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Union leaders could coordinate industrial action across the NHS this winter to cause “maximum impact”, the head of the GMB has suggested.

Andy Prendergast, the GMB national secretary, said health workers have had enough of “public school boys who run the government and simply don’t care” about their pay demands.

More than 10,000 ambulance workers from the GMB voted to strike yesterday, following in the footsteps of nurses in opting to walk out.

Union rejects claim granting pay rises will lead to spiralling inflation – politics live

Asked if there will be a “coordinated strike” in the health service, Mr Prendergast told Sky News: “We will be talking to the other unions.

“We know that the nurses have got their first ballot in over 100 years. We know that our colleagues in Unite, in Unison are currently delivering ballots.

“So we’ll be looking to make sure this has the maximum impact.”

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It was put to Mr Prendergast that the safety of patients could not be guaranteed if there is coordinated strike action between unions and the NHS.

He argued their safety is not being guaranteed now due to the staffing crisis, with poor pay driving many out of the profession.

“One third of our members in the ambulance service believe that they have been involved in a delay that has led to a patient dying, so this isn’t a situation where this is a service that runs perfectly well,” he said.

NHS ‘dying on its feet’

“This is a service that’s dying on its feet and our members are actually standing up and the public of Britain should support them. This is a matter of a life or death situation.”

Mr Prendergast said NHS workers “work extremely hard, often for wages that a lot of people wouldn’t get out of bed for”.

He added: “Ultimately they are saying enough is enough. It’s time for them to take action. This is the one thing that they can do to try and improve patient safety, to try and improve the terms conditions, to try and deal with 135,000 vacancies that we have among a service that we rely on.”

Paramedics, emergency care assistants, call handlers and other staff are set to walk out in nine trusts:

  • South West Ambulance Service
  • South East Coast Ambulance Service
  • North West Ambulance Service
  • South Central Ambulance Service
  • North East Ambulance Service
  • East Midlands Ambulance Service
  • West Midlands Ambulance Service
  • Welsh Ambulance Service
  • Yorkshire Ambulance Service

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‘Inflation-busting pay rises are unaffordable’

The industrial action is due to take place before Christmas, with the union planning to meet reps in the coming days to discuss dates.

Thousands of ambulance workers in Unison, the UK’s biggest trade union, also intend to take industrial action before Christmas.

Up to 100,000 nurses from the Royal College of Nursing are also set to stage a mass walkout in December, one of the busiest months for the NHS.

The army has been placed on stand by in case it is needed to fill roles of NHS workers on strike days.

Coordinated strike ‘can speed up negotiations’

Dr Emma Runswick of the British Medical Association told Sky News that coordination between unions will help protect patients as they can discuss between themselves how to cover urgent and emergency care.

She added that an effective coordinated strike “will help to speed up negotiations”.

“We want there to be an impact on the employers and on the government to bring them to the table to negotiate with us. And if we coordinate and if we’re effective, the government and employers will negotiate faster. And that’s better for us and better for patients in the long term.”

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Dr Emma Runswick of the British Medical Association says an effective coordinated strike will help to speed up negotiations.

The UK is facing a wave of strikes this winter as workers from different industries are set to walk out over pay and conditions

Rail workers, civil servants, firefighters and teachers are among the tens of thousands expected to take industrial action as a recession grips the UK and the cost of living rises.

Read More:
Which industries are striking this winter and why?
Eurostar security staff to strike in December, RMT union announces

Wage price spiral ‘nonsense’

Ministers have been criticised for refusing to negotiate with unions, with Business Secretary Grant Shapps saying meeting their pay demands would lead to a wage inflation “spiral”.

Eddie Dempsey, assistant general secretary of the RMT, which covers the transport sector, rubbished that argument.

“This idea that there’s going to be a wage spiral is nonsense because wages have been falling as a share of wealth in this country – what goes to wages and what goes to profits,” he said.

Mr Dempsey said that now, wages only account for around 8% to 12% of unit costs.

He pointed to a study from the Bank of England which found there was no risk of wage-induced inflation across Western economies because people have got less money.

He claimed what the government is actually worried about “is a shift in class power”.

“They’re worried about trade unions and ordinary working people having the ability to bargain for better wages. That’s what they’re worried about.”

Rail union ‘hopeful’ of deal to end strikes

Mr Dempsey said his union has been in negotiations for longer than six months and “every time we feel like we are making headway it has felt like the rug has been pulled out from under our feet”.

However he said there is “definitely a change of tone” with the new Transport Secretary Mark Harper and the RMT is “hopeful” a deal can be reached.

Royal Mail workers are also locked in a bitter dispute over pay and conditions, with the CEO Simon Thompson accusing union leaders of “trying to destroy Christmas” by walking out.

He claimed striking workers had demonstrated “extraordinary behaviours” and that he has heard allegations of racism, sexism and violence.

Royal Mail CEO accused of ‘lying’

Speaking during Sky’s Q&A with union leaders, Dave Ward of the Communication Workers Union (CWU) accused Mr Thompson of “lying”.

He said the union “welcomes an independent look at behaviours” of his members but the CEO’s behaviour should also be investigated.

“He goes on (social media) every single day, including weekends. and he goads our members,” Mr Ward said.

“He’s brought in a team of union and worker busters and they’re deliberately creating a psychological attack on every single worker.

“Go out and ask postal workers how they feel about this particular CEO.”

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Trump tariffs to knock growth but won’t cause global recession, says IMF

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Trump tariffs to knock growth but won't cause global recession, says IMF

The ripping up of the trade rule book caused by President Trump’s tariffs will slow economic growth in some countries, but not cause a global recession, the International Monetary Fund (IMF) has said.

There will be “notable” markdowns to growth forecasts, according to the financial organisation’s managing director Kristalina Georgieva in her curtain raiser speech at the IMF’s spring meeting in Washington.

Some nations will also see higher inflation as a result of the taxes Mr Trump has placed on imports to the US. At the same time, the European Central Bank said it anticipated less inflation from tariffs.

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Trump’s tariffs: What you need to know

Earlier this month, a flat rate of 10% was placed on all imports, while additional levies from certain countries were paused for 90 days. Car parts, steel and aluminium are, however, still subject to a 25% tax when they arrive in the US.

This has meant the “reboot of the global trading system”, Ms Georgieva said. “Trade policy uncertainty is literally off the charts.”

The confusion over why nations were slapped with their specific tariffs, the stop-start nature of the taxes, and the rapid escalation of the tit-for-tat levies between the US and China sparked uncertainty and financial market turbulence.

More on Tariffs

“The longer uncertainty persists, the larger the cost,” Ms Georgieva cautioned.

“Unusual” activity in currency and government debt markets – as investors sold off dollars and US government debt – “should be taken as a warning”, she added.

“Everyone suffers if financial conditions worsen.”

Read more:
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These challenges are being borne out from a “weaker starting position” as public debt levels are much higher in recent years due to spending during the COVID-19 pandemic and higher interest rates, which increased the cost of borrowing.

The trade tensions are “to a large extent” a result of “an erosion of trust”, Ms Georgieva said.

This erosion, coupled with jobs moving overseas, and concerns over national security and domestic production, has left us in a world where “industry gets more attention than the service sector” and “where national interests tower over global concerns,” she added.

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Sainsburys profits top £1bn after closing all cafes and cutting 3,000 jobs

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Sainsburys profits top £1bn after closing all cafes and cutting 3,000 jobs

Annual profits at the UK’s second biggest supermarket, Sainsbury’s, have reached £1bn.

The supermarket chain reported that sales and profits grew over the year to March.

It also comes after Sainsbury’s announced in January plans to close of all of its in-store cafes and the loss of 3,000 jobs.

But the high profits are not expected to increase, according to Sainsbury’s, which warned of heightened competition as a supermarket price war heats up.

Tesco too warned of “intensification of competition” last week, as Asda’s executive chairman earlier this year committed to foregoing profits in favour of price cuts.

Sainsbury’s said it had spent £1bn lowering prices, leading to a “record-breaking year in grocery”, its highest market share gain in more than a decade, as more people chose Sainsbury’s for their main shop.

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It’s the second most popular supermarket with market share of ahead of Asda but below Tesco, according to latest industry figures from market research company Kantar.

In the same year, the supermarket announced plans to cut more than 3,000 jobs and the closure of its remaining 61 in-store cafes as well as hot food, patisserie, and pizza counters, to save money in a “challenging cost environment”.

This financial year, profits are forecast to be around £1bn again, in line with the £1.036bn in retail underlying operating profit announced today for the year ended in March.

The grocer has been a vocal critic of the government’s increase in employer national insurance contributions and said in January it would incur an additional £140m as a result of the hike.

Higher national insurance bills are not captured by the annual results published on Thursday, as they only took effect in April, outside of the 2024 to 2025 financial year.

Supermarkets gearing up for a price war and not bulking profits further could be good news for prices of shelves, according to online investment planner AJ Bell’s investment director Russ Mould.

“The main winners in a price war would ultimately be shoppers”, he said.

“Like Tesco, Sainsbury’s wants to equip itself to protect its competitive position, hence its guidance for flat profit in the coming year as it looks to offer customers value for money.”

There has been, however, a warning from Sainsbury’s that higher national insurance contributions will bring costs up for consumers.

News shops are planned in “key target locations”, Sainsbury’s results said, which, along with further openings, “provides a unique opportunity to drive further market share gains”.

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US markets fall as AI chipmakers mourn new restrictions on China exports

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US markets fall as AI chipmakers mourn new restrictions on China exports

US stock markets suffered more significant losses on Wednesday, with stocks in leading AI chipmakers slumping after firms said new restrictions on exports to China would cost them billions.

Nvidia fell 6.87% – and was at one point down 10% – after revealing it would now need a US government licence to sell its H20 chip.

Rival chipmaker AMD slumped 7.35% after it predicted a $800m (£604m) charge due to its MI308 also needing a licence.

Dutch firm ASML, which makes hardware essential to chip manufacturing, fell more than 5% after it missed order expectations and said US tariffs created uncertainty.

The losses filtered into the tech-dominated Nasdaq index, which recovered slightly to end 3% down, while the larger S&P 500 fell 2.2%.

A board above the trading floor of the New York Stock Exchange, shows the closing number for the Dow Jones industrial average Wednesday, April 16, 2025. (AP Photo/Richard Drew)
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Pic: AP

Such losses would have been among the worst in years were it not for the turmoil over recent weeks.

It comes as China remains the focus of Donald Trump’s tariff regime, with both countries imposing tit-for-tat charges of over 100% on imports.

The US commerce department said in a statement it was “committed to acting on the president’s directive to safeguard our national and economic security”.

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Could Trump make a trade deal with UK?

Nvidia’s bespoke China chip is already deliberately less powerful than products sold elsewhere after intervention from the previous Biden administration.

However, the Trump government is worried the H20 and others could still be used to build a supercomputer in China, threatening national security and US dominance in AI.

Nvidia said the move would cost it around $5.5bn (£4.1bn) and the licensing requirement would be in place for the “indefinite future”.

Nvidia’s recently announced a $500bn (£378bn) investment to build infrastructure in America – something Mr Trump heralded as a victory in his mission to boost US manufacturing.

However, it appears to have been too little to stave off the new restrictions.

Pressure has also come from the Democrats, with senator Elizabeth Warren writing to the commerce secretary and urging him to limit chip sales to China.

Meanwhile, the head of US central bank also warned on Wednesday that US tariffs could slow the economy and raise inflation more than expected.

Jerome Powell said the bank would need more time to decide on lowering interest rates.

“The level of the tariff increases announced so far is significantly larger than anticipated,” he said.

“The same is likely to be true of the economic effects, which will include higher inflation and slower growth.”

Predictions of a recession in the US have risen significantly since the president revealed details of the import taxes a few weeks ago.

However, he subsequently paused the higher rates for 90 days to allow for negotiations.

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