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‘Stable’ Boris Johnson spends second night in intensive care

Boris Johnson is ‘stable’ in hospital today after a second night in intensive care – amid mounting fears about a power vacuum at the heart of government.

The PM’s fever is said to have dipped in a positive sign as he remains under constant observation at St Thomas’ in central London.

However, there are fears that even the best outcome from his coronavirus struggle will see him out of action for weeks, with experts warning he could need a ‘phased return’ to work.

There are also concerns about the PM’s care while he was in isolation, amid suggestions he was not physically monitored and only consulted a doctor by video link. There are claims that social distancing rules were being flouted in Downing Street as the crisis developed, with meetings in cramped rooms and people coughing freely.

Tory MPs are calling for a review of the premier’s medical arrangements, saying the lack of protection has been ‘exposed’ by the latest crisis.  

The UK leader has starkly different arrangements for their health support than in the US, where the president has a dedicated medical team and emergency facilities constantly on standby.  

Boris Johnson’s fever is said to have dipped in a positive sign as he remains under constant observation at St Thomas’ hospital (pictured today) in central London

Boris Johnson on April 1

Boris Johnson on April 2

Images show the Prime Minister’s changing appearance as his battle with coronavirus continued from (top row left to right) March 27 and 28 and (bottom row left to right) April 1 and 2

Conservative PM Marcus Fysh told MailOnline the situation was party an historical anomaly due to the different political systems.

‘We’ve got a constitutional monarchy so the monarch is the head of states and has all of that. In America the President is head of state, so that is probably why it has come through in this way. But it is worth considering whether there should in future be special measures for health within the No10 operation.

‘I had the privilege of visiting the White House a couple of years ago… all his food is cooked by the US Navy. 

‘He has got a special water system that is protected and separate from the rest of the public system. It is very well organised.

‘They are prepared for every entuality there in a way I guess has been exposed that we need to think about a bit more.’ 

‘It is worth keeping these things under review because we need to protect our decision makers.’ 

Mr Fysh said he believed the PM would ‘bounce back’ and was now ‘in very good hands’ at St Thomas’. These are teams that are at the top of their game,’ he said. 

Foreign Secretary Dominic Raab has been ‘deputised’ to fill in for the PM, but the potential issues caused by Mr Johnson’s absence have been underlined as the crucial review of lockdown measures was postponed.

Health minister Edward Argar confirmed this morning that consideration of whether the draconian measures should still apply was being postponed. Pressed on when the review will happen, he told BBC Radio 4’s Today programme: ‘When the scientific advice is such that we appear to have gone over the peak and it is safe to do so.’

Meanwhile, there are tight limits on Mr Raab’s control of government, as he cannot hire or fire ministers and will not have audiences with the Queen, although No10 insists the UK’s military response and nuclear deterrent have not been compromised. 

Downing Street is expected to give a formal update on the premier’s condition later, after saying last night the he is ‘stable’. 

According to the Times, his ‘persistent’ temperature has finally dropped while he has been in hospital.

At the daily Downing Street press briefing last night, Mr Raab said he is ‘confident’ the PM will pull through after a worsening of his coronavirus symptoms.

Mr Raab stressed that they could not consider easing the lockdown restrictions until it was clear the peak of the epidemic had passed and it could be ‘responsibly done’.

Downing Street confirmed the review would take place after the three-week mark originally committed to.

But the emergency legislation laid before Parliament three days after the PM’s announcement states that a review must take place every 21 days, with the first deadline being April 16.  

The news came despite cautious optimism from chief scientific adviser Sir Patrick Vallance that the fight against Covid-19 ‘could be moving in the right direction’.  

Sir Patrick said there were signs that the rates of new infections and new hospital admissions for Covid-19 were ‘flattening off’.

But he added it would be another ‘week or so’ before they could be sure, indicating lockdown measures would not be eased before then.

President Donald Trump claimed overnight that the UK was ‘desperate’ for ventilators and had called the US with an urgent plea for 200 to treat the sickest patients.

‘We’re going to work it out, we’ve got to work it out,’ he said. ‘They’ve been great partners. They wanted 200, they need them desperately.’ 

Professor Chris Whitty, the chief medical officer for England, finally admitted yesterday that the UK needed to learn from the example of Germany where the number of deaths appeared to be growing more slowly.

‘We all know that Germany got ahead in terms of its ability to do testing for the virus and there’s a lot to learn from that and we’ve been trying to learn the lessons from that,’ he said.

Foreign Secretary Dominic Raab (pictured in Whitehall today) has been 'deputised' to fill in for the PM, and chaired the government's daily coronavirus meeting this morning

Foreign Secretary Dominic Raab (pictured in Whitehall today) has been ‘deputised’ to fill in for the PM, and chaired the government’s daily coronavirus meeting this morning

Chris Whitty

Matt Hancock

Chris Whitty and Matt Hancock were in Downing Street for the daily crisis meeting today

Updating the nation on the PM’s condition, Mr Raab said he remained stable and had not required a ventilator but had received ‘standard oxygen treatment’ while breathing without assistance.

‘I’m confident he’ll pull through because if there’s one thing I know about this Prime Minister, he’s a fighter and he’ll be back at the helm leading us through this crisis in short order,’ he said.

He said that ministers would not ‘blink or flinch’ from following the instructions Mr Johnson had set out before he was admitted to hospital.

But he appeared reluctant to say whether he would be prepared to take a decision to break with the PM’s strategy while he was still in hospital if he believed a change of direction was necessary.

‘He’s asked me to deputise for him for as long as is necessary, but the normal Cabinet collective responsibility and principles that inform that will apply,’ he said.

The latest official figures from the Department of Health showed that 6,159 patients have died in hospital after testing positive for coronavirus in the UK as of 5pm on Monday – an increase of 786 on the previous day.

However, Sir Patrick said there were signs the number of new cases ‘could be moving in the right direction’.

‘It’s possible that we’re beginning to see the beginning of change in terms of the curve flattening a little bit. We won’t know that for sure for a week or so,’ he said.