Health Secretary Steve Barclay is expected to meet with members of Unite, Unison and GMB unions tomorrow amid further walkouts by nurses and ambulance workers.
It is understood that Mr Barclay wants assurances from union officials that Category 2 incidents – such as strokes or cases of serious chest pain – will be attended to during industrial action.
Sources say the health secretary will not discuss increasing wages during the fresh talks.
The chief of the Royal College of Nursing (RCN), Pat Cullen, had suggested strikes would be called off if Mr Barclay opened up discussions over wages.
But a government source insisted Mr Barclay will only talk about “patient safety and non-pay issues”.
The RCN is demanding an inflation-matching pay rise plus 5% for its members, but the government will only offer around 4%, as recommended in the summer by an independent pay review body – before inflation hit record highs.
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A spokesperson for the GMB union said: “He must start listening to what ambulance workers are saying – he needs to talk pay now.”
Speaking earlier, Rishi Sunak said the government had been “reasonable and fair” throughout negotiations, and increasing the offer would only increase inflation.
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“We’re always happy to sit down and talk to people to try and work through difficult challenges like this,” he said. “That’s always been the case and when it comes to pay, it’s because these things are difficult, that we have an independent process.
“The government accepted those recommendations in full across the public sector, even though in many cases those recommendations were higher than what the government had originally suggested and indeed higher than what many people in the private sector are receiving.
“But the government increased its offer so it could accept those independent recommendations in full. I thought that was the reasonable and the fair thing to do.”
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PM ‘disappointed’ by Christmas strikes
Mr Barclay told reporters on Monday that trade unions should accept the pay review figure, saying nurses he had spoken to had other concerns they wanted addressed.
“They also talk about the estate and our new hospitals building programme being really important to them,” said the health secretary.
“They talk about frustrations often with technology and how we need to invest more in that.
“They talk sometimes about some of the abuse that they receive and issues of safety and how we can work together to improve safety for staff.
“So there’s a range of issues that are raised by nurses with me.
“Pay is a factor and that’s why we have an independent process to look at that, but there’s a range of other things that also matter to staff, and I’m keen to work with the trade unions to address those concerns as well.”
Asked last night about reports Downing Street had blocked the idea of a one-off payment to nurses to prevent the strikes, Mr Barclay told reporters his conversations with Number 10 would remain private.
Meanwhile, the minister questioned the safety of the upcoming ambulance strikes.
Staff will still respond to the highest level of emergencies and are making plans for cover, while the government plans to bring in the armed forces to fill some of the gaps, with 1,200 troops expected to be deployed.
Image: Health secretary Steve Barclay
Department heads have also met this morning to discuss the strikes at an emergency government COBRA meeting.
But Mr Barclay claimed “the practical arrangements” had still not been confirmed by the unions at this late stage.
“It’s important that the trade unions honour the commitments that they’ve given to safeguard both life-threatening responses and emergency responses,” he said.
“It’s important that everyone prioritises patient safety, and in particular, those life-threatening and emergency calls.”
Unite leader Sharon Graham, who represents some ambulance workers, said the health secretary would “have to carry the can if patients suffer”, telling the Daily Mirror he was “holding the country to ransom” by refusing to discuss pay.
Senior military officials have also criticised the move, with the head of the armed forces, Admiral Sir Tony Radakin, warning it was “perilous” to expect them to be used routinely to cover for strikes.
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‘Concerns’ over ambulance strikes
However, the Cabinet Office today published a new Resilience Framework, saying it would “strengthen how the UK prepares for and responds to emergencies” – including strike action – and it said it “envisaged” Army Reserves would “play a greater role in resilience operations and MACA (Military Aid to the Civil Authorities)” going forward.
Nurses and ambulances workers aren’t the only sectors taking industrial action this week, with rail workers, Border Force officials, driving examiners, highways workers, postal workers, and Department for Work and Pensions (DWP) staff all staging walkouts.
Earlier, the prime minister’s official spokesman said it was not too late to call the industrial action off, saying: “We would expect, given this late stage, there to be some sort of disruption either way but it is still in the gift of the unions to step back and reconsider their approach.
“We are open to further talks if they are willing to have them. We believe we have taken a fair and reasonable approach throughout, including by accepting the pay body’s recommendation in full.”
Any agreement between Donald Trump and Vladimir Putin when they meet on Friday could leave Ukraine in an impossible position after three years of brutal, grinding war for survival.
There has been speculation the two leaders could agree a so-called ‘land for peace’ deal which could see Ukraine instructed to give up territory in exchange for an end to the fighting.
That would effectively be an annexation of sovereign Ukrainian territory by Russia by force.
Ukrainian President Volodymyr Zelenskyysaid on Tuesday evening that MrPutin wants the rest of Donetsk – and in effect the entire eastern Donbas region – as part of a ceasefire plan.
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Sky’s Michael Clarke explains in more detail what territories are under possible threat.
But the Ukrainian leader said Kyiv would reject the proposal and explained that such a move would deprive them of defensive lines and open the way for Moscow to conduct further offensives.
Russia currently occupies around 19% of Ukraine, including Crimea and the parts of the Donbas region it seized prior to the full-scale invasion in February 2022.
In this story, Sky News speaks to experts about what the highly-anticipated meeting between the Russian and American presidents could mean for the battlefield.
Image: Donald Trump and Vladimir Putin are set to meet in Alaska. Pic: Reuters
A ceasefire along the frontline?
The range of outcomes for the Trump-Putin meeting is broad, with anything from no progress to a ceasefire possible.
Polish Prime Minister Donald Tusk, for instance, said this week that he has “many fears and a lot of hope” for what could come out of it.
Military analyst Michael Clarke told Sky News that the summit “certainly won’t create peace, but it might create a ceasefire in place if Putin decides to be flexible”.
“So far he hasn’t shown any flexibility at all,” he added.
A ceasefire along the frontline, with minimal withdrawals on both sides, would be “structurally changing” and an “astonishing outcome”, he said.
However he doubts this will happen. Mr Clarke said a favourable outcome could be the two sides agreeing to a ceasefire that would start in two weeks time (for instance) with threats of sanctions from the US if Russia or Ukraine breaks it.
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President Zelenskyy: ‘Path to peace must be determined together’
Will Ukraine be forced to give up territory to Russia?
While President Trump’s attitude to Ukrainian resistance appears possibly more favourable from his recent comments, it’s still possible that Kyiv could be asked to give up territory as part of any agreement with Russia.
Moscow has been focussed on four oblasts (regions) of Ukraine: Luhansk and Donetsk (the Donbas), Zaporizhzhia and Kherson.
President Putin’s forces control almost all of Luhansk, but about 30% of the others remain in Ukrainian hands and are fiercely contested.
“Russian rates of advance have picked up in the last month, but even though they are making ground, it would still take years (three or more) at current rates to capture all this territory,” Matthew Savill, director of military sciences at the RUSI thinktank, told Sky News.
He says it “wouldn’t be surprising” if Russia tried to acquire the rest of the Donbas as part of negotiations – something that is “highly unattractive” for Ukraine that could leave them vulnerable in future.
This would include surrendering some of the ‘fortress belt’ – a network of four settlements including Kramatorsk and Sloviansk – that has held back Russian forces for 11 years.
Michael Clarke said this might well satisfy President Putin “for now”, but many believe that he would return for the rest of Ukraine – possibly after President Trump leaves office.
It’s unclear if President Volodymyr Zelenskyy could accept such a painful concession – or indeed, survive it politically – or if the wider Ukrainian public would support it in return for a pause in the fighting.
Would Russia have to return any territory to Ukraine?
The White House appears to have been briefing that it might, though the situation is very unclear.
Mr Savill added: “The Ukrainians might want to even up the situation in the north, by removing Russian incursions into Sumy and near Kharkiv, but of greater importance would be getting the Zaporizhzhia Nuclear Power Plant back under Ukrainian control, given how much it would contribute to Ukrainian power needs.”
It’s also possible that Russia could be willing to withdraw from the areas of Kherson region that it controls.
It’s “plausible” they could get the power plant back, Mr Clarke said, but Russia would likely insist on maintaining access to Crimea by land.
This would mean that cities Mariupol and Melitopol – would remain in Russian hands, with all that that entails for the people living there.
Settlements are illegal under international law and have been condemned by the UN. They are, however, authorised by the Israeli government.
As well as official, government-approved settlements, there are also Israeli outposts.
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Israeli settlers attack Palestinian villages
These are established without government approval and are considered illegal by Israeli authorities. But reports suggest the government often turns a blind eye to their creation.
Israel began building settlements shortly after the 1967 Six-Day War.
The Etzion Bloc in Hebron, which was established that year, now houses around 40,000 people.
According to the Israel Policy Forum, the settlement programme is intended to protect Israel’s security, with settlers acting as the first line of defence “against an invasion”.
The Israeli public appears divided on the effectiveness of the settlements, however.
Image: A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters
A 2024 Pew Research Centre poll found that 40% of Israelis believe settlements help Israeli security, 35% say they hurt it, and 21% think they make no difference.
Why are they controversial?
Israeli settlements are built on land that is internationally recognised as Palestinian territory.
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The activists trying to stop Israeli settlers
Sky News has spoken to multiple Palestinians who say they were forced out of their homes by Israeli settlers, despite having lived there for generations.
“They gradually invade the community and expand. The goal is to terrorise people, to make them flee,” Rachel Abramovitz, a member of the group Looking The Occupation In The Eye, told Sky News in May.
Settlers who have spoken to Sky News say they have a holy right to occupy the land.
American-born Israeli settler Daniel Winston told Sky’s chief correspondent Stuart Ramsay: “God’s real, and he wrote the Bible, and the Bible says, ‘I made this land, and I want you to be here’.”
Settlers make up around 5% of Israel’s population and 15% of the West Bank’s population, according to data from Peace Now.
How have things escalated since 7 October 2023?
Since the Hamas-led attacks on 7 October 2023 and Israel’s subsequent military bombardment of Gaza, more than 100 Israeli outposts have been established, according to Peace Now.
In May, Prime Minister Benjamin Netanyahu’s government approved 22 new settlements, including the legalisation of outposts that had previously been built without authorisation.
Settler violence against Palestinians has also increased, according to the UN, with an average of 118 incidents each month – up from 108 in 2023, which was already a record year.
The UN’s latest report on Israeli settlements notes that in October 2024, there were 162 settler attacks on Palestinian olive harvesters, many of them in the presence of IDF soldiers.
Of the 174 settler violence incidents studied by the UN, 109 were not reported to Israeli authorities.
Most Palestinian victims said they didn’t report the attacks due to a lack of trust in the Israeli system; some said they feared retaliation by settlers or the authorities if they did.
Madonna has urged the Pope to go to Gaza and “bring your light” to the children there.
In a plea shared across her social media channels, the pop star told the pontiff he is “the only one of us who cannot be denied entry” and that “there is no more time”.
“Politics cannot affect change,” wrote the queen of pop, who was raised Catholic.
“Only consciousness can. Therefore I am reaching out to a Man of God.”
The Like A Prayer singer told her social media followers her son Rocco’s birthday prompted her post.
“I feel the best gift I can give to him as a mother – is to ask everyone to do what they can to help save the innocent children caught in the crossfire in Gaza.
“I am not pointing fingers, placing blame or taking sides. Everyone is suffering. Including the mothers of the hostages. I pray that they are released as well.”
Image: Pope Leo XIV leads a Mass for young people in Rome. File pic: AP
Pope Leo has been outspoken about the crisis in Gaza since his inauguration, calling for an end to the “barbarity of war”.
“I appeal to the international community to observe humanitarian law and respect the obligation to protect civilians as well as the prohibition of collective punishment, of indiscriminate use of force and forced displacement of the population,” he said in July.
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Gaza: ‘This is a man-made crisis’
WHO chief thanks Madonna
Every child under the age of five in Gaza is now at risk of acute malnutrition, according to UNICEF – “a condition that didn’t exist in Gaza just 20 months ago”.
At the end of May, the NGO reported that more than 50,000 children had been killed or injured since October 2023.
World Health Organisation director general Tedros Adhanom Ghebreyesus thanked Madonna for her post, saying: “humanity and peace must prevail”.
“Thank you, Madonna, for your compassion, solidarity and commitment to care for everyone caught in the Gaza crisis, especially the children. This is greatly needed,” he wrote on X.