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The care home death numbers are a massive scandal but I think the media focus purely on case numbers & deaths misses the point that hospitalisations are a much bigger problem. From a "keeping the system afloat" perspective care home residents dying without going to hospital places very little strain on the NHS. Large numbers of younger people getting sick and spending a few days in hospital or a few weeks in ITU is a nightmare.
Like you say, there were a lot (~20,000 iirc?) of care home deaths in the March/April wave. If even 5,000 of those had instead been hospitalisations of younger patients the NHS would probably have keeled over, certainly in London/Birmingham. Hospital admissions starting to rise again should be a massive signal that some kind of intervention is needed...not sure what form that should take (hopefully Chris Whitty has some ideas).
Hospitalization is still relatively low, but the increase is now mostly among younger people. [well derr with schools/unis back]
It was really in carehome settings that the virus killed many people earlier in the year. I don't know if that means we don't need to be as worried/lockdown as hard.