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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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Several killed after vehicle drives into crowd at street festival, police in Vancouver say

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Several killed after vehicle drives into crowd at street festival, police in Vancouver say

A number of people have been killed and multiple others injured after a driver drove into a crowd at a street festival in Vancouver, police have said.

The driver has been taken into custody after the incident shortly after 8pm local time on Saturday, police added.

People were in the area near 41st Avenue and Fraser Street for the Lapu Lapu Day Block Party, named after a national hero of the Philippines.

Vancouver’s mayor Ken Sim said in a post on X: “I am shocked and deeply saddened by the horrific incident at today’s Lapu Lapu Day event.”

He added: “Our thoughts are with all those affected and with Vancouver’s Filipino community during this incredibly difficult time.”

Video posted on social media showed victims and debris strewn across a long stretch of road, with at least seven people lying immobile on the ground.

A black SUV with a crumpled front section could be seen in photos from the scene.

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Trump criticises Putin after potentially ‘historic’ meeting with Zelenskyy before Pope’s funeral

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Trump criticises Putin after potentially 'historic' meeting with Zelenskyy before Pope's funeral

Donald Trump has criticised Vladimir Putin and suggested a shift in his stance towards the Russian president after a meeting with Volodymyr Zelenskyy before the Pope’s funeral.

The Ukrainian president said the one-on-one talks could prove to be “historic” after pictures showed him sitting opposite Mr Trump, around two feet apart, in the large marble hall inside St Peter’s Basilica.

The US president said he doubted his Russian counterpart’s willingness to end the war after leaving Rome after the funeral of Pope Francis at the Vatican.

Follow live updates: 200,000 mourn at Vatican

In a post on his Truth Social platform, he said “there was no reason” for the Russian president “to be shooting missiles into civilian areas, cities and towns, over the last few days”.

The two leaders held talks before attending the Pope's funeral
Image:
The two leaders held talks before attending the Pope’s funeral

He added: “It makes me think that maybe he doesn’t want to stop the war, he’s just tapping me along, and has to be dealt with differently, through ‘Banking’ or ‘Secondary Sanctions?’ Too many people are dying!!!”

The meeting between the US and Ukrainian leaders was their first face-to-face encounter since a very public row in the Oval Office in February.

Mr Zelenskyy said he had a good meeting with Mr Trump in which they talked about the defence of the Ukrainian people, a full and unconditional ceasefire, and a durable and lasting peace that would prevent the war restarting.

Other images released by the Ukrainian president’s office show Sir Keir Starmer and French President Emmanuel Macron were present for part of the talks, which were described as “positive” by the French presidency.

Mr Zelenskyy‘s spokesman said the meeting lasted for around 15 minutes and he and Mr Trump had agreed to hold further discussions later on Saturday.

The world leaders share a moment before the service
Image:
The world leaders shared a moment before the service

Trump and Zelenskyy meet in the Basilica
Image:
Donald Trump and Volodymyr Zelenskyy meet in the Basilica

But the US president left Rome for Washington on Air Force One soon after the funeral without any other talks having taken place.

The Ukrainian president’s office said there was no second meeting in Rome because of the tight schedule of both leaders, although he had separate discussions with Mr Starmer and Mr Macron.

The French president said in a post on X “Ukraine is ready for an unconditional ceasefire” and that a so-called coalition of the willing, led by the UK and France, would continue working to achieve a lasting peace.

There was applause from some of the other world leaders in attendance at the Vatican when Mr Zelenskyy walked out of St Peter’s Basilica after stopping in front of the pontiff’s coffin to pay his respects.

U.S President Donald Trump attends the funeral Mass of Pope Francis, at the Vatican, April 26, 2025. REUTERS/Kai Pfaffenbach
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Donald Trump and the Ukrainian president met for the first time since their Oval Office row. Pic: Reuters

Sir Tony Brenton, the former British ambassador to Russia, said the event presents diplomatic opportunities, including the “biggest possible meeting” between Mr Trump and the Ukrainian leader.

He told Sky News it could mark “an important step” in starting the peace process between Russia and Ukraine.

Professor Father Francesco Giordano told Sky News the meeting is being called “Pope Francis’s miracle” by members of the clergy, adding: “There’s so many things that happened today – it was just overwhelming.”

The bilateral meeting comes after Mr Trump’s peace negotiator Steve Witkoff held talks with Mr Putin at the Kremlin.

They discussed “the possibility of resuming direct negotiations between Russia and Ukraine”, Kremlin aide Yuri Ushakov said.

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Russia and Ukraine have not held direct talks since the early weeks of the war, which began in February 2022.

Mr Trump has claimed a deal to end the war is “very close” and has urged Mr Zelenskyy to “get it done” in a post on his Truth Social platform.

He has previously warned both sides his administration would walk away from its efforts to achieve a peace if the two sides do not agree a deal soon.

Meanwhile, the Polish armed forces said a Russian military helicopter violated its airspace over the Baltic Sea on Friday evening.

“The nature of the incident indicates that Russia is testing the readiness of our air defence systems,” they said in a post on X.

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What we learn from remarkable photos of Trump-Zelenskyy meeting

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What we learn from remarkable photos of Trump-Zelenskyy meeting

On an extraordinary day, remarkable pictures on the margins that capture what may be a turning point for the world.

In a corner of St Peter’s Basilica before the funeral of Pope Francis, the leaders of America and Ukraine sit facing each other in two solitary chairs.

They look like confessor and sinner except we cannot tell which one is which.

Leaning forward hands together in their laps, Donald Trump and Volodymyr Zelenskyy stare at each other in one photo.

In another, the Ukrainian president seems to be remonstrating with the US president. This is their first encounter since their infamous bust-up in the Oval Office.

The two leaders held talks before attending the Pope's funeral
Image:
The two leaders held talks before attending the Pope’s funeral

Other pictures show the moment their French and British counterparts introduced the two men. There is a palpable sense of nervousness in the way the leaders engage.

We do not know what the two presidents said in their brief meeting.

But in the mind of the Ukrainian leader will be the knowledge President Trump has this week said America will reward Russia for its unprovoked brutal invasion of his country, under any peace deal.

Mr Trump has presented Ukraine and Russia with a proposal and ultimatum so one-sided it could have been written in the Kremlin.

Kyiv must surrender the land Russia has taken by force, Crimea forever, the rest at least for now. And it must submit to an act of extortion, a proposed deal that would hand over half its mineral wealth effectively to America.

The world leaders share a moment before the service
Image:
The world leaders shared a moment before the service

Afterwards, Zelenskyy said it had been a good meeting that could turn out to be historic “if we reach results together”.

They had talked, he said, about the defence of Ukraine, a full and unconditional ceasefire and a durable and lasting peace that will prevent a war restarting.

The Trump peace proposal includes only unspecified security guarantees for Ukraine from countries that do not include the US. It rules out any membership of Ukraine.

Ukraine’s allies are watching closely to see if Mr Trump will apply any pressure on Vladimir Putin, let alone punish him for recent bloody attacks on Ukraine.

Or will he simply walk away if the proposal fails, blaming Ukrainian intransigence, however outrageously, before moving onto a rapprochement with Moscow.

If he does, America’s role as guarantor of international security will be seen effectively as over.

This could be the week we see the world order as we have known it since the end of the Second World War buried, as well as a pope.

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