NHS nurses are striking today in a dispute with the government over pay and patient safety.
Members of the Royal College of Nursing (RCN) will take industrial action on 15 December and 20 December across England, Wales and Northern Ireland for the first time in the union’s 106-year history.
Strikes by ambulance staff and some NHS workers in Scotland were called off after members of two unions voted to accept the Scottish government’s most recent pay deal.
The RCN has provided a list of areas which will be “exempt from the strike action”.
These are chemotherapy, dialysis, paediatric A&E, critical care units such as intensive care and high dependency, and neonatal and paediatric intensive care.
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Other services outside of these “may be reduced” to a Christmas Day or night-duty level.
Protections have also been agreed for mental health and learning disability and autism services as part of an emergency response.
NHS community teams will provide palliative care and clinically urgent interventions, such as insulin – while in-patient areas will see night-duty staffing.
The head of the NHS Confederation said trade unions are committed to maintaining emergency and critical care services, and he was “reasonably confident that we won’t see severe patient harm”.
Matthew Taylor, who speaks for healthcare systems in England, Wales and Northern Ireland, added patients can expect a bank holiday-level of service in hospitals during the industrial action.
What if you need to go to A&E?
“Front-door” urgent care assessment and admission units – including A&E – will see Christmas Day-level staffing.
The NHS says emergency care will continue to be available across the country, and it is “really important” people come forward as normal in an “emergency or in life-threatening cases”.
Anyone needing urgent care should use NHS111 online or dial 111 to be assessed, the NHS says.
But if someone is seriously ill or injured and their life is at risk, emergency care should be sought in the normal way by calling 999 or attending A&E.
What if you have a hospital appointment scheduled?
Patients are being advised to attend as planned – unless the NHS provider has contacted them to reschedule.
Even if the hospital trust is affected by strikes, people should attend appointments unless instructed otherwise.
Patients will have been contacted by letter or phone call and offered a new date if their appointment needs to be rescheduled.
Will GP services be available?
Yes – GP services will be running as normal. People should attend their scheduled appointments.
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Govt ‘turns back on nurses’
What services will be directly hit?
There is expected to be widespread disruption to planned care, such as non-emergency operations and outpatient appointments.
Thousands of appointments and operations will need to be rescheduled as they are unlikely to be carried out on the day of action.
Up to 100,000 nurses are estimated to be joining the strike action, which will last for 12 hours on each day.
What other issues have been raised over patient care?
Dame Ruth May, chief nursing officer for England, and her counterparts in Scotland, Wales and Northern Ireland, have written to the RCN general secretary Pat Cullen regarding a series of concerns about safety.
They said chemotherapy is being rescheduled from the strike days at some hospitals – despite the union agreeing it would be exempt nationally.
But an RCN spokesperson said there will be derogation for emergency cancer services, adding: “Cancer patients will get emergency and clinically urgent surgery, it is not in doubt.”
Where will the strikes take place?
Not every hospital in the country will be affected by the strike action – but here is a list of those where strikes are scheduled:
England
East Midlands: • Kettering General Hospital NHS Foundation Trust • NHS Nottingham and Nottinghamshire ICB • Northamptonshire Healthcare NHS Foundation Trust • Nottingham University Hospitals NHS Trust • Nottinghamshire Healthcare NHS Foundation Trust
Eastern: • Cambridge University Hospital NHS Foundation Trust • Cambridgeshire and Peterborough NHS Foundation Trust • Cambridgeshire Community Services NHS Trust • Hertfordshire Community NHS Trust • NHS Hertfordshire and West Essex ICB • Royal Papworth Hospital NHS Foundation Trust
London: • Great Ormond Street Hospital for Children NHS Foundation Trust • Guys and St Thomas NHS Foundation Trust • Imperial College Healthcare NHS Trust • NHS North Central London ICB • Royal Marsden NHS Foundation Trust
North West: • Alder Hey Children’s NHS Foundation Trust • Health Education England • Liverpool Heart and Chest Hospital NHS Found Trust • Liverpool University Hospitals NHS Foundation Trust • Liverpool Women’s NHS Foundation Trust • Mersey Care NHS Foundation Trust • The Clatterbridge Cancer Centre NHS Found Trust • The Walton Centre NHS Foundation Trust
Northern: • Gateshead Health NHS Foundation Trust • Northumbria Healthcare NHS Foundation Trust • The Newcastle Upon Tyne Hospitals NHS Foundation Trust
South East: • Oxford Health NHS Foundation Trust • Oxford University Hospitals NHS Foundation Trust • Royal Berkshire NHS Foundation Trust
South West: • Devon Partnership NHS Trust • Gloucestershire Health and Care NHS Foundation Trust • Gloucestershire Hospitals NHS Foundation Trust • Great Western Hospitals NHS Foundation Trust • NHS Bath, North East Somerset, Swindon and Wiltshire ICB (BSW Together) • NHS Devon ICB (One Devon) • NHS Gloucestershire ICB (One Gloucestershire) • North Bristol NHS Trust • Royal Devon University Healthcare NHS Foundation Trust • Royal United Hospitals Bath NHS Foundation Trust • Torbay and South Devon NHS Foundation Trust • University Hospitals Bristol and Weston NHS Foundation Trust • University Hospitals Plymouth NHS Trust
West Midlands: • Birmingham Women’s and Children’s NHS Foundation Trust • Herefordshire and Worcestershire Health and Care NHS Trust • NHS Birmingham and Solihull ICB (BSol ICB) • The Royal Orthopaedic Hospital NHS Foundation Trust • University Hospitals Birmingham NHS Foundation Trust • Worcestershire Acute Hospitals NHS Trust
Yorkshire and the Humber: • Bradford Teaching Hospitals NHS Foundation Trust • Leeds Community Healthcare NHS Trust • Yorkshire & Humber NHS England • The Leeds Teaching Hospitals NHS Trust
Wales
• Cardiff and Vale University Health Board • Powys Teaching Local Health Board • Welsh Ambulance Services NHS Trust Headquarters • Hywel Dda University Health Board • Swansea Bay University Health Board • Cwm Taf Morgannwg University Health Board • Betsi Cadwaladr University Local Health Board • Velindre NHS Trust • Public Health Wales • Health Education and Improvement Wales Health Authority • NHS Wales Shared Services Partnership • Digital Health and Care Wales
Northern Ireland
• Northern Ireland Practice and Education Council • Southern Health and Social Care Trust • Western Health and Social Care Trust • Belfast Health and Social Care Trust • Business Services Organisation • Regulation & Quality Improvement Authority • Northern Ireland Blood Transfusion Service • Public Health Agency • Northern Health and Social Care Trust • South Eastern Health and Social Care Trust • Northern Ireland Ambulance Service
“Do you recognise this guy?” I ask a Costa del Sol cafe owner as I show him an image of a bald, bearded bodybuilder from Scotland.
He raises his eyebrows and looks back with suspicion.
“I think he sometimes came for coffee,” he replies in broken English before the conversation is quickly shut down.
The bodybuilder is a familiar face in this part of the world – he lived here in the Spanish seaside town of Nerja for almost two years.
He is the fitness-fanatic, social butterfly expat Johnny Wilson. But the truth is, Johnny doesn’t exist.
Image: James Clacher faked his own death in Scotland and set up a new life in Spain
The man behind the made-up name is the violent rapist James Clacher, who faked his own death in Scotland and set up a new life in Spain.
Nerja’s community feels bruised and conned by a serial sex offender who lived under their noses, undetected for so long.
The fake death
At the time of his disappearance in May 2022, Clacher was under investigation for two separate rapes of women he had met on dating app Tinder in 2019 and Bumble in 2020.
Image: James Clacher met a victim through dating app Tinder
As police worked to put all the pieces of the puzzle together, a missing person poster was issued, describing Clacher as an athletic man who drives a Suzuki Swift.
It warned members of the public not to approach him.
Detectives had earlier discovered his car dumped next to Loch Long in Argyll and Bute. A suicide note was left in the vehicle, and messages had been sent suggesting he was no longer alive.
Image: A missing poster issued by Police Scotland for James Clacher
It had the look and feel of a suicide.
It was the perfect rural setting, with the rolling hills and very few people around, where a conman could slip away and hope to never be seen again.
The double life
Nerja is a small town with a population of around 22,000. It sits an hour’s drive from Malaga.
Off the beaten track, it’s tucked away at the foot of stunning mountain ranges and has the feel of a more authentic Spanish experience compared to its rivals like Marbella along the coast.
Accents on its beaches are from elsewhere in Spain and continental Europe, rather than a ‘Brits abroad’ vibe.
Image: Nerja is a small town with a population of around 22,000
To learn how Clacher could slip into this community and create a bogus new identity while being a wanted man, I visit Nerja’s gym.
Workers tell me he trained there every day and describe a “nice man” who was perfectly pleasant, put people at ease and fitted right in.
I am pointed in the direction of a man called Matt, a British expat.
Image: Clacher regularly used Nerja’s gym
The pair became friends not long after “Johnny” arrived in Nerja. The relationship began with Johnny touting himself as a so-called nutritionist.
“He came highly recommended,” Matt says. “He was giving me nutritional help, and he said he was in the parachute regiment for ten years and came to Spain for a new start.
“He was a very, very nice guy, very charming, I became quite good friends with him. He invited me hiking with him, he invited me round to his house to eat.”
Asked if any of his new friend’s behaviour was suspicious, Matt says: “He gave no hint whatsoever. But looking back, whenever he sent a picture, he would never have his face visible.
“He was very careful about pictures. Whenever he took a picture, he obviously knew that he was being hunted, and he had to lay low, so he never showed his face.
“I only have one picture of him facing away from me looking up a mountain.”
Several people say Johnny had entered an 18-month relationship with a local woman who had no idea about his real identity or the sexual crimes he had committed on vulnerable women.
She is said to be traumatised by how events unfolded.
‘Johnny the gardener’
I get a tip off that Johnny was employed as a gardener at a local residential complex, and we’re told to speak to a man called Megel.
As he emerges from behind the shutters of a pool bar, Megel shakes his head and speaks to other guests in Spanish when I mention ‘Johnny the gardener’.
Image: The apartment complex where Clacher worked as a gardener
The atmosphere changes, and those present close ranks.
A member of staff confirms Johnny’s role on site before we are ushered off the premises.
Elsewhere, we discover he earned cash in hand running yoga classes on the beach in an attempt to stay off the books.
Image: Nerja’s community feels bruised and conned by Clacher’s lies
“This is the best place to be no one,” says local newspaper journalist Eugenio Cabezas, who has worked here for 20 years.
“If you have committed a crime, you can live here and nobody knows you. It is a good place to disappear.”
Image: Journalist Eugenio Cabezas
The tip-off
The Costa Del Sol has had a reputation over the years as somewhere big British crime bosses would come to hide.
James Clacher was no mafia gangster, but he played the system in Scotland and Spain.
That was until an anonymous person sent an email to Sky News with the title “James Clacher”.
The message, sent on 27 November 2023 at 11.16am, talked about reading news articles on the case.
Image: The tip-off sent to Sky News
It stated: “We believe we have seen this man in Nerja… he introduced himself as Jimmy, was Scottish and fit the description.”
The tip-off revealed conversations they had in the local gym and a timeline of three separate encounters or interactions over the space of almost a year.
The police investigation, which had come to a dead end, suddenly had its biggest lead yet.
The UK’s National Crime Agency, along with Spain’s Guardia Civil, went undercover and found their man.
They swooped while Clacher was hanging upside down on gym equipment on the very beach he had created a ‘safe space’ as a yoga instructor.
The moment was captured in dramatic body-cam footage by the Spanish police as the fugitive was tackled to the ground and led off in handcuffs.
Clacher was detained and eventually extradited back to Scotland.
‘He was a complete fantasist’
Matt, the man who thought he was friends with Johnny, speaks of his horror at learning his friendship was a lie.
“I was completely shocked. Completely stunned. I just couldn’t believe it”, he says.
“Being fooled like that by someone, it wasn’t just me. He fooled a lot of people here in Spain as well.
“I had a narrow escape. I am relieved I am away from that situation. He was a complete fantasist.”
The wider expat community in Nerja is shaken.
Image: Clacher was extradited back to Scotland
Pub landlady Cathy, who has lived here for 40 years, says the story was the talk of the town.
“People were stunned and surprised that this happened in our local community,” she says.
“Somebody who had obviously been living here with us which we had no idea about.
“We don’t have that very much here at all. It’s a very nice, safe, good area of Spain to be in.”
Image: Clacher attacked two women in 2019 and 2020
Clacher was detained in May 2024. He denied any wrongdoing when his trial began this August, but was found guilty by a jury.
During his trial, jurors heard how he was “very friendly and chatty” on his extradition flight back to Scotland.
He was said to have discussed how he staged his own death and told of how he “survived on berries and puddle water” while initially on the run.
Image: Clacher was arrested while working out on this apparatus
Clacher claimed to have travelled from Loch Long to Inverness, then down the east coast of Scotland.
He was then said to have made his way to England before hiding in a truck to get into France.
Once in France, he then said he got his hands on a bike and cycled to Spain.
The Police Scotland officer Clacher spoke to on the flight home told the jury that Clacher revealed he had been fearful his face was becoming known locally in Nerja, so he considered building a kayak that he would paddle to Morocco.
Angela Rayner has admitted she did not pay the right amount of stamp duty on the purchase of her second home and has referred herself to the independent adviser on ministerial standards.
Speaking to Sky News’ political editor Beth Rigby on the Electoral Dysfunction podcast, the deputy prime minister became tearful as she claimed she received incorrect tax advice and spoke to her family about “packing it all in”.
Ms Rayner, who is also the housing secretary, has been under scrutiny after a report in The Daily Telegraph claimed she avoided £40,000 in stamp duty on a flat in Hove by removing her name from the deeds of another property in Greater Manchester.
In a lengthy statement released today, she said it was a “complex living arrangement” as her first home was sold to a trust following her divorce to provide stability for her teenage son, who has lifelong disabilities and is the sole beneficiary of the trust.
She said initial legal advice was that the standard rate of stamp duty applied but following media reports she sought expert counsel who said more tax is due.
She added that these matters were confidential but she applied to a court yesterday to get this lifted in the interests of public transparency.
In a subsequent interview with Beth Rigby, a visibly upset Ms Rayner said: “I’ve been in shock, really, because I thought I’d done everything properly, and I relied on the advice that I received and I’m devastated because I’ve always upheld the rules and always have felt proud to do that.
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“That it is devastating for me and the fact that the reason why those confidential clauses were in place was to protect my son, who, through no fault of his own, he’s vulnerable, he’s got this life changing, lifelong conditions and I don’t want him or anything to do with his day-to-day life, to be subjected to that level of scrutiny.”
Asked if she thought about quitting rather than disclose the details about her son, the cabinet minister added: “I spoke to my family about it. I spoke to my ex-husband, who has been an incredibly supportive person because he knows that all I’ve done is try and support my family and help them.”
PM backs Rayner
The statement dropped shortly before the first PMQs following the summer recess. Tory leader Kemi Badenoch said Sir Keir Starmer should fire his deputy.
“If he had backbone, he would sack her,” she said.
However Sir Keir defended Ms Rayner, saying he is “very proud to sit alongside” her.
“She has explained her personal circumstances in detail. She’s gone over and above in setting out the details, including yesterday afternoon asking a court to lift a confidentiality order in relation to her own son.”
He added: “I am very proud to sit alongside a deputy prime minister who is building 1.5m homes, who is bringing the biggest upgrade to workers rights in a generation, and has come from a working class background to become deputy prime minister of this country.”
The mother of murdered teenager Brianna Ghey is calling on the government to introduce a ban on mobile phones in schools – a move she says will not only safeguard children, but also improve their behaviour and engagement in class.
In the lead-up to the attack, her killers had spent time on the dark web. At the same time, Brianna was also trapped online, struggling with a phone addiction.
Her mother Esther Ghey’s Phone Free Education campaign is driven by her personal experiences as a parent and the impact Brianna’s phone use had on her education.
Image: Brianna Ghey struggled with a mobile phone addiction, according to her mother
“All the arguments that me and Brianna had were down to her phone use,” Esther said.
“But even in school, she had issues and I used to have phone calls from the school saying that Brianna wouldn’t put her phone away.”
Brianna, who was transgender, struggled with an eating disorder and also self-harmed.
Her mother says the constant time she spent online exacerbated those issues, while impacting her behaviour at school, where she had 120 safeguarding logs and 116 behaviour incidents recorded by her teachers.
Image: Esther Ghey said she had calls from her daughter’s school saying that ‘Brianna wouldn’t put her phone away’
“It was so difficult as a parent, because I felt in one way that I was failing and then in another way, and this is really difficult for me to speak about, I was so annoyed with Brianna,” she recalled.
“I thought, why can’t you just go to school, get your head down and just focus on your education, because this is important.
“Only now, after two years of being immersed in this world, do I realise that actually, it’s so much harder than that.”
Research by the Children’s Commission has shown that 79% of secondary schools are still allowing pupils to bring their mobile phones into school, and even into classrooms.
Image: Brianna’s school introduced a ban on mobile phones in September last year
How phone ban is working at Brianna’s old school
Esther is campaigning for government guidance on phones to become statutory, with funding also set aside for the equipment to help schools implement the ban, arguing the lack of legislation is “setting children up to fail”.
At Birchwood Community High School in Warrington, where Brianna was a pupil, they introduced a ban on phones last September.
At the beginning of the day, pupils turn off their phones and place them in pouches, which are locked. At the end of the school day, the pouches are then unlocked.
Image: Pupils at Birchwood Community High School in Warrington place their phones in pouches, which are then locked
The headteacher, Emma Mills, said introducing these measures has come with several benefits.
“It’s had an impact in all areas of school, and it’s actually had a really positive impact in ways that I didn’t foresee,” said Ms Mills.
“Attendance has improved this year. In terms of behaviour, behaviour has improved. We’ve had no permanent exclusions this year in school, which is actually the first time since I’ve been headteacher in six years, there’s been no permanent exclusion.”
This summer, the school also saw its best-ever GCSE results in the core subjects of Science, maths, and English.
Image: Emma Mills, headteacher at Birchwood Community High School in Warrington
‘They can live without their phones’
For Ms Mills, another significant change has been the atmosphere in the school.
“They’re not as worried, they’re not as distracted,” Ms Mills said.
“They’ve realised that they can live without their phones. Something else we’ve really noticed is that it’s a bit louder in school at breaks and lunch times. It’s because they’re talking more, they’re interacting more, and they’re communicating more.”
The positive impact of a ban at Brianna’s old school has served as encouragement to Esther, who has written an open letter addressed to Sir Keir Starmer and Education Secretary Bridget Phillipson, asking for government support.