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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1:43
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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12:04
‘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.”
But there are fears they will discuss a deal robbing Ukraine of the land currently occupied by Russia – something Volodymyr Zelenskyy has said he won’t accept.
Here’s what three of our correspondents think ahead of the much-anticipated face-to-face.
Putin’s legacy is at stake – he’ll want territory and more By Ivor Bennett, Moscow correspondent
Putin doesn’t just want victory. He needs it.
Three and a half years after he ordered the invasion of Ukraine, this war has to end in a visible win for the Russian president. It can’t have been for nothing. His legacy is at stake.
So the only deal I think he’ll be willing to accept at Friday’s summit is one that secures Moscow’s goals.
These include territory (full control of the four Ukrainian regions which Russia has already claimed), permanent neutrality for Kyiv and limits on its armed forces.
I expect he’ll be trying to convince Trump that such a deal is the quickest path to peace. The only alternative, in Russia’s eyes, is an outright triumph on the battlefield.
Image: Vladimir Putin and Donald Trump meeting in Osaka in 2019
I think Putin‘s hope is that the American president agrees with this view and then gives Ukraine a choice: accept our terms or go it alone without US support.
A deal like that might not be possible this week, but it may be in the future if Putin can give Trump something in return.
That’s why there’s been lots of talk from Moscow this week about all the lucrative business deals that can come from better US-Russia relations.
The Kremlin will want to use this opportunity to remind the White House of what else it can offer, apart from an end to the fighting.
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4:25
What will Kyiv be asked to give up?
Ukraine would rather this summit not be happening By Dominic Waghorn, international affairs editor
Ukraine would far rather this meeting wasn’t happening.
Trump seemed to have lost patience with Putin and was about to hit Russia with more severe sanctions until he was distracted by the Russian leader’s suggestion that they meet.
Ukrainians say the Alaska summit rewards Putin by putting him back on the world stage.
But the meeting is happening, and they have to be realistic.
Most of all, they want a ceasefire before any negotiations can happen. Then they want the promise of security guarantees.
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2:35
Does Europe have any power over Ukraine’s future?
That is because they know that Putin may well come back for more even if peace does break out. They need to be able to defend themselves should that happen.
And they want the promise of reparations to rebuild their country, devastated by Putin’s wanton, unprovoked act of aggression.
There are billions of Russian roubles and assets frozen across the West. They want them released and sent their way.
What they fear is Trump being hoodwinked by Putin with the lure of profit from US-Russian relations being restored, regardless of Ukraine’s fate.
Image: US Army paratroopers train at the military base where discussions will take place. File pic: Reuters
That would allow Russia to regain its strength, rearm and prepare for another round of fighting in a few years’ time.
Trump and his golf buddy-turned-negotiator Steve Witkoff appear to believe Putin might be satisfied with keeping some of the land he has taken by force.
Putin says he wants much more than that. He wants Ukraine to cease to exist as a country separate from Russia.
Any agreement short of that is only likely to be temporary.
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1:41
Zelenskyy: I told Trump ‘Putin is bluffing’
Trump’s pride on the line – he has a reputation to restore By Martha Kelner, US correspondent
As with anything Donald Trump does, he already has a picture in his mind.
The image of Trump shaking hands with the ultimate strongman leader, Vladimir Putin, on US soil calls to his vanity and love of an attention-grabbing moment.
There is also pride at stake.
Image: Joint Base Elmendorf-Richardson in Alaska, where Trump will meet his Russian counterpart. File pic: Reuters
Trump campaigned saying he would end the Russia-Ukraine war on his first day in office, so there is an element of him wanting to follow through on that promise to voters, even though it’s taken him 200-plus days in office and all he’s got so far is this meeting, without apparently any concessions on Putin’s end.
In Trump’s mind – and in the minds of many of his supporters – he is the master negotiator, the chief dealmaker, and he wants to bolster that reputation.
He is keen to further the notion that he negotiates in a different, more straightforward way than his predecessors and that it is paying dividends.
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Mr Trump floated the idea of a second meeting, this one between Putin, Zelenskyy and possibly himself, “if” the Alaska summit goes well.
Speaking to European leaders earlier, in a virtual call he rated at “10” and “very friendly”, he’d shared his intention to try to broker a ceasefire on Friday.
So, the strategy is crystallising – he will press for a trilateral meeting to discuss territory “if” he manages to secure a truce during the bilateral meeting.
But that begs the obvious question: what if he can’t?
The US president is keeping his options open – rating the chance of a second meeting as “very good” but preparing the ground for failure too.
“There may be no second meeting because if I feel that it is not appropriate to have it because I didn’t get the answers that we have to have, then we’re not going to have a second meeting,” he said.
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Unusually, given how often he talks about his abilities, he conceded that he may not persuade Vladimir Putin to stop targeting civilians.
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4:25
Sky’s defence analyst, Prof Michael Clarke, looks at what land Ukraine might be asked to give up when Donald Trump meets Vladimir Putin on Friday in Alaska.
But without elaborating on what any sanctions might be, he warned that Russia would face “very severe consequences” if it doesn’t end the war.
Even if he achieves the seemingly impossible – a halt to the fighting – there seems little chance of agreement on any swapping of territory.
Image: A BTR-4 armoured personnel carrier during military exercises in Kharkiv region.
Mr Zelenskyy has told Mr Trump that Putin “is bluffing” and wants to “push forward along the whole front” not return land.
In the space of a week, Donald Trump has gone from talking about a land-swapping deal, to a “listening exercise”, to the potential for a ceasefire.
His expectations appear changeable, an indication of how fluid back-room negotiations are in the run-up to his first face-to-face with Vladimir Putin in six years.
He described Friday’s summit as “setting the table for a second meeting”, but that’s presumptuous when the meal – or deal – isn’t cooked yet.
More than 100 people have been killed in Gaza within 24 hours, officials there have said – the deadliest day recorded in a week.
The Gaza health ministry said 123 people were killed, adding to the tens of thousands of fatalities during the near two-year war raging in the Strip.
It comes as officials said Israel’s planned re-seizure of Gaza City, which it took in the early days of the war before withdrawing, is likely weeks away.
Image: Palestinians shelter at a tent camp on a beach amid summer heat in Gaza City. Pic: Reuters/Mahmoud Issa
Eastern areas of Gaza City were bombed heavily by Israeli planes and tanks, according to residents, who said that many homes were destroyed in the Zeitoun and Shejaia neighbourhoods overnight.
Al-Ahli hospital said 12 people were killed in an airstrike on a house in Zeitoun.
Israeli tanks also destroyed several homes in the southern Gaza city of Khan Younis, Palestinian medics said.
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2:17
Netanyahu vows to ‘finish the job’ in Gaza
They added that in central Gaza, Israeli gunfire killed nine people seeking aid in two separate incidents. The Israel Defence Forces (IDF) did not comment on this.
The number of Palestinians who died of starvation and malnutrition in Gaza has risen to 235, including 106 children, since the war began, following the death of eight more people, including three children, in the past 24 hours, the Gaza health ministry said.
Image: Palestinians scramble to collect aid from trucks that entered through Israel, in Khan Younis. Pic: Reuters
The malnutrition and hunger death figures have been reported by the Hamas-run ministry and have been disputed by Israel.
Israeli Prime Minister Benjamin Netanyahu said on Sunday: “If we had a starvation policy, no one in Gaza would have survived after two years of war.”
He also repeated the allegation that Hamas has been looting aid trucks and claimed uncollected food has been “rotting” at the border, blaming the UN for not distributing it.
Image: Aid packages being dropped from a plane in Deir Al-Balah. Pic: Reuters
Image: A Palestinian boy jumps over wastewater in Gaza City. Pic: Reuters
The latest death figures come as Hamas held further talks with Egyptian mediators in Cairo with a focus on stopping the war, delivering aid and “enduring the suffering of our people in Gaza”, an official for the group said in a statement.
Egyptian security sources said the possibility of a comprehensive ceasefire would also be discussed.
This would see Hamas relinquish governance in Gaza and concede its weapons, with a Hamas official saying the group was open to all ideas as long as Israel would end the war and pull out of Gaza.
But the official added that “laying down arms before the occupation is dismissed as impossible”.
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Meanwhile, Mr Netanyahu reiterated that Palestinians should simply leave Gaza, an idea which has also been enthusiastically floated by US President Donald Trump.
“They’re not being pushed out, they’ll be allowed to exit,” Mr Netanyahu told Israeli television channel i24NEWS. “All those who are concerned for the Palestinians and say they want to help the Palestinians should open their gates and stop lecturing us.”
World leaders have rejected the idea of displacing the Gaza population, and Mr Netanyahu’s plan to expand military control over Gaza, which Israeli sources said could be launched in October, has increased global outcry over the widespread devastation, displacement and hunger in the enclave.
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0:59
‘See with your eyes the reality’
The humanitarian crisis in Gaza is at “unimaginable levels”, Britain and 26 partners said in a statement on Tuesday, warning: “Famine is unfolding before our eyes.”
The statement added: “Urgent action is needed now to halt and reverse starvation. Humanitarian space must be protected, and aid should never be politicised.”
It was signed by the foreign ministers of Australia, Belgium, Canada, Cyprus, Denmark, Estonia, Finland, France, Greece, Iceland, Ireland, Japan, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland and the UK.
The war in Gaza began on 7 October 2023 when Hamas killed about 1,200 people – mostly civilians – and abducted 251 others in its attack.
Most of the hostages have been released in ceasefires or other deals. It is believed Hamas is still holding 50 captives, with 20 believed to be alive.
Israel’s retaliatory offensive has killed more than 61,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not differentiate between militants and civilians in its count.