BBC London correspondent

The final time I met Laura Blackmore, I might solely see her eyes. The remainder of her face was hidden behind a masks, her phrases muffled behind the steamed-up visor.
It was 5 years in the past, as the primary wave of Covid hit St George’s Hospital in Tooting, south London. She’d simply been redeployed to one of many new intensive care items set as much as cope with the overwhelming demand.
This time round I can see her face and listen to her phrases rather more clearly. There isn’t any masks, no visor – however there are some very robust recollections of March 2020 and what adopted.
“Clearly, I used to be actually scared as a result of we might had no coaching on the time, whereas normally there’s a complete programme earlier than you be a part of intensive care. It was actually nerve-wracking” – she pauses as she displays – “I would by no means seen so many affected person deaths earlier than. I can keep in mind many of the sufferers, I can keep in mind their faces.” She pauses once more.
“I used to come back into work sooner or later and it might be one set of sufferers, then I would come within the subsequent day and it might be a totally completely different set of sufferers… and it wasn’t as a result of they had been getting higher.”

5 years on, Laura, who’s now 28 and a ward supervisor on the Rodney Smith Ward at St George’s, has had loads of time to mirror on her Covid experiences.
“So it was scary – each day was scary. I keep in mind having the visor and masks on, and I might simply hear my very own breath.
“It was like if you’re scuba diving and you’ll simply hear your personal breath over anything and that is what it was like each day if you’d robe up outdoors the bays.” Laura pauses once more. ” However… I imply, yeah… it was… it was one of many hardest instances of my life for certain.”
The experiences within the first wave of Covid had been unhealthy sufficient however a second wave was to comply with.
“On the time I did have workers help by the hospital which did assist – simply somebody to vent and cry to – I simply keep in mind crying in my first session the entire method by. I did not… I did not know the way to specific what I would been by as a result of it was so tough.”
Laura provides: “You recognize, everybody had a member of the family, a pal or somebody of their private life that was going by one thing to do with Covid. So it was onerous to then come dwelling and inform them about all of the horrific stuff you’d been seeing at work.”
She says she had a whole lot of help at dwelling from her mother and father, and from her pals, however that her colleagues who skilled comparable issues are those who helped her by probably the most – then and now.

Laura did must take day without work work to cope with what she’d been by, however has used her experiences to assist workers in her new position as ward supervisor – telling them it is “OK to not be OK”, encouraging them to speak, to share.
It is clear although, I say to her, that Covid has by no means actually left her.
“Yeah, 100%. I attempted to look at a few programmes about Covid, and I simply can’t watch them in any respect – it brings all of the feelings again – issues just like the noises, the sounds.
“I can not go over to the wards I used to be on then. The smells over there and the wards carry every little thing again and I by no means thought it might have that impact. Yeah, I undoubtedly nonetheless wrestle with it and I take into consideration that point on a regular basis.”

Dr Nirav Shah, who’s now the hospital’s scientific director for grownup crucial care, was additionally at St George’s 5 years in the past as the primary wave struck.
“We modified every little thing,” he says. The hospital went from about 60 intensive care beds to round 120 on the peak. At one stage there have been about 700 sufferers within the hospital with Covid.
“There was much more dying,” he remembers.
“It was additionally the way of the deaths. If somebody goes to die, we intention to offer them a superb dying. We intention to offer them time, we like to verify household are with them and we will help the household by that interval however that was simply unattainable, significantly within the first wave of Covid – it was so tough.”
However Covid introduced classes, reminiscent of new methods to take care of sufferers. Hospitals discovered the way to work extra intently collectively, to share the overwhelming workload.
One instance Nirav factors to is the brand new ACCESS system – developed in the course of the pandemic to maneuver critically in poor health sufferers between hospitals. It has simply accomplished its 3,000th affected person journey prior to now three years.

Once I ask respiratory guide Dr Jane Evans for her recollections, she pauses – like most of the workers BBC London spoke to – as a result of there are combined recollections. Ideas of the braveness proven, the teamwork, the dedication, the exhaustion and the tears.
“A variety of us felt fortunate,” she says. “We had been in a position to come to work, we had been in a position to really feel that we had been doing one thing. However that did not detract from how tough it was to see folks get sick.”
On one afternoon, she says 9 of her sufferers died.
“We noticed our colleagues get sick, we noticed our family and friends get sick. Some folks misplaced family and friends by this time… and that was actually robust. So I feel it exhibits simply how the NHS did pull collectively and did some actually wonderful issues actually shortly.”
She provides: “There is a hidden half to it as properly – for instance, there have been a couple of tv programmes which have highlighted or dramatised the world of Covid, and I feel for lots of us, we have watched the primary couple of minutes of these and thought: ‘No, it is too fast’… it is too quickly for us to see that as a result of it brings again issues that maybe we have buried and forgotten.”
“You too?”, I ask.
“Yeah, I undoubtedly began to look at one in every of them, I can not keep in mind which, and thought: ‘No, I am not prepared for this but.'”

With St George’s – like most London hospitals – nonetheless extremely busy, workers like Jane do not get that a lot time to look again to Covid. Some nonetheless do not wish to.
However I ask her for her overriding recollections.
“I feel it is a actually combined bag… you recognize. The in the beginning is how amazingly properly the NHS, which was already struggling, coped. However, within the background you may’t assist but in addition have a look at the negatives – you typically study extra from the issues that do not go so properly or that you just get fallacious.
“You recognize, had been we to face one other pandemic right this moment would we be higher ready.?… I am undecided.
Wouldn’t it be any simpler for anybody? I do not assume so. Would our NHS deal with one other onslaught? I am undecided we might, truly. So it is an actual combined bag of emotions about it: a way of delight but in addition a way of actual foreboding.”
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