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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.

Saffron Cordery, interim chief executive of NHS Providers, told Sky News that coming days would be a “challenging time”.

Ambulance workers on the picket line outside Soundwell Ambulance Station, Bristol

The NHS is ‘haemorrhaging staff’

Talking about structural issues impacting the NHS , she said: “Staff on the front line are significantly overstretched and we need to see a real growth in the number of staff across the whole of the NHS. What we’ve got to see now is the government come to the table and have a serious discussion and negotiation about pay because this dispute is about pay and it’s also about working conditions and keeping patients safe…

Highlighting the record high of NHS vacancies, with around 130,000 posts unfilled, she said: “We know that we are haemorrhaging staff because of pay and working conditions, particularly in more junior bands of NHS staff. So, we really have to do something about that.

“And it’s not just about the NHS. The government knows we need to do something about social care as well because social care is really on its knees and it needs a boost. And if if social care has boost and the NHS frontline staff have the terms and conditions they need, then we will see an effective NHS.”

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.

Nurses, ambulance staff, railway and postal workers have now returned to work, however, there are more strikes taking place today – with highway workers and driving test examiners among those downing tools.

The military steps in

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.”

Who’s striking today?

National Highways workers will begin a walkout in London and the south east of England, which will last until Christmas Day.

This will affect officers who work in the aftermath of accidents as well as call centre staff. National Highways have said no roads will be closed as a result of the strike.

Workers for the Driver and Vehicle Standards Agency (DVSA) in the north west of England, Yorkshire and Humber and North Wales will stop work.

Driving test examiners will also be striking, affecting driving test centres in north west England and Yorkshire and the Humber. Theory tests will not be affected.

Rural Payments Agency (RPA) staff will continue their walkout and Unison workers at the Environment Agency will refuse to provide on-call cover for unexpected incidents.

Unite members working for Highlands and Islands Airports will also be striking.

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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

An MP has told Sky News she was attacked online by the Tate brothers after she participated in a debate in the House of Commons about violence against women.

The controversial duo, Andrew and Tristan Tate, are facing charges of rape and human trafficking in the UK – all of which they deny.

But they are still very active online, and according to Sorcha Eastwood, the MP for Lagan Valley, are targeting her.

In a document seen by Sky News, Tristan Tate has highlighted one of the MP’s tweets and writes in private correspondence: “MP, nice target, can we sue her?”

Sorcha Eastwood says at first she thought the replies were from parody accounts and not the Tate brothers.

Her original tweet was about Elon Musk, not the Tate brothers. The MP said Musk’s tweets should be looked at through a counter-extremism lens.

“I was really concerned, I was concerned because to me that is a direct attack for want of a better phrase on me serving my constituents.

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“I couldn’t believe that they decided to pick this random Northern Irish MP. The fact that it wasn’t even about them. This is something I didn’t go looking for.

“I think from my perspective, it’s a very, very sinister attempt to shut down important voices in public life, political discourse.”

It was only when she started noticing an uptick in abuse from other accounts she realised she had encountered some of the brothers’ followers.

“I had rape threats. I had death threats. I had people saying I should be hung from a lamppost. I had people saying I should be chopped into liver. I also had people then who were like we’ll waste 15 minutes raping Sorcha Eastwood.”

Andrew and Tristan Tate
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A representative for the Tate brothers told Sky News that there was no targeted campaign against Sorcha Eastwood

A representative for the Tate brothers told Sky News that there was no targeted campaign against her.

They said: “Ms Eastwood has a distorted view regarding social media if she believes one is required to ‘invite or ask’ people to interact.

“Tristan Tate is entitled to his view in relation to her tweet regarding Elon Musk.”

The self-styled “misogynist influencer” Andrew Tate and his brother Tristan have both been charged with human trafficking, face allegations of trafficking minors, sexual intercourse with a minor and money laundering in Romania.

There is also a European arrest warrant for them as they are facing separate, unrelated charges of rape and human trafficking in the UK. They deny all charges.

Ms Eastwood now worries for others who don’t have a platform like her and who may not feel like they can speak out.

“If this is what has happened to me I have absolutely no doubt that this has happened to others where they have been attempted to be silenced.”

Keir Starmer has previously commented on the Tate brothers’ case in the Commons saying it is “a live issue”, but adding that “the principle is absolutely clear” in relation to whether the brothers should face justice.

Sorcha Eastwood says she wants to see the government do much more to protect against abuse online.

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Tate brothers deny wrongdoing

“I think ultimately the government has taken the wrong course on this. They need to step up.

“This should be an issue of national security as far as the radicalisation of young people online. It should be an issue in terms of the levels of misinformation, disinformation and the lack of trust that is had in our politics right across the UK and Europe.

“I want the government to help me, help every other person to crack down on this and get serious about it. And the only way they’ll be able to do that, is by hitting these tech companies in the only language which they understand, which is money and via robust legislation.”

A government spokesperson said: “Violence against women and girls is a scourge on our society which is why we have set out an unprecedented mission to halve these crimes within a decade.

“Tackling illegal abuse both online and offline is central to supporting victims and preventing harm in our communities and we will not hesitate to strengthen laws to deliver this mission.

“Last month, parts of the Online Safety Act came into force meaning companies must take action to protect users from illegal material including extreme sexual violence.

“Further protections from this summer will require platforms to protect children from harmful, misogynistic, and violent content.”

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‘It’s just nasty’: Birmingham residents ‘overwhelmed’ by foul stench and massive rats as bins strike rumbles on

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'It's just nasty': Birmingham residents 'overwhelmed' by foul stench and massive rats as bins strike rumbles on

In parts of Birmingham, the stench is overwhelming – enough to make you heave.

At a block of flats in Highgate, in Birmingham city centre, we find a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.

Mickel comes out to speak to us, while all around bin liners lie open, with the contents for all to see, including used nappies and rotting food.

Birmingham
strike bin workers
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Mickel says they’ve had ‘foxes and rats, literally the size of cats’

Outside Mickel's flat in Highgate, bin liners lie open, spewing out rubbish, including used nappies and rotting food
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Outside Mickel’s flat in Highgate, bin liners lie open, spewing out rubbish

We both find it hard to keep talking amid the awful smell.

“We’ve had foxes and rats, literally the size of cats, flies, it’s just nasty, something needs to be done,” he says.

Birmingham
Birmingham
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Chris says the situation is ‘overwhelming’ as she’s ‘terrified of rats’

Around the corner, I meet Chris, in her dressing gown, popping the bins into her bin store beneath her flat before work.

She unlocks it, and although it isn’t bursting out on to the street yet, it is getting full.

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She says the situation is “overwhelming” as she’s “terrified of rats”. But, even so, she has sympathy for the striking bin workers.

“It’s not an easy job; they must have a heart of gold to do that job,” she says.

“Pay them whatever they need, they deserve it.”

Striking bin workers in Birmingham
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Striking bin workers at Lifford Lane tip, south of the city centre

a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.
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There’s an awful smell coming from a mountain of bin liners outside Mickel’s flat in Highgate

At Lifford Lane tip, south of the city centre, Brigette has pulled up alongside picketing workers. The back seat of her car is full of rubbish.

She apologises for the terrible waft, mixed with air freshener.

Read more:
Pest controllers ‘feel like an emergency service’
Bin workers strike explained

“It’s very pungent, isn’t it? Not nice,” she admits.

“It’s unfortunate, I have some sympathies for all the parties, but, equally, we have a duty of care to stay clean and tidy.”

She says she has her rubbish and that of her elderly aunt and plans to make weekly trips to the tip until a resolution in this pay dispute between the council and the Unite union is found.

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‘US is our closest ally’, Jonathan Reynolds says in reaction to Trump tariffs – but ‘nothing off the table’

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'US is our closest ally', Jonathan Reynolds says in reaction to Trump tariffs - but 'nothing off the table'

The US is “our closest ally” but “nothing is off the table” in response to Donald Trump’s 10% tariffs on imports from the UK, the business secretary has said.

In a statement following the US president’s nearly hour-long address to the world, Business and Trade Secretary Jonathan Reynolds said: “We will always act in the best interests of UK businesses and consumers.

“That’s why, throughout the last few weeks, the government has been fully focused on negotiating an economic deal with the United States that strengthens our existing fair and balanced trading relationship.”

Follow the latest following Trump’s tariffs announcement

Mr Reynolds reiterated the statements from the prime minister and his cabinet over the past few days, saying the US is “our closest ally”, and the government’s approach is to “remain calm and committed to doing this deal, which we hope will mitigate the impact of what has been announced today”.

Business Secretary Jonathan Reynolds arrives in Downing Street, London, for a Cabinet meeting. Picture date: Tuesday January 28, 2025.
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Business Secretary Jonathan Reynolds says “nothing is off the table” following the tariffs announcement. Pic: PA

But he continued: “We have a range of tools at our disposal, and we will not hesitate to act. We will continue to engage with UK businesses, including on their assessment of the impact of any further steps we take.

“Nobody wants a trade war, and our intention remains to secure a deal. But nothing is off the table, and the government will do everything necessary to defend the UK’s national interest.”

More on Donald Trump

‘Get back round the negotiating table’, say Tories

The Conservative Party’s shadow business and trade secretary described the US president’s announcement as “disappointing news which will worry working families across the country”.

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Sky’s Ed Conway examines how economies across the world are impacted by tariffs

Andrew Griffith hit out at the government for having “failed to negotiate with President Trump’s team for too many months after the election, failed to keep our experienced top trade negotiator, and failed to get a deal to avoid the imposition of these tariffs by our closest trading partner”.

“The chancellor’s emergency budget of just a week ago with its inadequate headroom is now at risk, casting uncertainty about more taxes or spending cuts,” he continued. “Sadly, it is British businesses and workers who will pay the price for Labour’s failure.”

He called on ministers to “swallow their pride” and “get back round the negotiating table to agree a fair deal to protect jobs and consumers in both the UK and the US alike”.

Relief in Westminster – but concessions to Trump to come

It has been quite a rollercoaster for the government, where they went from the hope that they could avoid tariffs, that they could get that economic deal, to the realisation that was not going to happen, and then the anticipation of how hard would the UK be hit.

In Westminster tonight, there is actual relief because the UK is going to have a 10% baseline tariff – but that is the least onerous of all the tariffs we saw President Trump announce.

He held up a chart of the worst offenders, and the UK was well at the bottom of that list.

No 10 sources were telling me as President Trump was in the Rose Garden that while no tariffs are good, and it’s not what they want, the fact the UK has tariffs that are lower than others vindicates their approach.

They say it’s important because the difference between a 20% tariff and a 10% tariff is thousands of jobs.

Where to next? No 10 says it will “keep negotiating, keep cool and calm”, and reiterated Sir Keir Starmer’s desire to “negotiate a sustainable trade deal”.

“Of course want to get tariffs lowered. Tomorrow we will continue with that work,” a source added.

Another source said the 10% tariff shows that “the UK is in the friendlies club, as much as that is worth anything”.

Overnight, people will be number-crunching, trying to work out what it means for the UK. There is a 25% tariff on cars which could hit billions in UK exports, in addition to the blanket 10% tariff.

But despite this being lower than many other countries, GDP will take a hit, with forecasts being downgraded probably as we speak.

I think the government’s approach will be to not retaliate and try to speed up that economic deal in the hope that they can lower the tariffs even further.

There will be concessions. For example, the UK could lower the Digital Services Tax, which is imposed on the UK profits of tech giants. Will they loosen regulation on social media companies or agricultural products?

But for now, there is relief the UK has not been hit as hard as many others.

Liberal Democrat leader Sir Ed Davey has reacted furiously to Mr Trump’s announcement of a “destructive trade war”, and called on the government to stand up against “Trump’s attempts to divide and rule”.

“The prime minister should bring our Commonwealth and European partners together in a coalition of the willing against Trump’s tariffs, using retaliatory tariffs where necessary and signing new trade deals with each other where possible.”

Speaking on Wednesday evening at a White House event entitled ‘Make America Wealthy Again’, the US president unleashed sweeping tariffs across the globe.

Mr Trump held up a chart detailing the worst offenders – which also showed the new tariffs the US would be imposing.

The UK’s rate of 10% was perhaps a shot across the bow over the 20% VAT rate, though the president’s suggested a 10% tariff imbalance between the two nations. Nonetheless, tariffs of 10% could directly reduce UK GDP by between 0.01% and 0.06%, according to Capital Economics.

A 25% duty on all car imports from around the world is also being imposed from midnight in the US – 5am on Thursday, UK time.

Read more:

World reacts to Trump’s tariff announcement
Tariffs will have consequences for globalisation, the US economy and geopolitics
Trump’s tariffs explained

The UK government had been hoping to negotiate an economic deal with the US in a bid to avoid the tariffs, but to no avail. The government says negotiations will continue.

The Confederation of British Industry said “negotiating stronger trading relationships with all like-minded partners will be foundational to any success”.

The business secretary is expected to make a statement in the House of Commons on Thursday, and we are also expecting to hear from the prime minister.

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