Coronavirus: Boris Johnson tells MPs 'I rule out nothing' - but wants to 'avoid misery' of second lockdown

Boris Johnson has told MPs that "I rule out nothing" in the fight against coronavirus, but that he wants to "avoid the misery of another national lockdown".

The prime minister defended his three-tier system of local COVID-19 restrictions during a tempestuous PMQs clash with Labour leader Sir Keir Starmer.

Did you miss PMQs? This is what happened, as it happened

It was their first encounter since Sir Keir came out in favour of a two to three-week "circuit breaker" coronavirus shutdown to coincide with October half-term.

Mr Johnson stated his intention to push ahead with his three-tier approach to localised measures, which came into force today, as he accused Labour of "opportunism" for calling for a return to more stringent national restrictions.

Later on Wednesday, Chancellor Rishi Sunak told MPs in a House of Commons debate on COVID-19 that Labour should "have the integrity to acknowledge that what they're proposing will create significant damage to people's lives and livelihoods".

"I've never said there are easy choices or cost-free answers, this is the reality we face and it'd be dishonest to ignore that truth," he added.

Mr Sunak strived to set out the "real" costs of another national lockdown to MPs.

"They can be counted in jobs lost, businesses closed and children's education harmed," he said.

"They can be measured in the permanent damage done to our economy which will undermine our long-term ability to fund our NHS and our valued public services, and they can be measured in the increase in long-term health conditions that unemployment causes."

During PMQs, Sir Keir had noted the government's own scientific advisers had recommended a circuit breaker lockdown.

The Labour leader asked: "Why did the prime minister reject that advice and abandon the science?"

Mr Johnson said he had been advised that a "regional approach" will "bring down the virus".

Justifying his new stance, Sir Keir told the Commons he had "genuinely concluded" that a short lockdown was "in the national interest".

"It is the failure of the prime minister's strategy that means tougher measures are now unavoidable," the Labour leader said, adding that the country was now at a "tipping point" and "time is running out".

The PM said he wanted to "seize this moment now to avoid the misery of another national lockdown into which he [Sir Keir] wants to go head-long by delivering a regional solution".

Mr Johnson added that "opportunism, I'm afraid, is the name of the game for the party opposite", accusing the Labour leader of "supporting the government one day" and performing a "dramatic U-turn the next".

"Everybody can see what he's doing. Labour have said it themselves, they see this as a good crisis for the Labour Party and one they wish to exploit - we see this as a national crisis that we are going to turn around," he said.

The PM added: "I rule out nothing, of course, in combating the virus but we're going to do it with the local, regional approach that can drive down and will drive down the virus if it is properly implemented."

Professor Anthony Costello, a former director at the World Health Organisation, believes a "circuit breaker" would be the best course of action for the government.

He told Sky News: "The infection is spreading out of control within communities and between communities, and clearly the earlier you act, the quicker the impact.

"If we'd done this three weeks ago we'd probably keep deaths down to below 50 a day. If we'd done it at the end of last week, maybe 100 per day."

According to a paper by two of the government's leading scientific advisers, a "short, sharp" two-week lockdown over the October half-term could prevent more than 7,000 deaths.

With the devolved administrations able to introduce their own restrictions, Northern Ireland has announced that a four-week "circuit breaker" lockdown will come into force on Friday.

Welsh First Minister Mark Drakeford has told Sky News that his government is carrying out "detailed planning" for a potential second shutdown.

Nicola Sturgeon, the first minister of Scotland, has said she supports Mr Drakeford's call for a meeting of the government's emergency committee COBRA to "discuss collectively between the four nations what further steps we can all take at this stage to suppress the virus".

She is also advising people against travelling to hotspots in England after dozens of people who tested positive had recently visited Blackpool.

One of the PM's ministers had earlier played down the prospect of another national lockdown in England.

Asked if the country was heading for a national lockdown in the next two weeks, Work and Pensions Secretary Therese Coffey told Sky News: "I don't believe that is the case but as I say this will continue to be a decision that the prime minister will lead on."

The new system of coronavirus alert levels has split England into three different tiers - Tier 1 ("medium"), Tier 2 ("high") and Tier 3 ("very high").

It is designed to simplify the range of different restrictions already in place.

But local leaders have hit out at what they say is a lack of consultation about the new measures, as well as questioning the efficacy of some of the restrictions.

Health officials are expected to hold talks with councillors in Greater Manchester and Lancashire about potentially moving the areas to the "very high" alert level.

At the moment, the Liverpool City Region is the only area in this category.

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Leaders in Greater Manchester have made clear that they will resist attempts to move the area from Tier 2 to Tier 3, describing the government's rationale as "fundamentally flawed".

"We will not cave in to all of the pressure that's being applied to us unless we can be given clear evidence, but more than that, the substantial financial support that's needed to protect our communities through this," the region's mayor, Andy Burnham, said.

Liverpool City region mayor Steve Rotherham has said the area will be topping up the "furlough-lite" scheme announced by Chancellor Rishi Sunak for areas under Tier 3 restrictions.

Geoff Driver, Conservative leader of Lancashire County Council, has said it is "inevitable" his region will move into Tier 3.

The PM urged Labour's metro mayors to support the government's strategy, telling the Commons: "We want to put in the most stringent measures necessary in the places where the virus is surging in order to get it down where it is surging, that is the logical thing to do."

Downing Street said Mr Johnson wants to reach a consensus with local leaders about Tier 3 measures, but the government could impose them if that is not feasible.

"The government does have the ability to impose measures if it was felt that was what was needed to reduce transmission and to protect the NHS," the PM's spokesman said.