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Two days of strikes by nurses and paramedics will have a knock-on effect on appointments with a return to “very high numbers” of emergency calls in the coming days, NHS Providers has warned.

Historic strike action saw thousands of nurses picket on Tuesday and ambulance staff stage their biggest strike in 30 years yesterday.

The number of people calling 999 appeared to drop in some parts of England yesterday and the membership organisation for NHS hospital, mental health, community and ambulance services said there had been “varying levels of disruption” across the country.

It said some demand had shifted to other services or not materialised as expected.

But the organisation said demand for care across the whole healthcare system remained high and trust leaders were reporting ongoing delays to ambulance services and overcrowding at some accident and emergency departments.

NHS England said at least 11,509 staff were absent from work across England during strikes by the Royal College of Nursing (RCN) on Tuesday and 13,797 appointments and procedures had to be rescheduled.

Members of the military stepped in to take the place of ambulance workers yesterday, with trusts telling patients to only call 999 in the case of a life-threatening injury. The next ambulance strike is due to take place on 28 December.

Read more:
Strikes every day before Christmas – which sectors are affected and why

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Armed forces cover for ambulance staff

Government could fast-track NHS pay rise

Meanwhile, reports said the government could fast-track an NHS pay rise next year.

The Daily Telegraph reported that Health Secretary Steve Barclay is poised to offer an expedited pay deal after unions and ministers remained mired in a stalemate over pay conditions.

The paper said a source close to Mr Barclay, who has been criticised by unions for suggesting striking health workers had “made a conscious choice to inflict harm on patients”, revealed he is keen to “speed up the process” of giving NHS staff a pay rise early next year.

Unions have said they expect NHS workers to be offered a 2% increase next year based on a letter Mr Barclay sent last month to the NHS Pay Review Body.

Ambulance workers on the picket line outside Waterloo ambulance station in London

Wales strike action ‘upsetting to all’

Doctors in Wales are considering taking strike action for the first time, the British Medical Association Cymru has said.

Almost two-thirds of hospital doctors surveyed by the union said they would be willing to take some form of industrial action over pay and conditions.

Iona Collins, the BMA’s Welsh Council chairwoman, called the survey “upsetting to all” and said it is “gut-wrenching for doctors to consider walking away from work”.

She added: “Without action now, patients will continue to suffer as a direct consequence of an under-funded NHS with insufficient direct clinical care.”

In October, the BMA announced that a ballot for industrial action by junior doctors in England will open on 9 January.

Just under 1,000 doctors in Wales responded to the survey seeking views on a 4.5% pay award from the Welsh government – with 78% of those who answered saying they want a pay rise matching or exceeding inflation.

Dr Collins said: “Doctors have been quietly quitting the NHS for years, by reducing their contracted hours or leaving altogether. The financial incentive to remain in the NHS has eroded over the last decade.”

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Protesters throw powder on Tower Bridge during London Marathon

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Protesters throw powder on Tower Bridge during London Marathon

Two pro-Palestinian demonstrators have thrown red powder on Tower Bridge – just moments before leading runners in the London Marathon went past.

The protesters were arrested on suspicion of causing a public nuisance and remain in custody, said the Metropolitan Police.

A video shared by Youth Demand, which is calling for a trade embargo on Israel, shows two people jumping over a barrier that separates spectators from the race course.

The pair, wearing t-shirts that say “Youth Demand: Stop Arming Israel”, are then seen standing in the middle of the road on the bridge.

Pic: LNP
Image:
Pic: LNP

They throw red powder in the air as an official marathon car goes past displaying the race time.

A motorbike with a cameraman on board continues along the route, while a second motorbike stops and one of the riders gets off and pushes the pair out of the way, just before the men’s elite runners pass.

Several police officers then jump over the barrier and detain the pair, the footage shows.

More on London Marathon 2025

There appeared to be no impact on the marathon.

More than 56,000 participants were expected to take part in the 26.2-mile race through the capital.

Sabastian Sawe of Kenya won the men’s elite race in a time of two hours, two minutes and 27 seconds, while Ethiopia’s Tigst Assefa shattered the women’s-only world record in two hours, 15 minutes and 50 seconds.

Assefa beat the previous best of two hours, 16 minutes and 16 seconds set last year in London by Kenyan Peres Jepchirchir.

Read more:
Sky’s Beth Rigby running marathon in honour of ‘dearest friend’
Badenoch does not rule out local coalitions with Reform

Pic: LNP
Image:
Pic: LNP

The Metropolitan Police said in a statement: “At around 10.38am, two protesters from Youth Demand jumped over barriers at Tower Bridge and threw red paint on to the road.

“Marathon event staff intervened to remove the protesters from the path of the men’s elite race which was able to pass unobstructed.”

The force added that they were “quickly supported by police officers who arrested the protesters on suspicion of causing a public nuisance”.

The Met said the paint “appeared to be chalk-based” and was not expected to “present a hazard to runners yet to pass this point”.

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Kemi Badenoch does not rule out local coalitions with Reform after next week’s council elections

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Kemi Badenoch does not rule out local coalitions with Reform after next week's council elections

Kemi Badenoch has not ruled out forming coalitions at a local level with Reform after the council elections next week.

Speaking to Sunday Morning with Trevor Phillips, the Conservative leader did however categorically rule out a pact with Nigel Farage’s party on a national level.

“I am not going into any coalition with Nigel Farage… read my lips,” she said.

However, she did not deny that deals could be struck with Reform at a local level, arguing that some councils might be under no overall control and in that case, “you have to do what is right for your local area”.

“You look at the moment, we are in coalition with Liberal Democrats, with independents,” she said. “We’ve been in coalition with Labour before at local government level.

“They [councillors] have to look at who the people are that they’re going into coalition with and see how they can deliver for local people.”

She added: “What I don’t want to hear is talks of stitch-ups or people planning things before the results are out. They have to do what is right for their communities.”

More on Electoral Dysfunction

A total of 23 councils are up for grabs when voters go to the polls on Thursday 1 May – mostly in places that were once deemed Tory shires, until last year’s general election.

It includes 14 county councils, all but two of which have been Conservative-controlled, as well as eight unitary authorities, all but one of which are Tory.

Ms Badenoch has set expectations low for the Tories, suggesting they could lose all the councils they are contesting.

The last time this set of councils were up for election was in 2021, when the Conservative Party was led by Boris Johnson who was riding high from the COVID vaccine bounce.

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Counter-terrorism police investigating after two women injured in Leeds

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Counter-terrorism police investigating after two women injured in Leeds

Counter-terrorism police are investigating after an incident involving a crossbow and a firearm left two women injured in Leeds.

Police were called to Otley Road at 2.47pm on Saturday to reports of a “serious incident involving a man seen with weapons”, West Yorkshire Police said.

Officers arrived at the scene to find two women injured – and a 38-year-old man with a self-inflicted injury. All three were taken to hospital, with the man held under arrest, but their injuries are not believed to be life-threatening.

“Two weapons have been recovered from the scene, which were a crossbow and a firearm,” Counter Terrorism Policing North East said in a statement.

The incident happened on the ‘Otley Run’ pub crawl, with one venue saying it was closed for the evening due to “unforeseen circumstances”.

Officers guard one of the crime scenes in Leeds
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Officers guard one of the crime scenes

Officers inside the cordon in Leeds
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Officers inside the cordon in Leeds

Counter Terrorism Policing’s statement added: “Due to the circumstances surrounding the incident, Counter Terrorism Policing North East have taken responsibility for leading the investigation with the support of West Yorkshire Police.

“Extensive enquiries continue to establish the full circumstances and explore any potential motivation.”

Home Secretary Yvette Cooper described it as a “serious violent incident” and said she was being kept updated by police.

“Thank you to the police and emergency services for their swift response,” she said. “My thoughts are with the victims and all those affected by this attack.”

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