THE MEDICAL ADVICE AND ACTION ON THE BORDERS
| Authority | Cabinet Office |
|---|---|
| Date received | 2020-07-14 |
| Outcome | All information sent |
| Outcome date | 2020-09-14 |
| Case ID | 1366405 |
Summary
The request sought documents and dates regarding medical advice that led to the Isle of Man's border closure in March 2020. The Cabinet Office disclosed Council meeting minutes from March 16, 2020, detailing the clinical advice received and the subsequent decision to implement inbound self-isolation rules.
Key Facts
- On 16 March 2020, the Interim Chief Executive of DHSC advised that it was clinically the right time to consider policy responses.
- The Minister for Health and Social Care initially favored closing borders to all except residents and essential freight, but the Council did not support this at that time.
- The Council approved an inbound travel rule requiring 7 days self-isolation for symptomatic individuals and 14 days for asymptomatic individuals.
- The approved measures were implemented immediately on 16 March 2020.
- The Council later revised the self-isolation period to 14 days for all in line with UK guidance.
Data Disclosed
- 16.03.2020
- 22 March 2020
- 1 May 2020
- 7 days
- 14 days
- Minute 205/2020
- Minute 206/2020
- Minute 216/2020
Original Request
Statement 1: The Chief Minister, Howard Quayle MHK, said in a Press Briefing on 22 March 2020: 'I ' and my colleagues in the Council of Ministers ' have listened to the latest clinical advice and believe that now is the right time to move to the next stage of our plan to contain the spread of COVID-19 coronavirus in the Isle of Man. This includes closing our borders to anyone who is not normally resident here….' https://www.gov.im/news/2020/mar/22/isle-of-man-to-close-borders-to-non-residents/ Statement 2: The Chief Minister said on 1 May 2020, at the Public Accounts Committee ('PAC') 'We listened to the advice of our medical professionals and Members who advocated closing our border. They told us that this would give our Health and Social Care System the best chance to fight this war.' http://www.tynwald.org.im/business/hansard/20002020/paces200501.pdf , see Line 69 Information Requests In relation to Statement 1 1. Please provide the document (or documents as the case may be), any memoranda and any and all communications that contain or convey the advice that the Chief Minister referred to as 'the latest clinical advice…' in the announcement by the Chief Minister on 22 March 2020. 2. On what date was the Chief Minister provided with that advice? 3. On what date was the Health Minister provided with that advice? 4. What other medical or clinical advice did the Chief Minister receive in relation to the borders and when was that? 5. What other medical or clinical advice did the Health Minister receive in relation to the borders and when was that? 6. Please provide that medical or clinical advice. In relation to Statement 2 7. Please provide the document (or documents as the case may be), any memoranda and any and all communications that contain or convey the advice that the Chief Minister referred to as '…the advice of our medical professionals and Members who advocated closing our border' at the PAC on 1 May 2020. 8. On what date was the Chief Minister provided with that advice? 9. On what date was the Health Minister provided with that advice? 10. What other medical or clinical advice did the Chief Minister receive in relation to the borders and when was that? 11. What other medical or clinical advice did the Health Minister receive in relation to the borders and when was that? 12. Please provide that medical or clinical advice. Generally: 13. On what date did the 'medical professionals' first give the advice to take action on the borders? 14. Please provide that medical / clinical advice. 15. How many days was it between the Chief Minister receiving the medical / clinical advice to take action over the borders and that action being taken. 16. How many days was it between the Health Minister receiving the medical / clinical advice to take action over the borders and that action being taken.
Data Tables (11)
| Meeting Date: | Meeting of: | Minute ref: | Format: | Minute | Exemption Applied: |
|---|---|---|---|---|---|
| 16.03.2020 | Council | 205/2020 | Slides | DHSC Update – current global coronavirus overview, PHE position, DHSC planning, capacity and risk management [Interim Chief Executive DHSC] advised a status update comprising: It was clinically considered that the time was right to invite Council to consider appropriate policy responses. | |
| 16.03.2020 | Council | 206/2020 | N/A | (i) Border controls – quarantine and country based The following was noted: • Numbers of residents returning from European resorts where there were high numbers of cases, returning en-masse to the Island this week. • The benefits of a period of inbound self-isolation, 7 days for those who are symptomatic (cough, fever) and 14 days for those with no symptoms. • The need for an exemption for essential healthcare workers, returning to the Island. To be overseen by clinical line managers following public health protocols. • Malta had imposed quarantine measures with immediate effect, by way of example. • The likelihood of Covid-19 entering the Island via the UK as a point of infection, given the UK’s situation. • Minister for Health and Social Care favoured closing borders to all except Island residents and essential freight. However, Council did not support this concept at the current time. After consideration, Council approved: 1. An in-bound travel rule for individuals coming into the Isle of Man, consisting of 7 days for those showing symptoms, and 14 days for those asymptomatic. 2. The bringing in of this measure immediately [16 March 2020] with communications for such. |
| 3. Exceptions for essential healthcare workers – with returning workers from risk areas to be considered by clinical line management. Council noted the fluid nature of the situation and that the situation would be kept under review. Post Meeting Note: With respect to the above, at Minute 206/2020, Council subsequently revised the period of self-isolation in line with UK guidance to 14 days. | |||||
|---|---|---|---|---|---|
| 16.03.2020 | Council | 216/2020 | N/A | IOM Government Strategic Approach – Update • The Chief Minister advised that it was a priority for Government to take necessary measures to protect Manx residents and, as such, clear lines and application of measures were required • The Minister for Education, Sport and Culture advised of the importance of taking decisions on healthcare grounds, routed in Public Health guidance. • The Minister for Health and Social Care concurred and supported the appropriate application of agreed measures. | |
| 20/03/2020 | NSG | 029/2020 | Slides | b) Policy Responses 8. Borders • Recommendation: Align to UK – Advise against non-essential travel. • Action: NSG agreed to maintain advice against non-essential travel. | |
| 22/03/2020 | NSG | 038/2020 | N/A | c) Borders and Imminent Actions NSG considered matters concerning the border and imminent actions on such. Discussion included: • MIN DHSC supported a border closure for at least 12 weeks – to allow authorities to control the situation in a managed fashion • KM noted the clinical advice was to apply stronger border measures at the soonest opportunity. • NSG supported the principle of tighter border controls and closing borders to all non-Manx residents. | |
| 22/03/2020 | NSG | 039/2020 | N/A | a) Borders (Revisited) |
| • Officers advised measures in line with the model previously outlined to NSG. Agreed: NSG agreed to stricter border regime (Manx Residents only) − with the exception of key workers granted authorisation from the Chief Secretary. | |||||
|---|---|---|---|---|---|
| 22/03/2020 | NSG | 040/2020 | N/A | Policy Decisions Overview Draft Framework for Policy Decisions at 22.03.2020 a) Key Policy Decisions for 22.03.2020: • The timing of the application of closure of ports to non Manx residents was agreed as at midnight of 22.03.2020. • Ministers noted the collation and distribution of data to enable effective operation of the revised border protocol. • KM and HE advised a clinical recommendation for increased measures to prevent spread of Covid-19. | |
| 22.03.2020 | Council | 244/2020 | Slides | DHSC Update [Interim Chief Executive DHSC] advised the following update: • If no further action was taken, by model scenario day 22 the local ICU would be at maximum capacity before too long. • Central focus was now was: “contain, supress and delay”. | |
| 22.03.2020 | Council | 245/2020 | Slides | Policy Decisions Overview Officers provided a summary of the measures considered and recommended by NSG at its morning meeting of 22.03.2020, comprising: 1. Shut borders from 9am (23.03.2020) to all non-Island residents except for 'essential workers', with checks to take place at the sea and airports. After consideration, Council agreed with the National Strategy Group’s measures. | |
| 24/03/2020 | NSG | 051/2020 | b) Proposal for an Island “Shut Down”: • The Treasury Minister favoured shutting down the Island from Friday 27 March 2020 for timescale, to maximum capacity. To allow residents and businesses to |
| • KM reiterated the need to find balance, and recognised the matter was ultimately a political decision, noting back to the DHSC modelling showing the predicated impact at day six (as at 25.03.2020) and thereafter. KM noted large numbers of test results were awaited, and the window for action remained relatively tight. • HE noted the Island’s elderly population demographic and the risks that Covid- 19 represented to such residents. • MIN DHSC noted that Singapore, Malta and Gibraltar had enacted initial firm border closures by way of comparison. • NSG noted the curve and projected scenarios, and the need to protect DHSC capacity for as long as possible, and considered the resourcing available on- Island to cope. • After consideration, on balance, MIN TRE and MIN DESC expressed a preference for Option 2 (as opposed to Option 1). • NSG noted the Isle of Man Government’s first priority was saving lives, and that this remained the case in the days and weeks ahead. | |||||
|---|---|---|---|---|---|
| 25.03.2020 | Council | 259/2020 | Paper 2020/109 & above slides | a) Borders Council noted that at a meeting earlier that day [25 March 2020] the NSG had made a recommendation [Option 1 in the paper] that the Isle of Man close its borders, with effect from 0630 on 27 March 2020, to all but certain exemptions which were vital to maintain the Island’s critical Infrastructure and Health Services. Council noted that the lockdown would be for an initial period of 21 days, following which a review would be undertaken. • iii. a medical review of the current situation had concluded that an immediate lockdown of the Island was necessary in order to achieve the overarching objectives in respect of the response to COVID-19; and • iv. that the decision to implement a lockdown was time critical in order to manage a response to and lessen the impact of the virus; • Council discussed the impact of the lockdown, noting that it was likely to result in a significant increase in passenger traffic through ports, and considered whether the situation could be managed, without a lockdown, through a 14 day period of enforced quarantine. |
| • Council acknowledged the severity and gravity of locking down the Is/an� particularly to its own residents and considered the implications of such and the significant health risks associated with not doing so. • Council considered whether the current public health emergency mandated this action and whether such was proportionate to the threat. • Council sought advice in respect of the affect the lockdown would have on the infection rate on-Island. The CO/ DHSC advised that a revised model for Island cases was being prepared • Council acknowledged the need to act expeditiously in respect of this matter and after further consideration and discussion agreed: 1. That barring exceptions/ the Isle of Mans borders be closed from 0630 on 27 ✓ March 202° including residents/ ✓ 2. That the measures be maintained for a period of 21 days at which point it they will be reviewed | |||||
|---|---|---|---|---|---|
| 02.04.2020 | Council | 302/2020 | Tynwald 302/2 020 Review of Extraordinary Tynwald Sitting -31 March 2020 Order Paper - Hansard | s40- Legal professional privilege |
| Meeting Date: | Meeting of: | Paper ref: | Format: | Extract: | Exemption Applied: |
|---|---|---|---|---|---|
| 16.03.20 | Council | N/A | Slides | Coronavirus – COVID 19 - Planning, Capacity and Risk Management Current Status • It is our strongest recommendation for the need for a significant number of other policy decisions in order to manage the risk to residents, predominately attempting to reduce the challenge on health and social care services, and ultimately improve likely mortality rates. Avoiding the surge in Health and Social Care Without isolation and significant civil measures the spread of infection will become exponential in growth. How do we flatten the curve? • mandated isolation for all inbound visitors/border controls Critical Decisions Travel policy Issues i. Border controls – quarantine and country based ii. Travel message to the public iii. Recommendations for only essential inbound travel iv. Quarantine options for inbound visitors v. Economic and workforce implications of a decision vi. Transitional steps | |
| 25.03.20 | Council | 2020/109 | Paper | Title - Further restrictions on the movement of persons to and on the Isle of Man Purpose of the Paper: |
| Council is invited to agree that it is content to recommend a range of measures designed to restrict movement to and on the Isle of Man for the purpose of controlling the spread of coronavirus, preserving healthcare resources, preserving public safety and confidence and supporting a controlled and speedy return to normality. At its meeting on Tuesday 24th March, the National Strategy Group (‘NSG’) requested proposals to further strengthen the Isle of Man’s borders measures. Borders 9.1 Option 1: border closure Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services. This would help to protect the health system by preventing further increase to the Island’s population during the COVID-19 response. It also reduces the number of people entering the Island that may be carrying COVID-19. 11. Recommendations Council is asked to consider the above paper and to agree the following recommendations 6. That the Isle of Man’s borders are closed at 0630hrs on the morning of Friday 27th March 2020 to all inbound passengers including residents And that the agreed measures are implemented from 0630hrs on Friday 27th March 2020. | |||||
|---|---|---|---|---|---|
| 25.03.20 | NSG | N/A | Slides | Isle of Man Government response coronavirus Option 1 – lockdown – NSG recommendation • Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services • Includes residents – cut off date and then no further entry • Exemptions for patient transfers on emergency basis • Review in 21 days • Those Leaving Island have no right of return Proposal to be in place from 0630 on Friday 27 March 2020 |
| recommendations Agree a preferred option for increased restriction at the Isle of Man borders And that the agreed measures are implemented from 0630 on Friday 27 March. | |||||
|---|---|---|---|---|---|
| 25.03.20 | Council | N/A | Slides | Isle of Man Government response coronavirus Option 1 – lockdown – NSG recommendation • Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services • Includes residents – cut off date and then no further entry • Exemptions for patient transfers on emergency basis • Review in 21 days • Those Leaving Island have no right of return Proposal to be in place from 0630 on Friday 27 March 2020 recommendations Agree a preferred option for increased restriction at the Isle of Man borders And that the agreed measures are implemented from 0630 on Friday 27 March. | |
| 22.03.20 | NSG | N/A | Slides | DEPARTMENT of HEALTH and SOCIAL CARE COVID-19 Avoid the surge Avoid crisis Without isolation and significant civil measures the spread of infection will become exponential in growth. How do we flatten the curve Border controls |
| What is the strategy Contain / suppress / delay Contain the virus through self isolation and social distancing Contact tracing and further isolation Suppress – make every endeavour to suppress the spread through national measures Delay the rise of the curve What else must we do now immediately……(new or remaining actions o/s) Tighter controls around who is visiting, even if self – isolating – where they are going, their ID, where they are staying, sending people back if we are not assured etc. | |||||
|---|---|---|---|---|---|
| 22.03.20 | NSG | N/A | Slides | Policy response Coronavirus WHO Advice |
| The remaining parts of your request considered by the Cabinet Office are |
|---|
| “In relation to Statement 1: |
| 1. Please provide the document (or documents as the case may be), any memoranda |
| and any and all communications that contain or convey the advice that the Chief |
| Minister referred to as 'the latest clinical advice…' in the announcement by the Chief |
| Minister on 22 March 2020. |
| 2. On what date was the Chief Minister provided with that advice? |
| 4. What other medical or clinical advice did the Chief Minister receive in relation to the |
| borders and when was that? |
| In relation to Statement 2: |
| 7. Please provide the document (or documents as the case may be), any memoranda |
| and any and all communications that contain or convey the advice that the Chief |
| Minister referred to as '…the advice of our medical professionals and Members who |
| advocated closing our border' at the PAC on 1 May 2020. |
| 8. On what date was the Chief Minister provided with that advice? |
| 10. What other medical or clinical advice did the Chief Minister receive in relation to |
| the borders and when was that? |
| Generally: |
| 15. How many days was it between the Chief Minister receiving the medical / clinical |
| advice to take action over the borders and that action being taken.” |
Full Response Text
1
Meeting Date: Meeting of: Minute ref: Format: Minute Exemption Applied: 16.03.2020 Council 205/2020
Slides DHSC Update – current global coronavirus overview, PHE position, DHSC planning, capacity and risk management
[Interim Chief Executive DHSC] advised a status update comprising:
It was clinically considered that the time was right to invite Council to consider appropriate policy responses.
16.03.2020 Council 206/2020
N/A (i) Border controls – quarantine and country based
The following was noted:
• Numbers of residents returning from European resorts where there were high numbers of cases, returning en-masse to the Island this week. • The benefits of a period of inbound self-isolation, 7 days for those who are symptomatic (cough, fever) and 14 days for those with no symptoms. • The need for an exemption for essential healthcare workers, returning to the Island. To be overseen by clinical line managers following public health protocols. • Malta had imposed quarantine measures with immediate effect, by way of example. • The likelihood of Covid-19 entering the Island via the UK as a point of infection, given the UK’s situation. • Minister for Health and Social Care favoured closing borders to all except Island residents and essential freight. However, Council did not support this concept at the current time.
After consideration, Council approved:
- An in-bound travel rule for individuals coming into the Isle of Man, consisting of 7 days for those showing symptoms, and 14 days for those asymptomatic.
- The bringing in of this measure immediately [16 March 2020] with communications for such.
2
- Exceptions for essential healthcare workers – with returning workers from risk areas to be considered by clinical line management.
Council noted the fluid nature of the situation and that the situation would be kept under review.
Post Meeting Note: With respect to the above, at Minute 206/2020, Council
subsequently revised the period of self-isolation in line with UK guidance to 14 days.
16.03.2020
Council
216/2020
N/A IOM Government Strategic Approach – Update
•
The Chief Minister advised that it was a priority for Government to take
necessary measures to protect Manx residents and, as such, clear lines and
application of measures were required
•
The Minister for Education, Sport and Culture advised of the importance of
taking decisions on healthcare grounds, routed in Public Health guidance.
•
The Minister for Health and Social Care concurred and supported the
appropriate application of agreed measures.
20/03/2020 NSG
029/2020
Slides
b) Policy Responses
8. Borders
• Recommendation: Align to UK – Advise against non-essential travel.
• Action: NSG agreed to maintain advice against non-essential travel.
22/03/2020 NSG 038/2020 N/A c) Borders and Imminent Actions
NSG considered matters concerning the border and imminent actions on such. Discussion included:
• MIN DHSC supported a border closure for at least 12 weeks – to allow authorities to control the situation in a managed fashion • KM noted the clinical advice was to apply stronger border measures at the soonest opportunity. • NSG supported the principle of tighter border controls and closing borders to all non-Manx residents.
22/03/2020 NSG 039/2020 N/A a) Borders (Revisited)
3
• Officers advised measures in line with the model previously outlined to NSG.
Agreed: NSG agreed to stricter border regime (Manx Residents only) − with the
exception of key workers granted authorisation from the Chief Secretary.
22/03/2020 NSG
040/2020
N/A
Policy Decisions Overview
Draft Framework for Policy Decisions at 22.03.2020
a) Key Policy Decisions for 22.03.2020:
• The timing of the application of closure of ports to non Manx residents was agreed as at midnight of 22.03.2020. • Ministers noted the collation and distribution of data to enable effective operation of the revised border protocol. • KM and HE advised a clinical recommendation for increased measures to prevent spread of Covid-19.
22.03.2020 Council 244/2020
Slides DHSC Update
[Interim Chief Executive DHSC] advised the following update:
• If no further action was taken, by model scenario day 22 the local ICU would be at maximum capacity before too long. • Central focus was now was: “contain, supress and delay”.
22.03.2020
Council 245/2020
Slides Policy Decisions Overview
Officers provided a summary of the measures considered and recommended by NSG at its morning meeting of 22.03.2020, comprising:
- Shut borders from 9am (23.03.2020) to all non-Island residents except for 'essential workers', with checks to take place at the sea and airports.
After consideration, Council agreed with the National Strategy Group’s measures.
24/03/2020 NSG 051/2020
b) Proposal for an Island “Shut Down”:
• The Treasury Minister favoured shutting down the Island from Friday 27 March 2020 for timescale, to maximum capacity. To allow residents and businesses to
5
• KM reiterated the need to find balance, and recognised the matter was ultimately a political decision, noting back to the DHSC modelling showing the predicated impact at day six (as at 25.03.2020) and thereafter. KM noted large numbers of test results were awaited, and the window for action remained relatively tight. • HE noted the Island’s elderly population demographic and the risks that Covid- 19 represented to such residents. • MIN DHSC noted that Singapore, Malta and Gibraltar had enacted initial firm border closures by way of comparison. • NSG noted the curve and projected scenarios, and the need to protect DHSC capacity for as long as possible, and considered the resourcing available on- Island to cope. • After consideration, on balance, MIN TRE and MIN DESC expressed a preference for Option 2 (as opposed to Option 1). • NSG noted the Isle of Man Government’s first priority was saving lives, and that this remained the case in the days and weeks ahead. 25.03.2020 Council 259/2020
Paper 2020/109 & above slides a) Borders
Council noted that at a meeting earlier that day [25 March 2020] the NSG had made a recommendation [Option 1 in the paper] that the Isle of Man close its borders, with effect from 0630 on 27 March 2020, to all but certain exemptions which were vital to maintain the Island’s critical Infrastructure and Health Services.
Council noted that the lockdown would be for an initial period of 21 days, following which a review would be undertaken.
• iii. a medical review of the current situation had concluded that an immediate lockdown of the Island was necessary in order to achieve the overarching objectives in respect of the response to COVID-19; and • iv. that the decision to implement a lockdown was time critical in order to manage a response to and lessen the impact of the virus; • Council discussed the impact of the lockdown, noting that it was likely to result in a significant increase in passenger traffic through ports, and considered whether the situation could be managed, without a lockdown, through a 14 day period of enforced quarantine.
02.04.2020 Council 302/2020 Tynwald Order Paper - Hansard • Council acknowledged the severity and gravity of locking down the Is/ans particularly to its own residents and considered the implications of such and the significant health risks associated with not doing so. • Council considered whether the current public health emergency mandated this action and whether such was proportionate to the threat. • Council sought advice in respect of the affect the lockdown would have on the infection rate on-Island. The CO/ DHSC advised that a revised model for Island cases was being prepared • Council acknowledged the need to act expeditiously in respect of this matter and after further consideration and discussion agreed: 1. That✓ barring exceptions/ the Isle of Mans borders be closed from 0630 on 27 March 202°✓ including residents/ 2. That the measures be maintained for a period of 21 days at which point it they will be reviewed 302/ 2020 Review of Extraordinary Tynwald Sitting - 31 March 2020 6 s40- Legal professional privilege
1
Meeting Date: Meeting of: Paper ref: Format: Extract: Exemption Applied: 16.03.20 Council N/A Slides Coronavirus – COVID 19 - Planning, Capacity and Risk Management
Current Status
• It is our strongest recommendation for the need for a significant number of other policy decisions in order to manage the risk to residents, predominately attempting to reduce the challenge on health and social care services, and ultimately improve likely mortality rates.
Avoiding the surge in Health and Social Care
Without isolation and significant civil measures the spread of infection will become exponential in growth.
How do we flatten the curve?
• mandated isolation for all inbound visitors/border controls
Critical Decisions
Travel policy Issues
i. Border controls – quarantine and country based ii. Travel message to the public iii. Recommendations for only essential inbound travel iv. Quarantine options for inbound visitors v. Economic and workforce implications of a decision vi. Transitional steps
25.03.20 Council 2020/109 Paper Title - Further restrictions on the movement of persons to and on the Isle of Man
Purpose of the Paper:
2
Council is invited to agree that it is content to recommend a range of measures designed to restrict movement to and on the Isle of Man for the purpose of controlling the spread of coronavirus, preserving healthcare resources, preserving public safety and confidence and supporting a controlled and speedy return to normality.
At its meeting on Tuesday 24th March, the National Strategy Group (‘NSG’) requested proposals to further strengthen the Isle of Man’s borders measures.
Borders
9.1 Option 1: border closure
Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services.
This would help to protect the health system by preventing further increase to the Island’s population during the COVID-19 response. It also reduces the number of people entering the Island that may be carrying COVID-19.
- Recommendations
Council is asked to consider the above paper and to agree the following recommendations
- That the Isle of Man’s borders are closed at 0630hrs on the morning of Friday 27th March 2020 to all inbound passengers including residents
And that the agreed measures are implemented from 0630hrs on Friday 27th March 2020. 25.03.20 NSG N/A Slides Isle of Man Government response coronavirus
Option 1 – lockdown – NSG recommendation
• Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services • Includes residents – cut off date and then no further entry • Exemptions for patient transfers on emergency basis • Review in 21 days • Those Leaving Island have no right of return
Proposal to be in place from 0630 on Friday 27 March 2020
3
recommendations
Agree a preferred option for increased restriction at the Isle of Man borders
And that the agreed measures are implemented from 0630 on Friday 27 March. 25.03.20 Council N/A Slides Isle of Man Government response coronavirus
Option 1 – lockdown – NSG recommendation
• Closure of border to all but certain exemptions vital to maintain the Island’s critical national infrastructure, including health services • Includes residents – cut off date and then no further entry • Exemptions for patient transfers on emergency basis • Review in 21 days • Those Leaving Island have no right of return
Proposal to be in place from 0630 on Friday 27 March 2020
recommendations
Agree a preferred option for increased restriction at the Isle of Man borders
And that the agreed measures are implemented from 0630 on Friday 27 March.
22.03.20 NSG N/A Slides DEPARTMENT of HEALTH and SOCIAL CARE COVID-19
Avoid the surge
Avoid crisis
Without isolation and significant civil measures the spread of infection will become exponential in growth.
How do we flatten the curve
Border controls
4
What is the strategy
Contain / suppress / delay
Contain the virus through self isolation and social distancing Contact tracing and further isolation
Suppress – make every endeavour to suppress the spread through national measures
Delay the rise of the curve
What else must we do now immediately……(new or remaining actions o/s)
Tighter controls around who is visiting, even if self – isolating – where they are going, their ID, where they are staying, sending people back if we are not assured etc. 22.03.20 NSG N/A Slides Policy response Coronavirus
WHO Advice
5
Recommendation – Align UK Public Health Guidance
Borders: Recommendation – Align UK Public Health Guidance
6
Government Office Douglas Isle of Man IM1 3PN Telephone: (+44) 01624 686244 Website: www.gov.im/co
Our ref: 1366405 14 September 2020
Dear ###
We write further to your request which was received on 14 July 2020 which states:
"Statement 1: The Chief Minister, Howard Quayle MHK, said in a Press Briefing on 22 March 2020: 'I ' and my colleagues in the Council of Ministers ' have listened to the latest clinical advice and believe that now is the right time to move to the next stage of our plan to contain the spread of COVID-19 coronavirus in the Isle of Man. This includes closing our borders to anyone who is not normally resident here….' https://www.gov.im/news/2020/mar/22/isle-of-man-to-close-borders-to-non-residents/ Statement 2: The Chief Minister said on 1 May 2020, at the Public Accounts Committee ('PAC') 'We listened to the advice of our medical professionals and Members who advocated closing our border. They told us that this would give our Health and Social Care System the best chance to fight this war.' http://www.tynwald.org.im/business/hansard/20002020/paces200501.pdf , see Line 69 Information Requests In relation to Statement 1 1. Please provide the document (or documents as the case may be), any memoranda and any and all communications that contain or convey the advice that the Chief Minister referred to as 'the latest clinical advice…' in the announcement by the Chief Minister on 22 March 2020. 2. On what date was the Chief Minister provided with that advice? 3. On what date was the Health Minister provided with that advice? 4. What other medical or clinical advice did the Chief Minister receive in relation to t
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