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.
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.
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.”
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.
Migrants convicted of sex offences in the UK or overseas will be unable to claim asylum under government plans to change the law to improve border security.
The Home Office announcement means foreign nationals who are added to the sex offenders register will forfeit their rights to protection under the Refugee Convention.
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. It’s understood they also hope to include those convicted of equivalent crimes overseas.
Those affected will still be able to appeal their removal from the UK in the courts under the European Convention on Human Rights (ECHR).
Image: More than 10,000 people have now been detected crossing the Channel. Pic: PA
It is unclear how many asylum seekers will be affected, 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.
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Home Secretary Yvette Cooper 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.”
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 MP, 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.”
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Has Labour tackled migration?
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.
A 14-year-old girl who attempted to murder two teachers and a pupil at a school in Wales has been sentenced to 15 years in detention.
The girl, who cannot be named for legal reasons, was previouslyfound guilty of attempting to murder teachers Fiona Elias and Liz Hopkin and a pupil at Ysgol Dyffryn Aman in Ammanford.
Emergency services were called to the school on 24 April last year, in what the trial heard was a “serious episode of violence” during the mid-morning break after the girl took her father’s fishing “multi-tool” to school.
She had admitted to three counts of wounding with intent and possession of a bladed article on a school premises, but a jury found her guilty of attempted murder in February after a week-long trial.
Following her arrest, the teenager told officers she was “pretty sure” the incident would be on the news, and added “that’s one way to be a celebrity”.
Both Mrs Elias and Mrs Hopkin “received significant and serious injuries”, Swansea Crown Court heard.
Mrs Hopkin was airlifted to the University Hospital of Wales in Cardiff after she sustained “four stab wounds”, while Mrs Elias and the pupil also attended hospital for treatment.
Image: Ammanford in Carmarthenshire
‘Changed my life forever’
Reading her victim personal statement from the witness box on Monday, Fiona Elias said the incident had shown her that life was “fragile” and had been “a steep learning curve”.
“Walking out on duty that day would change my life forever,” she said – a moment which “replays itself over and over no matter how much time passes”.
“It’s not easy, and I know I’ll continue to face challenges, but every day I’m taking step towards healing,” Mrs Elias said.
Addressing the defendant, Mrs Elias said “your motive was clear, you intended to murder me” but that she was stopped “thanks to Liz’s selfless actions”.
She said she was not “ruling out the possibility of a meeting with [the pupil] in the future,” but that she first needed to know she would “engage with the interventions that will be put in place”.
Outlining her plans to campaign for safer working conditions at schools, Mrs Elias said: “I never expected to give my blood, but I will always give my heart to Ysgol Dyffryn Aman and to the world of education.”
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The teenager, who can’t be named, is due to be sentenced in April.
‘Right place at the right time’
Liz Hopkin said it had been “the worst experience of [her] life” but that she was “glad” she was “in the right place at the right time” to protect Mrs Elias.
“I’m still here, I’m still alive, though at the time I was sure that I was going to die,” she told the court.
“Physically, my wounds have healed but the scars remain.”
Mrs Hopkin added that the thought of returning to a career in teaching now filled her with “anxiety and dread”.
“You were prepared to kill someone you did not know,” she said, addressing the defendant, who sat in the court for proceedings, until she moved to the dock for sentence.
“The decision to end my life was never yours to make.”
But Mrs Hopkin said she worried about the defendant’s future, adding: “I don’t want you to be punished forever but I do want you to take every opportunity to make your life better.”
Concluding her victim personal statement, Mrs Hopkin said: “It has changed me in ways I never wanted and that is something I will have to live with for the rest of my life.”
Image: Pic: PA
‘Very complex young girl’
Prosecuting, William Hughes KC said aggravating factors in the case included use of a knife, the fact two of the victims were “carrying out a public service” and that the offending took place in public.
In mitigation, Caroline Rees KC said the defendant was “a very complex young girl”.
She said she had shown remorse, had a “difficult background” and also the fact there were two trials.
Handing down his sentence, Judge Paul Thomas said the defendant would serve half of the 15-year sentence before she can be considered for release.
Addressing the defendant, he said: “What you did in school almost a year ago the day has caused a large number of people a great deal of harm and upset. It has hugely affected many lives, including, of course, your own.”
“The simple fact is you tried to kill three people, two teachers and another pupil,” he added.
“I think that it is very important here that what you did you did in full of so many other pupils…In my view you wanted as many of your fellow pupils as possible to see what you intended to do.”
The Judge added that “for one reason or other, [the defendant wasn’t] really listening” to the victim impact statements of Mrs Elias and Mrs Hopkin.
He said he did not think the teenager was “genuinely sorry” for what she did, adding: “You showed no emption or even interest in how they felt that day or ever since.”
A grandmother who claims she was sexually assaulted by a private paramedic on the way to hospital has told Sky News she has been failed by the ambulance service.
Warning: This article contains references to sexual abuse and suicide
It comes as a staff survey of the same service – the South East Coast Ambulance Service (SECAmb) – heard damning claims of a culture of discrimination and bullying; with allegations of Nazi flags on team video calls and a “boy’s club” culture where whistleblowers are punished.
It’s been more than a year since a Sky News investigation first heard of a culture of rampant sexual harassment and abuse in ambulance services.
These issues have existed for decades right across the country.
But now the GMB union, which represents ambulance workers, is calling on the chief executive of SECAmb, Simon Weldon, to resign.
It’s after a survey of workers heard high instances of inappropriate behaviour and bullying; with a huge fear of speaking out.
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It’s led the GMB to call for an independent investigation, with one representative branding the ambulance trust “the worst in the country”.
The trust told us it is committed to working with unions for positive change.
‘I just lay there, terrified’
Image: Juliette was treated by paramedics after she was hit by a car while cycling
Juliette, 65, has spent four years trying to get her local ambulance trust to listen. In 2021, she accused a private paramedic working with SECAmb of sexually assaulting her.
Hit by a car while cycling through Surrey, she remembers lying on the stretcher in agony, afraid to move in case she was paralysed. Two paramedics carried out assessments for around 90 minutes before driving her to hospital.
But as soon as she was alone in the back with just one of them, she claims the male paramedic suddenly told her he wanted to “check her hips”.
“There was no asking, no consent,” she says. And instead of touching her hips, she claims he sexually assaulted her.
“With his left hand, he opened my shorts up – and put his right hand into my cycling shorts.
“Between my legs.”
Image: Juliette says she was left feeling ‘insulted, betrayed and humiliated’
She doesn’t want to go into the details, but she says she temporarily froze, powerless and terrified of what he might do. All the while he stared down into her eyes and said nothing.
“I felt so uncomfortable. Shamed, frightened, shocked. I didn’t want it to continue.”
Image: A letter of formal complaint
She said her brain eventually “snapped into place” and she moved her legs. She claims he then removed his hand, and sat behind her head in silence for the rest of the journey.
“I just lay there – terrified,” she whispers.
She reported it to the police the following day, but with no CCTV in the ambulance, it was her word against his. With no hope of a successful prosecution, the Met Police dropped the case.
Image: South East Coast Ambulance’s response to a request for CCTV images
Then she turned her attention to the ambulance service, hopeful it would act.
We’ve seen correspondence between Juliette’s lawyers and SECAmb, which promised to respond to the formal complaint within 25 days. That was repeatedly delayed for several months.
“It was about seven months after the accident. They still hadn’t acknowledged anything to do with the sexual assault,” she recalls.
“They hadn’t answered any questions.”
Eventually, they effectively said the assault hadn’t happened; claiming that Juliette herself had started to remove her cycling shorts, and that “consent was given” for an examination after she complained of a pain in her leg.
She unequivocally denies every detail of this account.
She says it left her feeling “insulted, betrayed and humiliated”.
Why – she asks – would somebody think she had “wasted all this time”.
“It’s too late for me,” she adds, but she is making a stand to help others avoid the same trauma.
Image: Amelia (not her real name) talking to Sky News’ Rachael Venables
Culture of discrimination, harassment and bullying
The GMB represents a large number of the 4,000 SECAmb staff, and recently carried out a survey of their members about their experiences of working life.
From the nearly 900 responses, the union claims they identified a culture of discrimination towards women staff members with sexual harassment, bullying, and a general “boys’ club” culture.
Of those surveyed, 25.6% had experienced bullying and 26% had witnessed inappropriate conduct. Racism was witnessed by 16% and sexual harassment by 17.2%.
What’s more, 80% didn’t feel confident the trust would support them if they flagged concerning behaviour.
‘He’s always been into Nazi stuff’
Ambulance worker Amelia (not her real name) told Sky News she finally blew the whistle on inappropriate behaviour a few years ago after she joined a video call with colleagues to discuss staffing levels.
One of the managers joined them from home. To Amelia’s shock, he appeared on their office screen with a large red, white and black Nazi swastika flag prominently behind him.
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NHS manager joined call with Nazi flag
On his desk was a framed photo of Adolf Hitler, next to what she says looked like a young woman at graduation. On the bookshelves sat a red swastika armband and what she was later told was a World War Two grenade.
She was horrified.
“I kept looking around the room thinking, ‘why is no one saying anything?’… When I spoke to people afterwards they said: ‘Oh yeah… he’s always been into Nazi stuff.”
At first, she blew the whistle anonymously, but was told she’d have to name herself and put in a formal grievance for it to be investigated.
A report seen by Sky News found the manager’s “inappropriate behaviour” should have been challenged, but he still works for SECAmb.
Amelia claims she was isolated by her colleagues, frozen out of meetings and uninvited to team events, saying “it killed my career”.
An independent report found there wasn’t enough evidence to prove that she had been deliberately excluded.
At one point the police were involved, then days later, she says, “I had bags of dog faeces on my doorstep. That went on for a few days, I felt like a prisoner in my own home”.
“Whenever I heard sirens, I got palpitations. I was terrified of who would be in that ambulance.”
‘They become the problem’
When people like Amelia speak out “they become the problem”, says Lib Whitfield, a senior GMB organiser.
Lib started working with the trust eight years ago, after an independent report was published, highlighting behaviours similar to those referenced in this article.
Image: Senior GMB organiser Lib Whitfield
The culture is now the “worst it’s ever been”, says Lib, and she believes it’s the “worst in the country”.
“I am receiving calls every single day from members who are suicidal,” she adds.
Lib says the union has now written to the health secretary, Wes Streeting, with three demands.
“Firstly, we need a full independent investigation into the culture of SECAmb that results in actions and not just words,” she says.
“Secondly, we are calling for the resignation of the current chief executive who has overseen this getting worse.
“And thirdly, we are calling for an interim chief executive to be appointed who is external to SECAmb and who can have external reporting to ensure they are not corrupted.”
We took these allegations to the ambulance trust, which wanted to point out that the alleged events happened before Mr Weldon took over as chief executive.
It also said it had issues with the way the anonymous survey was conducted.
A spokesperson said in a statement: “We continue to work hard to make SECAmb a safe organisation for all of our people and are committed to drive real change.
“The historic cases highlighted were thoroughly investigated, including through independent external reviews, and we firmly believe these cases do not reflect the views of the majority of our people on how it feels to work at SECAmb currently.
“We continue to engage openly with the whole trust about the further improvements we want to make and about the changes needed for the ambulance sector as whole.
“We remain absolutely committed to working with our unions to achieve this, although this will only happen with constructive collaboration on all sides.”
Health Secretary Wes Streeting did not respond to our request for an interview, but in a statement a Department of Health and Social Care spokesperson said: “This is an extremely concerning report and we are looking closely at it. Sexual harassment or abuse within the NHS is completely unacceptable and must be dealt with appropriately.”
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.