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THE crucial coronavirus R rate has crept back up above 1 in some parts of England, latest figures show.

Research by Public Health England and Cambridge University suggests the reproduction rate is 1.01 in the North West and 1.0 in the South West.

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The R-rate has crept up above one in the North West and is at 1 in the South West of England
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The R-rate has crept up above one in the North West and is at 1 in the South West of England

It also warned that there is some evidence the value has risen in all regions, saying it was probably due to increasing mobility and mixing between households in public and work settings.

Speaking at tonight's Downing Street briefing, Health Secretary Matt Hancock said that while it is "very important" to look at all studies relating to the R rate, SAGE's overall assessment is that it remains between 0.7 and 0.9 across the UK.

Mr Hancock did acknowledge that the North West and South West presents a "challenge", while adding that there is a "higher incidence of new cases among health care staff".

He said there is a huge package of work underway by the NHS "to get transmission of coronavirus in hospital right down".

In recent weeks it's been noted that the R rate is likely to be higher in care home settings, creating pockets of higher transmission which could push the average up.

Sir Patrick Vallance, the Government's chief scientific adviser, confirmed today that the R rate for England was between 0.7 and 1 but remained between 0.7 and 0.9 for the UK as a whole.

The R-number is the average number of people that will contract coronavirus from an infected person.

A regional breakdown of the R-rate with blue lines showing when interventions were introduced - lockdown on March 23 and the relaxation of measures on May 11
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A regional breakdown of the R-rate with blue lines showing when interventions were introduced - lockdown on March 23 and the relaxation of measures on May 11
This regional breakdown shows how the R-rate has gone above 1 in the North West and is at 1 in the South West of England
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This regional breakdown shows how the R-rate has gone above 1 in the North West and is at 1 in the South West of England

If R is one or higher, the virus will spread exponentially through the population.

An R number of less than one indicates the virus is in decline.

The R rate is so important given the implications it could have for lockdown measures. If it rises above one - a sign the epidemic is growing - tougher restrictions may be reintroduced.

There is a time lag in the calculations, with the latest R value relating to what was happening two to three weeks ago.

'Downward trajectory'

Sir Patrick said the prevalence of Covid-19 was on a "downward trajectory" in the UK, adding: "The prevalence of coronavirus, according to the ONS, is at 0.1 per cent, with 53,000 people with Covid-19 in the past two weeks."

He said the incidence rate was at 0.7 per cent per week, which meant there were "roughly" 39,000 new coronavirus cases each week.

Sir Patrick said: "The latest R-value calculation is between 0.7 and 0.9 for the UK as a whole, it may be a little bit higher in England it may be between 0.7 and 1, and there is a bit of regional variation."

He said there could be ";some places" where the R-value is very close to one.

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PHE said latest estimates, worked out in conjunction with Cambridge University's MRC Biostatistics Unit, show it is highly likely that outside the North West and South West, the R value is below one in each other region of England.

Advisers believe the prevalence of Covid-19 is on a "downward trajectory", with figures from the Office for National Statistics showing there were 53,000 people with the disease in the past two weeks.

While there could be some areas of England where the R value is very close to one, scientific advisers said community transmission and the number of cases were down.

It is vital that everyone continues with social distancing, practising good hand hygiene and must remain at home and order a test if they have symptoms

Dr Yvonne DoylePHE's medical director

In a statement regarding the estimates for regional R numbers, Dr Yvonne Doyle, PHE's medical director, said: "Our estimates show that the regional R numbers have increased although they remain below one for most of England - this is to be expected as we gradually move out of lockdown.

"It is vital that everyone continues with social distancing, practising good hand hygiene and must remain at home and order a test if they have symptoms."

But experts not involved with the work have cast their doubts over the findings.

Prof Sheila Bird, former Programme Leader, MRC Biostatistics Unit, University of Cambridge, who was not involved in this work, said: "The findings are the opposite of reassuring.

“In no region of England is the effective reproduction number assuredly below 1 with regions’ median estimates ranging from 0.89 to 1.01.

"No wonder members of SAGE are worried."

For the North West, the median R number is marginally above 1, showing the epidemic could potentially still be growing

Colin CoxCumbria's director of public health

Colin Cox, Cumbria's director of public health, said: "The R number is very significant and something we have to pay close attention to.

"For the North West, the median R number is marginally above 1, showing the epidemic could potentially still be growing.

"This really underlines the importance of people maintaining social distancing and continuing to follow Government guidance as lockdown restrictions begin to ease.

"We will be monitoring the R number very carefully and a tightening of lockdown restrictions could be possible if the R number increases.

"This is something we all want to avoid, so we cannot be complacent."

Local lockdowns

Boris Johnson's plans to reduce the severity of restrictions allow for more localised lockdowns to be enforced to prevent the spread.

One crucial means of suppressing transmission is the NHS test and trace system, which seeks to track down people who have come into contact with an infected individual, and tell them to isolate.

Downing Street was forced to defend the system after the Guardian reported that the scheme's chief operating officer, Tony Prestedge, told staff it would not be at full speed until as late as October.

Ministers have been unable to say how many people have been traced under the system, but the Prime Minister's official spokesman said: "Thousands of people who have tested positive have been contacted in a matter of days and their close contacts successfully traced, using both online services and over the phone."

The lockdown is being eased across the UK, with Mr Johnson starting to send pupils back to school and permitting outdoor gatherings of up to six from Monday in England.

While the number of new infections appeared to be going down, Government scientific advisers believe the R rate is between 0.7 and 1 in England in their latest estimate.

The PHE and Cambridge modelling seeks to predict where it could stand now, and their estimate for Friday put the North West on 1.01 and the South West on 1.00.

The figure was lowest in the Midlands at 0.9 and stood at 0.95 in London.

It comes after the number of people with Covid-19 in England has fallen to around 5,600 new infections a day from around 8,000 reported last week, figures show.

The Office for National Statistics (ONS) published data on how many people at any one time are infected with Covid-19 based on swab results from households across the country.

The ONS said "modelling of the trend over time shows evidence that the number of people in England testing positive has decreased in recent weeks".

There were an estimated 39,000 new Covid-19 infections per week in England between April 26 and May 30, equating to an incidence rate per week of 0.07 new cases per 100 people.

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