The Government’s reasoning for tier allocations in England

Devon: Tier 2

Reason: “Case rates are 121/100,000 overall, though there are higher rates in Plymouth, Torbay and Exeter. The case rate in the over-60s is 85/100,000 though significantly higher in Exeter (155.9/100,000). Positivity is 4.2 per cent. There is pressure at the Royal Devon and Exeter Hospital.” [Owl emphasis]

Full list below

By Dominic Penna  www.telegraph.co.uk 

Every area of England has been allocated a tier under the Government’s new rules for post-lockdown living after December 2.

Just one per cent of the population will be in the ‘medium’ Tier 1, with 57 per cent of people in ‘high’ Tier 2 and the remaining 42 per cent in ‘very high’ Tier 3, the strictest level of the tiered system.

The restrictions vary greatly between the tiers, with those in the highest tranche facing strict limits on their freedoms. 

Below is a comprehensive list of each region in the UK and which tier it will enter from December 2, along with the Government’s justification for its decision.

North-West

Greater Manchester: Tier 3

Reason: “While there has been continued improvement in Greater Manchester, weekly case rates remain very high, especially among those aged over-60, at around 260 per 100,000 people.

“The pressure on the local NHS is decreasing in some areas but remains a concern; Manchester University hospital and Pennine Acute Trust remain under significant pressure.”

Lancashire, Blackpool, and Blackburn with Darwen: Tier 3

Reason: “While there have been improvements in some areas, case rates and the proportion of tests which are positive for Covid-19 remain high. Case rates in over-60s are very high (over 200 per 100,000) in six lower tier local authorities. There is still pressure on the NHS in this region.”

Liverpool City Region: Tier 2

Reason: “There is continued improvement across the Liverpool city region. Case rates, including for the over-60s, are decreasing rapidly with some notable improvements in Liverpool, Knowsley and Sefton. Cases have fallen by 69 per cent over six weeks.

“However, despite improvements, case rates in over-60s remain high at 150-plus per 100,000 people in all lower tier local authorities.”

Cheshire (including Warrington): Tier 2

Reason: “Case rates are continuing to decline across Warrington and Cheshire, with a 27.4 per cent fall to 209 people per 100,000, in line with the Liverpool City Region.

“However, case rates in those over-60 years old remain high (175/100,000) though falling. Positivity is 8.1 per cent. Warrington and Halton Teaching Hospitals NHS foundation Trust has 150 inpatients with Covid-19.”

Cumbria: Tier 3

Reason: “The picture in Cumbria is broadly improving although case rates in Carlisle and South Lakeland are increasing – with increases likely due to a large school outbreak.

Case rates in over-60s are above 100 per 100,000 in Carlisle and Barrow-in-Furness. These case rates are too high for allocation to Tier 1 but Cumbria’s trajectory does currently not warrant inclusion in Tier 3.”

North-East

Tees Valley Combined Authority: Tier 3

Reason: “While case rates are now decreasing in all lower tier local authorities, they remain very high at 390 people per 100,000 across the region, with positivity also very high at 13.3 per cent.

“The case rate in over-60s remains very high at 292 per 100,000. NHS admissions in the area have remained high in November.”

North East Combined Authority: Tier 3

Reason: “The region continues to see very high case rates, overall 318 people per 100,000, although this figure is either stable or falling in all parts of the region. Case rate in over-60s remains very high at 256 per 100,000.

“NHS admissions in the area have remained high in November.”

Yorkshire and the Humber

The Humber: Tier 3

Reason: “The picture in Humber is improving with case rates now falling in three of the four lower tier local authorities.

“However, case rates in all ages and in over-60s remain very high (431/100,000 and 344/100,000 respectively). Positivity is 12.6 per cent. There is ongoing pressure on the local NHS.”

West Yorkshire: Tier 3

Reason: “This area is improving with case rates falling in all five lower tier local authorities. However, case rates in all ages and rates in over-60s remain very high (389/100,000 and 312/100,000 respectively). Positivity is 13.9 per cent.”

South Yorkshire: Tier 3

Reason: “This area is improving with case rates falling in all four lower tier local authorities. However, case rates in all ages and rates in those over 60 remain very high (274/100,000 and 223/100,000 respectively).

“Positivity is 11.0 per cent. There is pressure on local NHS Trusts.”

York and North Yorkshire: Tier 2

Reason: “Overall case rates (including for those over 60) in this region are improving in seven of the eight local authorities and lower than other parts of Yorkshire and The Humber, but remain high overall (202/100,000 in all age groups and 145/100,000 for those aged over 60). Positivity is 8.5 per cent.

“Rates in Scarborough are significantly higher than the rest of the region (334/100,000 in all age groups and 247/100,000 in those aged over 60) but falling rapidly.”

East Midlands

Leicester and Leicestershire: Tier 3

Reason: “Improvements have been seen in overall case rates in all but one lower tier local authority, but remain very high at 355 per 100,000, including in over-60s at 250 per 100k. The pressure on the local NHS remains very high.”

Derby and Derbyshire: Tier 3

Reason: “There has been improvement in this area, but case rates remain very high at 275 per 100,000, and in those over 60 it is 220 per 100,000. The pressure on the local NHS remains high.”

Lincolnshire: Tier 3

Reason: “There has been an overall improvement, but case rates remain high throughout the county, at 307 per 100,000 and in the over-60s it is 281 per 100,000.

“NHS pressures in Lincolnshire remain high and show signs of increasing, particularly for the units treating the more serious cases.”

Nottingham and Nottinghamshire: Tier 3

Reason: “There has been an improvement, but case rates remain very high in the over-60s at 211 per 100,000. The overall case rate is 244 per 100,000 and positivity is 10 per cent. The proportion of hospital beds taken up by Covid-19 patients is high, but appears to be falling.”

Northamptonshire: Tier 2

Reason: “Although improvements in the overall case rates have been seen recently, there is a continued rise in rates of Covid-19 in the over-60s. [The] over-60s case rate is 154 per 100,000.

“There is some evidence that the local NHS is seeing the proportion of people with Covid-19 being admitted and subsequently occupying beds stabilising. However, Covid and non-Covid patients occupying beds in units treating more serious cases is high.”

Rutland: Tier 2

Reason: “This area is improving with a case rate of 125 per 100,000 and 118 per 100,000 for the over 60s, which while elevated is different from the surrounding areas. Positivity is 6.4 per cent.”

West Midlands

Birmingham and Black Country: Tier 3

Reason: “While case rates are improving – down 8.3 per cent – they remain very high (390/100,000). There is a similar trend for positivity. Pressure on the NHS remains high.”

Staffordshire and Stoke-on-Trent: Tier 3

Reason: “While the situation is improving with case rates down 13.4 per cent, case rates and test positivity are both very high across this area (391/100,000 and 11.1 per cent respectively).

“The pressure on the local NHS remains very high, including in units treating the more serious cases.”

Warwickshire, Coventry and Solihull: Tier 3

Reason: “The case rate remains very high (though falling) across this area at 236/100,000. The case rate in over-60s remains very high at 182/100,000.

“There is a clear upward trend in case rates in over-60s in three of the seven local authority areas. Positivity is 9.0 per cent. The pressure on the local NHS remains high.”

Shropshire and Telford & Wrekin: Tier 2

Reason: “The case rate remains high (though falling) at 200/100,000. The case rate in over-60s remains high at 139/100.000 and is falling. Positivity is 7.2 per cent.”

Herefordshire: Tier 2

Reason: “Herefordshire has a high case rate at 160.3/100,000. These rates are too high for allocation to Tier 1 but the slight downward trajectory – a fall of 1.9 per cent – does currently not warrant inclusion in Tier 3.”

Worcestershire: Tier 2

Reason: “While there has been a decline in case rates in all lower tier local authorities they do remain high (201/100,000),including in the over 60s (141/100,000).

“These case rates are too high for allocation to Tier 1 but the downward trajectory – with a fall of 18.3 per cent – does currently not warrant inclusion in Tier 3. Hospital admissions of patients with Covid-19 have started to stabilise.”

London

All London boroughs and City of London: Tier 2

Reason: “The trajectory of key indicators of Covid-19 in an area (including all age case rates, over-60s case rates, and positivity) have been increasing until very recently.

“The situation in London is not uniform throughout the city. Thirteen of the 33 boroughs have case rates which are 10 per cent, or more, higher than a week ago and ten boroughs where case rates for over-60s are above 150 per 100,000.

“Hospital admissions continue to increase in the East and North London in particular, although they are still well below the spring peak. Taken as a whole, the situation in London has stabilised at a similar case rate and positivity to other parts of the country in Tier 2.”

East of England

Bedfordshire and Milton Keynes: Tier 2

Reason: “The overall case rate is still increasing in two of the three lower tier local authorities. The overall case rate is high at 178/100,000 and it is 113/100,000 in the over-60s, although this rises to 185/100,000 in Luton.

“Positivity 6.9 per cent. There is pressure on the local NHS.”

Essex, Thurrock and Southend-on-Sea: Tier 2

Reason: “Overall the rate is 159/100,000 and rising. The rate in over 60s is 100/100,000 and falling. Positivity is 6.4 per cent.”

Norfolk: Tier 2

Reason: “The majority of Norfolk is improving. Case rates are 123/100,000 and positivity is five per cent. Case rates for over-60s remain over 100 per 100,000 in Great Yarmouth, Norwich and South Norfolk (with increasing trajectories in the last two areas).”

Cambridgeshire and Peterborough: Tier 2

Reason: “There is an improving picture with decreasing case rates across five of the six local authorities, although the case rate is still high at 123/100,000 overall. Case rates in over-60s are also decreasing (58/100,000). Positivity has dropped to 5.2 per cent.”

Hertfordshire: Tier 2

Reason: “There is an improving picture across the majority of Hertfordshire – the case rate has fallen to 147/100,000 overall with drops in rates in 9 of the 10 local authorities.

“Case rates in over-60s are falling also (102/100,000) but they are greater than 100/100,000 in six local authorities. Positivity is 6.3 per cent [and] falling.”

Suffolk: Tier 2

Reason: “There is an improving picture across the majority of Suffolk. The case rate has fallen to 82/100,000 with drops in rate in four of the five local authorities.

“There has been a 40 per cent increase in weekly case rate to 128/100,000 in Ipswich, when compared with the previous week. Across Suffolk, case rates in over-60s are also falling (72/100,000). Positivity is 3.7 per cent.”

South-East

Hampshire, Portsmouth and Southampton: Tier 2

Reason: “There is a mixed picture across this area although the overall case rate is now 152/100,000 and falling in almost all areas. NHS admissions were increasing rapidly until mid-November and are now stable.”

Isle of Wight: Tier 1

Reason: “The case rate is low and decreasing at 71 per 100,000 and lower in over-60s at 44 per 100,000. Covid-19 pressure on the NHS is low.”

East and West Sussex, and Brighton and Hove: Tier 2

Reason: “Case rates in Sussex are at 120 per 100,000 with a total positivity of 4.5 per cent. However, the trend is increasing in several areas. NHS admissions have been fairly stable in the last month but there is increasing occupancy in units treating more serious cases.”

Surrey: Tier 2

Reason: “Case rates are stable or improving in all areas with the overall rate at 139 per 100,000.

“The most concerning lower tier local authorities are those that neighbour London (Spelthorne and Runnymede) with case rates over 200 per 100,000, and high case rates in the over-60s are observed in neighbouring Surrey Heath and Woking.

“Surrey Heartlands Health & Care Partnership (STP) report admissions to hospital from Covid-19 patients were fairly stable in the last month.”

Reading, Wokingham, Bracknell Forest, Windsor and Maidenhead, West Berkshire: Tier 2

Reason: “An improving picture across the area with the exception of Slough and Reading. Slough has high case rates (326 per 100,000 overall and 219 per 100,000 for the over 60s) and relatively high positivity of 12 per cent.

“The case rate and positivity away from Slough do not justify inclusion in Tier 3.”

Slough: Tier 3

Reason: “The weekly case rate in Slough is much higher than surrounding areas at over 320 per 100,000 people compared with 155 per 100,000 in the rest of Berkshire and 138 in Buckinghamshire. Test positivity is also much higher at 12 per cent.”

Buckinghamshire: Tier 2

Reason: “A broadly stable or improving picture across Buckinghamshire with a case rate at 138 per 100,000 and positivity at 6.4 per cent. These case rates remain too high for allocation to Tier 1.”

Oxfordshire: Tier 3

Reason: “Positive improvements across key indicators across all areas in Oxfordshire, but case rates still too high for Tier 1. Buckinghamshire, Oxfordshire And Berkshire West STP hospital admissions have been fairly stable in recent months.”

Kent & Medway: Tier 3

Reason: “Case rates are high and continuing to rise with large increases in case rates in almost all areas in the last seven days. Some of the highest case rates in the country are currently seen in Kent.

“Rising case rates in people aged over 60 are a particular concern. Positivity is also increasing in 10 of the 13 lower tier local authorities. Kent And Medway STP are reporting hospital admissions increasing.”

South-West

Bristol,  South Gloucestershire, North Somerset: Tier 3

Reason: “The overall picture remains concerning with very high case rates overall (325/100,000) and in the over-60s (208/100,000). Positivity is 10.4 per cent.

“Bristol, South Gloucestershire, and North Somerset are part of a wider travel-to-work area and thus form a natural geographic grouping, separate to the surrounding area.”

Somerset and Bath and North East Somerset: Tier 2

Reason: “There are very small increases in the case rates in this area, however overall case rates and those in over-60s remain high (154/100,000 and 102/100,000 respectively). Positivity is stable at 5.5 per cent.”

Dorset, Bournemouth, Christchurch and Poole: Tier 2

Reason: “Case rates are falling across the area (131/100,000 in all cases and 99/100,000 in the over 60s).

“However the over-60 case rate is still high at 151/100,000 in Bournemouth, Christchurch and Poole. Positivity is 5.2 per cent. In addition, the Dorset STP reports daily admissions to hospitals are increasing.”

Gloucestershire: Tier 2

Reason: “Case rates are falling across the area (131/100,000 in all cases and 99/100,000 in the over 60s). However the over-60 case rate is still high at 151/100,000 in Bournemouth, Christchurch and Poole.

“Positivity is 5.2 per cent. In addition, the Dorset STP reports daily admissions to hospitals are increasing.”

Wiltshire and Swindon: Tier 2

Reason: “Case rates continue to fall in Swindon but are increasing in Wiltshire. Overall case rates are 143/100,000 and 93/100,000 in the over-60s. Positivity is 6.2 per cent. Swindon and Wiltshire STP are reporting increasing admissions to hospital.”

Devon: Tier 2

Reason: “Case rates are 121/100,000 overall, though there are higher rates in Plymouth, Torbay and Exeter. The case rate in the over-60s is 85/100,000 though significantly higher in Exeter (155.9/100,000). Positivity is 4.2 per cent. There is pressure at the Royal Devon and Exeter Hospital.”

Cornwall and Isles of Scilly: Tier 1

Reason: “There are low case rates and test positivity in Cornwall and the case rates in all age groups are stable or declining. There have been no cases in the Isles of Scilly in the last seven days meaning there is strong evidence to make an allocation to Tier 1.”

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