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”.
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
Related Topics:
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’
Advertisement
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
Please use Chrome browser for a more accessible video player
9:53
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.”
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.”
The fires that have been raging in Los Angeles County this week may be the “most destructive” in modern US history.
In just three days, the blazes have covered tens of thousands of acres of land and could potentially have an economic impact of up to $150bn (£123bn), according to private forecaster Accuweather.
Sky News has used a combination of open-source techniques, data analysis, satellite imagery and social media footage to analyse how and why the fires started, and work out the estimated economic and environmental cost.
More than 1,000 structures have been damaged so far, local officials have estimated. The real figure is likely to be much higher.
“In fact, it’s likely that perhaps 15,000 or even more structures have been destroyed,” said Jonathan Porter, chief meteorologist at Accuweather.
These include some of the country’s most expensive real estate, as well as critical infrastructure.
Accuweather has estimated the fires could have a total damage and economic loss of between $135bn and $150bn.
“It’s clear this is going to be the most destructive wildfire in California history, and likely the most destructive wildfire in modern US history,” said Mr Porter.
“That is our estimate based upon what has occurred thus far, plus some considerations for the near-term impacts of the fires,” he added.
The calculations were made using a wide variety of data inputs, from property damage and evacuation efforts, to the longer-term negative impacts from job and wage losses as well as a decline in tourism to the area.
The Palisades fire, which has burned at least 20,000 acres of land, has been the biggest so far.
Satellite imagery and social media videos indicate the fire was first visible in the area around Skull Rock, part of a 4.5 mile hiking trail, northeast of the upscale Pacific Palisades neighbourhood.
These videos were taken by hikers on the route at around 10.30am on Tuesday 7 January, when the fire began spreading.
X
This content is provided by X, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable X cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to X cookies.
To view this content you can use the button below to allow X cookies for this session only.
At about the same time, this footage of a plane landing at Los Angeles International Airport was captured. A growing cloud of smoke is visible in the hills in the background – the same area where the hikers filmed their videos.
X
This content is provided by X, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable X cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to X cookies.
To view this content you can use the button below to allow X cookies for this session only.
The area’s high winds and dry weather accelerated the speed that the fire has spread. By Tuesday night, Eaton fire sparked in a forested area north of downtown LA, and Hurst fire broke out in Sylmar, a suburban neighbourhood north of San Fernando, after a brush fire.
These images from NASA’s Black Marble tool that detects light sources on the ground show how much the Palisades and Eaton fires grew in less than 24 hours.
Â
On Tuesday, the Palisades fire had covered 772 acres. At the time of publication of Friday, the fire had grown to cover nearly 20,500 acres, some 26.5 times its initial size.
The Palisades fire was the first to spark, but others erupted over the following days.
At around 1pm on Wednesday afternoon, the Lidia fire was first reported in Acton, next to the Angeles National Forest north of LA. Smaller than the others, firefighters managed to contain the blaze by 75% on Friday.
On Thursday, the Kenneth fire was reported at 2.40pm local time, according to Ventura County Fire Department, near a place called Victory Trailhead at the border of Ventura and Los Angeles counties.
This footage from a fire-monitoring camera in Simi Valley shows plumes of smoke billowing from the Kenneth fire.
Sky News analysed infrared satellite imagery to show how these fires grew all across LA.
The largest fires are still far from being contained, and have prompted thousands of residents to flee their homes as officials continued to keep large areas under evacuation orders. It’s unclear when they’ll be able to return.
“This is a tremendous loss that is going to result in many people and businesses needing a lot of help, as they begin the very slow process of putting their lives back together and rebuilding,” said Mr Porter.
“This is going to be an event that is going to likely take some people and businesses, perhaps a decade to recover from this fully.”
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.
Given gilt yields are rising, the pound is falling and, all things considered, markets look pretty hairy back in the UK, it’s quite likely Rachel Reeves’s trip to China gets overshadowed by noises off.
There’s a chance the dominant narrative is not about China itself, but about why she didn’t cancel the trip.
But make no mistake: this visit is a big deal. A very big deal – potentially one of the single most interesting moments in recent British economic policy.
Why? Because the UK is doing something very interesting and quite counterintuitive here. It is taking a gamble. For even as nearly every other country in the developed world cuts ties and imposes tariffs on China, this new Labour government is doing the opposite – trying to get closer to the world’s second-biggest economy.
Please use Chrome browser for a more accessible video player
2:45
How much do we trade with China?
The chancellor‘s three-day visit to Beijing and Shanghai marks the first time a UK finance minister has travelled to China since Philip Hammond‘s 2017 trip, which in turn followed a very grand mission from George Osborne in 2015.
Back then, the UK was attempting to double down on its economic relationship with China. It was encouraging Chinese companies to invest in this country, helping to build our next generation of nuclear power plants and our telephone infrastructure.
But since then the relationship has soured. Huawei has been banned from providing that telecoms infrastructure and China is no longer building our next power plants. There has been no “economic and financial dialogue” – the name for these missions – since 2019, when Chinese officials came to the UK. And the story has been much the same elsewhere in the developed world.
More on China
Related Topics:
In the intervening period, G7 nations, led by the US, have imposed various tariffs on Chinese goods, sparking a slow-burn trade war between East and West. The latest of these tariffs were on Chinese electric vehicles. The US and Canada imposed 100% tariffs, while the EU and a swathe of other nations, from India to Turkey, introduced their own, slightly lower tariffs.
But (save for Japan, whose consumers tend not to buy many Chinese cars anyway) there is one developed nation which has, so far at least, stood alone, refusing to impose these extra tariffs on China: the UK.
The UK sticks out then – diplomatically (especially as the new US president comes into office, threatening even higher and wider tariffs on China) and economically. Right now no other developed market in the world looks as attractive to Chinese car companies as the UK does. Chinese producers, able thanks to expertise and a host of subsidies to produce cars far cheaper than those made domestically, have targeted the UK as an incredibly attractive prospect in the coming years.
And while the European strategy is to impose tariffs designed to taper down if Chinese car companies commit to building factories in the EU, there is less incentive, as far as anyone can make out, for Chinese firms to do likewise in the UK. The upshot is that domestic producers, who have already seen China leapfrog every other nation save for Germany, will struggle even more in the coming year to contend with cheap Chinese imports.
Please use Chrome browser for a more accessible video player
Whether this is a price the chancellor is willing to pay for greater access to the Chinese market is unclear. Certainly, while the UK imports more than twice as many goods from China as it sends there, the country is an attractive market for British financial services firms. Indeed, there are a host of bank executives travelling out with the chancellor for the dialogue. They are hoping to boost British exports of financial services in the coming years.
Still – many questions remain unanswered:
• Is the chancellor getting closer to China with half an eye on future trade negotiations with the US?
• Is she ready to reverse on this relationship if it helps procure a deal with Donald Trump?
• Is she comfortable with the impending influx of cheap Chinese electric vehicles in the coming months and years?
• Is she prepared for the potential impact on the domestic car industry, which is already struggling in the face of a host of other challenges?
• Is that a price worth paying for more financial access to China?
• What, in short, is the grand strategy here?
These are all important questions. Unfortunately, unlike in 2015 or 2017, the Treasury has decided not to bring any press with it. So our opportunities to find answers are far more limited than usual. Given the significance of this economic moment, and of this trip itself, that is desperately disappointing.