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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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‘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’

‘Something needs to change’

RCN director Patricia Marquis told Sky News nursing pay has fallen behind during the last decade and the action was nurses telling ministers “something needs to change”.

“Our members are sending a very loud message to the government that things need to change for nurses in their NHS,” she said.

“We got a pay award this year of £1,400 which may sound a lot to people, but actually nursing pay has fallen behind over the last 10 years by around the rate of inflation plus 5% – so our members are hugely disappointed that they didn’t get anywhere near what they needed to take their salaries back to the level they were 10 years ago.

“What is really worrying them is the impact that’s having on patient care. There aren’t enough nurses and nursing staff to deliver the care that’s needed. So patients are waiting too long for their operations, they are waiting for ambulances and they are waiting for beds, and it just is not safe for patients any longer, and nurses are saying ‘we have had enough, we can’t continue, something needs to change’.”

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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.

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Rishi Sunak says 19% pay rise ‘obviously unaffordable’.

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

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.

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.

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 dies in skydiving incident in County Durham

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Woman dies in skydiving incident in County Durham

A woman has died in a skydiving incident in County Durham.

Emergency crews were called to Wreford’s Farm in Shotton Colliery, near Peterlee, on Sunday morning.

The woman, aged in her 30s, was pronounced dead at the scene.

A Durham Constabulary spokesperson said the woman’s death is not being treated as suspicious and a file will be prepared for the coroner.

North East Ambulance Service said it was called to the incident at 10.17am on Sunday.

“We dispatched one ambulance crew and one specialist paramedic to the incident,” a spokesperson added.

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Wreford’s Farm is described on its website as a “small, family run farm” which produces pork and beef using “regenerative agriculture”.

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No criminal charges over death of ice hockey player Adam Johnson whose neck was cut by opponent’s skate

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No criminal charges over death of ice hockey player Adam Johnson whose neck was cut by opponent's skate

No criminal charges will be brought over the death of an ice hockey player who died during a match in Sheffield, prosecutors have announced.

Nottingham Panthers’ Adam Johnson died in October 2023 after his neck was cut by an opposition player’s skate during a match at Sheffield’s Utilita Arena.

The Sheffield Steelers player, Matthew Petgrave, was arrested on suspicion of manslaughter and later bailed – but the Crown Prosecution Service (CPS) has now said it will not bring criminal charges against the Canadian.

Michael Quinn, deputy chief crown prosecutor, said: “This was a shocking and deeply upsetting incident. The CPS and South Yorkshire Police have worked closely together to determine whether any criminal charges should be brought against the other ice hockey player involved.

“Following a thorough police investigation and a comprehensive review of all the evidence by the CPS, we have concluded that there is not a realistic prospect of conviction for any criminal offence and so there will not be a prosecution.

“Our thoughts remain with the family and friends of Adam Johnson.”

Flowers and messages left in tribute to Nottingham Panthers' ice hockey player Adam Johnson outside the Motorpoint Arena in Nottingham, the home of the Panthers. Mr Johnson died after an accident during a Challenge Cup match with Sheffield Steelers on Saturday night. Picture date: Monday October 30, 2023.
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Tributes were left outside the Motorpoint Arena in Nottingham following the ice hockey player’s death. Pic PA

Before joining Nottingham Panthers, the Minnesota-born Johnson played in Pennsylvania for the Pittsburgh Penguins, and Sweden for the Malmo Redhawks.

He also played in California for Ontario Reign and in Germany for Augsburger Panther.

A post-mortem examination confirmed the 29-year-old died as a result of the fatal neck injury.

The crowd of 8,000 spectators watched in horror as desperate attempts were made to save his life as he lay on the ice, shielded by fellow players.

The game was abandoned and spectators were asked to leave in the aftermath.

Lit candles among the flowers and messages left in tribute to Nottingham Panthers' ice hockey player Adam Johnson outside the Motorpoint Arena in Nottingham, the home of the Panthers. Mr Johnson died after an accident during a Challenge Cup match with Sheffield Steelers on Saturday night. Picture date: Monday October 30, 2023.
Image:
Pic PA

Kari Johnson, Johnson’s aunt, was watching the match via a livestream with his father and grandmother when he was fatally injured.

Speaking to Sky News at the time, Ms Johnson said: “It was a mess, it was a nightmare, it was like it wasn’t real. We were in shock, we couldn’t believe this was happening.”

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Kari Johnson said her nephew was ‘a kind soul’

Ms Johnson described her nephew as a “kind soul” and a “private kid” who “never would have wanted to be in the limelight like this”.

He simply wanted to be “good at hockey and have fun”, she said, adding he was “having the time of his life in the UK” and was planning to get engaged to his girlfriend.

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In January 2024, Sheffield’s senior coroner, Tanyka Rawden, suspended her investigation while the police inquiry took its course.

It later emerged that Ms Rawden had issued a Prevention of Future Deaths Report to Ice Hockey UK and the English Ice Hockey Association (EIHA) about the use of neck guards in the sport.

In the report, Ms Rawden said she was “sufficiently concerned that deaths may occur in the future if neck guards or protectors are not worn”, with the bodies given 56 days to say what action had been taken – or why action had not been taken.

Neck guards have been mandatory in the Elite League (EIHL), in which the Nottingham Panthers and Sheffield Steelers compete, since January 2024.

This followed the International Ice Hockey Federation’s decision in December to mandate the use of neck laceration protectors for its competitions.

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Government reviewing ‘right to family life’ court decisions as sex offenders to be denied refugee status

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Government reviewing 'right to family life' court decisions as sex offenders to be denied refugee status

Court decisions where people were granted asylum after arguing they had a “right to family life” will be reviewed as the government plans to ban migrants convicted of sex offences, the home secretary has said.

Foreign nationals who are added to the sex offenders register will forfeit their rights to protection under the Refugee Convention, the Home Office announced.

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As part of the 1951 UN treaty, countries are allowed to refuse asylum to terrorists, war criminals and individuals convicted of a “particularly serious crime” – which is currently defined in UK law as an offence carrying a sentence of 12 months or more.

The government now plans to extend that definition to include all individuals added to the Sex Offenders’ Register, regardless of the length of sentence, in an amendment to the Border Security, Asylum and Immigration Bill, which is currently going through parliament.

Home Secretary Yvette Cooper told Sky News the new definition would also “take into account” sexual offence convictions in another country.

However, she was less clear if those affected will still be able to appeal against their removal from the UK under the European Convention on Human Rights (ECHR).

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More than 10,000 people have now been detected crossing the Channel. Pic: PA
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More than 10,000 people have now been detected crossing the Channel. Pic: PA

She said: “We continue to comply with international law, but the whole point is that our laws and our frameworks are about how we interpret international law… and how we make sure that the courts are then making their decisions based on the UK law that parliament has passed.”

She added the government is “reviewing” a “series of decisions” made in the courts where criminals have been allowed to stay in the UK under Article 8 of the Human Rights Act, which protects the right to respect “your private life, your family life, your home and your correspondence”.

“We are reviewing that because we do believe that the way in which it’s being interpreted in the courts is an issue and actually, there is greater clarification we can provide through our law to address that,” she said.

It is unclear how many asylum seekers will be affected by the change in law, as the government has been unable to provide any projections or past data on the number of asylum seekers added to the Sex Offenders’ Register.

Ms Cooper earlier said: “Sex offenders who pose a risk to the community should not be allowed to benefit from refugee protections in the UK. We are strengthening the law to ensure these appalling crimes are taken seriously.”

Safeguarding and Violence Against Women and Girls Minister Jess Philips said: “We are determined to achieve our mission of halving violence against women and girls in a decade.

“That’s exactly why we are taking action to ensure there are robust safeguards across the system, including by clamping down on foreign criminals who commit heinous crimes like sex offences.”

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Has Labour tackled migration?

The Home Office would like voters to see this as a substantial change. But that’s hard to demonstrate without providing any indication of the scale of the problem it seeks to solve.

Clearly, the government does not want to fan the flames of resentment towards asylum seekers by implying large numbers have been committing sex crimes.

But amid rising voter frustration about the government’s grip on the issue, and under pressure from Reform – this measure is about signalling it is prepared to take tough action.

Conservatives: ‘Too little, too late’

The Conservatives claim Labour are engaged in “pre-election posturing”.

Chris Philp, the shadow home secretary, said: “This is too little, too late from a Labour government that has scrapped our deterrent and overseen the worst year ever for small boat crossings – with a record 10,000 people crossing this year already.

“Foreign criminals pose a danger to British citizens and must be removed, but so often this is frustrated by spurious legal claims based on human rights claims, not asylum claims.”

The Home Office has also announced plans to introduce a 24-week target for appeal hearings (known as “first-tier tribunals”) to be held for rejected asylum seekers living in taxpayer-supported accommodation, or for foreign national offenders.

The current average wait is 50 weeks.

The idea is to cut the asylum backlog and save taxpayers money – Labour have committed to end the use of asylum hotels by the end of this parliament.

It’s unclear how exactly this will be achieved, although a number of additional court days have already been announced.

The government also plans to crack down on fake immigration lawyers who advise migrants on how to lodge fraudulent asylum claims, with the Immigration Advice Authority given new powers to issue fines of up to £15,000.

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