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Nurses will continue to strike in January if the government does not negotiate with them on pay, union leader Pat Cullen has told Sky News.

Ms Cullen, of the Royal College of Nursing (RCN), said it was “absolutely not true” that pay is a “tiny element” in the dispute as she hit out at “disparaging” remarks made by health minister Maria Caulfield.

She told The Take with Sophy Ridge: “Nurses are on the breadline, they can’t afford to pay their bills, some of them can’t even afford to travel to work for goodness sake. And yet you have a minister sitting here saying that it’s about all of the other things and not about pay. That is absolutely not true.”

Ms Caulfield, who is also a nurse, told Sophy Ridge that while pay is “obviously a concern” this was only a “tiny” reason for the strike action, which she claimed was more about working conditions.

But Ms Cullen said that while there are working conditions that need to be addressed, there are 50,000 nursing vacancies across the NHS and “pay is fundamental if we are going to try and keep the nurses we have and get more in”.

Nurses are set to strike for the first time in a century on Thursday in bid to secure above-inflation pay rises, after talks to avert the action ended in a deadlock on Monday.

Stephen Barclay, the health secretary, is refusing to negotiate with unions on pay because the government has accepted recommendations made by the NHS Pay Review Body (PRB) to give below inflation pay rises of around 4%.

More on Nurses’ Strike

Moments before Ms Cullen came on air, the GMB union – which represents tens of thousands of health workers who are also due to strike – announced it was pulling out of the process used by the government to set NHS pay.

‘Trust lost in pay review process’

The NHS Pay Review Body is an advisory public body which takes evidence from government and unions before recommending a pay increase.

The government say it is “independent”, but the GMB disputes this and is suspending its participation until “substantial reforms are made”.

That means the union, which represents thousands of ambulance workers, paramedics, nurses and cleaners working in the NHS, will refuse to provide evidence to the board during next year’s pay negotiations.

“The credibility of the Pay Review Bodies is under greater strain than at any point in their 50-year history. Our members want to participate in a meaningful process, but the trust has been lost,” the union said.

The union said the PRB is not independent because ministers and government:

• Set the Review Bodies’ annual remits including the financial limits within which they are expected to work
• Appoint the Pay Review Body’s members – a process unions have no role in
• Provide the PRB’s secretariat

More strikes in 2023

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Sir Keir Starmer told Rishi Sunak the nurses’ strike was a ‘badge of shame’

Because of the PRB recommendations, nurses with the RCN have been offered a pay rise of at least £1,400.

But the union says this is not enough to make up for a decade of real-terms pay cuts, and they are asking for a pay rise of 5% above RPI inflation, so 19.2%.

The government has said that figure is “unaffordable” and Ms Cullen would not say what offer the RCN would accept if ministers were willing to negotiate.

“I am not going to negotiate on the airwaves and I don’t think any minister should reduce our profession to having to do that,” she told Sophy Ridge.

While nurses in England, Wales and Northern Ireland will strike tomorrow, the RCN has paused industrial action in Scotland to consider a revised pay offer of 7.5%, after First Minister Nicola Sturgeon agreed to negotiations.

Ms Cullen said more strikes were likely in January if the government sticks by its refusal to come to the table on pay.

“The ball is in their court quite frankly, there will be a second strike day on the 20 December.

“Unless we have talks and negotiate on behalf of my members – then I am afraid to say that’s a very strong possibility. We will be starting to look at when those dates will be. I am afraid they will continue into January.”

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Patient support divided on eve of nurses’ strike

Both sides in this dispute have had weeks to try and reach a settlement. But on the eve of the nurses strike their union the RCN and the Government have not moved any closer to resolution. The reverse in fact.

Steven Barclay, the Health Secretary says his door is always open. Pat Cullen, the RCN’s General Secretary said she walked through it and back out again when she realised there was talk about patient safety but none about a pay settlement.

Patient safety is now becoming a central theme and both sides are warning of a risk.

Steven Barclay says the industrial action could put patients at jeopardy so he is urging all patients to continue to seek emergency treatment if they feel they need it.

The nurses continue to argue patient safety is already being compromised in understaffed hospitals.

The nurses and the government know long term widespread patient support is crucial. So far, anecdotally at least, it seems to be fairly divided.

There is sympathy for the nurses but also, while so many people are struggling with the cost of living crisis, there is also an understanding of the Government’s economic case against an above inflation pay rise.

Because of the advance warnings NHS leaders have been able to manage attendance numbers by not booking in routine appointments on the strike dates. This will help hospitals on restricted staff rotas to manage patient flows.

But there will be disruption. That is the whole point of the industrial action.

Patient discharge is one of the biggest issues facing the NHS right now. There are too many patients in hospital who do not need to be there but have to stay because there is no social care prison for them.

So when the nurses who manage hospital beds, virtual wards and are in other capacity roles are absent because they are on strike that pressure will build even more.

Ambulances will keep bringing patients to hospital even on strike days. The challenge of finding beds for them all will become greater. The pressure on all sides , inside the NHS and in government will continue to build.

On the eve of the strike, Mr Barclay repeated his insistence that increasing the nurses’ pay offer would mean taking money from frontline services.

He added: “Our nurses are incredibly dedicated to their job and it is deeply regrettable some union members are going ahead with strike action.

“My number one priority is to keep patients safe – I’ve been working across government and with medics outside the public sector to ensure safe staffing levels – but I do remain concerned about the risk that strikes pose to patients.

“Nevertheless, the NHS is open and patients should continue to seek urgent medical care – and attend appointments, unless they’ve been contacted by the NHS.”

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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.

More on Gaza

“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.”

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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.

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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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