New records are now being recorded frequently for detected coronavirus cases in the UK and while we are possibly not at the real levels of infection that we had in the first wave, we are definitely heading that way. Even Tier 4 and the schools currently being closed - they should not go back at all on Monday - does not seem to be keeping R below one. A significant minority have stopped complying with the rules and the more infectious strain is making things harder.
The NHS is now under real pressure and it may well end up overloaded at least on a regional level. The only way we can reduce the hospitalisations and deaths now is to vaccinate as fast as possible.