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Members of the Royal College of Nursing (RCN) will stage their second walkout across England, Wales and Northern Ireland today – as Health Secretary Steve Barclay is set to hold crisis talks with ambulance worker unions on emergency strike cover.

Tens of thousands of nurses took part in the first day of strike action last Thursday in their first mass walkout in a century.

The industrial action, a bid to secure above-inflation pay rises, will proceed again today after no breakthrough was found between the government and the Royal College of Nursing (RCN).

Picket lines are expected to be in place at dozens of hospitals and thousands of NHS appointments and operations are set to be cancelled, with the health service running a bank holiday-style service in many areas.

The RCN has said it will still staff chemotherapy, emergency cancer services, dialysis, critical care units, neonatal and paediatric intensive care.

When it comes to adult A&E and urgent care, nurses will work Christmas Day-style rotas.

Share your NHS experience – how are the strikes affecting you?

The government has accepted recommendations made by the NHS Pay Review Body (PRB) to give nurses below inflation pay rises of around 4%.

The RCN has been calling for a pay rise of 19% – 5% above inflation – though it has indicated it would accept a lower offer.

Ahead of the second day of nursing strikes, RCN general secretary and chief executive, Pat Cullen warned Rishi Sunak to “listen to people around him” or face continued strikes next year.

“The prime minister should ask himself what is motivating nursing staff to stand outside their hospitals for a second day so close to Christmas,” she said.

“They are prepared to sacrifice a day’s pay to have their concerns heard. Their determination stems as much from worries over patient safety and the future of the NHS than personal hardship.

“Rishi Sunak is under growing pressure in Westminster following last Thursday’s strike and he should listen to people around him.

Read more: Health Secretary Steve Barclay challenged by mother during hospital visit

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Nurses striking with reluctance

“The public is increasingly with their local nursing staff and this government desperately needs to get on the right side of them. It is unprecedented for my members to strike.

“Let’s get this wrapped up by Christmas. I will negotiate with him at any point to stop nursing staff and patients going into the new year facing such uncertainty.

“But if this government isn’t prepared to do the right thing, we’ll have no choice but to continue in January and that will be deeply regrettable.”

Read More: How strike will impact A&E and other NHS services – and which hospitals are affected

When the RCN 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.

The health secretary reiterated that the RCN’s demands are “unaffordable”.

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PM urges nurses to rethink strikes

“I hugely value the work of our NHS staff and it is disappointing some union members are going ahead with further strike action when we know the impact this has on patients,” he said.

“My number one priority remains keeping patients as safe as possible and I’ve been working closely with the NHS and across government to protect safe staffing levels.

“The NHS remains open, patients should continue to come forward for emergency and urgent medical care. They should also continue to turn up to appointments unless they have been contacted by the NHS.

“The RCN’s demands are unaffordable during these challenging times and would take money away from frontline services while they are still recovering from the impact of the pandemic.

“I’m open to engaging with the unions on how to make the NHS a better place to work.”

Meanwhile, Mr Barclay is due to meet with members of Unite, Unison and GMB unions this afternoon to get 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.

Ambulance workers are due to strike on 21 and 28 December.

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Nurses pay has ‘fallen off a cliff’

The UK is facing a wave of strikes this winter, with at least one walkout a day ahead of Christmas, as staff from different industries seek better pay.

Read more: Who are striking on what day?

From transport to the NHS, education to delivery drivers, tens of thousands of workers are taking action as recession grips the UK and the cost of living rises.

Mr Sunak will be probed on the continued strike chaos when he makes his debut appearance at the Liaison Committee on the last day of the parliamentary term this afternoon.

He will face questions from chairs of the parliamentary committees on global issues, the UK’s place in the world and economic issues – including the cost of living.

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Mum of emaciated baby in Gaza says ‘I lost my husband… I don’t want to lose her’

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Mum of emaciated baby in Gaza says 'I lost my husband... I don't want to lose her'

In mid-May, the World Health Organisation assessed that there were “nearly half a million people in a catastrophic situation of hunger, acute malnutrition, starvation, illness and death”.

“This is one of the world’s worst hunger crises, unfolding in real time,” its report concluded.

Warning: This article contains images of an emaciated child which some readers may find distressing

Israel‘s decision this week to reverse the siege and allow “a basic level of aid” into Gaza should help ease the immediate crisis.

But the number of aid trucks getting in, so far fewer than 100 per day, is considered dramatically too few by aid organisations working in Gaza, and the United Nations accuses Israel of continuing to block vital items.

Israel-Gaza latest: Gaza enduring ‘atrocious death and destruction’, UN boss warns

“Strict quotas are being imposed on the goods we distribute, along with unnecessary delay procedures,” said UN secretary general Antonio Guterres in New York on Friday.

More on Gaza

“Essentials, including fuel, shelter, cooking gas and water purification supplies, are prohibited. Nothing has reached the besieged north.”

Nineteen of Gaza’s hospitals remain operational, all of them are overwhelmed with the number of patients and a lack of supplies.

Baby Aya at the Rantisi hospital in northern Gaza
Image:
Baby Aya at Rantisi hospital in northern Gaza is dangerously thin

“Today, we receive between 300 to 500 cases daily, with approximately 10% requiring admission. This volume of inpatient cases far exceeds the capacity of Rantisi hospital, as the facility is not equipped to accommodate such large numbers,” Jall al Barawi, a doctor at the hospital, told us.

At least 94% of the hospitals have sustained some damage, some considerable, according to the UN.

Jall al Barawi, a doctor at Rantisi hospital
Image:
Jall al Barawi, a doctor at Rantisi hospital

Paramedic crews are close to running out of fuel to drive ambulances.

The lack of food, after an 11-week blockade, has left thousands malnourished and increasingly vulnerable to surviving injuries or recovering from other conditions.

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Children are the worst affected.

Our team in Gaza filmed with baby Aya at the Rantisi hospital in northern Gaza. She is now three months old and dangerously thin.

Her skin stretches over her cheekbones and eye sockets on her gaunt, pale face. Her nappy is too big for her emaciated little body.

Aya's nappy is too big for her emaciated little body.
Image:
Aya’s nappy is too big for her emaciated little body.

Lethal spiral

Her mother Sundush, who is only 19 herself, cannot get enough food to produce breastmilk. Baby formula is scarce.

Aya, like so many other young children, cannot get the vital nutrition she needs to grow and develop.

It’s a lethal spiral.

This is what Aya looked like shortly after she was born
Image:
This is what Aya looked like shortly after she was born

“My daughter was born at a normal weight, 3.5kg,” Sundush tells us.

“But as the war went on, her weight dropped significantly. I would breastfeed her, she’d get diarrhoea. I tried formula – same result. With the borders closed and no food coming in, I can’t eat enough to give her the nutrients she needs.”

“I brought her to the hospital for treatment, but the care she needs isn’t available.

“The doctor said her condition is very serious. I really don’t want to lose her, because I lost my husband and she’s all I have left of him. I don’t want to lose her.”

Read more:
British doctor in Gaza describes horror
Shouts of ‘genocide’ in Commons

Aya and her mother Sundush
Image:
Aya and her mother Sundush

Some of the aid entering Gaza now is being looted. It is hard to know whether that is by Hamas or desperate civilians. Maybe a combination of the two.

The lack of aid creates an atmosphere of desperation, which eventually leads to a breakdown in security as everyone fights to secure food for themselves and their families.

Only by alleviating the desperation can the security situation improve, and the risk of famine abate.

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Police launch ‘major operation’ after 12 people injured in knife attack at Hamburg train station

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Police launch 'major operation' after 12 people injured in knife attack at Hamburg train station

Twelve people are reported to have been injured after a knife attack at Hamburg’s central train station.

A “major operation” has been launched and a suspect was arrested, police said in a post on X.

The identity of the suspect has not been revealed.

Reports in Germany said the suspected attacker was a woman.

The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.

Bild newspaper said the motive for the attack was so far unknown.

Hamburg is Germany’s second biggest city, with the train station being a hub for local, regional and long-distance trains.

More on Germany

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Israeli embassy shooting suspect ‘fired repeatedly after victims hit the ground’

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Israeli embassy shooting suspect 'fired repeatedly after victims hit the ground'

The man suspected of shooting dead two Israeli embassy workers in Washington DC leaned over and fired at them repeatedly after they fell to the ground, the FBI has said.

Elias Rodriguez, 31, has been charged with murdering Sarah Milgrim and her boyfriend Yaron Lischinsky, after they left an event at the Capital Jewish Museum on Wednesday night.

Israeli PM attacks Starmer – latest updates

Footage has showed Rodriguez, from Chicago, chanting “free, free Palestine” as he was arrested.

It later emerged Mr Lischinsky had bought a ring and planned to propose to Ms Milgrim.

Authorities are investigating the killings as both a hate crime against the Jewish community and terrorism.

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Shootings suspect shouts ‘free Palestine!’

‘I did it for Gaza’

It comes as the FBI has said in a charging document on Thursday that surveillance footage shows how Ms Milgrim and Mr Lischinsky died.

Rodriguez is allegedly seen passing the couple after they left the museum before shooting them in the back.

The FBI says the footage then shows him leaning over the couple and firing at them several more times after they fell to the ground.

The video then shows Ms Milgrim attempting to crawl away before “(Rodriguez) followed behind her and fired again”, the charging document says.

The suspected gunman is then accused of reloading his weapon and firing at Ms Milgrim as she sat up.

According to the charging document, Rodriguez then jogged to the museum and once inside asked to speak to a police officer before stating that he “did it” and that he was unarmed.

He is then said to have told police: “I did it for Palestine, I did it for Gaza, I am unarmed.”

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DC shooting: Father pays tribute to ‘perfect’ daughter

Suspect ‘expressed admiration’ for fatal protest

The court document also states that 21 expended 9mm bullet cases were found at the scene and the gun was slide-locked – meaning it was empty of ammunition.

An empty gun magazine was also recovered from the scene.

The FBI says it has obtained travel records which show Rodriguez flew from Chicago’s O’Hare International Airport to the Reagan National in Washington DC on Tuesday with the gun in his checked baggage.

Rodriguez had bought the weapon in the state of Illinois on 6 March 2020, according to the charging document.

The FBI has said that while Rodriguez was in custody he “expressed admiration” for a US Air Force member who set himself on fire in front of the Israeli embassy in Washington DC on 25 February 2024.

Aaron Bushnell died in the apparent act of protest against the war in Gaza.

Rodriguez also told police he bought a ticket to the museum around three hours before the event that was attended by Ms Milgrim and Mr Lischinsky.

Read more:
Why Trump will worry about attacker being glorified

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Starmer ‘on wrong side of history’

During a brief court appearance at the E. Barrett Prettyman Federal Courthouse in Washington DC today, Rodriguez was charged with two counts of first degree murder and with the murder of foreign officials.

He has also been charged with causing the death of a person through the use of a firearm and discharge of a firearm during a crime of violence.

Rodriguez was told he could face life in prison or the death penalty if he is found guilty.

He remained calm throughout the hearing, paying attention to the proceedings throughout and confirmed that he is asking the court to appoint an attorney on his behalf.

He will next appear at a federal court in Washington DC on 18 June.

Murdered couple ‘were perfect for each other’

Meanwhile, Ms Milgrim’s father, Robert, says he feared his daughter might be in danger when he saw news alerts of a fatal shooting in Washington DC.

Ms Milgrim’s mother Nancy opened a phone locator app and saw Ms Milgrim was at the Capital Jewish Museum.

“Shortly after that, the Israeli ambassador called us on my wife’s phone,” Mr Milgrim told Sky News’ partner network NBC News, fighting back tears.

He added that it was the ambassador who told them Mr Lischinksy had bought a ring and was planning to propose to Ms Milgrim.

“They were perfect for each other, he said.

Mr Milgrim continued: “They just brought us joy, and her memory, which is a blessing, will continue to bring us joy – but it’s not the same as her not being here.”

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