The view from a hospital trust, where there is a determination to do things differently this time

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“At the moment it feels like we are on a knife-edge,” says Prof Tim Orchard. The boss of one of the NHS’s biggest trusts, a consultant gastroenterologist, is referring to the apprehension among its 14,000 staff about the second surge of Covid-19.

He’s not the only one feeling anxious. The ominous recent sharp rises in infections and hospital admissions because of the disease, and the likelihood that the death toll will soon follow suit, has put the entire NHS on alert.

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