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Thousands of ambulance workers in England and Wales are going on strike today – with NHS leaders warning that they cannot guarantee the safety of patients.

Speaking to Sky News, Health Secretary Steve Barclay said the system would be “under severe pressure” due to the strike, and urged Britons to use “common sense in terms of what activities they do”.

He accused trade unions of choosing a time for the strike when the NHS is already facing winter pressures due to flu, COVID and other illnesses.

The strikes, involving around 25,000 staff, are taking place after last-ditch crisis talks between Mr Barclay and unions failed to address the issue of pay.

Ambulance workers on the picket line outside ambulance headquarters in Coventry
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Ambulance workers on the picket line in Coventry

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Unison’s strike is running from noon until midnight, while the GMB action began at 12am and will also run until midnight this evening. Unite’s strike began at midnight and will conclude at midday.

It is expected that all Category 1 calls (the most life-threatening, such as cardiac arrest) will be responded to during the strike action today, while some ambulance trusts have agreed exemptions with unions for specific incidents within Category 2 (serious conditions, such as stroke or chest pain).

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It means those who suffer trips, falls or other non-life-threatening injuries may not receive treatment.

Mr Barclay said some decisions about what will be covered during strikes by ambulance workers today will be taken on the day.

Asked why there was not a national contingency plan in place for the industrial action, he told Sky News: “The difficulty with putting contingency measures in place is given the uncertainty as to what exactly is and is not being covered, and the fact that those decisions in some cases will be taken on the day.

“But it’s also the case that even what’s referred to as Category 3 urgent calls are often very serious as well. So we’re doing all we can with NHS colleagues to put in place contingency measures.”

He accused the unions of refusing to guarantee a “national exemption” for life-threatening cases but unions have repeatedly said they have agreed on a local level that Category 1 and 2 calls will be covered and they emphasised that during a meeting on Tuesday.

About 600 members of the army, navy and the RAF have been drafted in from across the country to help during the walkouts, some of whom have never driven the vehicles before.

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‘I cannot express how bad it is’ – paramedic

Ahead of the industrial action, the unions had called on the government to make an offer on pay and suggested an agreement could be reached.

While Onay Kasab, from Unite, warned after the meeting that ambulance strikes would “escalate” unless the government agreed to negotiations.

“Our members are absolutely determined to win not just the pay battle but to win the battle to save the NHS,” he said.

Mr Barclay said: “Further pay increases would mean taking money away from frontline services at a time when we are tackling record waiting lists as a result of the pandemic.”

Writing in The Telegraph, the health secretary added: “We now know that the NHS contingency plans will not cover all 999 calls. Ambulance unions have taken a conscious choice to inflict harm on patients.”

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GMB union boss: ‘Make us an offer on pay’

But Rachel Harrison from the GMB union hit back, telling Sky News: “I actually think that’s a really insulting statement to our key NHS and ambulance workers. They’ve not made a conscious decision to put lives at risk.

“They’ve made a conscious decision to stand up for what they believe is an NHS that is crumbling beneath their feet and as they’re watching thousands of their colleagues leave the service every year because of poor pay and poor working conditions and a feeling of being unable to deliver the safe standards of patient care that they want to.

“That’s why they’re making this conscious decision and it is insulting to say that they’re doing this to put people at risk.”

Read more:
Strikes every day before Christmas – which sectors are affected and why
How A&E and other NHS services will be impacted

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NHS Confederation chief executive Matthew Taylor said: “We have reached the stage where our leaders feel it’s necessary to say they cannot guarantee patient safety, they cannot avoid risks as these strikes unfold.”

The strike action comes a day after ambulance and hospital trusts across the country declared critical incidents as a result of “sustained” and “unprecedented” pressure on services.

Meanwhile, nurses across the country went on strike for a second day yesterday.

Royal College of Nursing chief Pat Cullen has confirmed that nurses will announce post-Christmas strikes by the end of the week unless the government agrees a deal on pay.

She warned Mr Sunak that the “clock is running” for him to enter negotiations to prevent further action.

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Strikes: ‘Critical incidents’ declared

Yesterday, health minister Will Quince urged people to think again about contact sports and avoid running on icy roads during the ambulance strike.

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100 firefighters tackling blaze at nine-storey building in London’s White City

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100 firefighters tackling blaze at nine-storey building in London's White City

About 100 firefighters are battling a blaze in a nine-storey building in London’s White City.

Fifteen fire engines are also in attendance at the building on Wood Lane, with the fire affecting floors towards the top of the building, the London Fire Brigade said.

The building is the old BBC Television Centre, which was the broadcaster’s headquarters until 2013.

Wood Lane is closed to traffic and people are advised to avoid the area.

First reports of the blaze were received just after 3am and crews from Hammersmith, North Kensington, Kensington, Chiswick and surrounding fire stations were mobilised to the scene.

Two 32-metre turntable ladders are being deployed as water towers to help extinguish the fire from height, the brigade said.

The cause of the fire is not yet known.

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In an update at around 6.40am, the fire brigade said the blaze is currently affecting floors towards the top of the building.

This breaking news story is being updated and more details will be published shortly.

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Lammy, Cooper and Mahmood get new jobs in major reshuffle after Rayner’s resignation

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Lammy, Cooper and Mahmood get new jobs in major reshuffle after Rayner's resignation

David Lammy has been stripped of his role as foreign secretary, and given the job of justice secretary, along with the role of deputy PM.

Mr Lammy‘s move was one of the most momentous of Sir Keir Starmer‘s ministerial reshuffle on Friday afternoon, which saw a whole host of roles change hands, and two departments partially combined.

Politics latest: Follow for live updates

The PM moved him away from one of the great offices of state, despite his apparently burgeoning ‘bromance’ with US vice president JD Vance. But Mr Lammy benefited from Angela Rayner‘s departure.

David Lammy arrives in Downing Street following his appointment as deputy PM. Pic: PA
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David Lammy arrives in Downing Street following his appointment as deputy PM. Pic: PA

The deputy prime minister and housing secretary resigned from government on Friday morning, after it was found she had breached the ministerial code over her tax affairs. Sir Keir regretfully accepted her resignation, leaving her roles vacant.

Thus began the ministerial reshuffle, brought forward by several weeks as a result of Ms Rayner’s departure.

Mr Lammy has been given the role of deputy prime minister, and appeared cheery on Friday afternoon – strolling up Downing Street in the sunshine with a big smile on his face.

More on Angela Rayner

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David Lammy appointed deputy PM

His move from the Foreign Office to the Ministry of Justice then allowed Yvette Cooper, the home secretary, to take on Mr Lammy’s previous job. She has never served in any role involving foreign affairs before, bar a three-month stint as shadow foreign secretary in 2010.

Her pivot to foreign affairs then allowed the biggest promotion of them all, with then justice secretary and key Starmer ally, Shabana Mahmood, being appointed as home secretary.

This means that for the first time in British history, all three great offices of state, after the prime minister, are held by women.

Shabana Mahmood arrives at Downing Street after being appointed home secretary. Pic: PA
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Shabana Mahmood arrives at Downing Street after being appointed home secretary. Pic: PA

With those roles rejigged, and Number 10 insisting from the start that Rachel Reeves was safe as chancellor, it was time to tinker with the rest of the cabinet.

It appears that while the reshuffle was carried out unexpectedly early, a lot of thought had gone into it.

Sir Keir began by creating a new ‘super ministry’, combining the skills remit of the Department for Education with the Department for Work and Pensions.

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Cooper appointed foreign secretary

Pat McFadden, on Friday morning the chancellor of the Duchy of Lancaster (the highest ranking Cabinet Office minister), has been given responsibility for this new ministerial empire. It also means that Bridget Phillipson, who was and remains the education secretary, has had her responsibilities slimmed down.

Officially, Mr McFadden has become the work and pensions secretary. This meant the current occupant of that role, Liz Kendall, also needed to be reshuffled.

She has now been appointed as the science, innovation and technology secretary. Her predecessor in that role, Peter Kyle, in turn received a promotion to lead the Department of Business and Trade.

Peter Kyle has been promoted to business secretary
Pic: PA
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Peter Kyle has been promoted to business secretary
Pic: PA

Mr Kyle made incorporating and using AI a key part of his first year in office, and had been seen to be doing well in the job. His promotion, though, has led to the current business secretary, Jonathan Reynolds, being left without a department.

While he remains in the cabinet, his appointment to the job of chief whip is unlikely to be viewed as a promotion.

The reshuffle brought better news for Darren Jones, who was only promoted on Monday to the newly created role of chief secretary to the prime minister.

He got to keep his role, but was gifted Mr McFadden’s old job – chancellor of the Duchy of Lancaster – to add to his growing political portfolio.

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Starmer’s effort to reset govt

Read more:
Cabinet reshuffle: Who’s in and who’s out
What a moment for Shabana Mahmood
Cooper picking up the reins at a challenging time

Steve Reed, another long-time Starmer ally, benefitted alongside Mr Lammy from Ms Rayner’s departure. He has been given her former role of housing secretary, leaving behind the Department for Environment, Food and Rural Affairs.

Also ending in a better position than they started off on Friday morning are Emma Reynolds, a Treasury minister who has now received Mr Reed’s old job, and trade minister Douglas Alexander, who has now become the Scotland secretary. Sir Alan Campbell, previously chief whip, has now become leader of the House of Commons.

On the other side of the spectrum, former leader of the Commons Lucy Powell, and ex-Scotland secretary Ian Murray, joined Ms Rayner in leaving the government. Both were sacked, and both made clear their desire not to lose their roles.

Sacked ministers Lucy Powell and Ian Murray.
Pic: PA
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Sacked ministers Lucy Powell and Ian Murray.
Pic: PA

Ms Powell said it had been “an honour” to serve but warned that “the future of our democracy looks uncertain”, citing rising levels of “abuse, misrepresentation…. and the call for easy answers”.

Mr Murray also echoed this sentiment, stating that politics in the UK “is at a dangerous crossroads”. He called on MPs to bring “prosperity, hope and our communities together, rather than furthering division and despair”, and said he would support Sir Keir’s government from the backbenches.

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Cabinet reshuffle: Who’s on Keir Starmer’s new team and who’s out?

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Cabinet reshuffle: Who's on Keir Starmer's new team and who's out?

Sir Keir Starmer has reshuffled his cabinet following Angela Rayner’s resignation after admitting she had not paid enough stamp duty on the purchase of a new home.

The prime minister’s former right-hand woman stepped down as deputy prime minister, housing secretary and deputy leader of the Labour Party after standards adviser Sir Laurie Magnus found she had breached the ministerial code.

Politics latest: Reshuffle after Rayner quits

She paid standard stamp duty on a flat she bought in Hove, East Sussex, in May after taking advice that it counted as her only home due to her disabled son’s trust owning the family home in Ashton-under-Lyne – but it was established she should have paid more.

Her resignation has left a hole around the cabinet table, which Sir Keir is now filling.

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The rise and fall of Angela Rayner

It was stressed early on Chancellor Rachel Reeves would remain as chancellor, in an attempt to stop the markets moving.

Read more: The working class mum who left school at 16 and became deputy PM

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This is who is moving and where to:

David Lammy – foreign secretary to justice secretary and deputy PM

After flexing his diplomatic muscles with Donald Trump and his deputy JD Vance over the past year, Mr Lammy will now move to the justice brief.

The move is likely to be a blow as the PM had promised, most recently in November, he would be foreign secretary for the whole parliament until 2029.

Although he is no longer holding one of the four great offices of state, he has also been made deputy prime minister, presumably to soften the blow.

Mr Lammy is close to Sir Keir, both as a friend and in his next door constituency, and was seen grinning as he went into Number 10 after being appointed.

Yvette Cooper – home secretary to foreign secretary

The Labour stalwart had made tackling illegal migration a priority, so the move could be seen as a disappointment for her.

However, she remains in one of the four great offices of state – PM, chancellor, foreign and home.

Shabana Mahmood – justice secretary to home secretary

A big promotion, the straight-talking Labour MP will be tasked with tackling the small boats crisis and asylum seeker hotel protests.

She is no stranger to making difficult decisions, deciding to free criminals early to reduce prison overcrowding as justice secretary.

Her move makes it the first time all three great offices of state, after the prime minister, are held by women.

Pat McFadden – chancellor of the Duchy of Lancaster and intergovernmental minister to work and pensions secretary and head of “super ministry”

Often seen as Sir Keir’s “number two”, Mr McFadden will take over a newly formed “super ministry”.

It will include the department for work and pensions and the skills remit of the department for education – taking a large part of Education Secretary Bridget Phillipson’s brief and taking over from Liz Kendall as work and pensions secretary.

While it is not a promotion at first glance, it is a much wider role than he has had as chancellor of the Duchy of Lancaster – the highest-ranking Cabinet Office minister after the PM.

Darren Jones – chancellor of the Duchy of Lancaster

It is the second new job in the space of one week for the new chancellor of the Duchy of Lancaster. The close ally of the prime minister was promoted from chief secretary to the Treasury on Monday to chief secretary to the prime minister. And now he gets another new job.

Steve Reed – environment secretary to housing secretary

A promotion for the man who has consistently defended the government lifting inheritance tax relief on farmers.

He takes over one of the two major vacancies left by Ms Rayner and will have the massive task of building 1.5 million new homes during this parliament, as promised by the government.

Jonathan Reynolds – business and trade secretary to chief whip

A slightly odd move for the MP seen as a steady pair of hands in his business secretary role.

He takes over from Sir Alan Campbell and will now have to hustle Labour MPs to vote with the government – something that has sometimes proved difficult with the current cohort.

Mr Reynolds will also attend cabinet, as is necessary so he can liaise between the party and No 10.

Peter Kyle – science secretary to business and trade secretary

A promotion for Mr Kyle, who is taking over from Jonathan Reynolds.

He is seen as a rising star and impressed Labour MPs when he refused to stand down after suggesting Nigel Farage was on the side of people like Jimmy Savile by opposing the government’s online safety law.

Mr Kyle will be in charge of getting trade deals with other countries over the line.

Emma Reynolds – economic secretary to the Treasury to environment secretary

Probably the biggest promotion of the reshuffle, Ms Reynolds is taking on Mr Reed’s role after serving as a junior minister in the Treasury.

She will have to take on farmers and deal with the water companies – a big undertaking.

Liz Kendall – work and pensions secretary to science, innovation and technology secretary

Pat McFadden has taken her role as work and pensions secretary, while Ms Kendall takes over Peter Kyle’s brief.

He has made AI a major facet of his role so we will wait to see which direction Ms Kendall takes the job in.

Douglas Alexander – trade policy minister to Scotland secretary

A promotion for the Blair/Brown minister who returned to politics last year after being ousted in 2015 by then 20-year-old SNP MP Mhairi Black.

He takes over from Ian Murray, who has been removed from the cabinet.

Sir Alan Campbell – Chief whip to Lord President of the Council and leader of the House of Commons

An MP since 1997 and part of Tony Blair and Gordon Brown’s frontbench, Sir Alan is taking over Lucy Powell’s role.

He will be in charge of organising government business in the Commons – a sizeable job.

Who is out?

Lucy Powell has been sacked as leader of the House of Commons.

Ian Murray has been sacked as Scotland secretary.

Not out – but

Bridget Phillipson remains as education secretary but her brief has narrowed as Mr McFadden has taken over the skills part of her job.

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