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%.
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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’
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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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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.”
Israel has said foreign countries can drop aid into Gaza from today.
A senior IDF official told Sky News on Friday: “Starting today, Israel will allow foreign countries to parachute aid into Gaza.
“Starting this afternoon, the WCK organisation began reactivating its kitchens.”
Humanitarian aid organisation World Central Kitchen paused its operation in Gaza in November after a number of its workers were killed in an Israeli airstrike last year.
Aid workers in Gaza – who help provide food, medicine and shelter for the millions displaced there – have been affected by the ongoing conflict between Israel and Hamas.
In recent weeks hundreds of Palestinians have been killed while waiting for food and aid.
This breaking news story is being updated and more details will be published shortly.
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A British surgeon who recently returned from Gaza has told Sky News that there is “profound malnutrition” among the population – and claims IDF soldiers are shooting civilians at aid points “like a game of target practice”.
Dr Nick Maynard spent four weeks working inside Nasser Hospital, where a lack of food has left medics struggling to treat children and toddlers.
The conditions inside the hospital, in the south of the Strip, have been documented in a Sky News report.
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3:49
Malnourished girl: ‘The war changed me’
Dr Maynard told The World with Yalda Hakim: “I met several doctors who had cartons of formula feed in their luggage – and they were all confiscated by the Israeli border guards. Nothing else got confiscated, just the formula feed.
“There were four premature babies who died during the first two weeks when I was in Nasser Hospital – and there will be many, many more deaths until the Israelis allow proper food to get in there.”
Image: Palestinians wait to receive food from a charity kitchen in Gaza City. Pic: Reuters
In other developments:
• Israel and the US have recalled their teams from Gaza ceasefire talks
• US envoy Steve Witkoff has accused Hamas “of failing to act in good faith”
• France has announced that it will recognise the state of Palestine
• An influential group of MPs is calling on the UK to “immediately” do the same
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5:33
‘Starvation used as a weapon’
‘They were shells’
Dr Nick Maynard has been going to Gaza for the past 15 years – and this is his third visit to the territory since the war began.
The British surgeon added that virtually all of the kids in the paediatric unit of Nasser Hospital are being fed with sugar water.
“They’ve got a small amount of formula feed for very small babies, but not enough,” he warned.
Dr Maynard said the lack of aid has also had a huge impact on his colleagues.
“I saw people I’d known for years and I didn’t recognise some of them,” he added. “Two colleagues had lost 20kg and 30kg respectively. They were shells, they’re all hungry.
“They’re going to work every day, then going home to their tents where they have no food.”
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3:42
Ex-Gaza aid worker claims personnel shot at Palestinians
IDF ‘shooting Gazans at aid points’
Elsewhere in the interview, Dr Maynard claimed Israeli soldiers are shooting civilians at aid points “almost like a game of target practice”.
He has operated on boys as young as 11 who had been “shot at food distribution points” run by the US and Israel-backed Gaza Humanitarian Foundation.
“They had gone to get food for their starving families and they were shot,” he said.
“I operated on one 12-year-old boy who died on the operating table because his injuries were so severe.”
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2:54
Gaza deaths increase when aid sites open
Dr Maynard continued: “What was even more distressing was the pattern of injuries that we saw, the clustering of injuries to particular body parts on certain days.
“One day they’d be coming in predominately with gunshot wounds to the head or the neck, another day to the abdomen.
“Twelve days ago, four young teenage boys came in, all of whom had been shot in the testicles and deliberately so.
“The clustering was far too obvious to be accidental, and it seemed to us like this was almost like a game of target practice.
“I would never have believed this possible unless I’d witnessed this with my own eyes.”
Image: Palestinians brought to Nasser Hospital after being shot by Israeli forces, according to hospital officials and eyewitnesses. Pic: AP
Sky News has contacted the Israeli Defence Forces for comment.
An IDF spokesperson previously told Sky News it “strongly rejected” the accusations that its forces were instructed to deliberately shoot at civilians.
“To be clear, IDF directives prohibit deliberate attacks on civilians,” the spokesperson said, adding that the incidents are “being examined by the relevant IDF authorities”.
UNRWA, its relief agency for Gaza, has heavily criticised the scheme.
Commissioner general Philippe Lazzarini said: “The so-called ‘GHF’ distribution scheme is a sadistic death trap. Snipers open fire randomly on crowds as if they are given a licence to kill.”
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Just a fraction of the aid trucks needed are making it into the enclave, the UN has said, while multiple aid groups and the World Health Organisation have warned Gazans are facing “mass starvation”.
Mr Lazzarini quoted a colleague on Thursday and said malnourished Palestinians in the Gaza “are neither dead nor alive, they are walking corpses”.
Eleven Thai civilians and a soldier have been killed in clashes between Thailand and Cambodia, officials have said, as long-standing tensions in disputed border areas boiled over into open conflict.
Among those killed was an eight-year-old boy, the army said in a statement.
It said most casualties occurred in Si Sa Ket province, where six people were killed after shots were fired at a fuel station.
Image: Smoke and fire in the Kantharalak district in Thailand amid clashes between Thailand and Cambodia. Pic: Army Region 2 via Facebook/Reuters
Another 14 people have been injured in three Thai border provinces.
Thailand’s health minister Somsak Thepsuthin confirmed the fatalities to reporters, adding Cambodia’s actions, including an attack on a hospital, should be considered war crimes.
Both countries accuse one another of starting the military clashes and have downgraded their diplomatic relations in the rapidly escalating dispute. Thailand has also sealed all land border crossings with Cambodia.
Early on Thursday, a Thai F-16 fighter jet bombed targets in Cambodia, according to Thailand’s army.
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“We have used air power against military targets as planned,” Thai army deputy spokesperson Richa Suksuwanon said.
Cambodia’s defence ministry said Thai jets had dropped bombs on a road near the ancient Preah Vihear temple, saying it “strongly condemns the reckless and brutal military aggression of the Kingdom of Thailand against the sovereignty and territorial integrity of Cambodia”.
Image: Thai people who fled clashes take shelter in Surin province. Pic: AP
Image: Fighting has taken place in disputed border areas
‘Civilian areas targeted’
Clashes are ongoing in at least six areas along the border, the Thai defence ministry said.
Thailand’s foreign ministry said Cambodian troops fired “heavy artillery” on a Thai military base on Thursday morning and also targeted civilian areas, including a hospital.
“The Royal Thai Government is prepared to intensify our self-defence measures if Cambodia persists in its armed attack and violations upon Thailand’s sovereignty,” the ministry said in a statement.
A livestream video from Thailand’s side showed people, including children and the elderly, running from their homes and hiding in a concrete bunker as explosions sounded.
The clash happened in an area where the ancient Prasat Ta Muen Thom temple stands along the border between Thailand’s Surin province and Cambodia’s Oddar Meanchey province.
Image: Thai people who fled clashes in Surin province, northeastern Thailand. Pic: AP
‘Conflict not spreading’
Thailand’s acting premier said fighting must first stop before peace talks can start.
Caretaker Prime Minister Phumtham Wechayachai told reporters there had been no declaration of war and conflict was not spreading into more provinces.
He said Cambodia had fired heavy weapons into Thailand without any specific targets, resulting in civilian deaths.
Earlier on Thursday, Cambodia downgraded diplomatic relations with Thailand to their lowest level, expelled the Thai ambassador and recalled all Cambodian staff from its embassy in Bangkok.
The day before, its neighbour withdrew its ambassador and expelled the top Cambodian diplomat in protest after five Thai soldiers were wounded in a land mine blast, one of whom lost part of a leg.
A week earlier, a land mine in a different contested area exploded and wounded three Thai soldiers, including one who lost a foot.
Relations between the southeast Asian neighbours have collapsed after a Cambodian soldier was killed in an armed confrontation in a disputed border area in May.
Nationalist passions on both sides have further inflamed the situation, and Thailand’s prime minister was suspended earlier this month as an investigation was opened into possible ethics violations over her handling of the border dispute.
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Border disputes are longstanding issues that have caused periodic tensions between the countries. The most prominent and violent conflicts have been around the 1,000-year-old Preah Vihear temple.
In 1962, the International Court of Justice recognised Cambodian sovereignty over the temple area.