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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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King Charles’s return to public outings marks significant moment, but uncertainty remains

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King Charles's return to public outings marks significant moment, but uncertainty remains

After a difficult few months we have a more positive picture from the Palace.

A personal moment of the King and Queen released with the news he can now return to public duties.

It’s the details he will be delighted to share.

Not only are his medics “encouraged” with his progress, and “positive” about his recovery, they’re also happy he can get back to work.

And for a man who is widely reported to be a workaholic, this will be wholly welcome.

This was not how he’d imagined the first year after his coronation.

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Back to public duties but Prince William is likely being cautious

King Charles III and Queen Camilla, taken by portrait photographer Millie Pilkington, in Buckingham Palace Gardens on April 10
Pic:  Millie Pilkington/Buckingham Palace/PA
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Pic: Millie Pilkington/Buckingham Palace/PA

He knows from his late mother’s mantra, a monarch has to be seen to be believed.

But his cancer diagnosis changed everything.

The royal year so meticulously mapped out was put on pause with unprecedented and huge uncertainty.

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Queen thanks young Kate well wishers

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The King’s constitutional work has continued, but the public outings were stopped.

His family has stepped up to support him, and protocols were in place should the need arise.

But it has been an incredibly challenging time for the House of Windsor.

News of the Princess of Wales’s cancer diagnosis a double blow for the family.

Handout photo provided by Kensington Palace of the Princess of Wales recording her message announcing that following her abdominal surgery in January "tests after the operation found cancer had been present." Issue date: Friday March 22, 2024.
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Kate, the Princess of Wales, is also undergoing treatment for cancer. Pic: Kensington Palace

There remains a lot of uncertainty; the King won’t return to full duties, and his engagements will be adapted to reduce the risk while he recovers. There’s also no confirmation yet about the big set piece events like Trooping the Colour or an overseas state visit.

But this is a significant moment. And the King’s return to public work will start with a personally poignant visit, as he and the Queen meet patients and staff at a cancer treatment centre.

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Deaths of Reading terror attack victims ‘probably avoidable’, inquest finds

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Deaths of Reading terror attack victims 'probably avoidable', inquest finds

The deaths of the Reading terror attack victims were “probably avoidable” and contributed to by the failings of multiple agencies, an inquest has found.

Friends James Furlong, 36, Joseph Ritchie-Bennett, 39, and David Wails, 49, were stabbed to death by Khairi Saadallah, now 29, in Forbury Gardens on 20 June 2020.

Three other people were also injured before Saadallah, who shouted “Allahu Akbar” (God is greatest), threw away the eight-inch knife and ran off, pursued by an off-duty police officer.

Saadallah was handed a whole-life sentence at the Old Bailey in January 2021 after pleading guilty to the three murders and three attempted murders.

Undated Thames Valley Police handout photo of Reading terror attacker Khairi Saadallah
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Khairi Saadallah. Pic: Thames Valley Police

Judge Coroner Sir Adrian Fulford today delivered his findings on the killings of history teacher Mr Furlong, pharmaceuticals manager Mr Ritchie-Bennett, and scientist Mr Wails.

Mr Fulford said the deaths “probably would have been avoidable” if the mental health service had given “greater priority to stabilising [Saadallah] and securing access to long-term psychological therapy”.

He added that if his “extremist risk had been better analysed”, Saadallah would probably then have been recalled to custody the day before the attacks, meaning they would never have happened.

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The coroner said the deaths of the three men were “contributed to by the failings of multiple agencies”.

Saadallah, who came to the country as a teenager from Libya, where he was trained to fight as a child soldier for a group now banned as a terrorist organisation in the UK, had a long history of offending and was released from prison on licence just 15 days before the attack.

Khairi Saadallah admits three murders and three attempted murders, but denies a terror motive
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Saadallah had a long history of offending. Pic: PA

The inquest heard six weeks of evidence looking at his management while he was in jail and on probation, his mental health and the assessment and response to his risk of terrorism.

The Old Bailey heard the Home Office dealt with Saadallah with “woeful inadequacy”, while he was referred to the government’s Prevent de-radicalisation programme four times.

MI5 “triaged” him on four separate occasions, once opening a “lead investigation”, but the security service said they found no evidence he planned to leave the country or commit an attack.

Saadallah had a string of previous convictions for offences including violence and possession of a knife, and spent repeated spells in jail between 2015 and 2020.

Prison intelligence reports showed a pattern of fighting, threats to staff, self-harming and suspected drug use, along with references to extremism.

A counsellor said she “harassed” mental health services to examine him in the year before the killings, while one probation officer broke down in court as she recalled unknowingly “managing an unconvicted murderer”.

The inquest also heard Thames Valley Police officers did not find a knife at Saadallah’s home during a “welfare check” the day before the attack after they were not told he was threatening to harm himself and others.

‘Catastrophically failed’

Mr Furlong’s father Gary said the victims’ families had listened with “shock and utter disappointment” to the evidence, which had led them to “fundamentally question” whether their faith in authorities to protect their loved ones was misplaced.

“Our boys did not stand a chance,” he said.

Dr Wails’s brother Andrew said UK state agencies had “catastrophically failed” in their duty to protect the public from Saadallah and that the attack “destroyed our lives”.

Calling Saadallah a “cowardly terrorist”, Andrew Wails said: “[He] had been a member of a proscribed terrorist group and murdered people, he confessed to throwing grenades at people in public places in Libya, yet he was let into the UK and allowed to remain here.”

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‘The state catastrophically failed in its duty’

Parallels to London Bridge stabbings

Nick Harborne, chief of Reading Refugee Support Group, also said the stabbings “could have been avoided” having warned various bodies about Saadallah months before the attack.

When the news of the stabbings broke, Mr Harborne “instantly knew it was Saadallah”.

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Reading attack ‘could have been avoided’

He said he had tried to communicate with Prevent, community mental health services, and the Probation Service, to notify them of Saadallah’s “potential for violence”.

Mr Harborne likened Saadallah’s trajectory to the terrorist Usman Khan who committed the 2019 London Bridge stabbings, and he referred to the attack in his communications with the various agencies.

“There is stuff we could all have done better… The tragedy didn’t have to happen,” he said.

Assistant Chief Constable Tim Metcalfe of Counter Terrorism Policing South said was “still work to do” to address the issues surrounding the case.

He added: “In this moment it is also important to reflect on the terrorist threat that we in UK policing and our partners face. It is significant and continually evolving.

“Many of the cases we are working on now involve people with complex mental health and social needs. We also are seeing more individuals with mixed or unclear ideology, who can be more difficult to assess and manage.”

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UK summons Russian ambassador as British man allegedly recruited as spy is charged over arson plot

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UK summons Russian ambassador as British man allegedly recruited as spy is charged over arson plot

The Foreign Office has summoned Russia’s ambassador to the UK after a British man was charged over an arson plot on London businesses linked to Ukraine.

The 20-year-old man is accused of masterminding alleged hostile state activity to benefit Moscow, in part by recruiting others for the arson attack last month.

“The UK remains deeply concerned by allegations of Russian orchestrated malign activity on UK soil,” a spokesperson for the ministry said on Friday.

“We call for an immediate cessation of this activity and we will continue to work with our allies to deter and defend against the full spectrum of threats that emanate from Russia.”

Dylan Earl is alleged to have engaged in conduct targeting the businesses in order to benefit the Russian state.

He has been charged under the National Security Act 2023 – the first case to involve alleged offences under the new spy laws.

Earl is accused of undertaking fraudulent activity, research and reconnaissance of targets, and attempting to recruit individuals to materially assist a foreign intelligence service carrying out UK-related activities, prosecutors say.

After news emerged of the charge, the Foreign, Commonwealth and Development Office (FCDO) said it had summoned Russia’s ambassador to the UK, Andrey Kelin.

Earl is accused of organising and paying for an arson attack on two units on an industrial estate in Leyton, east London, on 20 March.

The blaze required 60 firefighters to bring it under control.

Foreign Secretary Lord Cameron, writing on X on Friday, said he was “deeply concerned by allegations of British nationals carrying out criminal activity on UK soil to benefit the Russian state”.

He added: “We will use the full weight of the criminal justice system to hold anyone found guilty of crimes linked to foreign interference to account.”

Four others have also been charged in connection with the case, it can now be reported.

Reporting restrictions were lifted on Friday allowing all the defendants to be named, the CPS said in a statement.

Two other men – Paul English, 60, and Nii Mensah, 21 – have been charged with aggravated arson.

Jake Reeves, 22, has been charged with agreeing to accept a material benefit from a foreign intelligence service – as well as aggravated arson.

A fifth man – Dmitrijus Paulauska, 22 – has been charged with having information about terrorist acts.

Read more from Sky News:
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Earl appeared at Westminster Magistrates’ Court in central London last Saturday – and English and Mensah on Monday. They were all remanded in custody to appear at the Old Bailey on 10 May.

Reeves and Paulauska appeared at Westminster Magistrates’ Court on Friday – and their cases were adjourned to the same date.

Commander Dominic Murphy, head of the Metropolitan Police’s counter-terrorism command, said: “While these are very serious allegations, I want to reassure the public that we do not believe there to be any wider threat to them in connection with this matter.” He added: “This investigation remains ongoing.”

Nick Price, head of the CPS’s special crime and counter-terrorism division, said: “Criminal proceedings against these defendants are active. No one should report, comment or share information online which could in any way prejudice their right to a fair trial.”

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