Tens of thousands of nurses to strike today in first mass walkout in a century
Tens of thousands of nurses are going on strike today for their first mass walkout in a century across England, Wales and Northern Ireland.
The action, a bid to secure above-inflation pay rises, is going ahead after talks to avert it ended in a deadlock.
Picket lines are being set up at dozens of hospitals and thousands of NHS appointments and operations have been cancelled, with the health service running a bank holiday-style service in many areas.
Share your NHS experience – how are the strikes affecting you?
The Royal College of Nursing (RCN) has said it will still staff chemotherapy, emergency cancer services, dialysis, critical care units, neonatal and paediatric intensive care.
Some areas of mental health and learning disability and autism services are also exempt from the strike, while trusts have been told they can request staffing for specific clinical needs.
When it comes to adult A&E and urgent care, nurses will work Christmas Day-style rotas.
Saffron Cordery, interim chief executive of NHS Providers, said agency NHS trusts were “pulling out all the stops” to lessen the impact on patients.
She said: “But it’s inevitable that some operations or appointments will have to be rescheduled, and trusts are pulling out all the stops to minimise disruption.
“The cold snap has ramped up demand that was already at or close to record levels, but on strike day NHS trusts will do everything they can to ensure that essential services are properly staffed and patient safety, always the number one priority, is safeguarded.”
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RCN chief executive Pat Cullen has accused Health Secretary Steve Barclay of “belligerence” after he refused to discuss the issue of pay – because the government has already accepted recommendations made by the NHS Pay Review Body (PRB) to give below inflation pay rises of around 4%.
This would have seen them get a pay rise of around £1,400.
Health Secretary Steve Barclay has been criticised by the head of the Royal College of Nursing
The RCN has been calling for a pay rise at 5% above inflation, though it has indicated it would accept a lower offer.
When it submitted the 5% figure to the independent pay review body in March, inflation was running at 7.5%.
But inflation has since soared, with RPI standing at 14.2% in September.
‘A tragic first’
Meanwhile, in Scotland, RCN members are being consulted on a revised pay offer from the Scottish government.
Ms Cullen said: “Nurses are not relishing this, we are acting with a very heavy heart.
“It has been a difficult decision taken by hundreds of thousands who begin to remove their labour in a bid to be heard, recognised and valued.
“It is a tragic first for nursing, the RCN and the NHS.
“Nursing staff on picket lines is a sign of failure on the part of governments.
“My plea to patients is to know that this strike is for you too – it’s about waiting lists, treatments that are cancelled year round and the very future of the NHS.”
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Royal College of Nursing leader Pat Cullen says the government’s ‘turned its back’ on nurses
The RCN has also raised the issue of huge staff vacancies in the NHS, with 47,000 nurse roles empty in England alone. And it has warned strike action may need to continue into January if the government does not re-negotiate on pay.
The health secretary said nurses were “incredibly dedicated to their job” and that it was “deeply regrettable some union members are going ahead with strike action”.
Mr Barclay added: “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.”
He said paying nurses more “would mean taking money away from frontline services at a time when we are tackling record waiting lists as a result of the pandemic.”
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But pressure is mounting on the government to find a compromise on pay, with former Conservative Party chairman Sir Jake Berry saying it “is going to have to improve its offer”.
“We need to find a way as a government, and the union does too, to get to that centre point, that point of agreement straight away,” he told Talk TV.
During the strike, nurses will man picket lines at major NHS hospitals, including Guy’s and St Thomas NHS Foundation Trust in London, Addenbrookes Hospital in Cambridge and University Hospitals Birmingham NHS Foundation Trust.
Several trusts have already given details of cancelled outpatient appointments and planned treatments.
The Western Trust in Northern Ireland said it had “regrettably taken the decision to cancel some non-emergency services”, with 587 outpatient appointments postponed across Altnagelvin Hospital, Omagh Primary Care and Treatment Centre and South West Acute Hospital.
The trust said there would also be reduced staffing in community nursing services including rapid response nursing, district nursing, community respiratory nursing and continence services.
Pic: AP
In Wales, the Welsh government said non-urgent or routine appointments are likely to be postponed.
On Wednesday, the head of NHS Employers said “real concerns” remain about the level of cover nurses will provide for cancer patients during the strike.
In a letter to NHS leaders, Danny Mortimer said some aspects of talks with the RCN had been disappointing and warned that “unless the government indicates a willingness to negotiate on pay-related matters, further strike dates will be announced by the RCN for January 2023 and beyond”.
A second RCN nurse strike is set for 20 December, while thousands of ambulance workers will go on strike on 21 December.
The RCN has urged agency workers not to cover for striking staff.
Members of the Rail, Maritime and Transport union (RMT) began the first of two 48-hour strikes at Network Rail – and 14 train companies – on Tuesday, which will last until Friday.
There is also industrial action planned in a whole number of UK spheres, including paramedics, postal workers, Border Force agents, firefighters, driving instructors, bus operators, airport baggage handlers and even coffin makers.
Wes Streeting has defended plans to make over 70s take compulsory eye tests every three years – which could see them banned from driving if they fail, it is understood.
Ministers are considering “tougher” measures to tackle road deaths and injuries in England and Wales, which they believe have “remained stubbornly high under successive Conservative governments”.
Under the new proposals, first reported by The Times, the drink-drive limit would be lowered to match the current rules in Scotland.
Currently, the drink-drive limit is 35 micrograms of alcohol per 100 millilitres of breath in England and Wales, or 80 milligrams of alcohol per 100 millilitres of blood.
But this is expected to be lowered to 22 micrograms of alcohol per 100 millilitres of breath or 50 milligrams of alcohol per 100 millilitres of blood, to match the stricter levels already enforced in Scotland.
Those caught not wearing a seatbelt could also receive penalty points for the first time, while drivers found on the road without insurance could also face more severe consequences.
As well as this, plans are currently being drawn up to make those aged 70 or over take a compulsory eye test every three years when they renew their driving licence.
Those who fail this would lose their right to drive under the proposals. It’s understood that tests for other conditions, such as dementia, are also being considered.
Speaking on Monday, Mr Streeting said the transport secretary is consulting and “considering a whole range of proposals”, which will be unveiled in the “not too distant future”.
It is understood that Heidi Alexander will unveil the measures in a new road safety strategy in the autumn.
Transport Secretary Heidi Alexander is expected to introduce the changes as part of the government’s road safety strategy in the autumn.
Pic: Reuters
The health secretary also defended the plans around elderly drivers.
He told broadcasters: “It cannot be right that we’ve ended up in a situation where the NHS is hit with a £2 billion a year bill because we are not taking road safety seriously enough – particularly as we get older and the quality of our eye health deteriorates, that we’re not keeping a regular check.”
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A Labour source said: “At the end of the last Labour government, the number of people killed and seriously injured on our roads was at a record low, but numbers have remained stubbornly high under successive Conservative governments.
“In no other circumstance would we accept 1,600 people dying, with thousands more seriously injured, costing the NHS more than £2bn per year.
“This Labour government will deliver the first Road Safety Strategy in a decade, imposing tougher penalties on those breaking the law, protecting road users and restoring order to our roads.”
It comes after 1,633 people died in road traffic accidents in 2024, with nearly 28,000 victims seriously injured.
An amber heat health alert has been issued for large parts of England.
The amber alert – described as an “enhanced hot weather response” – covers East Midlands, West Midlands, East of England, London, and the South East.
The alert, issued by the UK Health Security Agency (UKHSA), is due to be in place from 9am on Tuesday, until 6pm on Wednesday.
Explainer: What is a heat-health alert?
The UK Health Security Agency (UKHSA) has issued alerts across England
The UKHSA, a government agency for England, warned “significant impacts are likely” across health and social care services due to the high temperatures.
Parts of the country are facing a fourth heatwave of the summer, where highs pass a threshold on three consecutive days.
A yellow alert, also between 9am on Tuesday until 6pm on Wednesday, covers the North East, North West, Yorkshire, The Humber, and the South West.
Check the weather forecast where you are
Dr Paul Coleman, consultant in public health at UKHSA, said temperatures are forecast to rise above 30C (86F) across some areas which “can result in serious health outcomes” particularly for the elderly or those with serious health conditions.
“If you have friends, family or neighbours who are vulnerable, it is important to ensure they are aware of the forecasts and are following the necessary advice.
“Check in on them if you can to make sure they know that hot weather is on the way and how to keep themselves safe,” Dr Coleman said.
Temperatures could peak in the low 30s on Tuesday, with a small chance of hitting 35C (95F)
Sky News meteorologist Christopher England said the high pressure that brought the warmth of the last few days via the “heat dome” effect is moving east, as low pressure moves in towards the west.
“On Tuesday, southern Britain can expect temperatures widely into the low 30s… perhaps exceeding 35C (95F) in places,” he said.
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Drought in England explained
On 1 July, the UK recorded its hottest day of the year so far with a temperature of 34.7C (94.4F) recorded at St James’s Park in central London.
The Met Office’s criteria for a heatwave are met when temperatures are above a certain level for three consecutive days. This threshold varies from 25C to 28C (77F to 82F) depending on the location.
People enjoying the hot weather in North Shields in June. Pic: PA
Mr England added: “There’s around a 10% chance Wales may exceed its August peak temperature of 35.2C (95.3F) recorded at Hawarden on 2 August 1990.
“Expect some tropical nights too, with temperatures holding above 20C (68F).”
In July, the Met Office warned Britain’s climate is changing rapidly, with records regularly being smashed and extremes of heat and rainfall becoming the norm.
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The UKHSA has issued advice for keeping cool:
• close windows and curtains in rooms that face the sun
• seek shade and cover up outside
• use sunscreen, wear a hat and sunglasses
• keep out of the sun at the hottest times, between 11am and 3pm
• restrict physical activity to the cooler mornings or evenings
• know how to respond to heat exhaustion and heatstroke
Around 30 residents have been evacuated from their homes in north London after a water main burst, leaving roads under 44cm (17in) of water.
Seventy firefighters were dispatched by London Fire Brigade to the area around Canonbury Street in Islington just after 10pm on Sunday.
People have been urged to avoid the area including Essex Road, Elmore Street, Halliford Street and Ecclesbourne Road – and warned against driving through floodwater.
Canonbury Street in Islington experienced significant flooding. Pic: London Fire Brigade
Fire crews used flood barriers and sandbags to divert floodwater away from homes as they warned disruption was likely to continue into Monday afternoon.
Islington council also warned at 9am on Monday that Canonbury Street was closed from Essex Road up to Arran Walk.
A Thames Water spokesperson said: “We have now managed to stop the flow of water and ensure that the site is safe. We have also been able to move parked cars which were over another critical water main.
“We have a specialist team on site for those impacted by the incident, at Cedar Place on Essex Road, and are supporting customers who have been affected.
“To keep the public and our team safe, we’ve arranged equipment to help manage the traffic while we work in the road. We are sorry for the impact this may have on traffic in the area.”
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