A nursing union representing hundreds of thousands of nurses in the UK has voted to hold the first nationwide strike in its 106-year history.
The Royal College of Nursing (RCN) said the strike will affect the majority of NHS employers in the UK as nurses take action against pay levels and patient safety concerns.
The union said that many of the biggest hospitals in England would see strike action but others “narrowly missed” the legal turnout thresholds required for action.
All NHS employers in Northern Ireland and Scotland would be included and all bar one in Wales met the threshold, they added.
RCN general secretary and chief executive Pat Cullen said: “Anger has become action – our members are saying enough is enough.
“The voice of nursing in the UK is strong and I will make sure it is heard. Our members will no longer tolerate a financial knife edge at home and a raw deal at work.
“Ministers must look in the mirror and ask how long they will put nursing staff through this.
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“While we plan our strike action, next week’s budget is the UK government’s opportunity to signal a new direction with serious investment. Across the country, politicians have the power to stop this now and at any point.
“This action will be as much for patients as it is for nurses.
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“Standards are falling too low and we have strong public backing for our campaign to raise them. This winter, we are asking the public to show nursing staff you are with us.”
The union had urged more than 300,000 of its members to vote for industrial action over pay in the first statutory ballot on industrial action across the UK in the 106-year history of the Royal College of Nursing.
Oliver Dowden, the chancellor of the duchy of Lancaster, previously told Sky News’ Sophy Ridge on Sunday programme that the government has “well-oiled” contingency plans in place for dealing with any strike by nurses.
In the event of industrial action, the NHS would prioritise the most essential services, he said.
Recent analysis showed an experienced nurse’s salary has fallen by 20% in real terms since 2010, the RCN said, adding that nurses are working the equivalent of one day a week for nothing.
Health workers in other unions, including ambulance staff, hospital porters and cleaners, are also voting on industrial action over pay.
Ahead of the result of the ballot, a Department of Health and Social Care spokesperson said: “We value the hard work of NHS staff including nurses, and are working hard to support them – including by giving over one million NHS workers a pay rise of at least £1,400 this year as recommended by the independent NHS Pay Review Body, on top of 3% last year when pay was frozen in the wider public sector.
“Industrial action is a matter for unions, and we urge them to carefully consider the potential impacts on patients.”
People whose homes have been destroyed by the floods sweeping across parts of the UK over the past couple of days have been telling Sky News how they coped with the deluge.
In Lincolnshire, where a major incident has been declared, Terry, from Grantham, showed a Sky crew the aftermath of the deluge in his home, which was left under two feet of water.
“Everything’s gone,” he said, adding that he was “devastated”.
The first sign of trouble came at lunchtime on Monday, when his wife woke him and said there was water coming in [to the house], and “within a few minutes, the whole house was flooded”.
They rushed their belongings and pets upstairs, he said, as he revealed the damage to the flooded living room and kitchen, where the water mark was above a power socket.
Terry said the kitchen, where the floor was covered in sludge, smelled of mud and sewage, and their furniture and carpets were wrecked.
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They have no electricity and the food in the cupboards and freezer was “completely ruined”.
Graham Johnson, who lives in a boat with his wife and dog, in the village of Barrow upon Soar in Leicestershire, was in the pub on Monday night, before the water started to rise “rapidly”.
People living in a local caravan park were moved as a severe flood warning was issued.
Mr Johnson said he had gone out “for a couple of pints as usual and, the next thing we know, bingo”.
The couple feared their boat home was about to be swept towards the bridge.
“That’s our pride and joy, where we live, and we didn’t want to lose it,” he said, as he praised the “fantastic” emergency services, who rescued them and their dog after a nervy three-hour wait.
They were two of the 59 people rescued by firefighters in the county, where a major incident was declared and crews were called out to 160 flood-related incidents, the Fire Brigades Union (FBU) said.
Another Leicestershire resident whose home was inundated was Qasim Abdullah from Loughborough.
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Flooding across East Midlands
Pictures taken by the Associated Press show him walking through almost knee-deep water in his living room.
In nearby Quorn, businesses have shut as the main high street has flooded for the second time in as many years.
Two of the pubs in particular have been damaged.
Last year, residents had to launch a crowd fundraiser to help pay for the costs of renovation. Not to mention soaring insurance premiums.
Indy Burmi, who owns a hair salon and restaurant, hasn’t suffered flooding, but said he’s had to close up and cancel all Tuesday’s reservations, as his clients simply can’t get into the village.
And, with more rain forecast, conditions could get even worse in the short term, while residents worry that an annual battle with rising water is now the new normal.
Elsewhere in the UK, the next danger is from ice forming on untreated surfaces after rain on Tuesday evening, the Met Office has said, as it issued a new warning for northern England and Wales from 5pm until midday on Wednesday.
The Royal Liverpool University Hospital has declared a critical incident due to “exceptionally high” demand on A&E and patients being admitted to wards.
The hospital said there had been a spike in people with flu and respiratory illnesses going to emergency departments in recent weeks.
A spokesperson for the hospital said it had a “comprehensive plan in place” and was “taking all the necessary actions to manage the challenging circumstances”.
“We are working with partner organisations to ensure those that are medically fit can leave hospital safely and at the earliest opportunity,” they added.
The hospital warned some people would experience delays as it prioritises the sickest patients.
People whose case isn’t an emergency are being asked to see their GP, pharmacy or walk-in centre – or call the 111 service for advice.
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The Royal Liverpool University Hospital is in the city centre and is the biggest hospital in Merseyside and Cheshire.
Declaring a critical incident can happen when a hospital is experiencing exceptional demand, or sometimes if there is a serious problem with staffing levels.
It indicates it can’t function as normal and allows it to take extra measures to protect patients, such as prioritising the most unwell people and getting support from other agencies.
It could last hours, a few days, or weeks if necessary.
A critical incident was also declared on Friday by the NHS Cornwall and Isles of Scilly Integrated Care Board.
It said it had seen almost four times as many inpatients compared with last year and urged people with flu to avoid going to A&E.