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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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The Godfather-style gang war gripping two major cities – with brutal attacks caught on camera

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The Godfather-style gang war gripping two major cities - with brutal attacks caught on camera

It’s like The Godfather, one reformed drug trafficker tells me.

The mythical gangster film centred on an organised crime dynasty locked in a transfer of power.

Communities in Scotland currently have a front row seat to a new war of violence, torture, and taunts as feuding drug lords and notorious families grapple for control of Glasgow and Edinburgh.

There have been more than a dozen brutal attacks over the past six weeks – ranging from fire bombings to attacks on children and gun violence.

A firebomb attack in Scotland
Image:
A firebomb attack in Scotland

Victims left for dead, businesses up in flames

Gangsters have filmed themselves setting fire to buildings and homes connected to the associates and relatives of their bitter rivals.

The main aim, they boast, is to “exterminate” the opposition.

The taunting footage, accompanied by the song Keep On Running by The Spencer Davis Group, has been plastered over social media as part of a deliberate game of goading.

A 12-year-old boy and 72-year-old woman were left for dead when teenagers wearing balaclavas burst into a home in north Glasgow.

Garages and businesses have gone up in flames. Shots were fired at an Edinburgh house.

Signals are being sent of who wants control of Scotland’s dark criminal underworld.

A firebomb attack in Scotland that saw a man through an incendiary device through a building window
Image:
A firebomb attack that saw a man throw an incendiary device through a building window

A house after it was set on fire by two individuals in Glasgow
Image:
The fire attack set to the song Keep On Running by The Spencer Davis Group

What’s caused the gang war?

The former director of the Scottish Crime and Drug Enforcement Agency, Graeme Pearson, explains how a “vacuum of leadership” is playing a part.

Last October, Glasgow-based cocaine kingpin Jamie Stevenson, known as The Iceman, was jailed after orchestrating a £100m cocaine shipment stashed in banana boxes from South America.

The mob leader was one of Britain’s most wanted, running his business like another on-screen criminal enterprise: The Sopranos.

The 59-year-old fugitive went on the run before eventually being hunted and apprehended by police while out jogging in the Netherlands.

Jamie Stevenson. Pic: Police Scotland
Image:
Jamie Stevenson. Pic: Police Scotland

Pic: Crown Office
Image:
Pic: Crown Office

‘Old scores to settle’

But paranoia was running rife about how this notorious gangster could be brought down. Was there a grass? Was it one of their own?

It further fuelled divisions and forced new alliances to be forged across Scotland’s organised criminal networks.

It wasn’t until The Iceman case came to court that it was revealed an encrypted messaging platform, known as EncroChat, had been infiltrated by law enforcement.

It ultimately led to Stevenson pleading guilty.

Ex-senior drug enforcement officer Mr Pearson told Sky News: “It is a complex picture because you have got people who are in prison who still want to have influence outside and look after what was their business.

“On the outside you’ve got wannabes who are coming forward, and they think this is an opportunity for them, and you have got others have old scores to settle that they could not settle when crime bosses were around.”

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Graham Pearson
Image:
Graeme Pearson

Mr Pearson describes a toxic mix swirling to create outbursts of violence unfolding in Scotland.

He concluded: “All that mixes together – and the greed for the money that comes from drugs, and from the kudos that comes from being a ‘main man’, and you end up with competition, violence, and the kind of incidents we have seen over the past four to six weeks.”

New wave of violence ‘barbaric’

Glasgow man Mark Dempster is a former addict, dealer, and drug smuggler who is now an author and respected counsellor helping people quit drinking and drugs.

He describes the “jostle for power” as not a new concept among Glasgow’s high profile gangland families.

Mark Dempster is a former addict, dealer and drug smuggler who is now an author and respected counsellor
Image:
Mark Dempster

“There is always going to be someone new who wants to control the markets. It is like The Godfather. There is no difference between Scotland, Albania, or India,” he said.

Mr Dempster suggests a shift in tactics in Glasgow and Edinburgh in recent weeks, with 12-year-olds being viciously attacked in the middle of the night.

“It is barbaric. When young people, children, get pulled into the cross fire. It takes it to a different level.

“At least with the old mafiosa they had an unwritten rule that no children, no other family members. You would deal directly with the main people that were your opposition.”

Police Scotland is racing to get control of the situation, but declined to speak to Sky News about its ongoing operation.

It has been suggested 100 officers are working on this case, with “arrests imminent”.

But this is at the very sharp end of sophisticated criminal empires where the police are not feared, there are fierce vendettas and, clearly, power is up for grabs.

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Laws may need to be bolstered to crack down on exploitation of child ‘influencers’, senior MP suggests

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Laws may need to be bolstered to crack down on exploitation of child 'influencers', senior MP suggests

Laws may need to be strengthened to crack down on the exploitation of child “influencers”, a senior Labour MP has warned.

Chi Onwurah, chair of the science, technology and innovation committee, said parts of the Online Safety Act – passed in October 2023 – may already be “obsolete or inadequate”.

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Experts have raised concerns that there is a lack of provision in industry laws for children who earn money through brand collaborations on social media when compared to child actors and models.

This has led to some children advertising in their underwear on social media, one expert has claimed.

Those working in more traditional entertainment fields are safeguarded by performance laws, which strictly govern the hours a minor can work, the money they earn and who they are accompanied by.

The Child Influencer Project, which has curated the world’s first industry guidelines for the group, has warned of a “large gap in UK law” which is not sufficiently filled by new online safety legislation.

Official portrait of Chi Onwurah.
Pic: UK Parlimeant
Image:
Official portrait of Chi Onwurah.
Pic: UK Parlimeant

The group’s research found that child influencers could be exposed to as many as 20 different risks of harm, including to dignity, identity, family life, education, and their health and safety.

Ms Onwurah told Sky News there needs to be a “much clearer understanding of the nature of child influencers ‘work’ and the legal and regulatory framework around it”.

She said: “The safety and welfare of children are at the heart of the Online Safety Act and rightly so.

“However, as we know in a number of areas the act may already be obsolete or inadequate due to the lack of foresight and rigour of the last government.”

Victoria Collins, the Liberal Democrat spokesperson for science, innovation and technology, agreed that regulations “need to keep pace with the times”, with child influencers on social media “protected in the same way” as child actors or models.

“Liberal Democrats would welcome steps to strengthen the Online Safety Act on this front,” she added.

‘Something has to be done’

MPs warned in 2022 that the government should “urgently address the gap in UK child labour and performance regulation that is leaving child influencers without protection”.

They asked for new laws on working hours and conditions, a mandate for the protection of the child’s earnings, a right to erasure and to bring child labour arrangements under the oversight of local authorities.

However, Dr Francis Rees, the principal investigator for the Child Influencer Project, told Sky News that even after the implementation of the Online Safety Act, “there’s still a lot wanting”.

“Something has to be done to make brands more aware of their own duty of care towards kids in this arena,” she said.

Dr Rees added that achieving performances from children on social media “can involve extremely coercive and disruptive practices”.

“We simply have to do more to protect these children who have very little say or understanding of what is really happening. Most are left without a voice and without a choice.”

What is a child influencer – and how are they at risk?

A child influencer is a person under the age of 18 who makes money through social media, whether that is using their image alone or with their family.

Dr Francis Rees, principal investigator for the Child Influencer Project, explains this is an “escalation” from the sharing of digital images and performances of the child into “some form of commercial gain or brand endorsement”.

She said issues can emerge when young people work with brands – who do not have to comply with standard practise for a child influencer as they would with an in-house production.

Dr Rees explains how, when working with a child model or actor, an advertising agency would have to make sure a performance license is in place, and make sure “everything is in accordance with many layers of legislation and regulation around child protection”.

But, outside of a professional environment, these safeguards are not in place.

She notes that 30-second videos “can take as long as three days to practice and rehearse”.

And, Dr Rees suggests, this can have a strain on the parent-child relationship.

“It’s just not as simple as taking a child on to a set and having them perform to a camera which professionals are involved in.”

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The researcher pointed to one particular instance, in which children were advertising an underwear brand on social media.

She said: “The kids in the company’s own marketing material or their own media campaigns are either pulling up the band of the underwear underneath their clothing, or they’re holding the underwear up while they’re fully clothed.

“But whenever you look at any of the sponsored content produced by families with children – mum, dad, and child are in their underwear.”

Dr Rees said it is “night and day” in terms of how companies are behaving when they have responsibility for the material, versus “the lack of responsibility once they hand it over to parents with kids”.

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Two arrested on suspicion of murder after disappearance of woman in South Wales

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Two arrested on suspicion of murder after disappearance of woman in South Wales

Police investigating the disappearance of a woman in South Wales have arrested two people on suspicion of murder.

Paria Veisi, 37, was last seen around 3pm on Saturday 12 April when she left her workplace in the Canton area of Cardiff.

She was driving her car, a black Mercedes GLC 200, which was later found on Dorchester Avenue in the Penylan area on the evening of Tuesday 15 April.

South Wales Police said it was now treating her disappearance as a murder investigation.

A 41-year-old man and a 48-year-old woman, both known to Ms Veisi, have been arrested on suspicion of murder and remain in police custody.

Detective Chief Inspector Matt Powell said he currently had “no proof that Paria is alive”.

The senior investigating officer added: “[Ms Veisi’s] family and friends are extremely concerned that they have not heard from her, which is totally out of character.

“Paria’s family has been informed and we are keeping them updated.

“We have two people in custody, and at this stage we are not looking for anybody else in connection with this investigation.

“Our investigation remains focused on Paria’s movements after she left work in the Canton area on Saturday April 12.

“Extensive CCTV and house-to-house inquiries are being carried out by a team of officers and I am appealing for anybody who has information, no matter how insignificant it may seem, to make contact.”

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Ms Veisi is described as having long, curly black hair.

She was last seen wearing a black zip-up gym top over a red top, black trousers and trainers, and was carrying a small handbag.

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