Tiered system ‘inadequate’ for second lockdown exit, say medics

The tiered system of Covid-19 restrictions is "inadequate" and must be revised before England leaves lockdown leading medics have said, amid reports of a plan to briefly relax household mixing around Christmas.

The British Medical Association (BMA) said the previous system was "inconsistent" and did not contain the spread of the virus, echoing a Government adviser who warned the tiers needed "strengthening".

The Government will decide next week how to end the second national lockdown as ministers come under pressure to outline any restrictions which could be in place over the Christmas period.

The Sun reported a five-day temporary relaxation of restrictions, allowing different households to mix indoors, was among the options being considered by health bosses.

101 PHOTOS
Coronavirus impacts Britain
See Gallery
Coronavirus impacts Britain
Circus artists Abbie Mason and Ben Jones train at their home in Birmingham, during the final week of a four week national lockdown to curb the spread of coronavirus. (Photo by Jacob King/PA Images via Getty Images)
People walking along Castle Lane in Belfast. (Photo by Liam McBurney/PA Images via Getty Images)
EU chief negotiator Michel Barnier, wearing a protective face covering to combat the spread of the coronavirus, leaves a conference centre in central London on November 30, 2020 as talks continue on a trade deal between the EU and the UK. - Last-ditch Brexit trade talks continued in London with fishing rights remaining an "outstanding major bone of contention," according to British foreign minister Dominic Raab. (Photo by DANIEL LEAL-OLIVAS / AFP) (Photo by DANIEL LEAL-OLIVAS/AFP via Getty Images)
Elf on a shelf treehouse on Donegall Place in Belfast. (Photo by Liam McBurney/PA Images via Getty Images)
A pedestrian walks past graffiti in support of Britain's NHS (National Health Service) in Hull, in north-east England on November 30, 2020. - Hull will return to the England's highest coronavirus category, Tier 3, when England exits its second lockdown an re-enters a tiered system of toughened regional restrictions on December 2. Britain has been Europe's worst-hit country during the pandemic, recording more than 57,000 deaths from some 1.6 million cases. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
A pedestrian wearing a face mask due to the coronavirus pandemic, walks past graffiti reading "Spread Lov, not COVID" on the shutters of a closed bookmaker's betting shop in Hull, in north-east England on November 30, 2020. - Hull will return to the England's highest coronavirus category, Tier 3, when England exits its second lockdown an re-enters a tiered system of toughened regional restrictions on December 2. Britain has been Europe's worst-hit country during the pandemic, recording more than 57,000 deaths from some 1.6 million cases. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
A pedestrian pushes a pram past graffiti in Hull, in north-east England on November 30, 2020. - Hull will return to the England's highest coronavirus category, Tier 3, when England exits its second lockdown an re-enters a tiered system of toughened regional restrictions on December 2. Britain has been Europe's worst-hit country during the pandemic, recording more than 57,000 deaths from some 1.6 million cases. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
LONDON, UNITED KINGDOM - 2020/11/28: Police officers arrest a protester during the demonstration. Police officers have arrested more than 60 anti-lockdown protesters who had gathered in Central London to demonstrate against the government lockdown measures to contain the spread of Covid-19. (Photo by Lewis Inman/SOPA Images/LightRocket via Getty Images)
LONDON, UNITED KINGDOM - 2020/11/28: Police arresting Santa Claus during the demonstration. Lockdown protesters take to the streets again. The Save Our Rights movement, organised the rally to unite people for freedom, justice and to develop a real democracy which they see as being under threat due to The Coronavirus Act. (Photo by Andy Barton/SOPA Images/LightRocket via Getty Images)
LONDON, UNITED KINGDOM - 2020/11/28: A protester being detained by police during the demonstration. Lockdown protesters take to the streets again. The Save Our Rights movement, organised the rally to unite people for freedom, justice and to develop a real democracy which they see as being under threat due to The Coronavirus Act. (Photo by Andy Barton/SOPA Images/LightRocket via Getty Images)
An anti-lockdown activist is arrested at Oxford Circus during a demonstration in London, England, on November 28, 2020. London is to return to 'Tier 2' or 'high alert' covid-19 restrictions once the current England-wide coronavirus lockdown ends next Wednesday. All three of the tiers, assigned to local authorities across England, have been strengthened since the lockdown began on November 5, however, with the main impacts to be felt by the hospitality sector. (Photo by David Cliff/NurPhoto via Getty Images)
LONDON, UNITED KINGDOM - 2020/11/28: A protester holding a placard expressing his opinion as they march from Marble Arch through the city during the demonstration. Lockdown protesters take to the streets again. The Save Our Rights movement, organised the rally to unite people for freedom, justice and to develop a real democracy which they see as being under threat due to The Coronavirus Act. (Photo by Andy Barton/SOPA Images/LightRocket via Getty Images)
LONDON, UNITED KINGDOM - 2020/11/28: Police officers arrest a protester during the demonstration. Police officers have arrested more than 60 anti-lockdown protesters who had gathered in Central London to demonstrate against the government lockdown measures to contain the spread of Covid-19. (Photo by Lewis Inman/SOPA Images/LightRocket via Getty Images)
Anti-lockdown activists march from Hyde Park in London, England, on November 28, 2020. London is to return to 'Tier 2' or 'high alert' covid-19 restrictions once the current England-wide coronavirus lockdown ends next Wednesday. All three of the tiers, assigned to local authorities across England, have been strengthened since the lockdown began on November 5, however, with the main impacts to be felt by the hospitality sector. (Photo by David Cliff/NurPhoto via Getty Images)
Pedestrians walk by a billboard displaying a Manchester City Council message about the about the national lockdown restrictions to combat the novel coronavirus pandemic in the centre of Manchester, northwest England, on November 26, 2020. - London will escape the tightest restrictions once England's national coronavirus lockdown ends next week, the government said Thursday, but major cities including Manchester and Birmingham face at least two more weeks of tough rules. England will return to a regional tiered system when the national regulations end on December 2, with those areas suffering the worst case rates entering the highest Tier 3. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
A man campaigning for NHS PPE stands outside parliament in London, Wednesday, Nov. 25, 2020. Like many countries, the U.K. was caught without enough masks, gowns, gloves and other items to keep health care workers and the public safe as coronavirus cases skyrocketed. In the push to build up stocks, the government awarded 8,600 contracts worth 18 billion pounds ($24 billion) between March and July, most without a competitive tender process. (AP Photo/Kirsty Wigglesworth)
Britain's Prime Minister Boris Johnson takes his face mask off as he returns to10 Downing Street in London, Thursday, Nov. 26, 2020. Johnson leaves self-quarantine today after having close contact with a lawmaker who contracted the coronavirus in mid November. (AP Photo/Kirsty Wigglesworth)
London taxi driver Michael Harris, dressed as Santa Claus, who said he was in hospital with coronavirus for three weeks earlier in the year, poses for photographs outside Burlington Arcade, during England's second coronavirus lockdown in London, Wednesday, Nov. 25, 2020. With major COVID-19 vaccines showing high levels of protection, British officials are cautiously — and they stress cautiously — optimistic that life may start returning to normal by early April. (AP Photo/Matt Dunham)
People wearing face masks in the Bull Ring shopping area in the City Centre on the day it was announced that Birmingham would be placed in tier three for very high alert level of the new Coronavirus tier system following the end of the second national lockdown on 26th November 2020 in Birmingham, United Kingdom. The national lockdown and following tier 3 status is a huge blow to the economy and for individual businesses in Britain's second city, who were already struggling after eight months of Covid-19 restrictions. In tier 3 people can only meet other households in outdoor public spaces like parks, where the rule of six applies. (photo by Mike Kemp/In Pictures via Getty Images)
London taxi driver Michael Harris, dressed as Santa Claus, who said he was in hospital with coronavirus for three weeks earlier in the year, poses for photographs in his cab parked outside Burlington Arcade, during England's second coronavirus lockdown in London, Wednesday, Nov. 25, 2020. With major COVID-19 vaccines showing high levels of protection, British officials are cautiously — and they stress cautiously — optimistic that life may start returning to normal by early April. (AP Photo/Matt Dunham)
People wearing face masks walk past a Christmas tree in Covent Garden, during England's second coronavirus lockdown in London, Thursday, Nov. 26, 2020. Most people in England will continue to face tight restrictions on socializing and business after a nationwide lockdown ends next week, the government announced Thursday. (AP Photo/Matt Dunham)
A pedestrian wearing a face mask due to the COVID-19 pandemic, walks past a Christmas-themed advert inside St Pancras International train statin in central London, on November 23, 2020. - British Prime Minister Boris Johnson on Monday said the "escape route" from the coronavirus was in sight as he announced that tough restrictions in England would not be extended beyond December 2. "The breakthroughs in treatment, in testing vaccines mean that the scientific cavalry is now in sight," he told parliament. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
A pedestrian wearing a face mask due to the COVID-19 pandemic, walks past Christmas-themed window displays inside Burlington Arcade in central London, on November 23, 2020. - Prime Minister Boris Johnson's latest plan is to roll out mass testing to the hardest-hit areas, hoping to make enough inroads to be able to relax social restrictions in time for Christmas. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
People walk past the 'Terrarium Tree' in Coal Drops Yard, which forms part of the King's Cross neighbourhood of London's unconventional 'traditionally untraditional' Christmas tree installations, during England's second coronavirus lockdown, Monday, Nov. 23, 2020. Haircuts, shopping trips and visits to the pub will be back on the agenda for millions of people when a four-week lockdown in England comes to an end next week, British Prime Minister Boris Johnson said Monday. (AP Photo/Matt Dunham)
A woman wearing a protective face covering to combat the spread of the coronavirus, walks pas a shop advertising a closing-down sale in central London, on November 22, 2020, as the four-week national shutdown imposed in England continues, forcing people to stay home and businesses to close owing to a second wave of the Covid-19 pandemic. - British Prime Minister Boris Johnson will confirm that coronavirus lockdown restrictions across England are to end on December 2, his office said Saturday. The lockdown will be followed by a return to a three-tiered set of regional restrictions as part of the government's "COVID Winter Plan", it added in a statement. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
A man wearing a protective face covering to combat the spread of the coronavirus, takes a picture of a Christmas tree in Covent Garden in central London, on November 22, 2020, as the four-week national shutdown imposed in England continues, forcing people to stay home and businesses to close owing to a second wave of the Covid-19 pandemic. - British Prime Minister Boris Johnson will confirm that coronavirus lockdown restrictions across England are to end on December 2, his office said Saturday. The lockdown will be followed by a return to a three-tiered set of regional restrictions as part of the government's "COVID Winter Plan", it added in a statement. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
Pedestrians wearing face masks due to the COVID-19 pandemic, walk past Christmas-themed window displays inside Burlington Arcade in central London, on November 23, 2020. - Prime Minister Boris Johnson's latest plan is to roll out mass testing to the hardest-hit areas, hoping to make enough inroads to be able to relax social restrictions in time for Christmas. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
A woman wearing a mask because of the coronavirus pandemic walks past masks displayed on mannequins in the window of a closed shop in Canterbury, southern England on November 23, 2020. - British Prime Minister Boris Johnson was to announce on Monday a major testing programme in areas with the highest coronavirus infection rates as the country re-enters a system of tiered restrictions. (Photo by Ben STANSALL / AFP) (Photo by BEN STANSALL/AFP via Getty Images)
General view of a largely empty Oxford Circus, in London, as most shops and businesses remain closed whilst England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Dominic Lipinski/PA Images via Getty Images)
A man holding a cross and a Bible preaches about Christianity to passers-by, backdropped by the Royal Exchange, bottom right, and the Bank of England, bottom second left, during England's second coronavirus lockdown in the City of London financial district of London, Wednesday, Nov. 18, 2020. Britain yesterday posted 598 COVID-19 deaths of people testing posting for the virus in the last 28 days, the highest daily death toll since May. (AP Photo/Matt Dunham)
People wearing face coverings outside a Christmas Shop in Stirling, Scotland, Friday Nov. 20, 2020. This shop will close later Friday along with other non-essential shops, bars, restaurants, hairdressers and visitor attractions whilst schools remain open, due to the latest government restrictions imposed to slow the spread of coronavirus. (Andrew Milligan/PA via AP)
A pedestrian walks past Christmas shop decorations in Mayfair during a second lockdown in London, Thursday, Nov. 19, 2020. Businesses that have been forced to shut are hoping they will be able to reopen to salvage something of the crucial holiday shopping season. The government has been reluctant to say what restrictions will be in place for any particular area when the lockdown ends and says it's still too early to see how the lockdown has worked. (AP Photo/Kirsty Wigglesworth)
Christmas lights in central London, as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Kirsty O'Connor/PA Images via Getty Images)
A poster is put on a shop door as it closes in Glasgow as new restrictions come into place. Eleven local council areas in Scotland will move into Level 4 restrictions from 6pm on Friday to slow the spread of coronavirus. (Photo by Andrew Milligan/PA Images via Getty Images)
A doorman watches as the shutters come down at the Argyll Arcade in Glasgow as new restrictions come into place. Eleven local council areas in Scotland will move into Level 4 restrictions from 6pm on Friday to slow the spread of coronavirus. (Photo by Andrew Milligan/PA Images via Getty Images)
GLASGOW, SCOTLAND - NOVEMBER 20: A worker closes Princess Squareas the level four rule comes into force at 18:00 in 11 council areas on November 20, 2020 in Glasgow, Scotland. More than two million people in the West of Scotland are preparing to move to the country's toughest level of coronavirus restrictions seeing the closure of shops, restaurants, pubs, hairdressers, gyms and all visitor attractions (Photo by Jeff J Mitchell/Getty Images)
The bronze statues of John and Cecil Moores, founders of the Littlewoods company, in Liverpool, who have had face masks put on them as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Peter Byrne/PA Images via Getty Images)
A woman wearing a face mask passes Christmas lights outside shops on Oxford Street, London, as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Kirsty O'Connor/PA Images via Getty Images)
David Lewis, centre, husband to Gladys and father to Darren and Dean Lewis, is helped out of church by mourners during the funeral of Gladys, Dean and Darren Lewis at St Peter's Church in Pentre, South Wales. Mrs Lewis and her two sons all died of Covid-19 within five days of each other. (Photo by Ben Birchall/PA Images via Getty Images)
LONDON, ENGLAND - NOVEMBER - 19: Survivors of the Grenfell Tower fire and their supporters protest outside of the inquiry which they are unable to attend due to emergency COVID legislation on November 19, 2020 in London, England. (Photo by Guy Smallman/Getty images)
LONDON, ENGLAND - NOVEMBER 19: A woman wearing a facemask is seen on the top deck of a bus as graffiti reading "HOAX" is seen above a busy road on November 19, 2020 in north London, England. With the announcement of successful trials of vaccines to the COVID-19 virus, the government is still facing a challenge to convince some members of the public that the threat to life is real, with small numbers doubting the existence of the virus, while others question whether the restrictions have been justified. Without a large majority of the public taking part in any vaccination programme, the effectiveness of any herd immunity may be compromised. (Photo by Leon Neal/Getty Images)
A face mask on the Ancestor statue at Solstice Park in Amesbury, Wiltshire as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Steve Parsons/PA Images via Getty Images)
Members of the public on Buchanan Street in Glasgow. Parts of the west of Scotland could move into Level 4 restrictions later this week, with First Minister Nicola Sturgeon to announce her decision later today. Under the toughest restrictions, non-essential shops will be closed, along with bars, restaurants, hairdressers and visitor attractions, whilst schools remain open (Photo by Andrew Milligan/PA Images via Getty Images)
A member of the public walks passed a closed Christmas shop in Glasgow. Eleven local council areas in Scotland will move into Level 4 restrictions from 6pm on Friday to slow the spread of coronavirus. (Photo by Andrew Milligan/PA Images via Getty Images)
Vegetation grows between unused black cabs parked in a large area of farmland in Epping Forest, which is being rented by GB Taxi Services to store their large fleet of London taxis that are no longer being used due to a severe drop in demand as coronavirus restrictions continue to reduce travel and office working. (Photo by Victoria Jones/PA Images via Getty Images)
A woman wearing a face mask passes a Christmas window display on Oxford Street, London, as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Dominic Lipinski/PA Images via Getty Images)
General view of a closed shops on an empty New Bond Street, in London, as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Dominic Lipinski/PA Images via Getty Images)
A woman wearing a face mask passes Christmas trees in Covent Garden, London, as England continues a four week national lockdown to curb the spread of coronavirus. (Photo by Dominic Lipinski/PA Images via Getty Images)
BRADFORD, ENGLAND - NOVEMBER 16: A general taken from a drone of graves at the Scholemoor Cemetery and Crematorium on November 16, 2020 in Bradford, England. In an essay for the BBC this weekend, Dr John Wright of Bradford Royal Infirmary reported how Bradford's main Muslim cemetery has been struggling to keep up with burials amid the country's second wave of covid-19 infections. However he cautioned that "it will take some medical detective work to determine the cause of this increase in deaths." (Photo by Christopher Furlong/Getty Images)
Defence Secretary Ben Wallace during a visit to the covid testing centre at Liverpool Exhibition Centre. The city is undertaking a mass coronavirus testing pilot, with residents having access to lateral flow tests that are able to determine if someone has coronavirus in under an hour. (Photo by Peter Byrne/PA Images via Getty Images)
LIVERPOOL, ENGLAND - NOVEMBER 14: A woman without a face mask shouts and gestures towards police officers during an anti lockdown protest on November 14, 2020 in Liverpool, England. Throughout the Covid-19 pandemic, there have been recurring protests across England against lockdown restrictions and other rules meant to curb the spread of the virus. Police in Liverpool have warned protesters that they will take action against protesters, who could face possible fines. (Photo by Anthony Devlin/Getty Images)
Police officers speak to protester Paul Boys (R) as they attempt to disperse an anti-vax rally and protest against vaccination and government restrictions designed to control or mitigate the spread of the novel coronavirus, including the wearing of masks and lockdowns, in Liverpool, north-west England on November 14, 2020. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
LIVERPOOL, ENGLAND - NOVEMBER 14: A woman shows-off a head tattoo during an anti lockdown protest on November 14, 2020 in Liverpool, England. Throughout the Covid-19 pandemic, there have been recurring protests across England against lockdown restrictions and other rules meant to curb the spread of the virus. Police in Liverpool have warned protesters that they will take action against protesters, who could face possible fines. (Photo by Anthony Devlin/Getty Images)
LIVERPOOL, ENGLAND - NOVEMBER 14: A man bangs a saucepan in support during an anti lockdown protest on November 14, 2020 in Liverpool, England. Throughout the Covid-19 pandemic, there have been recurring protests across England against lockdown restrictions and other rules meant to curb the spread of the virus. Police in Liverpool have warned protesters that they will take action against protesters, who could face possible fines. (Photo by Anthony Devlin/Getty Images)
LIVERPOOL, ENGLAND - NOVEMBER 14: Demonstrators not wearing face masks march through the city centre during an anti lockdown protest on November 14, 2020 in Liverpool, England. Throughout the Covid-19 pandemic, there have been recurring protests across England against lockdown restrictions and other rules meant to curb the spread of the virus. Police in Liverpool have warned protesters that they will take action against protesters, who could face possible fines. (Photo by Anthony Devlin/Getty Images)
GLASGOW, SCOTLAND - NOVEMBER 13: Activist hold a demonstration marking the delayed COP26 UN climate negotiations on November 13, 2020 in Glasgow, Scotland. The 26th United Nations Climate Change conference would have taken place this month, but was delayed for a year due to the covid-19 pandemic. (Photo by Jeff J Mitchell/Getty Images)
GLASGOW, SCOTLAND - NOVEMBER 13: Activist hold a demonstration marking the delayed COP26 UN climate negotiations on November 13, 2020 in Glasgow, Scotland. The 26th United Nations Climate Change conference would have taken place this month, but was delayed for a year due to the covid-19 pandemic. (Photo by Jeff J Mitchell/Getty Images)
HULL, ENGLAND - NOVEMBER 13: A couple wearing face masks walk through Hull city centre on November 13, 2020 in Hull, England. Hull recorded 726.8 new cases per 100,000 people in the week to November 7, nearly triple the national rate for England (about 250) that same week. (Photo by Ian Forsyth/Getty Images)
A nurse administers a test on Sarah Key at Dimensions Leisure Centre in Stoke-on-Trent during a testing session held by Stoke-on-Trent City Council using the newly-supplied lateral flow Covid-19 tests. (Photo by Jacob King/PA Images via Getty Images)
LIVERPOOL, ENGLAND - NOVEMBER 12: A woman waits at a bus stop as a Covid-19 warning sign asks pedestrians to keep left on November 12, 2020 in Liverpool, England. More than 42,000 people had been tested for covid-19 in the city's mass testing trial. In that time, all residents and workers in the city are being offered the test and has now been extended to schools. (Photo by Christopher Furlong/Getty Images)
BELFAST, NORTHERN IRELAND - NOVEMBER 12: Northern Ireland fans look on from the stands during the UEFA EURO 2020 Play-Off Final between Northern Ireland and Slovakia at Windsor Park on November 12, 2020 in Belfast, Northern Ireland. Northern Ireland are allowing a limited number of spectators 1060 to be in attendance as Covid-19 pandemic restrictions are eased. (Photo by Charles McQuillan/Getty Images)
LONDON - NOVEMBER 12: Signs display social distancing measures in a mens toilet on November 12, 2020 in London, England. (Photo by Gareth Cattermole/Getty Images)
Scotland's First Minister Nicola Sturgeon wearing a protective face covering to combat the spread of the coronavirus covid-19 arrives for the First Minister's Questions session at the Scottish Parliament in Holyrood, Edinburgh on November 12, 2020. (Photo by Jane Barlow / POOL / AFP) (Photo by JANE BARLOW/POOL/AFP via Getty Images)
Britain's Prime Minister Boris Johnson loads produce into baskets during a visit to a tesco.com distribution centre in London, Wednesday, Nov. 11, 2020. (AP Photo/Kirsty Wigglesworth, pool)
EDINBURGH - NOVEMBER 11: Members of the public walk past a window display at Harvey Nichols on November 11, 2020 in Edinburgh, Scotland. Retailers have warned of a retail and hospitality Christmas trade catastrophe, due to the Coronavirus restrictions which are jeopardising hundreds of jobs. (Photo by Jeff J Mitchell/Getty Images)
Britain's Prime Minister Boris Johnson loads a delivery van with a basket of shopping during a visit to a tesco.com distribution centre in London, Wednesday, Nov. 11, 2020. (AP Photo/Kirsty Wigglesworth, pool)
Britain's Camilla Duchess of Cornwall leaves after attending the Armistice Day service at Westminster Abbey in London, Wednesday, Nov. 11, 2020. The specially arranged service, with social distancing because of the coronavirus, commemorates the 102nd anniversary of the armistice ending World War I, and one hundred years since the symbolic interment of the Unknown Warrior at Westminster Abbey. (Aaron Chown/Pool via AP)
A man walks across the normally busy Piccadilly Circus in central London after a heavy rain downpour, Monday Nov. 9, 2020. The London streets are nearly deserted during the first full week of a four-week coronavirus lockdown in England, but some are calling to allow businesses to reopen their doors to kickstart the city economy. (Victoria Jones/PA via AP)
A man crosses a quiet street filled with Christmas lights in central London, Monday November 9, 2020. Wet weather has drenched the London streets during the first full week of a four-week coronavirus lockdown in England, as some are calling to allow businesses to open their doors to kickstart the city economy. (Victoria Jones/PA via AP)
Prime Minister Boris Johnson returns to Downing Street, London, following a Cabinet meeting at the Foreign and Commonwealth Office (FCO). (Photo by Dominic Lipinski/PA Images via Getty Images)
Shoppers in Cardiff, Wales, Monday Nov. 9, 2020, after restrictions imposed by the Welsh government are relaxed following a two-week lockdown across Wales. (Ben Birchall/PA via AP)
Britain's Queen Elizabeth II inspects a bouquet of flowers to be placed at the grave of the Unknown Warrior by her Equerry, Lieutenant Colonel Nana Kofi Twumasi-Ankrah, in Westminster Abbey, London, Wednesday, Nov. 4, 2020. Queen Elizabeth II donned a face mask in public for the first time during the coronavirus pandemic when attending a brief ceremony at Westminster Abbey last week to mark the centenary of the burial of the Unknown Warrior. While the 94-year-old has been seen in public on several occasions over the past few months, she has not worn a face covering. (Aaron Chown/Pool Photo via AP)
Britain's Queen Elizabeth II attends a ceremony to mark the centenary of the burial of the Unknown Warrior, in Westminster Abbey, London, Wednesday, Nov. 4, 2020. Queen Elizabeth II donned a face mask in public for the first time during the coronavirus pandemic when attending a brief ceremony at Westminster Abbey last week to mark the centenary of the burial of the Unknown Warrior. While the 94-year-old has been seen in public on several occasions over the past few months, she has not worn a face covering. (Aaron Chown/Pool Photo via AP)
People cycle in Green Park in central London on November 8, 2020 during a second national lockdown designed to contain soaring infections of the novel coronavirus. (Photo by DANIEL LEAL-OLIVAS / AFP) (Photo by DANIEL LEAL-OLIVAS/AFP via Getty Images)
LONDON, ENGLAND - NOVEMBER 08: The Royal Family, politicians and dignitaries attend the National Service Of Remembrance at the Cenotaph in Westminster, amid the spread of coronavirus (COVID-19) disease on November 8, 2020 in London, England. Remembrance Sunday services are still able to go ahead despite the covid-19 measures in place across the various nations of the UK. Each country has issued guidelines to ensure the safety of those taking part. (Photo by Arthur Edwards - WPA Pool/Getty Images)
Britain's Prime Minister Boris Johnson takes a coronavirus swab test at a testing centre in De Montfort University, Leicester, England, Friday Nov. 6, 2020. Johnson visited the Leicester test centre Friday after a new national lockdown and the beginning of a pilot project launched in nearby Liverpool for possible weekly testing of the entire city population. (Molly Darlington/Pool via AP)
Carnaby Street in Soho, London, on the third day of a four week national lockdown for England to combat the spread of Covid-19. (Photo by John Walton/PA Images via Getty Images)
A woman is detained by police from 'The Million Mask March', an annual event described as a march "against austerity, the infringement of rights, war crimes, corrupt politicians and to reinstate liberty", gather in Trafalgar Square in central London, Thursday, Nov. 5, 2020. The march was taking place on the same day national lockdown rules come into force as Britain joined large swathes of Europe in a coronavirus lockdown designed to save its health care system from being overwhelmed. Pubs, along with restaurants, hairdressers and shops selling non-essential items closed on Thursday until at least Dec. 2. (AP Photo/Alberto Pezzali)
Police officers wearing face masks against the coronavirus patrol 'The Million Mask March', an annual event described as a march "against austerity, the infringement of rights, war crimes, corrupt politicians and to reinstate liberty", in central London, Thursday, Nov. 5, 2020.The march was taking place on the same day national lockdown rules come into force as Britain joined large swathes of Europe in a coronavirus lockdown designed to save its health care system from being overwhelmed. Pubs, along with restaurants, hairdressers and shops selling non-essential items closed on Thursday until at least Dec. 2. (AP Photo/Frank Augstein)
A man stopped in front of an advertising of a closed shop in London, Friday, Nov. 6, 2020. Britain's lockdown started Thursday, shuttering restaurants, hairdressers and clothing stores until at least Dec. 2. (AP Photo/Frank Augstein)
NHS staff and soldiers prepare the mass COVID-19 testing at the Liverpool Tennis Centre, Liverpool, England, Friday Nov. 6, 2020. Britain's lockdown started Thursday, shuttering restaurants, hairdressers and clothing stores until at least Dec. 2. (Peter Byrne/PA via AP)
Members of the public queue at the opening of the mass and rapid testing centre for the novel coronavirus COVID-19 at a Tennis centre in Liverpool on November 6, 2020. - To avoid extending the lockdown, Johnson is pinning his hopes on an ambitious new programme of Covid testing to detect and isolate infected people, starting with a city-wide trial launching in Liverpool today. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
A worker wearing a face masks or coverings due to the COVID-19 pandemic, gives a customer a wet shave inside a barber's shop in central Manchester, north west England on November 4, 2020, as the country prepares for a second Covid-19 lockdown in an effort to combat soaring infections. - England heads into a second national lockdown on November 5. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
People queue outside Selfridges in Oxford Street, London, Wednesday, Nov. 4, 2020, as Britain prepares to join large swathes of Europe in a coronavirus lockdown designed to save its health care system from being overwhelmed. Pubs, along with restaurants, hairdressers and shops selling non-essential items will have to close Thursday until at least Dec. 2. (AP Photo/Alberto Pezzali)
Royal Navy ratings march, as they take part in a training exercise at HMS Excellent, as they rehearse the Royal Navy's contribution to Remembrance activities ahead of Armistice Day, on Whale Island, Portsmouth, England, Wednesday, Nov. 4, 2020. (Andrew Matthews/PA via AP)
Harriet Henry, manager of The Tea Room in Knutsford, hangs a closed sign outside her cafe, ahead of a national lockdown for England from Thursday. (Photo by Martin Rickett/PA Images via Getty Images)
Workers install a festive Christmas-themed window display in a Harvey Nichols store in central Manchester, north west England on November 4, 2020, as the country prepares for a second Covid-19 lockdown in an effort to combat soaring infections. - England heads into a second national lockdown on November 5. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
As the UK reacts to Prime Minister Boris Johnson's announcement of Lockdown 2 during the second wave of the Coronavirus pandemic, crowds of shoppers walk beneath Oxford Street's new Chistmas lights, on 2nd November 2020, in London, England. From midnight on Thursday, all non-essential shops, bars, restaurants and other small businesses will have to closed, according to government Covid restrictions - and for a minimum of 4 weeks in the run-up to Christmas. (Photo by Richard Baker / In Pictures via Getty Images)
Face mask seller as Londoners from the mainly Bangladeshi Asian community await the second coronavirus national lockdown it's business as usual at Whitechapel Market with people out and about, some wearing face masks and some not, on what will be the last few days of normality before a month-long total lockdown in the UK on 2nd November 2020 in London, United Kingdom. The three tier system in the UK has not worked sufficiently, to suppress the virus, and there have have been calls by politicians for a 'circuit breaker' complete lockdown to be announced to help the growing spread of the Covid-19. (photo by Mike Kemp/In Pictures via Getty Images)
As Londoners await the second coronavirus national lockdown people out and about, some wearing face masks and some not, pass advice boards in Hackney before a month-long total lockdown in the UK on 2nd November 2020 in London, United Kingdom. The three tier system in the UK has not worked sufficiently, to suppress the virus, and there have have been calls by politicians for a 'circuit breaker' complete lockdown to be announced to help the growing spread of the Covid-19. (photo by Mike Kemp/In Pictures via Getty Images)
Women wait at a bus stop in Leicester with their shopping, ahead of a national lockdown for England from Thursday.. (Photo by Joe Giddens/PA Images via Getty Images)
A street vendor wearing a skull mask in Birmingham, ahead of a national lockdown for England from Thursday. (Photo by Jacob King/PA Images via Getty Images)
ST CLEARS, WALES - NOVEMBER 02: Welsh police pull over motorists at a police checkpoint on the A477 between Carmarthenshire and Pembrokeshire during Wales' 'firebreak' lockdown period on November 2, 2020, in St Clears, Wales. Wales entered a national lockdown on October 23 which will remain in place until November 9. Under the 'firebreak' rules, people have been told to stay at home and pubs, restaurants, hotels and non-essential shops must shut. Gatherings indoors and outdoors with people not in your household are banned. (Photo by Matthew Horwood/Getty Images)
People walking past a Christmas tree outside a store on Oxford Street, central London before the new national lockdown comes into force in England next week. (Photo by Yui Mok/PA Images via Getty Images)
An electronic billboard displays government messages about the coronavirus pandemic in a shopping centre in Leeds, northern England, on November 1, 2020 as England prepares to enter into a second lockdown in an effort to stem soaring infections. - A new four-week coronavirus lockdown in England will be extended if it fails to reduce infection rates, the government said Sunday, as it faced criticism over the abrupt decision to shut down again. The second national lockdown, hastily announced late Saturday following warnings hospitals could become overwhelmed within weeks, is set to come into force from Thursday and end on December 2. (Photo by Oli SCARFF / AFP) (Photo by OLI SCARFF/AFP via Getty Images)
Shoppers outside Selfridges as Londoners await the imminent second coronavirus lockdown it's business as usual in the West End with large numbers of people, some wearing face masks and some not, coming to Oxford Street to go shopping on what will be the last weekend before a month-long total lockdown in the UK on 1st November 2020 in London, United Kingdom. The three tier system in the UK has not worked sufficiently, to suppress the virus, and there have have been calls by politicians for a 'circuit breaker' complete lockdown to be announced to help the growing spread of the Covid-19. (photo by Mike Kemp/In Pictures via Getty Images)
LONDON, ENGLAND - NOVEMBER 01: Referee Graham Scott watches the VAR screen as he reviews an incident during the Premier League match between Tottenham Hotspur and Brighton & Hove Albion at Tottenham Hotspur Stadium on November 1, 2020 in London, United Kingdom. Sporting stadiums around the UK remain under strict restrictions due to the Coronavirus Pandemic as Government social distancing laws prohibit fans inside venues resulting in games being played behind closed doors. (Photo by Charlotte Wilson/Offside/Offside via Getty Images)
A man wearing a face mask walks by the Tees Transporter Bridge in Middlesbrough. The Tees Valley and the West Midlands are expected to be moved up to Tier 3 shortly. (Photo by Danny Lawson/PA Images via Getty Images)
LONDON, ENGLAND - OCTOBER 29: A passenger on the tube in central London on October 29, 2020. The coronavirus pandemic has reached a âcritical stageâ in England with 96,000 new infections in a single day and infections doubling every nine days, according to the Imperial College London (ICL) on Thursday. Health Secretary Matt Hancock announced that 16 more areas in England will move into Tier 2 restrictions, the second highest level, beginning Saturday. (Photo by Kate Green/Anadolu Agency via Getty Images)
LONDON, ENGLAND - OCTOBER 29: A woman walks past a sign at the University College Hospital in central London on October 29, 2020. The coronavirus pandemic has reached a âcritical stageâ in England with 96,000 new infections in a single day and infections doubling every nine days, according to the Imperial College London (ICL) on Thursday. Health Secretary Matt Hancock announced that 16 more areas in England will move into Tier 2 restrictions, the second highest level, beginning Saturday. (Photo by Kate Green/Anadolu Agency via Getty Images)
Shoppers walk past a NHS sign urging people to check for novel coronavirus COVID-19 symptons, at the Trinity shopping centre in Leeds, Yorkshire on October 30, 2020. - West Yorkshire is to be placed under tier three Covid restrictions from November 2, 2020, the strictest level of rules. (Photo by Lindsey Parnaby / AFP) (Photo by LINDSEY PARNABY/AFP via Getty Images)
HIDE CAPTION
SHOW CAPTION
of
SEE ALL
BACK TO SLIDE

Ministers have insisted it is too early to tell whether the lockdown has succeeded and virus infection levels will be low enough to allow festivities to go ahead but Housing Secretary Robert Jenrick said it was his "very firm expectation" that measures will be eased significantly in December.

Now the BMA, which represents doctors, has presented its own blueprint for leaving lockdown including "triggers" under which areas would move up and down the tiers.

The blueprint suggests non-essential travel between tiers should be "restricted" and "more robust" quarantine procedures should be put into place.

Social mixing should be encouraged to take place outdoors and there should be a two-metre distance between tables in pubs and restaurants, according to the proposals.

The blueprint also suggests the rule of six be replaced with a "rule of two households".

Cumulative Covid-19 deaths in the UK
Cumulative Covid-19 deaths in the UK (PA Graphics)

Professor Neil Ferguson, whose modelling led to the original lockdown in March, suggested support bubbles could be extended to help enable families to meet at Christmas.

He told BBC Radio 4's PM programme on Tuesday the proposal would increase the risk of coronavirus transmission but in a "controllable way".

"There are ways of going part way which still reduce the risk – basically extending what are called bubbles – social bubbles, support bubbles," he said.

"You could think of allowing three or four households to bubble together for a week but not contact anybody else, which would give more opportunity to see loved ones but not a free-for-all.

"And that, modelling would suggest, increases risk somewhat but in a controllable way."

Prof Ferguson also warned that reopening pubs and restaurants in the run-up to Christmas would be likely to lead to rising infection levels.

It comes as the Government announced a further 598 people had died within 28 days of testing positive for Covid-19 as of Tuesday, bringing the UK total to 52,745.

30 PHOTOS
Pictures of the week: November 15 - 21
See Gallery
Pictures of the week: November 15 - 21
People walk in the rain past Christmas decorations in central London on November 20, 2020, as life under a second lockdown continues in England. - The current lockdown in England has shuttered restaurants, gyms and non-essential shops and services until December 2, with hopes business could resume in time for Christmas. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
LEIGH, ENGLAND - NOVEMBER 19: Manchester United goalkeeper Emily Ramsey celebrates with team mates Millie Turner and Jackie Groenen after winning the penalty shoot out at the FA Women's Continental League Cup match between Manchester United and Manchester City at Leigh Sports Village on November 19, 2020 in Leigh, England. Sporting stadiums around the UK remain under strict restrictions due to the Coronavirus Pandemic as Government social distancing laws prohibit fans inside venues resulting in games being played behind closed doors. (Photo by Visionhaus)
View of a closed exit on London Underground as one way system is adopted. Empty trains, Empty platforms and Empty tunnels on the London Underground as the Second Covid-19 Lockdown in England severely reduce travel in the capital. (Photo by Keith Mayhew / SOPA Images/Sipa USA)
People walk in the rain past Christmas decorations in central London on November 20, 2020, as life under a second lockdown continues in England. - The current lockdown in England has shuttered restaurants, gyms and non-essential shops and services until December 2, with hopes business could resume in time for Christmas. (Photo by Tolga Akmen / AFP) (Photo by TOLGA AKMEN/AFP via Getty Images)
Shoppers walk past black Friday sale posters in the centre of Cardiff where shops are open and people are out in numbers taking advantage of buying nonessential items in the run-up to Christmas. Restrictions across Wales have been relaxed following a two-week "firebreak" lockdown. (Photo by Ben Birchall/PA Images via Getty Images)
PlayStation symbols are used on the Oxford Circus Tube station platforms. Signs at London's Oxford Circus Underground entrances have been transformed into Sony PlayStation Symbols and several Tube stations have been renamed for 48 hours to mark the launch of the new PlayStation 5. (Photo by Keith Mayhew / SOPA Images/Sipa USA)
A pedestrian walks past Christmas shop decorations in Mayfair during a second lockdown in London, Thursday, Nov. 19, 2020. Businesses that have been forced to shut are hoping they will be able to reopen to salvage something of the crucial holiday shopping season. The government has been reluctant to say what restrictions will be in place for any particular area when the lockdown ends and says it's still too early to see how the lockdown has worked. (AP Photo/Kirsty Wigglesworth)
Runners kick up the ground as they round a bend at Wincanton Racecourse, southwest England, Thursday Nov. 19, 2020. Many areas of England have suffered heavy rainfall over recent days. (Alan Crowhurst/PA via AP)
A christmas tree lines the route through the arcade. London's Luxury Shopping destination, the Burlington Arcade in Piccadilly, now has its usual high quality Christmas decorations on display, despite being in lockdown, none of its stores can currently be opened. (Photo by Keith Mayhew / SOPA Images/Sipa USA)
EDITORIAL USE ONLY Specially designed artwork is unveiled at Lancaster Gate station, which has been transformed into Ratchet and Clankaster Gate to celebrate the UK launch of PlayStation 5, on Thursday, as PlayStation UK teams up with Transport for London for a 48-hour takeover.
A woman wearing a protective face mask walks on the empty Millennium Bridge with City of London in the background. Most places and businesses have closed as the second month-long national lockdown takes hold in England. (Photo by Vuk Valcic / SOPA Images/Sipa USA)
BOREHAMWOOD, ENGLAND - NOVEMBER 18: Tottenham Hotspur team look on during the penalty shoot out during the FA Women's Continental League Cup match between Arsenal and Tottenham Hotspur at Meadow Park on November 18, 2020 in Borehamwood, England. Sporting stadiums around the UK remain under strict restrictions due to the Coronavirus Pandemic as Government social distancing laws prohibit fans inside venues resulting in games being played behind closed doors. (Photo by Naomi Baker/Getty Images)
London Underground signs at Oxford Circus have been transformed into Sony PlayStation Symbols to celebrate the release of the brand new PlayStation 5 on the 19th of November 2020. (Photo by Brett Cove / SOPA Images/Sipa USA)
Vegetation grows between unused black cabs parked in a large area of farmland in Epping Forest, which is being rented by GB Taxi Services to store their large fleet of London taxis that are no longer being used due to a severe drop in demand as coronavirus restrictions continue to reduce travel and office working. (Photo by Victoria Jones/PA Images via Getty Images)
People from Centre for Bio-ethical Reform UK (CBR UK), launching a new campaign focusing on Health Secretary Matt Hancock entitled #HancocksHealthcare outside Downing Street, London.
A queue of black cabs outside Victoria Station, London. London taxi drivers are facing long waits for a single fare after the industry has seen a severe drop in demand as coronavirus restrictions continue to reduce travel and office working. (Photo by Victoria Jones/PA Images via Getty Images)
Workers put up Christmas lights in George Square in Glasgow. Parts of the west of Scotland could move into Level 4 restrictions later this week, with First Minister Nicola Sturgeon to announce her decision later today. Under the toughest restrictions, non-essential shops will be closed, along with bars, restaurants, hairdressers and visitor attractions, whilst schools remain open (Photo by Andrew Milligan/PA Images via Getty Images)
Forestry England works supervisor Steve Orton works on a felled 43ft Sitka Spruce tree in Northumberland's Kielder Forest. The 30 year old spruce was selected from amongst the over 150 million trees in Kielder Forest to stand in Parliament Square, London, this Christmas. (Photo by Owen Humphreys/PA Images via Getty Images)
Members of the public on Buchanan Street in Glasgow. Parts of the west of Scotland could move into Level 4 restrictions later this week, with First Minister Nicola Sturgeon to announce her decision later today. Under the toughest restrictions, non-essential shops will be closed, along with bars, restaurants, hairdressers and visitor attractions, whilst schools remain open (Photo by Andrew Milligan/PA Images via Getty Images)
CARDIFF, WALES, UNITED KINGDOM - NOVEMBER 17, 2020 - A Christmas fairground is pictured in the process of being assembled outside Cardiff Castle ahead of its opening on Thursday 19th November. PHOTOGRAPH BY Mark Hawkins / Barcroft Studios / Future Publishing (Photo credit should read Mark Hawkins/Barcroft Media via Getty Images)
Scottish First Minister Nicola Sturgeon prepares to make a statement on the coronavirus pandemic to the Scottish Parliament in Edinburgh, Tuesday Nov. 17, 2020. Scotland's 11 of its 32 local authorities, including Glasgow, will be placed into its highest tier of coronavirus restrictions. The restrictions are set to run from Friday until Dec. 11. (Russell Cheyne/PA via AP)
Funeral director Andrew Atkins wears PPE as he disinfects a hearse at Full Circle Funerals in Bramley, Leeds, who works alongside funeral director Sarah Jones, who is preparing for a second wave of Covid-related deaths, and has used the experiences of professionals in the industry to create a guide to help support bereaved people. (Photo by Danny Lawson/PA Images via Getty Images)
Russia's Daniil Medvedev returns against Germany's Alexander Zverev in their men's singles round-robin match on day two of the ATP World Tour Finals tennis tournament at the O2 Arena in London on November 16, 2020. (Photo by Glyn KIRK / AFP) (Photo by GLYN KIRK/AFP via Getty Images)
ESSEX - NOVEMBER 16: A sign displays social distancing measures on a train station platform on November 16, 2020 in Essex, England. (Photo by Gareth Cattermole/Getty Images)
A woman walks past a Hollister Store. (Photo by Michael McNerney / SOPA Images/Sipa USA)
DUNFERMLINE, SCOTLAND - NOVEMBER 16: A grey squirrel sits on a tree root in Pittencrieff Park, on November 16, 2020 in Dunfermline, Scotland. (Photo by Ken Jack/Getty Images)
The Regent Street Christmas lights entitled 'The Spirit of Christmas' stand illuminated after being switched on yesterday without a ceremony as shops on the street lie temporarily closed due to England's second coronavirus lockdown, in London, Sunday, Nov. 15, 2020. This week saw Britain on Wednesday become the fifth country in the world to record more than 50,000 coronavirus-related deaths and on Thursday to record 33,470 people testing positive for COVID-19, the highest daily number of new cases since the virus first struck. (AP Photo/Matt Dunham)
Brighton and Hove Albion's Felicity Gibbons, left, and West Ham United's Alisha Lehmann are caught in sunlight, competing for a header during their Women's Super League soccer match at Chigwell Construction Stadium, in London, Sunday Nov. 15, 2020. (Mike Egerton/PA via AP)
CWMBRAN, WALES - NOVEMBER 16: A general view of the early morning start at the Grange University Hospital, where the photographer works transporting non-emergency patients, on November 13, 2020 in Cwmbran, Wales. The £350m hospital will provide services including accident and emergency, intensive care and major surgery to patients living across Gwent and south Powys in South Wales. It has opened 4 months ahead of schedule, as the NHS faces a second wave of coronavirus cases. (Photo by Huw Fairclough/Getty Images)
Kevin Krawietz and Andreas Mies of Germany, in action against Croatia's Nikola Mektic and Netherland's Wesley Koolhof, during their doubles match on day one of the ATP Finals tennis championship at The O2 Arena, London, Sunday Nov. 15, 2020. (John Walton/PA via AP)
HIDE CAPTION
SHOW CAPTION
of
SEE ALL
BACK TO SLIDE

Elsewhere:

– The Prime Minister is due to answer questions at PMQs by videolink on Wednesday as he continues to self-isolate after a meeting with MP Lee Anderson, who tested positive for Covid-19.

– Analysis of data from 15 countries suggests the true number of Covid-19 infections across the globe may be up to six times greater than the reported number.

– People are being encouraged to improve ventilation in their homes by opening windows as part of a new Government winter coronavirus campaign.

The BMA added that before ending lockdown the Government should ensure that the Test and Trace programme is fit for purpose.

"We must not squander the efforts of the many people who have followed the law, stayed at home, sacrificed freedoms and incurred financial loss in order to contain the virus," said BMA chairman of council Dr Chaand Nagpaul.

"When the first lockdown ended, there was no coherent plan for keeping Covid-19 at bay, no clear and simple public messaging; this was followed by spiralling infection rates, more businesses failing, new local lockdowns, and now we have a death toll at more than 52,000.

"As England prepares to exit its second lockdown, it is unthinkable that we make the same mistakes again because this time, the impact will be far worse. It's reasonable to conclude that without these measures, the NHS will not be able to cope with caring for even the most critically ill patients.

"This report demonstrates a sustainable plan for reducing the level of infections from Covid-19 until a vaccine programme is under way."

Read Full Story Click here to comment

FROM OUR PARTNERS