Simon Stevens

Easter and Passover coincided this year, so we’ve been in America visiting my in-laws. Four years ago, in the spirit of the holiday of liberation and exodus, we had all travelled to the Ukrainian village outside Lviv from which my father-in-law’s family emigrated. In just a few short generations during the 20th century, people there found themselves labouring under the Austro-Hungarian, Polish, Nazi and Soviet yokes. The disastrous human consequences are laid bare in Bernard Wasserstein’s poignant new history, A Small Town in Ukraine. Now Russian missiles intermittently rain down, partly enabled by sanctions busting and dirty money.

Across Europe, hospitals have been filling up again with the second wave of coronavirus. France, Belgium, Germany, Switzerland and the Netherlands have all been hit, as has the Midwest of the United States. In England we’ve gone from fewer than 500 Covid-positive patients in hospital at the start of September to nearly 15,000 now. Each morning, we anxiously scrutinise the overnight figures. Thankfully, in the past week Covid inpatient numbers have begun to plateau — although they’ve still been rising in parts of the Midlands, London and Kent. So it’s an uneven picture. But unlike in March, community testing gives hospitals advance warning, so we’re able to adjust the provision of local health services almost in real time.