,
which
is
a
real
testament
to
their
commitment
to
their
jobs
in
terms
of
communication
engagement.
Finally,
just
to
say
this
work
continues,
I'm
very
grateful
for
the
support
from
our
media
partners.
F
F
Our
cover
champion
program
now
has
over
800
champions.
We
also
now
have
34
youth
champions
and
it's
been
brilliant
working
with
them,
as
the
vaccination
program
rolls
forward
to
already
start
to
discuss
with
them
how
they
would
feel
if
they
became
eligible
for
vaccination
well,
ahead
of
it
becoming
a
reality,
and
so
it's
been
brilliant
to
have
birmingham
youth
service
work
with
us
to
support
the
youth
champions.
F
They
came
initially
after
we
asked
the
difficult
question
and
then
they've
decided
to
continue
to
attend
because
it's
such
valuable
insight
around
the
practicalities
and
the
challenges
of
interpreting
national
guidance
in
the
context
of
faith
settings
at
a
community
level.
So
it's
real
testament
to
the
work
of
habibullah
and
madupe,
and
the
engagement
team
who've
been
working
with
us
on
that
and
we
continue
to
work
with
our
partners,
particularly
around
the
15
high
interest,
awards
very
grateful
for
members
in
those
wards.
F
Who've
convened
ward
forums,
some
of
the
initiatives
such
as
the
work
in
lazzell's,
with
councillors,
afar,
mobilizing
community
political
volunteers
to
step
up
and
help
leaflet,
distribution
and
signposting
to
vaccination.
It's
a
brilliant
example
and
did
play
out.
We
can
now
see
in
the
lasalle's
data
has
improved
local
uptake
and
we
continue
to
work
with
the
nhs
to
identify
the
places
to
take
vaccination
support
into
churches
such
as
the
god
of
prophecy
church,
which
will
be
happening.
F
We
continue
to
do
work
to
strengthen
our
partnership
with
communities.
We
are
looking
to
further
extend,
extend
our
engagement
work
with
children,
young
people
and
commission
new
partners
and
to
grow
the
work
that
that
we've
been
doing
and
continue
to
build
on
it
and
covered,
unfortunately,
is
not
going
away.
A
Thank
you
very
much,
justin
a
lot
of
very,
very
important,
hard
work
going
on
there.
A
lot
of
detail
in
the
information
you've
given
us
as
well
I'll,
just
reiterate
that
it's
somewhat
rare
for
england
to
beat
the
germans
in
a
tournament
football
match
people
do
need,
in
spite
of
the
excitement,
to
continue
to
follow
all
of
the
rules,
hand,
space
space
that
still
all
applies
and
will
apply
on
on
saturday
with
england
take
on
the
ukraine
in
the
in
the
quarter-finals.
A
So
again,
I
would
appeal
for
people
to
continue
to
follow
all
of
the
rules.
If
you're
going
out
to
a
bar
or
a
restaurant,
make
sure
you
are
wearing
a
mask
when
you
are
not
seated
at
your
table,
that
you
regularly
wash
your
hands
and
you
maintain
a
safe
distance.
That's
the
way
to
keep
everybody
as
safe
as
we
possibly
can.
We
all
want
to
get
behind
the
england
team
and
we
all
hope
they
can
go
on
and
win
this
particular
tournament,
but
we've
got
to
keep
people
safe
while
they're
doing
it.
F
Lida,
can
I
just
add
to
that
the
important
our
new
buzz
phrase
or
hashtag,
for
this
is
lateral
flow.
Before
you
go,
it's
a
really
important
message.
If
you
are
going
out
to
watch
the
match,
please
do
a
lateral
flow
test
before
you
go.
It's
a
really
good
way
of
finding
out
if
you're
infectious
and
you
might
just
go
and
spread
that
round,
and
I
think
the
lesson
from
the
scotland
match
that
we're
now
seeing
play
out
in
the
numbers
is
a
really
important
reminder.
A
Good
thank
you
for
that
justin.
Okay!
If
there
are
no
questions,
we'll
move
on
to
item
7,
the
vaccination
right
and
uptake,
and
we
have
more
gates,
project,
director,
university
hospitals,
birmingham,
nhs
foundation,
trust
and
dr
palmy
maroc
from
the
black
country
of
west
birmingham,
ccg
and
pitt
mayor,
the
managing
director
of
west
birmingham
ccg
to
take
us
through
all
of
this.
So
first
of
all
I'll
hand
over
to
you.
B
Thank
you.
Thank
you
very
much,
and
then
I
have
to
say
thank
you
to
justin,
because
he's
covered
quite
a
lot
of
the
information
that
I
was
going
to
cover
this
afternoon
and
you'll
have
to
forgive
me,
and
you
can
tell
from
my
accent
that
us
scots
were
responsible
for
spreading
the
virus
and
perhaps
less
happy
about
some
of
the
results
of
last
night.
B
I
think
I
think
it's
worth
noting
that,
in
across
birmingham
we've
now
delivered
1.3
million
vaccines,
that's
probably
around
300
000
vaccines
to
people
that
don't
live
within
the
the
city
of
birmingham
or
sully
hill.
In
our
case,
the
split
is
broadly
750
000,
the
first
doses
and
we're
just
doing
about
400
of
second
doses,
but
we
continue
to
vaccinate
people
that
are
not
from
birmingham,
quite
rightly
because
they
visit
our
city
or
they
work
within
our
city.
B
B
We
continue
with
the
three
mass
vaccination
sites
across
the
city.
We
have
millennium
point,
aston
villa
and
edge
bastion,
aston
villa
did
close
for
a
few
days
because
of
the
football
and
edge
boston
has
closed
on
a
few
occasions
because
of
the
cricket
matches
that
have
gone
ahead
there
and
but
we've
continued
to
provide
coverage
across
the
city.
B
B
It's
important
that
people
come
back
for
their
second
dose,
but
we
also
must
encourage
our
youngsters
to
come
and
get
vaccinated,
because
we
know
that
they
are
the
the
groups
that
are
currently
have
a
a
high
proportion
of
the
virus
and
they
will
spread
it.
And
so
I
welcome
any
help
that
members
can
give
us
in
spreading.
That
word
to
our
youngsters
and
our
most
vulnerable
communities
and
I'm
happy
to
take
any
questions
or
indeed
hand
over
to
my
colleagues.
If
there's
anything
further,
they
would
like
to
add.
G
I
think
I
think
we've
been
looking
to
increase
the
range
of
outlets
locally
and
and
also
there
are
a
lot
of
sites
now
that
are
offering
walking
vaccinations
which
have
proved
to
be
particularly
popular
with
some
of
our
younger
cohorts
so
that
as
and
when
people
get
up
and
feel
right.
Today
is
the
day
for
my
job.
G
They
can
go
to
one
of
the
walking
vaccination
clinics
and
do
that
and-
and
I
know,
there's
really
good
information
on
the
birmingham
and
solihull
website
about
where
those
are
at
all
times-
that's
regularly
updated,
so
so
people
can
see
where
they
can
access
that.
I
think
that's,
that's
probably
what
I'd
add.
I
know
we're
looking
at
there's
another
agenda
item
that
follows
on
from
this
as
well
about
good
practices.
G
G
H
Thank
you.
I
think
that
was
really
comprehensive,
thanks,
morgan
and
pip,
and
thanks
justin
for
for
the
initial
presentation.
It
was
really
helpful
and
really
has
set
the
scene
as
to
where
we're
at
at
the
moment
and
where
we're
heading-
and
it's
just
to
reiterate
the
points
that
everybody
else
has
made.
Really
there's
three
things
here
really
when
it
comes
to
vaccination.
A
Absolutely
echo
that
and
to
anybody
who
might
be
hesitant,
please
do
not
listen
to
myths
or
stories,
go
and
consult
an
expert
speak
to
your
gp
or
speak
to
those
at
a
vaccination
center.
Who
can
give
you
the
correct
advice,
but
I
would
encourage
everybody
to
come
forward
and
take
the
vaccine.
It
is
the
way
to
protect
yourself
and
your
loved
ones
right.
We
have
a
question
from
andy
cave.
I
Thank
you
chair.
It's
it's
more
of
a
support
statement
really
and
just
to
add
some
value
to
the
statements
that
colleagues
have
made
around
the
importance
of
true
community
engagement
around
the
vaccine
program
and
just
to
highlight,
in
particular
in
west
birmingham.
We
chair
a
coordination
group
around
community
engagement
and
very
much
that's
looking
at
targeted
work
within
wards
bringing
together
community
groups
and
community
leaders
together
with
those
delivery
partners.
A
G
Yeah,
if
I
start
off
with
some
stuff
and
then
we
will
do
a
treble
act
on
it
again.
I
I
think
in
terms
of
picking
this
up,
because
clearly
the
thing
that
comes
through
in
my
mind
is
is
the
joint
effort.
That's
had
to
go
behind
the
vaccine
programme
to
make
sure
that
we
can
get
the
reach
that
we
need,
and
I
think
in
terms
of
some
of
the
work
that
we
found
to
be
effective.
G
G
I
think
from
the
outset,
and
and
we
can
see
that
that
kind
of
really
persistence
effect,
I
think,
is
starting
to
yield
results
and-
and
we
are
having
some
increased
uptake
now
in
in
some
of
our
awards,
that
that
were
lowest
to
start
off
and
I
think
where
it's
been
most
effective
and
we've
alluded
to
this.
All
the
way
through
is
that
coming
alongside
clinicians
have
been
community
leaders,
elected
members
and
and
sometimes
the
business
communities
as
well,
and
so
so
we
get
that
message
going
right.
G
The
way
through
the
community
that
the
vaccinations
are
here,
the
vaccination
bus
is
coming
and
and
people
can
come
forward
and
and
have
it
and
I'll
hand
off
to
morag
in
just
one
second.
But
I
just
share
my
screen
with
a
little
bit
of
something
that
that
that
we
did
with
with
a
group
of
young
people.
I
hope
you
can.
B
Yes,
thank
you.
I
think
that
across
the
program
we've
actually
been
using
mobile
bands
and
pop-up
clinics
since
the
very
beginning
of
the
program,
so
looking
back
to
earlier
on
in
the
year,
because
we
recognized
that
there
were
marginalized
communities
that
we're
never
going
to
access
either
a
big
site,
a
hospital
hub
or
their
gp
practice,
and
so,
whilst
the
importance
of
the
pop-ups
has
been
heightened
recently,
I
do
think
it's
worth
this,
reflecting
that.
B
Actually
we
had
been
running
at
least
one
or
two
vans
within
the
birmingham
city
region
right
the
way
through
the
the
program,
because
we
wanted
to
make
sure
no
one
was
left
behind
and
that
there
was
equality
and
offer
to
people,
and
I
I
think
birmingham
has
has
probably
led
the
way
in
some
of
that,
because
I
know.
Certainly
other
cities
have
used
pop-ups
laterally,
but
we
were
using
them
right
across
the
city
across
the
whole
of
the
programme.
B
And
again
I
think
the
communication
has
been
much
better
recently
as
we've
engaged
with
more
people
and
that's
certainly
a
piece
of
learning.
I
think
that
we
need
to
take
into
the
winter
with
whatever
that
might
bring
us
that
the
importance
of
engaging
with
all
stakeholders,
elected
members,
champions
and
patient
groups.
A
Oh,
thank
you.
Thank
you.
Both
I'm
not
not
seeing
any
hands,
but
I
do
think
the
innovative
ways
we've
come
up
with
a
trying
to
engage
with
people
and
and
make
it
easier
and
easier
for
them
to
get
to
get
vaccinated
is
definitely
the
right
approach.
We,
we
still
have
several
tens
of
thousands
of
people
over
the
age
of
50
in
birmingham
not
vaccinated
and
we've
just
got
to
keep
going.
A
I
think,
trying
to
persuade
him
to
come
forward
reassuring
people
if
they
have
any
hesitancy,
that
this
is
safe
and
indeed
is
far
safer
than
leaving
themselves
at
risk
of
contracting
the
virus.
So,
let's,
let's
learn
the
lessons
that
we've
learned
thus
far,
but
keep
going
and
try
to
get
this
vaccine
into
as
many
arms
as
we
possibly
can.
F
F
F
F
We
will
be
drawing
down
from
the
contingency
budget
to
support
some
of
the
spend
in
the
enhanced
response
towards
the
15
wards,
where
we're
doing
additional
work,
because
that
is
not
something
we
think
we
can
claim
back
from
the
department
of
health.
Currently
so
it'll
come
out
of
our
contingency
budget,
but
we
should.
It
should
only
be
about
three
to
four
hundred
thousand
pounds,
so
we
remain
with
a
healthy
contingency
and
we
also
managed
to
retain
our
wave
three
response
fund.
Should
we
see
further
surges
in
the
autumn
and
winter.
F
A
I
think
we
should
thank
you
actually,
if
you're,
very
prudent
oversight
of
this
budget
and
putting
us
in
a
position
where
we
we
do
have
resources
going
forward
to
deal
with
the
ongoing
situation,
I'm
not
seeing
any
any
hands
on
this.
So
we'll
note
that
then,
and
move
on
to
other
urgent
business.
Does
anybody
have
any
other
urgent
business
yeah,
I'm
not
seeing
any
hands
so
date
and
time
at
the
next
meeting?