Now on bbc news, britain has one of the highest death tolls from covid 19 in the world. Clive myrie� s film follows staff at the Royal London Hospital as they try to cope with a second wave. A warning this programme contains content which some viewers may find distressing. Shes young. Shes someone� s relative. This is something precious that were holding and were trying to do. My wife lost her fight for life. Nobody wants to go through this. I wouldnt wish this on anybody. The coronavirus pandemic has hit the United Kingdom hard. I think the public want to do the right thing, but i dont feel they understand fully the scale of the problem. This is the story of one of the hospitals in the eye of the storm. So were now going to run into a problem because we havent got any beds. Weve got patients on 12 floors in total. Weve returned to the royal london, to witness for ten days the full force of the second wave of covid 19. Staff are tired, and then we have to ask them to do more and more and more as the patients arrive. Now, i know he is quite sick. He could die from this, by the way im sorry to say that. Im trapped in a cave and the water is slowly rising. Im barely keeping my head above water. People just dying and dying and dying, you know . So although its ourjob and we deal with dead people every day, this level, i think, has taken its toll. Sorry. Sobs. As london sleeps, the night shift begins at the Royal London Hospital, a key part of the uks National Health system. Nursing sister Carlene Kelly makes her way to a job thats crushing her, in the middle of the covid nightmare. Sleep isnt what it used to be. Theres anxiety when you wake up and you remember what you have to go into. Were fragile and angry. Phone rings. In the emergency department, Consultant Nick Bunker is up to his neck in problems. So, hes got covid and hes had a stroke . A new Covid Patient has been admitted for every hour hes been on shift by sam, eight. So, were now going to run into a problem because we havent got any beds. No beds . So i had five beds to start the night. Got two patients next door who need to come in. And heres another. Where will he go . Just bring the back of the bed, see if that helps. And is he on 100 now . Yeah. In pressurised rooms, the patients receive oxygen through masks, their condition monitored. But who may need more sustained help from a ventilator . Stats below 96. One mans breathing badly falters. Just do it, just do it, just do it. He must be intubated, fast. And we watch as medics put him to sleep and push a long plastic tube down his throat, hooking him up to his new breathing machine. When hell wake up, no one knows. Soon, helljoin so many others here oblivious to night and day, cared for by strangers like carlene, who we spoke to in the first wave of the virus back in may. Ive felt broken on many occasion, and i think a lot of my colleagues have. Now, the intensity of the second wave is even more frightening. How i feel about this time, im trapped in a cave and the water is slowly rising. Im barely keeping my head above water. Its scarier, its bigger. I was so naive the first time. I wasnt convinced we were going to have a second wave at all, and the huge numbers that have just absolutely slammed us, its just. We i never thought it would be possible to have this many Intensive Care patients, not at all. Nick bunker checks on carlene and all the staff as he helps monitor around 130 icu Covid Patients spread all over the hospital. There were little more than a0 Intensive Care beds before the pandemic. Back in the emergency department, a brief time to pause, but theres still five hours of nick bunker� s shift to go. Its not over. Weve got another. 0ur Normal Work continues, despite a lot of covid, so weve had two stabbings in its just gone three oclock in the morning so that normal work still happens. Weve got two more covids have arrived in ed overnight, which we currently dont have space for, so that means another trip back up into the covid ward to go and assess where i can put them. And well have to see, yeah. Theres a few more hours yet till the morning. Yes, let me know if i need to. But wheres he going to get more beds . A few minutes later, we find a porter with a priceless possession. We soon find out how he sadly came upon it. The man helping him is martin freeborn. He saw our cameras and said he wanted to publicly thank the nhs they did all they could. What happened . My wife lost her fight for life. It was a mixture of covid and an infection that finally finished her off. And this is literally in the last few minutes . Yeah, yeah, yeah. Yeah, in the last half hour, ive lost her. Her name was helen and she was 64. Whats your message to people watching this who perhaps feel that there is no covid, there is no battle that everyone is fighting . It makes me really angry. Nobody wants to go through this. I wouldnt wish this on anybody. This really is horrible. Its real and people really do need to look after themselves and take care because you dont want this to happen. I wouldnt wish this on anybody. Yeah, please wake up and please be over careful. You cant do enough to keep yourself safe. Dont end up like us, please. Thats the three grandchildren and my three daughters and my wife in the background, looking on. She loved being a grandmother. Heres letters from our daughter and but unfortunately, she went on the ventilator before she could see it. Dearest mum, helen, grandma, we love you so much. We miss you more than we can say. You are so strong and have been through so much. You are our hero, our inspiration, our light in this darkness. Until we see you again, and we will. You stay strong as always. All our love and forever. That would be laura, lindsay and megan. Its a sad story, innit . The night shift is drawing to a close. In this time of coronavirus, what will tomorrow bring for the staff of the royal london . Well, the birth of the new day brings a familiar demon more Covid Infections and more death. And its others who must stare into the abyss to spare our eyes. Like hannah, a senior mortician at the Royal London Hospital, part of a small team ofjust five thats handled hundreds of bodies in this pandemic. How do you ever prepare for people just dying and dying and dying, you know . So, although its ourjob and we deal with dead people every day, this level, i think, has taken its toll. Does it feel like a Conveyor Belt . It does. It does, in a way, yeah. And i hate to say that, because i hate to think of it like that, but yeah, yeah, it is, almost, yeah. Thats what the pandemic� s done, i mean. Yeah. It� s no one� s fault. No. Sorry. Sobs. Ive done this for years, you know, imjust. When someone says to you, how does it make you feel . , and youre saying how it makes you feel, yeah, this is how it makes me feel. The inner turbulence revealed. And yet, outer strength is what we crave a brave face in those fighting the virus on our behalf. As every day, the hospitals fill up, including the royal london. How many floors are taken up by Covid Patients here . Weve got patients on the third floor, fourth floor. This ward goes all the way around to the other side. Its 29 patients. Sixth floor, seventh floor, eighth floor. Another Covid Patient in here. Ninth floor. Another one in here. Ioth, iith. Again, round to the other side, theres another 29 patients. 12th,13th. This is our third ward with 31 patients. And then, obviously, up here. So each four of these four bedded bays contain Covid Patients. The14th and the 15th floor, so thats 12 floors in total. 12 out of 15 floors, more than 400 patients, and there arent enough staff. Its madness. Theres always a sense of chaos when you go in. Its a sensory overload when you walk into that unit. You know, youre wearing ppe, youre wearing goggles or a visor, youre you know, everything is disorientating. Theres noise, theres beeping, theres alarms, theres zoom calls with families crying, sadness all around you, people shouting for help, nurses crying more and more regularly. And curiously, despite all the drugs and fancy equipment, the simple technique of periodically turning over a Covid Patient or proning can help force oxygen into scarred lungs. But the manpower needed is immense, turning and turning and turning again, day after day. And in the middle of the storm, consultant marie healy, a commanding presence. Still coming. Go, go, go. And a friend to all. Dont know what i would have done without you today. For those less scrupulous about social distancing and wearing masks, she gives the benefit of the doubt despite the effect on the nhs. I think the public want to do the right thing, but i dont feel they understand fully the scale of the problem. So, i dont feel taken for granted we dont. So you think the public dont get the pressure that is on everyone working in this hospital and up and down the country . No. I definitely dont think they do. Cos i think if they did, they really wouldnt hesitate to do the right thing. I honestly believe that. And i feel its because of mixed messaging, fatigue, perhaps not knowing people whove been ill, not really understanding when the government said we have 500 extra beds, but you need staff for the beds. So, i dont think they really grasp that most of our hospitals are now taken over with just looking after patients with covid, so Everything Else is put on hold, bar the most extreme emergencies. Cancer surgerys being deferred. We will try and restart it. The staff have been asked to look after more and more sick patients, and i dont really think the public understand that there is an end to what we can do. I mean, were reaching our maximum response. And if it continues like this, people will be turned away, in my view, from hospital or from Critical Care. Back on the ward, the Oxygen Levels plummet of a Covid Patient in their mid 20s. Proning must be quick, but more Specialist Care may be necessary to oxygenate the blood through an artificial lung. Consultant pj zolfaghari, who predicted there would be a second wave, calls a nearby medical centre, hoping theyll take the patient. Her ventilations become very difficult again just now. As Kathy Macgloin leads the team trying to keep her alive. But theres bad news. So youre full, is that right . Now the pressure� s really on, but quiet professionalism kicks in. Not too good. Breathings not great. Machines beep 0k. Yeah, good. Relief enough oxygen is now finally reaching the patient� s lungs. And yet, kathy isnt an Intensive Care doctor. Shes a consultant anaesthetist, offering a helping hand, like the Trauma Surgeons, paediatricians, immunologists all mucking in during this appalling covid crisis. I feel a lot better now. How worried were you . Im sweating, and its notjust the ppe. So, i mean, shes young, shes someones relative. This is something precious that were holding and were trying to do. Erm, yeah, its quite frightening. I think, to be honest with you, staff are tired, and then we have to ask them to do more and more and more as the patients arrive. The Summer Hiatus between waves one and two did allow the hospital a bit of welcome breathing space. Our main concern during this period of time was to try and get back to normal, to do all the other procedures, all the other patients that needed care as well that we didnt do in that first wave. So, the focus was to keep Business As Usual and try and do all of the elective surgery, all the cancer surgery, carry on doing that. And we tried to do that for as long as possible, but now weve gotten to a point where weve had to shut all those services down. We met Martin Griffiths, a Trauma Surgeon at the royal london, during the first wave of the virus. Then, he was able to continue surgery dealing with gunshots and knife wounds. How times have changed. I trained to be a surgeon, like, propervascularsurgeon, and that practice disappeared because of capacity needs. The trauma hasnt gone anywhere. Its still there. And weve seen a slight change, in that we see less. But a lot more deliberate self harm, a lot of suicide attempts, a lot of people who are psychologically at the end of their rope, and a lot of older people who are falling because theyre not supported as they would be normally. So that Trauma Practice is still going on, but for me, its defining. Its a defining period of my life. Its about why i went into medicine. Yes, i know i cant do the Fancy Schmancy operations i used to do, i cant lord it around in a suit, but i can come to work every day. I can see patients either virtually or physically. I can provide care, i can provide care to my colleagues, i can support all those people. I can still learn, i can still teach, i can still share my experience, and the programmes that are up and running are still running despite the challenges around there. So, this is a challenge that defines my practice, defines the nhs, defines our community. Make no mistake, accident and emergency is still open the public wont be turned away in a crisis but the royal london is essentially a covid hospital, as marie healy checks on a young man with no underlying conditions but whos been on a ventilator for more than three weeks. Obviously very distressing, and. This is a very serious complication at this stage. Hes also got other Family Members in Critical Care as we speak. Time to call his wife. Now, i know that he is quite sick. He could die from this, by the way. Im sorry to have to say that. I know, love. I know, i know. Dont worry. Were doing everything we can for him. The patient� s name is asif. Hes 28. Very difficult, because. Its very difficult because this poor family have been through a huge amount, and theyre actually so nice. That makes it more difficult. The inner turbulence revealed. This is shamima, asif� s wife, who took maries call. She already knows loss in this pandemic. On your wedding day . Her Brother In Law was buried last month, a victim of covid 19. And this week, her Father In Law died from the virus. Now, her husbands life hangs precarious. It is a feature of the second wave that whole families have been blighted. We feel so empty. Like, for me not to have my husband by my side. Life is too short and| you want to spend it with your loved ones. Because i have to be strong. For my mother and i have to be strong for my sister in law. You know, they kind of rely| on me, and if i break down, then, you know, idont know whats going to happen to the family. Asif lies limp, one of close to 4,000 people across the uk now breathing with the aid of a machine due to covid 19. Thats more than 4,000 families praying for the best, fearing the worst, lives on hold. The nhs is a family, too, and its mourned its own. More than 200 Frontline Staff have died in the pandemic. And see you because they didnt want to get you tired. Senior charge nurse dom wood feared he wouldnt make it after contracting the virus over christmas. His wife andreia also works at the royal london. Everyone was telling me, you know, its going to be fine, its going to be fine, but on that day, i was like, 0k, he came to the hospital, he was supposed to stay a day, and then he went. Hes now in itu. Am i going to come to the unit and find him on a ventilator . And weve seen that. I was doing everything i could to try and deep breathe and everything that i tell everyone to do, and that was quite a scary moment. Because. You see. The trouble is, in the first wave and the second wave, ive seen what can happen. Its scary. Were all scared. That the grave diggers will keep working due to covid. This cemetery in North East London has had to expand because of the pandemic dead. Across the uk, more than 100,000 have perished thats around 30,000 more than the number of civilians who died in our country in world war ii. Were all scared that things will get worse before they get better. Were all scared of the cruel ripples of the pandemic lockdowns, Mental Health problems, economic shock so wheres the light . Consultant Trauma SurgeonMartin Griffiths is now helping out giving people vaccine jabs. I wanted to do something positive that would really help end the pandemic. What do you think of anti vaxxers . They have my thoughts and prayers. Theyre wrong. Theyre so wrong. And either by a lack of knowledge, a lack of understanding, an unwillingness to accept reality of what were seeing, theyre actively contributing to the detriment of our society. I want to talk to them. I want to listen to what they have to say. I want to show them what i see, to see the lives that are lost, to see the devastation that this wreaks on our community, to see the wards and wards of people struggling to breathe, and to show them what vaccination looks like and show them what we can offer our community. Theres no way out of this with lockdowns and hiding. Weve got to use the science, 0k, to help us out of this . And weve got this fantastic effort thats given us an opportunity to curtail this pandemic, and we need to accept it. We need to lean into it. Next, please. Salvation, then, perhaps at the end of a needle. And maybe soon, well all be able to smile. But the pandemic has revealed some harsh truths about the ways millions of people live their lives around the world and the inadequacies of Different Health care systems. We need to totally rethink the health of the nation, because you think a lot of resources spent on dealing with things that are preventable, so maybe the focus should come on why have we got into this situation in the first place . Surely we need to completely rethink primary health care, motivating, understanding why people arent leading healthy lives, � cause we can see now that it is people who are poorer and come from certain backgrounds and socially deprived areas that have the highest incidence of this disease and all the effects it brings. The nhs is supposed to care for people from cradle to grave part of the origin myth of post war Modern Britain but coronavirus has given the country a glimpse into a dark future, a time when the men and women of the service cant help everyone as they would like. Is that the true lesson of this pandemic that to see the National Health service crumble means britain losing a part of its soul . Hello there. Tuesday brought us some very heavy snow across parts of scotland, but more especially in northern england. And that caused significant transport disruption at one stage, the a62 was completely shut, along with the snake pass. And thats the main road link between manchester and sheffield. The boundary between the mild air we have in the south and the cold air in the north is heading into scotland. And its here where the risk of snow will stay really through the rest of this week. Heavy snow across the high ground with significant accumulations. There is still the scope of transport disruption but the risk of disruption will increase towards the end of the week. Why do i say that . Because at lower elevations over the next few days, temperatures will be dropping by a couple of degrees celsius, tipping the balance from rain more to snowfall at lower levels hence the risk of disruption is more likely to increase later in the week. Right now across the central lowlands, weve got rain, a bit of sleet coming through as well. The snow mainly confined to the high ground here, also across the very high ground and across the far north of england, too. Delving into this zone, as we go through wednesday, we will continue to see that rain, a bit of sleet at times across the central belt, so probably nothing in the way of snow settling. If you go into the hills, yes, above 100 metres elevation, youre more likely to see snow, settling snow above 200 metres elevation, 10 20 cm over the next 48 hours. Elsewhere, weve got some bright skies in the west, but heavy rain across Southern England very heavy at times in the london area, and itll turn wet as well throughout much of east anglia. Mild in the south, but obviously where weve got the snow falling, particularly in the hills, temperatures struggling to get much above freezing at all in scotland. Through wednesday night, well continue to see that mucky mixture, really, in scotland. There might be a bit more in the way of snow starting to come down to some slightly lower levels across the north of the country, as those temperatures just start to edge downwards Just A Little Bit might be enough to tip the balance, perhaps a little bit of snow across the high ground of northern england, as well. For thursday, again, as the air gets colder, weve got a tendency to see a bit more snow getting down to some of those lower levels. In the south, weve got some rain, a few brighter spells for wales and the midlands, still mild in the south, still cold into scotland. And then beyond that, as we look at the forecast through friday and into the weekend beyond, there is a tendency for the weather to turn colder, and we may see it some snowfall more widely into next week. Thats your latest weather. This is bbc news, im mike embley. Our top stories the bbc has first hand evidence that women in chinas so called Re Education Camps have been systematically raped and tortured translation they did whatever evil their mind could think of. And they didnt spare any part of my body. The leading russian opposition activist Alexei Navalny is jailed for two and a half years. He says its just an attempt to scare people away from challenging president putin. Latest Research Suggests a single dose of the 0xford astrazeneca vaccine lowers the rate of coronavirus transmission. 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