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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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Victims of maternity failings ‘disappointed’ with findings of damning report

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Victims of maternity failings 'disappointed' with findings of damning report

Victims of maternity failings say they’re “disappointed” with the findings of an interim report which they fear will have “no teeth” to make changes. 

An investigation into NHS maternity services is under way after a series of shocking scandals.

The National Maternity and Neonatal Investigation (NMNI) is being led by Baroness Amos, who said “nothing prepared her” for the amount of “unacceptable care” families currently receive.

A report has been released documenting her initial reflections and impressions after meeting families and visiting hospitals.

She will investigate 12 NHS trusts in total, including Oxford University Hospitals (OUH), which runs the world-renowned John Radcliffe Hospital.

‘I was left in my own blood’

Rebecca Matthews formed a campaign for families failed by OUH after her own traumatic births.

Asked to discuss the care she received, she said she “could only describe it as callous”.

“There wasn’t any kindness there. I was left in my own blood,” she added.

Ms Matthews recently took part in evidence-gathering sessions held by Baroness Amos.

But when she read her interim report, she said it was “disappointing”, as it appeared to be “a bullet point list of failings that actually we’ve seen time and time again in independent reviews”.

“The reflections don’t mention accountability at all,” she said.

Your stories of birth trauma

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Birth trauma: Your stories

‘Why are we struggling to provide?’

Based on her initial inquiries, Baroness Amos found common themes, including women not being listened to and being “disregarded” when they raised concerns.

Many weren’t given the right information to make informed choices about their care.

She was told of discrimination against women of colour, working-class mothers, or parents who were younger.

A “staggering” 748 recommendations have been made about NHS maternity services in recent years, Baroness Amos revealed – and she does “not understand why change has been so slow”.

She asked: “Why are we in England still struggling to provide safe, reliable maternity and neonatal care everywhere in the country?”

Baroness Valerie Amos. Pic: Reuters
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Baroness Valerie Amos. Pic: Reuters

The most recent health watchdog findings paint a depressing picture of maternity services.

Almost two-thirds of acute hospital maternity services were judged either inadequate or required improvement for safety.

Read more from Sky News:
Three women describe traumatic childbirth

This investigation is long overdue and isn’t due to report back fully until the spring.

But some campaigners are already worried it won’t bring meaningful change to maternity services.

Ms Matthews said it “seems as though it’s heading the same way that other reviews have gone in the past, leading to some recommendations but no teeth”.

“We need some mechanisms that are going to hold people and systems to account,” she said.

‘More to do’

OUH chief nurse Yvonne Christley said in a statement that “feedback received from patients using our maternity service over the last year is positive overall”.

“However, we know we have more to do to improve our maternity services,” she added.

“Our present focus is on listening to the experiences of women and families, which is helping us to identify opportunities for improvement.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.

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Royal Navy chief gives stark warning: Fund defence or risk losing Atlantic to Russia

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Royal Navy chief gives stark warning: Fund defence or risk losing Atlantic to Russia

The head of the Royal Navy has warned the government to “step up” and fund defence or risk losing the UK’s superiority in the Atlantic to Russia.

Should that happen, General Sir Gwyn Jenkins said it would be the first time since the end of the Second World War that Britain’s warships and submarines were not the dominant force in their most vital sea lanes alongside their allies.

“We are holding on, but not by much,” he told a conference in London on Monday.

“There is no room for complacency. Our would-be opponents are investing billions. We have to step up, or we will lose that advantage.”

As a senior, serving military officer speaking publicly, he did not make any direct criticism of the speed of plans by Sir Keir Starmer’s government to increase defence spending.

But Sky News has reported that he and his fellow chiefs held a “very difficult meeting” last month over how to fund plans to rebuild the armed forces amid fears of further cuts.

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Budget: what about defence spending?

Defence sources said there was growing concern at the very top of the armed forces about a gap between the promises being made by the prime minister to fix the UK’s hollowed-out defences and the reality of the size of the defence budget, which is currently not seen as growing fast enough.

That means either billions of additional pounds must be found more quickly, or ambitions to modernise and transform the armed forces might need to be curbed, despite warnings of mounting threats from Russia and China, and pressure from Donald Trump on allies to spend more on their own defences.

A Sky News and Tortoise podcast series called The Wargame tracks the hollowing out of the UK’s military since the end of the Cold War and the risk that has created.

👉Search for The Wargame on your podcast app👈

General Jenkins, the first Royal Marine to serve as First Sea Lord, used a speech at the Sea Power Conference to say that Russia is still investing billions in its naval capabilities – in particular the Northern Fleet that operates in the Atlantic – even as it wages war against Ukraine.

There has been a 30% increase in Russian incursions in the North Atlantic in the past two years, he said.

That included the Yantar spy ship, which last month was spotted off the coast of Scotland and even shone a laser at the pilots of a Royal Air Force reconnaissance plane that was tracking the vessel.

The Russian spy ship Yantar. Pic: MOD/PA
Image:
The Russian spy ship Yantar. Pic: MOD/PA

Yet General Jenkins said what Russia is doing beneath the surface of the waves, where the UK and its allies store vital communications cables as well as critical oil and gas pipelines, was even more concerning.

“I can also tell you today that the advantage that we have enjoyed in the Atlantic since the end of the Second World War is at risk,” he said.

Read more:
UK unveils undersea tech
Does Britain’s threat to Russia ring hollow?

HMS Iron Duke shadowing the Russian Frigate Neustrashimy through UK waters in September. Pic: PA
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HMS Iron Duke shadowing the Russian Frigate Neustrashimy through UK waters in September. Pic: PA

Navy facing huge challenges

It is a particularly tough time for the navy, which has more ships and submarines alongside and unable to operate than at sea or at least ready to sail.

The service is also suffering from a shortage of sailors and in particular submariners, which again is impacting the availability of the fleet.

The crisis follows decades of funding cuts since the end of the Cold War, compounded by a litany of botched procurement programmes that has all too often seen vessels coming into service years late, at an inflated price and in too few numbers.

Vision of ‘hybrid navy’

Despite the sombre tone, the First Sea Lord set out how he wants to transform his service and make it ready to fight a war – though not until 2029, a timeline that could be too slow if some predictions about the threat posed by Russia to NATO are correct.

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New UK military technology unveiled

His vision – working with industry and other allies – is about developing a blend of manned ships and submarines as well as unmanned ones – a “hybrid navy”.

He is also stripping back what he called the navy’s own bureaucracies to enable the service to move much faster – crucially at the pace of the threat and the pace of rapid and growing technological change.

“We will face headwinds, we will face rough seas, but together, we can solve these problems if we have the appetite, if we have the determination, and if we have the mindset.”

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Teen Afghan asylum seekers locked up for raping girl

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Teen Afghan asylum seekers locked up for raping girl

Two teenage asylum seekers from Afghanistan face possible deportation after being detained for abducting and raping a 15-year-old girl.

Jan Jahanzeb and Israr Niazal, both 17, led the “highly-distressed” victim away from friends near Leamington town centre to a secluded “den-type” area in parkland, where they pushed her to the ground and attacked her.

Sentencing the pair at Warwick Crown Court on Monday, Judge Sylvia de Bertodano said they ignored the victim’s “vigorous protests” and told them what they did “changed her life forever”.

“No child should have to suffer the ordeal that she suffered. It’s clear from the footage we have seen that no one can seriously entertain the thought that you believed she was consenting,” she said.

“You both knew perfectly well that what you were doing was criminal and wrong,” the judge added.

‘Highly distressing’

After lifting reporting restrictions protecting the identities of the defendants, the judge told them they had “betrayed” those who come to Britain seeking sanctuary and who observed the law.

Both defendants were unaccompanied child asylum seekers who arrived in the UK last year, prosecutor Shawn Williams said.

The incident happened in May of this year.

“Highly distressing” phone video found by police showed the victim screamed for help, but Jahanzeb placed his hand over her mouth.

CCTV footage showed that after being led away against her will, the terrified victim was “moved to a bushy den-type area – a really secluded location” before, according to her, she was “pushed to her knees before being raped”.

“The prosecution case is that it was probably Jahanzeb that did that, but what is certain is that Israr Niazal was present and participating,” Mr Williams said.

The victim had made “explicit verbal protests” during what Mr Williams described as an abduction.

What are their sentences?

Jahanzeb, who has already been served with deportation notification papers, was given 10 years, eight months’ youth detention.

Niazal, who may also be deported, was sentenced to nine years and 10 months.

They will start their sentences in a young offenders’ institution and move to prison at a later date, police said.

Both pleaded guilty to rape at an earlier hearing.

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My ‘traumatic’ maternity experience

Detective Chief Inspector Richard Hobbs said the offenders “went out of their way to befriend the victim with the intention of raping her”.

“The length of their sentence reflects the severity of their crime and the need to protect the public from them,” he added.

After sentence was passed, Judge de Bertodano said the victim had been “beyond brave” in attending court at a previous stage, when the defendants had intended to plead not guilty.

They were both ordered to register as sex offenders.

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