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NHS nurses are to strike for two days in December in a dispute over pay and patient safety.

Members of the Royal College of Nursing (RCN) will take industrial action on 15 and 20 December across England, Wales, and Northern Ireland.

In Scotland, industrial action is being paused while pay negotiations continue.

The strike ballot among more than 300,000 members of the RCN was the biggest in the union’s 106-year history.

The union has demanded its members receive a pay rise of at least 17%, adding that years of low pay is “pushing nursing staff out of the profession and putting patient care at risk”.

Nurses had given the government a deadline to open “detailed negotiations” and threatened to announce strike dates for December.

RCN general secretary Pat Cullen said: “My offer of formal negotiations was declined and instead ministers have chosen strike action.

“Nursing staff have had enough of being taken for granted, enough of low pay and unsafe staffing levels, enough of not being able to give our patients the care they deserve.”

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Is your area among the worst affected by nurses’ strike?

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‘Enough is enough’ – Nursing union

Pay demand ‘not affordable’

The health secretary praised the hard work and dedication of nurses, and expressed his deep regret that some will be taking industrial action.

Steve Barclay said: “These are challenging times for everyone and the economic circumstances mean the RCN’s demands, which on current figures are a 19.2% pay rise, costing £10bn a year, are not affordable.”

The RCN’s demanding an increase based on the RPI inflation rate (which was 14.2% in October) plus 5%.

In England and Wales, NHS staff have seen an average rise of 4.75% this year, in Scotland the offer was a flat rate of just over £2,200, while in Northern Ireland no pay award can be approved without an Executive in place.

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UK strikes: What does the data show?

Chancellor Jeremy Hunt – who previously held the post of health secretary – said he has a “great deal of sympathy” for nurses struggling with the cost of living, but insists the best way to help them is to bring inflation down.

Data from the London School of Economics found salaries of experienced nurses have declined by 20% in real terms over the last 10 years. This means nurses are effectively working one day a week for free.

That mirrors recent research by the health charity Nuffield Trust, which said NHS staff pay remained lower in real terms in 2021/22 than it was in 2010/11.

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‘Great deal of sympathy for nurses’

NHS vacancies at record high

Nursing vacancies hit a record 47,000 in England between April and June, a rise of a fifth on the year before.

The RCN says 25,000 nursing staff in the UK left the Nursing and Midwifery Council register in the last year.

This summer, MPs from the cross-party Health and Social Care Committee described the staffing issues as “the greatest workforce crisis” in the history of the NHS.

The union blames not just pay, but also heavy workloads.

DAMAGING AND DIVISIVE STRIKES ARE IN NOBODY’S INTERESTS

The government says the nurses’ pay demands are unreasonable. The nurses say they cannot afford to work like this any longer.

And right in the middle of the two are the patients who are finding out if the dates announced for strike action will mean their long awaited NHS appointment is going to be delayed. Again.

Both sides say emergency services will not be affected. And minimal staffing will remain on wards in hospitals that have backed industrial action to ensure patients are not at any risk.

The government is putting out reassurance messages to allay patient fears – but nothing to say what will happen about missed appointments, scans, operations and other procedures.

That’s because as the nurses union, the RCN, points out, industrial action must have some sort of impact otherwise there is no point in striking.

So elective lists will be paused temporarily, and the seven million number is bound to grow. That will put more pressure on the nurses and other healthcare workers trying to cut through that backlog.

The nurses argue that only better pay will help recruitment and retention. There are thousands of vacancies – and nurses continue to leave the profession. Their colleagues say they are being asked to step in to fill those gaps by working longer and harder.

The nurses might be joined by other hospital staff as unions ballot their members. That could see paramedics, call handlers and nonmedical hospital staff like porters joining the picket lines.

Hospitals will not be able to function normally. And every missed appointment needs to be rescheduled. That takes time and staff and resources, just as the NHS is buckling under immense pressure.

Morale among nurses has been low for a long time, and many are still trying to process what they have been through. But things are about to get worse.

I have spoken to nurses from both sides – the ones who want to strike and those who don’t. The divisions are already there and set to intensify. That will be really damaging.

It is nobody’s interest: patients, nurses or NHS managers, for this dispute to drag on.

:: Is your appointment or operation set to be impacted by the strikes? Email sky.today@sky.uk or send a WhatsApp message to 07583 000853

The RCN is not the only health union threatening strike action.

A ballot among Unison members closes on Friday, and among Unite’s NHS members next week.

Midwives and physiotherapists are also voting on taking action, and junior doctors will be balloted in the new year.

Meanwhile, ambulance staff in Scotland are due to walk out on Monday.

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Pay rise ‘not affordable’

Labour blames Tory ‘negligence

Shadow health secretary Wes Streeting blamed the government for failing to negotiate with the RCN.

He said: “Patients already can’t get treated on time, strike action is the last thing they need, yet the government is letting this happen. Patients will never forgive the Conservatives for this negligence.”

What about the safety of patients?

Unlike strikes in other sectors, some nurses will be exempt from taking part in strike action – called “derogations” – to maintain safe staffing levels and ensure patients are not harmed.

An RCN spokesperson said: “We are committed to ensuring life-preserving service is in place and will be confirming derogations with individual employers in due course.”

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Nurses could follow the example set in Northern Ireland in 2019, when staff went on strike.

The RCN has described on its website how staffing was managed on three levels:

• complete derogation, with an entire service being staffed like intensive care units
• limited to a Sunday service or Christmas Day service
• limited to a night duty model

Could agency workers replace striking nurses?

The RCN advice is clear: “If you’re an agency worker allocated to work at an NHS organisation on a day of strike action, we at the RCN expect that you do not cover that shift.

“You could ask your agency to find you alternative work at an organisation that is not taking strike action, for example a private hospital or care home.”

That doesn’t mean agency staff have to follow the advice, though – and some shifts can be lucrative.

A recent freedom of information request by Labour showed one in three NHS trusts have paid an agency more than £1,000 for a single shift last year, and one in six trusts paid more than £2,000.

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Woman’s body found in car boot in east London – as murder investigation launched by two police forces

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Woman's body found in car boot in east London - as murder investigation launched by two police forces

A murder investigation has been launched after a woman’s body was found in the boot of a car in east London.

Detectives said a murder inquiry has been launched into the “suspicious” discovery in Ilford.

The woman, who has not been named but is from Corby in Northamptonshire, may have been the victim of a “targeted incident”, police say.

“Fast track” enquiries were made after the force was contacted by a member of the public with concerns about the welfare of the woman.

This led to the discovery of a body inside a car boot.

Northamptonshire Police said: “The investigation is ongoing and there will be continued police activity over the weekend in various locations, including Corby and Ilford.

“Although we believe that this was a targeted incident and there is no wider risk to members of the public, extra patrols will be taking place in Corby in the coming days for reassurance purposes.”

Detectives from the East Midlands Special Operations Unit major crime team and the Metropolitan Police are working on the case, to try and establish the circumstances that led to the woman’s death.

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Police investigating criminal offence after Daily Telegraph columnist ‘dumbfounded’ by social media post probe

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Police investigating criminal offence after Daily Telegraph columnist 'dumbfounded' by social media post probe

Essex Police say they are investigating an alleged criminal offence of inciting racial hatred, after Daily Telegraph columnist Allison Pearson said she was “dumbfounded and upset” when officers knocked on her door last Sunday.

Ms Pearson revealed she was told she was being investigated over a year-old deleted post online.

She said she wasn’t informed which post had been reported, but suggested it could have been related to the 7 October attacks in Israel or pro-Palestine marches.

She claimed the officers told her she was being investigated for a NCHI (a none crime hate incident) an incident involving an act which is perceived to be motivated by hostility or prejudice towards persons with a particular characteristic, but is not illegal.

NCHI reports have long been controversial, with many citing free speech concerns, and Ms Pearson’s account of the police visit has led to widespread support from Conservatives and online commentators, including Tory leader Kemi Badenoch.

But an Essex Police spokesperson has told Sky News its investigation was never for an NCHI, and that the matter was always being treated as an investigation into an alleged criminal offence of inciting racial hatred.

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Speaking on her Planet Normal podcast on Wednesday, Ms Pearson said she found the visit “chilling”.

More from Politics

“I was dumbfounded, upset, it’s not very nice,” she said. “I was in my dressing gown on the step of the house, these two coppers were there just outside the door.

“There were people gathering for the Remembrance Day parade so there were people watching from the other side of the road.

“Whatever I did or didn’t tweet, if somebody found it offensive, that to me is still not a reason for two policemen to come to my house on a Sunday morning.

“You know, they don’t do that for burglars, do they? We know policing is under-resourced and they are unable to attend often quite serious crimes.

“This was the most extraordinary overreach and state intrusion into my private life and I don’t think I did anything wrong and I think their response was outrageous.”

Read more:
Ex-Tory MP feels ‘enormous guilt’ over Westminster scandal
Farage issues message to his ‘haters’

In a statement, Essex Police said: “Officers attended an address in Essex and invited a woman to come to a voluntary interview.

“They said it related to an investigation into an alleged offence of inciting racial hatred, linked to a post on social media.

“For clarity: a complaint of a possible criminal offence was made to the police and this is why we called; to arrange an interview.

“Everyone was polite and professional throughout the brief conversation.”

They said an officer told Ms Pearson: “It’s gone down as an incident or offence of potentially inciting racial hatred online. That would be the offence.”

Essex Police say they have complained to the Independent Press Standards Organisation (IPSO) over what they call “false reporting” regarding the ongoing investigation.

What is a non-crime hate incident?

Non-crime hate incidents (NCHIs) are defined by the government as an incident involving an act which is perceived to be motivated by hostility or prejudice towards persons with a particular characteristic.

Those characteristics can include race, religion, disability, sexual orientation and transgender identity.

These incidents do not amount to a criminal offence, but they are reported to police and recorded in case they escalate into more serious harm or indicate heightened community tensions.

It can be reported to police by anyone, whether they are directly affected by the alleged NCHI or not.

Not all incidents reported to police are recorded as NCHIs.

They need to meet this threshold, according to the government: “A single distinct event or occurrence which disturbs an individual’s, group’s or community’s quality of life or causes them concern.”

Furthermore, the personal data of the person reported should only be included in the reports if the incident in question presents a “real risk of significant harm” to individuals or groups with a particular characteristic and/or a real risk that a future criminal offence may take place against them.

The origins of NCHI recordings stem from the murder of Stephen Lawrence in 1993, who was murdered by a gang of racist attackers in southeast London as he ran to catch a bus.

An inquiry into his death in 1999 called for the creation of “a comprehensive system of reporting and recording of all racist incidents and crimes”.

The first guidance on NCHI was published in 2005, but there have been updates over the years in response to scrutiny over protecting free speech.

The latest guidance was published in June 2023, when an updated code of practice set out a “common sense and proportionate approach that should be adopted by the police”.

The guidance, introduced under the Conservative government, clarified “that debate, humour, satire and personally-held views which are lawfully expressed are not, by themselves, grounds for the recording of an NCHI” and that an NCHI should not be recorded if police deem a report to be “trivial” or “irrational”.

In an interview with The Telegraph published yesterday, Kemi Badenoch said police visiting a journalist over a social media post was “absolutely wrong” and that “we need to look at the laws around non-crime hate incidents”.

“There has been a long-running problem with people not taking free speech seriously,” she said.

She challenged the prime minister to review the laws, saying: “Keir Starmer says he is someone who believes in these things. Now he needs to actually show that he does believe it. All we’ve seen from him is the opposite.”

Ms Badenoch added: “We need to stop this behaviour of people wasting police time on trivial incidents because they don’t like something, as if they’re in a nursery.

“It’s like children reporting each other. And I think that in certain cases, the police do it because they’re afraid that if they don’t do it, they will also be accused of not taking these issues seriously.”

Essex Police said the officers went to the address to invite Ms Pearson to attend a voluntary interview as part of their investigation, which was passed to them by another force.

“The report relates to a social media post which was subsequently removed,” the statement read.

“An investigation is now being carried out under Section 17 of the Public Order Act.”

Essex Police also said they made attempts to contact Ms Pearson before the visit.

Other prominent Conservative voices such as Boris Johnson, Liz Truss and Chris Philp have also leapt to Ms Pearson’s defence online, as has X owner Elon Musk, who quoted a post about the incident and said: “This needs to stop.”

Police commentator Graham Wettone told Sky News the police are “duty bound to investigate allegations of crime”.

“They’ve had an allegation of crime made there,” he said. “They will investigate it. If at the end of this they decide that no criminal offence has been committed – and we’re not at that stage yet – then it can still be recorded as a none crime hate incident.”

The police, he said, are duty bound to keep a record of none crime hate incidents.

“Parliament said they want the police to do this, to investigate and record incidents like this. So they are doing exactly what parliament and society asked them to do, and they are getting criticism for doing what people want.”

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Sir Keir Starmer vows to defend budget decisions ‘all day long’ as farmers slam ‘disrespectful’ PM

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Sir Keir Starmer vows to defend budget decisions 'all day long' as farmers slam 'disrespectful' PM

Sir Keir Starmer has said he will defend the decisions made in the budget “all day long” amid anger from farmers over inheritance tax changes.

Chancellor Rachel Reeves announced last month in her key speech that from April 2026, farms worth more than £1m will face an inheritance tax rate of 20%, rather than the standard 40% applied to other land and property.

The announcement has sparked anger among farmers who argue this will mean higher food prices, lower food production and having to sell off land to pay for the tax.

Sir Keir Starmer

Sir Keir defended the budget as he gave his first speech as prime minister at the Welsh Labour conference in Llandudno, North Wales, where farmers have been holding a tractor protest outside.

Sir Keir admitted: “We’ve taken some extremely tough decisions on tax.”

He said: “I will defend facing up to the harsh light of fiscal reality. I will defend the tough decisions that were necessary to stabilise our economy.

“And I will defend protecting the payslips of working people, fixing the foundations of our economy, and investing in the future of Britain and the future of Wales. Finally, turning the page on austerity once and for all.”

He also said the budget allocation for Wales was a “record figure” – some £21bn for next year – an extra £1.7bn through the Barnett Formula, as he hailed a “path of change” with Labour governments in Wales and Westminster.

And he confirmed a £160m investment zone in Wrexham and Flintshire will be going live in 2025.

‘PM should have addressed the protesters’

Among the hundreds of farmers demonstrating was Gareth Wyn Jones, who told Sky News it was “disrespectful” that the prime minister did not mention farmers in his speech.

He said “so many people have come here to air their frustrations. He (Starmer) had an opportunity to address the crowd. Even if he was booed he should have been man enough to come out and talk to the people”.

He said farmers planned to deliver Sir Keir a letter which begins with “don’t bite the hand that feeds you”.

Farmers' tractor protest outside the Welsh Labour conference in Llandudno, North Wales
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Farmers’ tractor protest outside the Welsh Labour conference in Llandudno, North Wales

Mr Wyn Jones told Sky News the government was “destroying” an industry that was already struggling.

“They’re destroying an industry that’s already on its knees and struggling, absolutely struggling, mentally, emotionally and physically. We need government support not more hindrance so we can produce food to feed the nation.”

He said inheritance tax changes will result in farmers increasing the price of food: “The poorer people in society aren’t going to be able to afford good, healthy, nutritious British food, so we have to push this to government for them to understand that enough is enough, the farmers can’t take any more of what they’re throwing at us.”

Mr Wyn Jones disputed the government’s estimation that only 500 farming estates in the UK will be affected by the inheritance tax changes.

“Look, a lot of farmers in this country are in their 70s and 80s, they haven’t handed their farms down because that’s the way it’s always been, they’ve always known there was never going to be inheritance tax.”

On Friday, Sir Keir addressed farmers’ concerns, saying: “I know some farmers are anxious about the inheritance tax rules that we brought in two weeks ago.

“What I would say about that is, once you add the £1m for the farmland to the £1m that is exempt for your spouse, for most couples with a farm wanting to hand on to their children, it’s £3m before anybody pays a penny in inheritance tax.”

Read more:
Ex-Labour adviser suggests doing to farms ‘what Thatcher did to coal mines’
Farmers ‘could block ports and disrupt food supply’

Welsh farmer Gareth Wyn Jones
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Welsh farmer Gareth Wyn Jones

Ministers said the move will not affect small farms and is aimed at targeting wealthy landowners who buy up farmland to avoid paying inheritance tax.

But analysis this week said a typical family farm would have to put 159% of annual profits into paying the new inheritance tax every year for a decade and could have to sell 20% of their land.

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The Country and Land Business Association (CLA), which represents owners of rural land, property and businesses in England and Wales, found a typical 200-acre farm owned by one person with an expected profit of £27,300 would face a £435,000 inheritance tax bill.

The plan says families can spread the inheritance tax payments over 10 years, but the CLA found this would require an average farm to allocate 159% of its profits each year for a decade.

To pay that, successors could be forced to sell 20% of their land, the analysis found.

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