NHS workers could be offered a pay rise early next year in a bid to end further strike action – as unions and the government remain mired in a stalemate.
Health workers typically receive a backdated wage increase in the summer, even though recommendations are made by the independent Pay Review Body (PRB) in April.
Ministers have previously been criticised for delays to implementing the increase, with the trade union Unison accusing the government of “deliberately holding back” the PRB’s findings for months this year.
The Telegraph has reported that Steve Barclay, the health secretary, wants next year’s PRB process to be sped up so any extra money can be added to pay packets at the “earliest opportunity”.
While this does not mean a new or “fast-tracked” pay offer, a source close to the cabinet minister told Sky News political correspondent Ali Fortescue that he is “keen to get moving” with the process and doesn’t want it to be “bogged down” as it has been in the past.
The process of setting pay recommendations for next year is already under way.
The source said Mr Barclay is “willing to listen”, and there is an “opportunity in spring to assess if pay rises are affordable”.
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But Unison’s head of health Sara Gorton said: “Before embarking on the 2023 pay round, ministers need to accept they’ve not raised wages sufficiently to stop key staff from leaving the service this year.
“The pay review body process is no longer delivering for NHS staff or the government. Direct talks with ministers to solve wage issues are the way forward.”
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Unions – which have been calling for inflation-busting pay rises – have said they expect NHS workers to be offered a 2% increase next year, based on a letter sent by Mr Barclay to the PRB last month.
Matthew Taylor, chief executive of the NHS Confederation, told Sky News that the health service “coped as well as could be expected” during the strikes due to planning and the public making “less use of 999”.
But he warned that the NHS “can’t afford to drift into further industrial action across the winter” as he urged the government and trade unions to come to an agreement.
NHS ‘paying price’ for austerity
He said the NHS is “paying the price” for 10 years of austerity, the COVID backlog and not addressing workforce issues – as vacancies reach 130,000.
Mr Taylor said: “This winter is going to be incredibly tough, there’s nothing we can do about that. But the industrial action adds to what is already a challenging situation, which is why, on behalf of leaders in the NHS, I repeat the call to the government to re-enter negotiations in good faith with the trade unions and to try to find a way of avoiding further industrial action across the winter.”
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NHS facing ‘real pressure’ following strikes
Ministers have continually insisted pay negotiations are not up to them as the independent pay review bodies recommend what salary increases should be, and the government has accepted that.
This year, the PRB recommended a pay rise of £1,400 for most NHS staff – an average uplift of 4%.
The pay review bodies are made up of experts in their field without political affiliations who take evidence from a range of sources, including trade unions and staff.
But last week, the GMB union – which represents tens of thousands of health workers – announced it was pulling out of the process used by the government to set NHS pay, as it questioned the independence of the PRB.
Some Tory MPs have also called on ministers to ask NHS pay reviewers to reconsider their recommendations as a way to end the strikes by offering higher rises.
The government has insisted higher pay offers are not affordable and the money would have to be taken out of frontline services.
There was no sign of the stalemate ending last night, as Unite general secretary Sharon Graham accused Mr Barclay of a “blatant lie” for saying ambulance unions had taken a “conscious decision” to inflict harm on patients.
Settlements are illegal under international law and have been condemned by the UN. They are, however, authorised by the Israeli government.
As well as official, government-approved settlements, there are also Israeli outposts.
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Israeli settlers attack Palestinian villages
These are established without government approval and are considered illegal by Israeli authorities. But reports suggest the government often turns a blind eye to their creation.
Israel began building settlements shortly after the 1967 Six-Day War.
The Etzion Bloc in Hebron, which was established that year, now houses around 40,000 people.
According to the Israel Policy Forum, the settlement programme is intended to protect Israel’s security, with settlers acting as the first line of defence “against an invasion”.
The Israeli public appears divided on the effectiveness of the settlements, however.
Image: A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters
A 2024 Pew Research Centre poll found that 40% of Israelis believe settlements help Israeli security, 35% say they hurt it, and 21% think they make no difference.
Why are they controversial?
Israeli settlements are built on land that is internationally recognised as Palestinian territory.
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The activists trying to stop Israeli settlers
Sky News has spoken to multiple Palestinians who say they were forced out of their homes by Israeli settlers, despite having lived there for generations.
“They gradually invade the community and expand. The goal is to terrorise people, to make them flee,” Rachel Abramovitz, a member of the group Looking The Occupation In The Eye, told Sky News in May.
Settlers who have spoken to Sky News say they have a holy right to occupy the land.
American-born Israeli settler Daniel Winston told Sky’s chief correspondent Stuart Ramsay: “God’s real, and he wrote the Bible, and the Bible says, ‘I made this land, and I want you to be here’.”
Settlers make up around 5% of Israel’s population and 15% of the West Bank’s population, according to data from Peace Now.
How have things escalated since 7 October 2023?
Since the Hamas-led attacks on 7 October 2023 and Israel’s subsequent military bombardment of Gaza, more than 100 Israeli outposts have been established, according to Peace Now.
In May, Prime Minister Benjamin Netanyahu’s government approved 22 new settlements, including the legalisation of outposts that had previously been built without authorisation.
Settler violence against Palestinians has also increased, according to the UN, with an average of 118 incidents each month – up from 108 in 2023, which was already a record year.
The UN’s latest report on Israeli settlements notes that in October 2024, there were 162 settler attacks on Palestinian olive harvesters, many of them in the presence of IDF soldiers.
Of the 174 settler violence incidents studied by the UN, 109 were not reported to Israeli authorities.
Most Palestinian victims said they didn’t report the attacks due to a lack of trust in the Israeli system; some said they feared retaliation by settlers or the authorities if they did.
Madonna has urged the Pope to go to Gaza and “bring your light” to the children there.
In a plea shared across her social media channels, the pop star told the pontiff he is “the only one of us who cannot be denied entry” and that “there is no more time”.
“Politics cannot affect change,” wrote the queen of pop, who was raised Catholic.
“Only consciousness can. Therefore I am reaching out to a Man of God.”
The Like A Prayer singer told her social media followers her son Rocco’s birthday prompted her post.
“I feel the best gift I can give to him as a mother – is to ask everyone to do what they can to help save the innocent children caught in the crossfire in Gaza.
“I am not pointing fingers, placing blame or taking sides. Everyone is suffering. Including the mothers of the hostages. I pray that they are released as well.”
Image: Pope Leo XIV leads a Mass for young people in Rome. File pic: AP
Pope Leo has been outspoken about the crisis in Gaza since his inauguration, calling for an end to the “barbarity of war”.
“I appeal to the international community to observe humanitarian law and respect the obligation to protect civilians as well as the prohibition of collective punishment, of indiscriminate use of force and forced displacement of the population,” he said in July.
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Gaza: ‘This is a man-made crisis’
WHO chief thanks Madonna
Every child under the age of five in Gaza is now at risk of acute malnutrition, according to UNICEF – “a condition that didn’t exist in Gaza just 20 months ago”.
At the end of May, the NGO reported that more than 50,000 children had been killed or injured since October 2023.
World Health Organisation director general Tedros Adhanom Ghebreyesus thanked Madonna for her post, saying: “humanity and peace must prevail”.
“Thank you, Madonna, for your compassion, solidarity and commitment to care for everyone caught in the Gaza crisis, especially the children. This is greatly needed,” he wrote on X.
Sky News has obtained shocking CCTV from inside the main hospital in the city of Sweida in southern Syria – where our team found more than 90 corpses laid out in the grounds following a week of intense fighting.
Warning this article shows images of a shooting
The CCTV images show men in army fatigues shooting dead a volunteer dressed in medical scrubs at point-blank range while a crowd of other terrified health workers are held at gunpoint with their hands in the air.
The mainly Druze city of Sweida was the scene of nearly a week of violent clashes, looting and executions last month which plunged the new authorities into their worst crisis since the toppling of the country’s former dictator Bashar al Assad.
The new Syrian government troops were accused of partaking in the atrocities they were sent in to quell between the Druze minority and the Arab Bedouin minority groups.
The government troops were forced to withdraw when Israeli jets entered the fray, saying they were protecting the Druze minority and bombed army targets in Sweida and the capital Damascus.
Image: Men in military fatigues enter the hospital.
Image: The hospital volunteer is seen on the floor moments before he was shot
Image: A second man fires with a handgun
Days of bloodletting ensued, with multiple Arab tribes, Druze militia and armed gangs engaging in pitched battles and looting before a ceasefire was agreed.
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The government troops then set up checkpoints and barricades encircling Sweida to prevent the Arab tribes re-entering.
The extrajudicial killing captured on CCTV inside the Sweida hospital is corroborated by eyewitnesses we spoke to who were among the group, as well as other medics in the hospital and a number of survivors and patients.
Image: Body bags in the grounds of hospital
The CCTV is date- and time-stamped as mid-afternoon on 16 July and the different camera angles show the men (who tell the hospital workers they are government troops) marauding through the hospital; and in at least one case, smashing the CCTV cameras with the butt of a rifle.
One of the nurses present, who requested anonymity, told us: “They told us if we talked about the shooting or showed any film, we’d be killed too. I thought I was going to die.”
Dr Obeida Abu Fakher, a doctor who was in the operating section at the time, told us: “They told us they were the new Syrian army and interior police. We cannot have peace with these people. They are terrorists.”
Multiple patients and survivors told us when we visited the hospital last month that government troops had participated in the horror which swept through Sweida for days but this is the first visual evidence that some took part in atrocities inside the main hospital.
In other images, one of the men can be seen smashing the CCTV camera with the butt of his rifle – and another is wearing a black sweater which appears to be the uniform associated with the country’s interior security.
One survivor calling himself Mustafa Sehnawi, an American citizen from New Jersey, told us: “It’s the government who sent those troops, it’s the government of Syria who killed those people… we need help.”
Image: Mustafa Sehnawi speaks to Sky’s Alex Crawford
Image: A destroyed tank in Sweida
The government responded with a statement from the interior ministry saying they would be investigating the incident which they “denounced and condemned” in the strongest terms.
The statement went on to promise all those involved would be “held accountable” and punished.
The new Syrian president Ahmed al Sharaa is due to attend the United Nations General Assembly next month in New York – the first time a Syrian leader has attended since 1967 – and what happened in Sweida is certain to be among the urgent topics of discussion.