The UK Health Security Agency (UKHSA) has extended the level 3 cold weather alert for the North East of England, North West of England and Yorkshire and the Humber until 9am on Thursday 16 March, in an update published on Monday 13 March 20231. A level 2 cold weather alert is in place for the West Midlands, East Midlands and East of England for the same period1.
The extension follows a series of alerts through the winter. As of Monday 6 March, all regions of England were under a level 3 cold weather alert, in place between 1am on Monday 6 March and midnight on Thursday 9 March1. On Wednesday 8 March the level 3 alert was extended until 9am on Monday 13 March1. The current position, by region, is set out below.
| Region | Alert level | In place until |
|---|---|---|
| North East of England | Level 3 | 9am Thursday 16 March |
| North West of England | Level 3 | 9am Thursday 16 March |
| Yorkshire and the Humber | Level 3 | 9am Thursday 16 March |
| West Midlands | Level 2 | 9am Thursday 16 March |
| East Midlands | Level 2 | 9am Thursday 16 March |
| East of England | Level 2 | 9am Thursday 16 March |
Dr Agostinho Sousa, Head of Extreme Events and Health Protection at UKHSA, said:
"As cold weather persists throughout the rest of the week, it is important to check in on the wellbeing of those most vulnerable to the cold."
UKHSA says cold weather can have a serious impact on health, particularly for older people and those with pre-existing health conditions, as it increases the risks of heart attacks, strokes and chest infections1. Its published guidance states that people with a pre-existing medical condition or aged over 65 should try to heat their home to at least 18°C if they can1. Where not all rooms used can be heated, UKHSA says it is important to heat the living room during the day and the bedroom just before going to sleep, that wearing several layers of thinner clothing will keep you warmer than one thicker layer, and that plenty of hot food and drinks is also effective for keeping warm1. It also advises keeping the bedroom window shut at night1.
For people struggling to afford heating bills, UKHSA points to Simple Energy Advice, which it says provides free advice on energy efficiency and national grants available to help keep you warm this winter1.
Why it matters for households
The alert covers six of the nine regions of England, with the level 3 areas in the north remaining at the higher level and the Midlands and East of England at level 2 until the same deadline of 9am on Thursday 16 March1. The practical effect is that the cold-weather health guidance above applies to households across those regions for the rest of the week. UKHSA's advice to check on family, friends and relatives who may be more vulnerable to the cold is directed at the period of low temperatures1. The agency has not reported in this update any further detail on forecast temperatures or on weather warnings for specific days.
What happens next
The level 3 and level 2 alerts run until 9am on Thursday 16 March1. UKHSA has not reported whether the alerts will be extended beyond that time. The page carrying these updates is dated 13 March 20231.
The UKHSA's role and its alerting arrangements are set out in the guide to the UK Health Security Agency, and the meaning of each level is explained in cold-health alerts and what the UKHSA alert levels mean and in yellow, amber and red cold-health alerts. Further background sits in the storms and snow and health emergencies sections, with separate guidance on signing up for Met Office weather alerts and on staying well in cold weather and who is most at risk.

UK Health Security Agency
Cold-Health Alerts
Cold-Health Alerts Explained




