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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:
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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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Mum of emaciated baby in Gaza says ‘I lost my husband… I don’t want to lose her’

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Mum of emaciated baby in Gaza says 'I lost my husband... I don't want to lose her'

In mid-May, the World Health Organisation assessed that there were “nearly half a million people in a catastrophic situation of hunger, acute malnutrition, starvation, illness and death”.

“This is one of the world’s worst hunger crises, unfolding in real time,” its report concluded.

Warning: This article contains images of an emaciated child which some readers may find distressing

Israel‘s decision this week to reverse the siege and allow “a basic level of aid” into Gaza should help ease the immediate crisis.

But the number of aid trucks getting in, so far fewer than 100 per day, is considered dramatically too few by aid organisations working in Gaza, and the United Nations accuses Israel of continuing to block vital items.

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“Strict quotas are being imposed on the goods we distribute, along with unnecessary delay procedures,” said UN secretary general Antonio Guterres in New York on Friday.

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“Essentials, including fuel, shelter, cooking gas and water purification supplies, are prohibited. Nothing has reached the besieged north.”

Nineteen of Gaza’s hospitals remain operational, all of them are overwhelmed with the number of patients and a lack of supplies.

Baby Aya at the Rantisi hospital in northern Gaza
Image:
Baby Aya at Rantisi hospital in northern Gaza is dangerously thin

“Today, we receive between 300 to 500 cases daily, with approximately 10% requiring admission. This volume of inpatient cases far exceeds the capacity of Rantisi hospital, as the facility is not equipped to accommodate such large numbers,” Jall al Barawi, a doctor at the hospital, told us.

At least 94% of the hospitals have sustained some damage, some considerable, according to the UN.

Jall al Barawi, a doctor at Rantisi hospital
Image:
Jall al Barawi, a doctor at Rantisi hospital

Paramedic crews are close to running out of fuel to drive ambulances.

The lack of food, after an 11-week blockade, has left thousands malnourished and increasingly vulnerable to surviving injuries or recovering from other conditions.

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Children are the worst affected.

Our team in Gaza filmed with baby Aya at the Rantisi hospital in northern Gaza. She is now three months old and dangerously thin.

Her skin stretches over her cheekbones and eye sockets on her gaunt, pale face. Her nappy is too big for her emaciated little body.

Aya's nappy is too big for her emaciated little body.
Image:
Aya’s nappy is too big for her emaciated little body.

Lethal spiral

Her mother Sundush, who is only 19 herself, cannot get enough food to produce breastmilk. Baby formula is scarce.

Aya, like so many other young children, cannot get the vital nutrition she needs to grow and develop.

It’s a lethal spiral.

This is what Aya looked like shortly after she was born
Image:
This is what Aya looked like shortly after she was born

“My daughter was born at a normal weight, 3.5kg,” Sundush tells us.

“But as the war went on, her weight dropped significantly. I would breastfeed her, she’d get diarrhoea. I tried formula – same result. With the borders closed and no food coming in, I can’t eat enough to give her the nutrients she needs.”

“I brought her to the hospital for treatment, but the care she needs isn’t available.

“The doctor said her condition is very serious. I really don’t want to lose her, because I lost my husband and she’s all I have left of him. I don’t want to lose her.”

Read more:
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Shouts of ‘genocide’ in Commons

Aya and her mother Sundush
Image:
Aya and her mother Sundush

Some of the aid entering Gaza now is being looted. It is hard to know whether that is by Hamas or desperate civilians. Maybe a combination of the two.

The lack of aid creates an atmosphere of desperation, which eventually leads to a breakdown in security as everyone fights to secure food for themselves and their families.

Only by alleviating the desperation can the security situation improve, and the risk of famine abate.

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Police launch ‘major operation’ after 12 people injured in knife attack at Hamburg train station

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Police launch 'major operation' after 12 people injured in knife attack at Hamburg train station

Twelve people are reported to have been injured after a knife attack at Hamburg’s central train station.

A “major operation” has been launched and a suspect was arrested, police said in a post on X.

The identity of the suspect has not been revealed.

Reports in Germany said the suspected attacker was a woman.

The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.

Bild newspaper said the motive for the attack was so far unknown.

Hamburg is Germany’s second biggest city, with the train station being a hub for local, regional and long-distance trains.

More on Germany

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Israeli embassy shooting suspect ‘fired repeatedly after victims hit the ground’

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Israeli embassy shooting suspect 'fired repeatedly after victims hit the ground'

The man suspected of shooting dead two Israeli embassy workers in Washington DC leaned over and fired at them repeatedly after they fell to the ground, the FBI has said.

Elias Rodriguez, 31, has been charged with murdering Sarah Milgrim and her boyfriend Yaron Lischinsky, after they left an event at the Capital Jewish Museum on Wednesday night.

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Footage has showed Rodriguez, from Chicago, chanting “free, free Palestine” as he was arrested.

It later emerged Mr Lischinsky had bought a ring and planned to propose to Ms Milgrim.

Authorities are investigating the killings as both a hate crime against the Jewish community and terrorism.

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Shootings suspect shouts ‘free Palestine!’

‘I did it for Gaza’

It comes as the FBI has said in a charging document on Thursday that surveillance footage shows how Ms Milgrim and Mr Lischinsky died.

Rodriguez is allegedly seen passing the couple after they left the museum before shooting them in the back.

The FBI says the footage then shows him leaning over the couple and firing at them several more times after they fell to the ground.

The video then shows Ms Milgrim attempting to crawl away before “(Rodriguez) followed behind her and fired again”, the charging document says.

The suspected gunman is then accused of reloading his weapon and firing at Ms Milgrim as she sat up.

According to the charging document, Rodriguez then jogged to the museum and once inside asked to speak to a police officer before stating that he “did it” and that he was unarmed.

He is then said to have told police: “I did it for Palestine, I did it for Gaza, I am unarmed.”

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DC shooting: Father pays tribute to ‘perfect’ daughter

Suspect ‘expressed admiration’ for fatal protest

The court document also states that 21 expended 9mm bullet cases were found at the scene and the gun was slide-locked – meaning it was empty of ammunition.

An empty gun magazine was also recovered from the scene.

The FBI says it has obtained travel records which show Rodriguez flew from Chicago’s O’Hare International Airport to the Reagan National in Washington DC on Tuesday with the gun in his checked baggage.

Rodriguez had bought the weapon in the state of Illinois on 6 March 2020, according to the charging document.

The FBI has said that while Rodriguez was in custody he “expressed admiration” for a US Air Force member who set himself on fire in front of the Israeli embassy in Washington DC on 25 February 2024.

Aaron Bushnell died in the apparent act of protest against the war in Gaza.

Rodriguez also told police he bought a ticket to the museum around three hours before the event that was attended by Ms Milgrim and Mr Lischinsky.

Read more:
Why Trump will worry about attacker being glorified

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Starmer ‘on wrong side of history’

During a brief court appearance at the E. Barrett Prettyman Federal Courthouse in Washington DC today, Rodriguez was charged with two counts of first degree murder and with the murder of foreign officials.

He has also been charged with causing the death of a person through the use of a firearm and discharge of a firearm during a crime of violence.

Rodriguez was told he could face life in prison or the death penalty if he is found guilty.

He remained calm throughout the hearing, paying attention to the proceedings throughout and confirmed that he is asking the court to appoint an attorney on his behalf.

He will next appear at a federal court in Washington DC on 18 June.

Murdered couple ‘were perfect for each other’

Meanwhile, Ms Milgrim’s father, Robert, says he feared his daughter might be in danger when he saw news alerts of a fatal shooting in Washington DC.

Ms Milgrim’s mother Nancy opened a phone locator app and saw Ms Milgrim was at the Capital Jewish Museum.

“Shortly after that, the Israeli ambassador called us on my wife’s phone,” Mr Milgrim told Sky News’ partner network NBC News, fighting back tears.

He added that it was the ambassador who told them Mr Lischinksy had bought a ring and was planning to propose to Ms Milgrim.

“They were perfect for each other, he said.

Mr Milgrim continued: “They just brought us joy, and her memory, which is a blessing, will continue to bring us joy – but it’s not the same as her not being here.”

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