In October, Kit Yates and I wrote about how the NHS was facing its bleakest midwinter. 1 We highlighted how things were bleak and getting worse across the board, from emergency care, to secondary care, to primary care. Two months later and the situation has continued to worsen. Amid record waiting lists and full hospitals, there are rapidly rising covid hospital admissions and-for the first time in three years-rapidly rising hospital admissions for flu. 2 3 A recent large wave of RSV also added pressure and is only now declining. 2