Whoever made the FOI request made hypertension the issue not the ONS. It is used in this instance to make smaller the number of people who have died, by excluding those with a secondary illness, which may have contributed to death, but which under normal circumstances would not have led to any life threatening harm for many years.
I11,12,13 are what happens after 30 years of hypertension in white people or 15-20 in minority populations.
Again, I agree it doesn't say what stage of diabetes the patients were at - but that I rather the point. The filter is being made on unqualified grounds.
Any mention of any other contributing factor no matter the unknown severity of the pre existing illness is being used to exclude those deaths from the number of people we can count as being genuine covid deaths.
In any event the number of people dying by this artificial metric is still massive by comparison with the number of deaths from suicide c.2000 or road traffic accidents c.4000 p.a.
Regarding the size of the health service provision.
Regardless of the provision of services Health systems have been overwhelmed if there were not ancillary measures to control rate of spread. Compare Germany and US. Both have massive ICU bed bases US system has been overwhelmed, Germany not.
I'm not arguing against more provision - of course we should have more healthcare beds. We've had half the European average during my whole career , better during the new Labour years - on the back of crippling pfi bills. We are even further behind on emergency/ICU beds but an interesting thing. Northern Italy has more than twice the ICU beds that we do in the UK but had 50 year olds dying in corridors and we didn't.
We think the reason - 80 year olds routinely get put on ventilators in Italy but not in the UK. We ration our ventilator beds informally on the basis of age. Probably reasonably because 80 year olds have very bad outcomes following ICU care with many suffering permanent cognitive impairment. In Italy and in other affluent Western countries especially America if you and your family want (and your insurance covers it) then you will receive probably harmful care. So in the first stages of the pandemic in Italy a large wave of 80 year old folks came in first, were put on ventilators as per usual practice, used up the resource so that there were non left when the under 65s came in 10 days later.
The message there - whatever your level of provision - the pandemic would have overwhelmed services and effectively forces triage. ICU teams in the UK in the first month of the pandemic tried to have an open discussion about how / on what basis we should triage patients to not receiving ventilation and the debate was squashed from on high. Triage likely happened but on an ad hoc basis rather than equitably.
The solution - as the pandemic planning session suggested is to stockpile equipment so that expansion can happen rapidly. There is no solution to staffing other than to make nurses work intolerable conditions. 30 per cent of our staff have left. Most London ICUs have traditionally been staffed with European nurses all of whom were in demand in their own countries which compounded the problem.
Finally, whatever your bed provision, it is not possible to provide 100% safe cancer service in this pandemic. Treatment destroys immunity, vaccine or previous exposure. Emergency surgery outcomes were similarly poor if patients were exposed to covid.
Healthcare in the UK is a mess and it's going to get worse.