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More than 10,000 ambulance workers across nine trusts in England and Wales will strike on 21 and 28 December, the GMB union has confirmed.

The GMB, Unison and Unite unions are coordinating industrial action in a row over pay.

Ambulance workers from the GMB union, including paramedics, emergency care assistants, call handlers and other staff, will strike on 21 and 28 December at the following 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

Share your story about the NHS as it faces acute pressure this winter

Unite said more than 1,600 of its members at the West Midlands, North West and North East ambulance service trusts would also join the walkout on 21 December.

Ambulance workers who are members of Unison will join the strike at five services in England: London, Yorkshire, the North West, North East and South West.

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The strikes will go ahead after the Royal College of Nursing staged their second walkout, which was also over pay.

Last week, workers across the ambulance services and some NHS trusts voted to take industrial action over the government’s 4% pay award, which the GMB union has described as another “massive real-terms pay cut”.

‘Life and limb cover’

The union said its representatives will now meet with individual trusts to discuss requirements for “life and limb cover” on the two confirmed dates.

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Military could ‘drive ambulances’ during strikes

Rachel Harrison, GMB national secretary, said: “After twelve years of Conservative cuts to the service and their pay packets, NHS staff have had enough.

“The last thing they want to do is take strike action, but the government has left them with no choice.

“Steve Barclay needs to listen and engage with us about pay. If he can’t talk to us about this most basic workforce issue, what on earth is he health secretary for?

“The government could stop this strike in a heartbeat – but they need to wake up and start negotiating on pay.”

‘Stark warning’ to the government

Unite called the action a “stark warning” to the government, which it urged to stem the “crisis” engulfing the NHS.

Sharon Graham, Unite general secretary, said: “Make no mistake, we are now in the fight of our lives for the very NHS itself. These strikes are a stark warning – our members are taking a stand to save our NHS from this government.

“Patients’ lives are already at risk but this government is sitting on the sidelines, dodging its responsibility to sort out the crisis that it has created.

“Ministers can’t keep hiding behind the pay review body. They know full well it does not address the desperate need to get huge numbers of NHS workers off the breadline.

“Fail to act now to avert these strikes and the blame will rest firmly at the government’s door.”

Unite said it would maintain essential emergency cover for patients.

It is also balloting 10,000 more NHS workers at 38 different employers across England and Wales. The results are expected later this month.

Unison ambulance crews to walkout

Unison said its strike, which involves paramedics, emergency care assistants, ambulance technicians and other 999 crew members, will run from midday until midnight on 21 December.

The ambulance workers will be joined by Unison nurses, porters, healthcare assistants, cleaners and other NHS workers at two Liverpool hospitals.

Unison will also re-ballot around 13,000 NHS staff working for 10 Trusts and ambulance services where turnout in the recent strike vote fell short of the threshold required by law.

Read more:
Christmas rail strikes to go ahead as union rejects offer from operators
Military could be deployed to help limit Christmas strike disruption

Unison’s head of health, Sara Gorton, said: “The government will only have itself to blame if there are strikes in the NHS before Christmas.

“Ambulance staff and their health colleagues don’t want to inconvenience anyone but ministers are refusing to do the one thing that could prevent disruption – that’s start genuine talks about pay.

“Wages are too low to stop health workers quitting the NHS. As more and more hand in their notice, there are fewer staff left to care for patients. The public knows that’s the reason behind lengthy waits at A&E, growing ambulances delays, postponed operations and cancelled clinics.

“Threatened NHS strikes in Scotland were called off because ministers there understand higher wages and improved staffing levels go hand in hand. Unfortunately, the penny’s yet to drop for the Westminster government.”

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Israel resumes airdrops into Gaza – as baby girl dies weighing less than when she was born

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Israel resumes airdrops into Gaza - as baby girl dies weighing less than when she was born

Israel has resumed airdrops of aid into Gaza, as reports and condemnation of starvation and famine continue to spread.

In a statement, the Israel Defence Forces added that humanitarian corridors would also be established for United Nations convoys to deliver aid into the region, though it did not say when or where.

While the IDF “emphasises that combat operations have not ceased” – and reiterated claims there is “no starvation” in Gaza – it said: “The airdrops will include seven pallets of aid containing flour, sugar and canned food to be provided by international organisations.”

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People in Gaza jump on food trucks

The military added that it is prepared to implement “humanitarian pauses” in densely populated areas.

Reports suggest aid has already been dropped into Gaza, with some injured after fighting broke out.

In other developments, Bob Geldof has accused Israeli authorities of “lying” about starvation in the territory – telling Sunday Morning With Trevor Phillips that the IDF is “dangling food in front of starving, panicked, exhausted mothers”.

He told Sky News: “This month, up to now, 1,000 children or 1,000 people have died of starvation. I’m really not interested in what either of these sides are saying.”

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Bob Geldof: ‘Israeli authorities are lying’

Israel cut off all supplies to Gaza from the start of March. It then reopened it with new restrictions in May, but said the supply had to be controlled to prevent it from being stolen by Hamas militants.

On Saturday, reports referencing US government data said that there was no evidence Hamas had stolen aid from UN agencies.

The IDF’s international spokesperson, Lieutenant Colonel Nadav Shoshani, described such reports as “fake news” and said Hamas thefts have been “well documented”.

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Malnourished girl: ‘The war changed me’

Airdrops ‘expensive and inefficient’

It comes as the Hamas-run health ministry in Gaza said that, as of Saturday, 127 people have died from malnutrition-related causes, including 85 children.

They include a five-month-old girl who weighed less than when she was born, with a doctor at Nasser Hospital describing it as a case of “severe, severe starvation”.

Health workers have also been weakened by hunger, with some putting themselves on IV drips so they can keep treating badly malnourished patients.

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Aid waiting to be distributed in Gaza

On Friday, Israel said it would allow foreign countries to airdrop aid into Gaza – but the UN Relief and Works Agency has warned this will not reverse “deepening starvation”.

UNRWA head Philippe Lazzarini described the method as “expensive” and “inefficient”, adding: “It is a distraction and screensmoke. A manmade hunger can only be addressed by political will.

“Lift the siege, open the gates and guarantee safe movements and dignified access to people in need.”

He added that UNRWA has the equivalent of 6,000 trucks in Jordan and Egypt waiting for permission to enter Gaza.

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PM says UK will help drop aid to Gaza

MSF, also known as Doctors Without Borders, warned on Friday that 25% of young children and pregnant women in Gaza are now malnourished, and said the lack of food and water on the ground was “unconscionable”.

The UN also estimates that Israeli forces have killed more than 1,000 people seeking food – the majority near the militarised distribution sites of the US-backed aid distribution scheme run by the Gaza Humanitarian Foundation.

Read more:
What does recognising a Palestinian state mean?
British surgeon claims IDF ‘deliberately’ shooting boys

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In a statement on Friday, the IDF had said it “categorically rejects the claims of intentional harm to civilians”, and reports of incidents at aid distribution sites were “under examination”.

The GHF has also previously disputed that these deaths were connected with its organisation’s operations, with director Johnnie Moore telling Sky News: “We just want to feed Gazans. That’s the only thing that we want to do.”

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Bob Geldof accuses Israeli authorities of ‘lying’ about starvation in Gaza

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Bob Geldof accuses Israeli authorities of 'lying' about starvation in Gaza

Bob Geldof has accused the Israeli authorities of “lying” about starvation in Gaza – after Israel’s government spokesperson claimed there was “no famine caused by Israel”.

Earlier this week, David Mencer claimed that Hamas “starves its own people” while on The News Hour with Mark Austin, denying that Israel was responsible for mass hunger in Gaza.

Appearing on Sunday Morning with Trevor Phillips, Geldof said the claims are false.

Follow latest: Gaza aid airdrops a ‘smokescreen’ and ‘distraction’, says UN agency chief

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Israel challenged on starvation in Gaza

Mr Phillips asked the Live Aid organiser: “The Israeli view is that there is no famine caused by Israel, there’s a manmade shortage, but it’s been engineered by Hamas.

“I guess the Israelis would say we don’t see much criticism from your side of Hamas.”

In response, Geldof said “that’s a false equivalence” and “the Israeli authorities are lying”.

The singer then added: “They’re lying. [Benjamin] Netanyahu lies, is a liar. The IDF are lying. They’re dangling food in front of starving, panicked, exhausted mothers.

“And while they arrive to accept the tiny amount of food that this sort of set up pantomime outfit, the Gaza Humanitarian Front, I would call it, as they dangle it, then they’re shot wantonly.

“This month, up to now, a thousand children or a thousand people have died of starvation. I’m really not interested in what either of these sides are saying.”

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Gaza: ‘This is man-made starvation’

In the interview with Mark Austin on 23 July, Mr Mencer added: “This suffering exists because Hamas made it so. Here are the facts. Aid is flowing, through the Gaza Humanitarian Foundation. Millions of meals are being delivered directly to civilians.” He also claimed that since May more than 4,400 aid trucks had entered Gaza carrying supplies.

It comes after MSF, also known as Doctors Without Borders, warned 25% of young children and pregnant women in Gaza are now malnourished.

The charity said Israel’s “deliberate use of starvation as a weapon” has reached unprecedented levels, and said that at one of its clinics in Gaza City, rates of severe malnutrition in children under five have trebled over the past two weeks.

MSF then called the lack of food and water on the ground as “unconscionable”.

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Aid waiting to be distributed in Gaza

In a statement to Sky News, an Israeli security official said that “despite the false claims that are being spread, the State of Israel does not limit the number of humanitarian aid trucks entering the Gaza Strip”.

Read more:
What does recognising a Palestinian state mean?
Surgeon claims IDF ‘deliberately’ shooting boys at Gaza aid points
Security shot at Palestinians at Gaza aid centre – ex-guard

It then blamed other groups for issues delivering aid. They said: “Over the past month, we have witnessed a significant decline in the collection of aid from the crossings into the Gaza Strip by international aid organisations.

“The delays in collection by the UN and international organisations harm the situation and the food security of Gaza’s residents.”

The IDF also told Sky News: “The IDF allows the American civilian organisation (GHF) to distribute aid to Gaza residents independently, and operates in proximity to the new distribution zones to enable the distribution alongside the continuation of IDF operational activities in the Gaza Strip.

“Following incidents in which harm to civilians who arrived at distribution facilities was reported, thorough examinations were conducted in the Southern Command and instructions were issued to forces in the field following lessons learned.

“The aforementioned incidents are under review by the competent authorities in the IDF.”

You can watch the full interview on Sunday Morning with Trevor Phillips at 8.30am tomorrow.

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25% of young children and pregnant women malnourished in Gaza, charity says, as PM vows to fly critical medical cases to UK

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25% of young children and pregnant women malnourished in Gaza, charity says, as PM vows to fly critical medical cases to UK

A charity has warned 25% of young children and pregnant women in Gaza are now malnourished, with Sir Keir Starmer vowing to evacuate children who need “critical medical assistance” to the UK.

MSF, also known as Doctors Without Borders, said Israel’s “deliberate use of starvation as a weapon” has reached unprecedented levels – with patients and healthcare workers both fighting to survive.

It claimed that, at one of its clinics in Gaza City, rates of severe malnutrition in children under five have trebled over the past two weeks – and described the lack of food and water on the ground as “unconscionable”.

Pic: Reuters
Image:
Pic: Reuters

The charity also criticised the high number of fatalities seen at aid distribution sites, with one British surgeon accusing IDF soldiers of shooting civilians “almost like a game of target practice”.

MSF’s deputy medical coordinator in Gaza, Dr Mohammed Abu Mughaisib, said: “Those who go to the Gaza Humanitarian Foundation’s food distributions know that they have the same chance of receiving a sack of flour as they do of leaving with a bullet in their head.”

The UN also estimates that Israeli forces have killed more than 1,000 people seeking food – the majority near the militarised distribution sites of the US-backed aid distribution scheme run by the GHF.

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‘Many more deaths unless Israelis allow food in’

In a statement on Friday, the IDF had said it “categorically rejects the claims of intentional harm to civilians”, and reports of incidents at aid distribution sites were “under examination”.

The GHF has also previously disputed that these deaths were connected with its organisation’s operations, with director Johnnie Moore telling Sky News: “We just want to feed Gazans. That’s the only thing that we want to do.”

Israel says it has let enough food into Gaza and has accused the UN of failing to distribute it, in what the foreign ministry has labelled as “a deliberate ploy” to defame the country.

‘Humanitarian catastrophe must end’

In a video message posted on X late last night, Sir Keir Starmer condemned the scenes in Gaza as “appalling” and “unrelenting” – and said “the images of starvation and desperation are utterly horrifying”.

The prime minister added: “The denial of aid to children and babies is completely unjustifiable, just as the continued captivity of hostages is completely unjustifiable.

“Hundreds of civilians have been killed while seeking aid – children, killed, whilst collecting water. It is a humanitarian catastrophe, and it must end.”

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Israeli military show aid waiting inside Gaza

Sir Keir confirmed that the British government is now “accelerating efforts” to evacuate children from Gaza who need critical medical assistance, so they can be brought to the UK for specialist treatment.

Israel has now said that foreign countries will be able to airdrop aid into Gaza. While the PM says the UK will now “do everything we can” to get supplies in via this route, he said this decision has come “far too late”.

Read more:
WHO: Gaza faces ‘manmade’ starvation
UN: People in Gaza ‘walking corpses’

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Last year, the RAF dropped aid into Gaza, but humanitarian organisations warned it wasn’t enough and was potentially dangerous. In March 2024, five people were killed when an aid parachute failed and supplies fell on them.

For now, Sir Keir has rejected calls to follow French President Emmanuel Macron and recognise a Palestinian state despite more than 220 MPs signing a cross-party letter to demand he takes this step.

The prime minister is instead demanding a ceasefire and “lasting peace” – and says he will only consider an independent state as part of a negotiated peace deal.

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