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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.

Share your NHS experience – how are the strikes affecting you?

What services will still be provided?

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.

Following concerns by chief nurses about patient safety, the RCN has confirmed cancer patients will get emergency and clinically urgent surgery on strike days.

Emergency cancer services will be protected – including for those with specific needs due to chemotherapy.

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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”.

Paediatric A&E is exempt from the strikes.

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Strikes in the UK – which sectors are affected?

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

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Hainault sword attacker Marcus Monzo found guilty of murdering boy, 14, and three attempted murders

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Hainault sword attacker Marcus Monzo found guilty of murdering boy, 14, and three attempted murders

A man has been found guilty of murdering a 14-year-old boy with a samurai sword as he walked to school in east London.

Marcus Arduini Monzo, 37, nearly decapitated Daniel Anjorin and attacked five others during a 20-minute rampage in Hainault on 30 April last year.

Prosecutors said he skinned and deboned his pet cat Wizard before trying “to kill as many people as he could” while under the influence of cannabis.

Monzo, a Spanish-Brazilian national from Newham in east London, admitted two charges of possessing an offensive weapon relating to two swords, which he said he bought for display purposes.

He claimed he had no memory of carrying out the attacks denied Daniel’s murder along with four charges of attempted murder, wounding with intent, aggravated burglary and possession of a bladed article.

He was cleared of one count of attempted murder – instead found guilty of wounding with intent to cause grievous bodily harm – and convicted of all other charges following a trial at the Old Bailey.

Daniel Anjorin was attacked in Hainault, northeast London, and suffered fatal wounds on 30 April last year. Pic: Metropolitan Police.
Image:
Daniel Anjorin, 14, died in April last year. Pic: Metropolitan Police

The court heard Monzo was a “talented martial artist” and the jury was shown footage of him unboxing a samurai sword on 4 April last year.

In the four-minute video clip, he calls the weapon “freaking sexy” as he lunges towards the camera and makes different moves.

Marcus Monzo
Image:
Marcus Monzo with a samurai sword in footage shown during the trial

The court was also shown CCTV footage from the morning of 30 April, with audible screams in one clip as Monzo drove his grey Ford Transit van at speed into pedestrian Donato Iwule.

Mr Iwule told jurors: “I thought I was dying” and “I saw blood coming out of my neck”, after he was struck with a sword before running away.

Witnesses described how Monzo was running around “like a maniac” and “looked a bit mad, like there was nothing there”.

Daniel, who had left home at around 7am wearing headphones and school sports clothes, suffered “a near-decapitation” when Monzo attacked him with the weapon from behind, prosecutor Tom Little KC told the jury.

 Handout footage from a doorbell camera of police officers tasering a sword-wielding man in Hainault, north east London, after a 14-year-old boy died after being stabbed following an attack on members of the public and two police officers. Pic: PA
Image:
Monzo was tasered by police. Pic: PA

PC Yasmin Mechem-Whitfield chased the armed attacker through alleyways before Monzo struck her three times with the 60cm blade using “extreme force”, the court heard.

He then entered a nearby house through the back door and walked upstairs before attacking sleeping couple Sindy Arias and Henry De Los Rios Polania, who he asked: “Do you believe in God?”

Mr Little said their lives were only spared because their four-year-old daughter, who was sleeping nearby, woke up and started to cry.

Monzo, who had been cornered by police, also struck Inspector Moloy Campbell once with the sword before he was finally disarmed and arrested after trying to climb onto a garage to escape.

Doorbell footage shows the moment officers shout: “Don’t move, don’t f****** move”, after he was brought to the ground by three separate taser discharges.

Monzo told police he had “many personalities”, including a “professional assassin”, and compared the events to The Hunger Games film franchise.

He wept while giving evidence as he said he did not intend to harm anybody and told jurors he had no memory of what happened.

He told how he had previously used psychedelic drugs and smoked cannabis “three or four times a week” before the attack, but denied doing so on the day.

Prosecutors said he likely suffered from a psychotic disorder with “schizophrenic-like symptoms”, including “delusional beliefs” that both he and his family were in “mortal danger”.

But Mr Little said his psychotic state was self-induced and did not meet the threshold for diminished responsibility.

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Thousands of Eurostar passengers facing cancellations and severe delays after cable theft

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Thousands of Eurostar passengers facing cancellations and severe delays after cable theft

Thousands of Eurostar passengers have been suffering severe delays and last-minute cancellations due to cable theft – a day after two track fatalities caused disruption.

The latest delays come after 600 metres of copper cables were stolen overnight in the city of Lille in northern France, according to reports in the country.

Eurostar said this was forcing it to run services on alternative routes, causing extended journey times.

The company said in a statement that “full repairs are now completed” and trains resumed as normal as of 1pm UK time.

It added that “some delays can still be expected until the end of the day”.

The statement continued: “Customers have been contacted directly with updates and available options, and Eurostar is advising those due to travel today to postpone their journey with free exchanges and refunds available.

“We’re very sorry for the continued disruption and the impact this is having on our customers. Our teams are working hard to support customers in the stations.”

Money blog: Your Eurostar rights explained

Eurostar said services between Brussels/Paris and London had been experiencing disruption since the beginning of the day.

Its services were already disrupted because many trains and staff members were out of position after two fatalities on rail lines in France on Tuesday.

At least five services on its London-Paris route were cancelled on Wednesday, and seven others were delayed by around an hour.

Pic: PA
Image:
Passengers at St Pancras International station in London. Pic: PA

The operator said it was handing out water to passengers on delayed trains, and it has teams at stations to provide assistance.

Affected passengers are able to change their travel plans free of charge or request a full refund.

Images show large crowds of stranded passengers at St Pancras International station in London today.

In a post on X, Eurostar said the cable theft meant trains were likely to be “subject to severe delays and last-minute cancellations”, adding: “We advise you to cancel or postpone your trip.”

Nigel Hardman, 57, took an Avanti West Coast train from Blackpool to London Euston at 5.30am, only for him and his family to find out en route that their Eurostar trip to Paris had been cancelled.

The delays have meant they have decided to board a train to Brussels instead of Paris, meaning they have lost out on about £700 on hotel costs and connecting trains.

Delayed passengers at St Pancras. Pic: PA
Image:
Delayed passengers at St Pancras. Pic: PA

Mr Hardman, a plumber from Blackpool, said: “There’s no availability on trains to Paris – they’re all booked up. We’re going to go to Brussels and stay there, then shoot down to Strasbourg, where we were supposed to be. I only found out on an email at about 3.30am this morning, why couldn’t they have told us last night?

“And when we got here, we were in the queue for an hour before we found out the other trains to Paris were all booked up. Everyone was useless until one really organised guy was telling it to us straight. It’s going to cost us about £700 extra which is really frustrating. And it’s just a nightmare start to our trip.”

Eurostar passenger Elizabeth Romijn, 75, a yoga teacher from the Netherlands said she is used to issues with the train service, but described Wednesday’s disruption as “very chaotic”.

She was planning to make her way home, catching the train to Brussels today after visiting friends in Guildford, Sussex and has decided to wait in the station to see if she can board a train.

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Ms Romijn said: “My plan is to just wait. Maybe I should go and be more proactive and go to ask one of the staff but nobody seems to know anything. And it’s quite horrible long queues.

“On the email they said, don’t go, go cancel your travel or take a voucher or something – but I thought I’m going to travel anyway. I’m just going to wait and if it’s cancelled, then I go back to Guildford where I’ve been visiting my friends.”

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Passengers at St Pancras International station .
Pic: PA
Image:
Passengers at St Pancras International station .
Pic: PA

Eurostar had said in a statement following the deaths on Tuesday: “We are deeply sorry to confirm that there were two separate fatalities on the LGV Nord high-speed line between Lille and Paris yesterday.

“Our thoughts are with the families and friends of those who lost their lives.

“The line was closed for much of the afternoon and evening, resulting in significant disruption to Eurostar services, including cancellations on routes to and from Paris.

“Trains on the London-Brussels-Amsterdam route continued to run with delays.

“This morning, disruption continues due to the knock-on impact of displaced trains and crew.

“Further to this, services have been further affected by an incident of cable theft on the same line near Lille.”

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Rayner refuses to repeat chancellor’s pledge on tax hikes

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Rayner refuses to repeat chancellor's pledge on tax hikes

Angela Rayner has refused to repeat Rachel Reeves’ pledge that taxes will not be increased at the next budget.

Standing in for Sir Keir Starmer at PMQs, the deputy prime minister was pressed on warnings from economists that tax rises are looking increasingly inevitable in the autumn to fund the chancellor’s spending plans.

Politics Live: Deputy PM vows to take on Labour welfare rebels

The Tories want a commitment that this will not be the case in order to support the government’s welfare bill, which is under threat from a growing and significant rebellion of Labour MPs.

Shadow chancellor Mel stride, standing in for Tory leader Kemi Badenoch, said even if the planned benefit cuts go through, “almost every respected economist now says tax rises are all but inevitable in the autumn”.

He said Ms Reeves promised after her last budget that this will not be the case and asked Ms Rayner to give “certainty” to businesses and repeat that pledge.

Ms Rayner said the question was “a bit rich” given the Tories raised taxes to record highs before the last election, adding: “I take no lectures”.

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Mr Stride pressed her on analysis from the Institute of Fiscal Studies (IFS) that local authorities will have to raise council tax to the maximum level allowed to pay for local services.

Angela Rayner
Image:
Angela Rayner

He said: “The IFS says that the spending review will mean the biggest council tax increases in a generation.

“A £7bn tax rise and yet the chancellor and the prime minister have repeatedly claimed that the government will not raise taxes on working people. So can I ask… why doesn’t she think the council tax is paid by working people?”

Ms Rayner again attacked the Tories’ record, saying he had “absolute nerve” as council tax “rose every single year under that government”.

She said Labour was “delivering money for local government, when they had austerity, put taxes up and ruined the British economy”.

Ms Reeves unveiled her spending review earlier this month, which outlined how much day-to-day funding government departments will get over the next three years, along with capital spending for longer-term projects.

The chancellor has insisted her plans are fully funded, but Paul Johnson, director of the IFS, has said she has left herself such little headroom that “any move in the wrong direction” for the economy would “almost certainly spark more tax rises”.

Any tax hikes would likely spark a backlash given Ms Reeves’ said last November that there would be no more tax hikes during this government’s term, following her decision to raise employer National Insurance in the autumn budget.

The government is facing further trouble as a key part of the spending review was a package of reforms aimed at shaving £5bn off the welfare budget by 2030.

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Sky’s Tamara Cohen explains.

However, an unprecedented rebellion of over 100 MPs is threatening that legislation, which is due to be voted on next Tuesday.

Ms Rayner today insisted the vote will go ahead.

She said: “I’ll tell the right honourable member why we’re pressing ahead with our reforms.

“That is because we’re investing £1 billion into tailored employment support, a right to try to help more people back into work and ending reassessments for the most severely disabled who will never be able to work.

“We won’t walk away and stand by and abandon millions of people trapped in the failing system left behind by him and his colleagues.”

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