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Millions of Brits could see in the New Year in a new tier as coronavirus cases surge across England.
Boris Johnson is under pressure to review the Tiers as more towns and cities grapple with the prospect of tougher rules.
Swathes of England are already living in Tier Four in a bid to drive the virus down and avoid overwhelming the NHS.
One ambulance service has reported that Boxing Day was one of its busiest ever days.
And stark new figures show that England has peaked for a second time, with new infections surpassing the previous high point in April.
It has sparked fears that a third wave may be approaching as scientists warn Downing Street that tougher restrictions may be needed.
There is no evidence yet that an official 'Tier Five' will be introduced, but reports suggest that officials are concerned that Tier Four is not strong enough.
A senior Whitehall source has already floated the idea of “adding another level onto Tier Four”.
As reported by The Express, they said: “We are ruling nothing out, the new strain is of serious concern. Tier 4 appears to not be strong enough.”
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With cases soaring, a new Covid-19 dashboard complied by ZOE Covid Study has suggested the worst hit hotspot areas.
The app shows which areas are at risk of moving tiers when the review takes place on Wednesday.
According to data published on the app, Greater Manchester is currently the most at risk, followed by Lancashire and York.
The top 20, as reported by The Express, is as follows – along with the current tier.
- Greater Manchester – Currently Tier 3
- Lancashire, Blackpool and Blackburn with Darwen – Currently Tier 3
- York and North Yorkshire – Currently Tier 2
- The Humber – Currently Tier 3
- Derby and Derbyshire – Currently Tier 3
- Northamptonshire – Currently Tier 2
- Leicester and Leicestershire – Currently Tier 3
- Birmingham and Black Country – Currently Tier 3
- Herefordshire – Currently Tier 1
- Worcestershire – Currently Tier 2
- London – Currently Tier 4
- Essex, Thurrock and Southend-on-Sea – Currently Tier 2/4
- Hertfordshire – Currently Tier 4
- Bedfordshire and Milton Keynes – Currently Tier 4
- Cambridgeshire and Peterborough – Currently Tier 2/4
- Norfolk – Currently Tier 2
- Suffolk – Currently Tier 2
- Kent and Medway – Currently Tier 4
- Buckinghamshire – Currently Tier 4
- East and West Sussex, and Brighton and Hove – Currently Tier 2/4
It comes as the chief executive of the NHS claimed that all vulnerable Brits could be vaccinated by the Spring.
All ‘at-risk’ patients could get the jab in a matter of weeks, according to reports, paving the way for normality.
Sir Simon Stevens said there was finally light at the end of the tunnel for “anxious, frustrated and tired” Brits.
Speaking at an NHS vaccination centre, he said: "We think that by late spring with vaccine supplies continuing to come on stream, we will have been able to offer all vulnerable people across this country Covid vaccination.
"That perhaps provides the biggest chink of hope for the year ahead."
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