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Junior doctors will go on strike for the second time ever in March – if they vote for industrial action in a ballot beginning next week.

The British Medical Association (BMA) has today set the potential strike action for March ahead of a ballot starting on Monday.

Junior doctors – any doctor below consultant level – in England will walk out for 72 hours and will not provide emergency NHS care during the strike, the BMA said. It added that trusts will need to arrange emergency cover to ensure patient safety.

Unions invited to ‘grown up’ talks with government – live politics updates

It is not yet clear whether the strike will go ahead, but it is understood the threshold of 50% of those balloted to strike is likely to be met.

If the strike goes ahead, it will be the second time junior doctors have walked out over pay and conditions.

The first-ever strikes happened in 2016, when Chancellor Jeremy Hunt was health secretary.

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Junior doctors are calling for better pay after they were excluded from an NHS pay rise this year because their contract is subject to a multi-year pay deal that gives them a 2% rise for 2022/2023.

They have also said junior doctors in England have seen a real-terms pay cut over the past 15 years, which amounts to a 26.1% decline in pay since 2008/9.

And the BMA says the risk to patients caused by the low pay means it has been left with no option but to ballot junior doctors for strike action.

Members of the RCN pictured on the picket line outside St Thomas' Hospital, central London, on 20 December
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Nurses went on strike in December and are due to walk out again later in January

The BMA has urged Health Secretary Steve Barclay to sit down with doctors to negotiate to avoid industrial action.

Both Rishi Sunak and Mr Barclay have said their doors are open for unions to talk with them and the prime minister said all unions have been invited to sit down with them on Monday.

But the BMA says Mr Barclay is “the first health secretary for over 50 years to continue to ignore all invitations” to meet with doctors.

Read more: Who is striking and when this month?

Dr Vivek Trivedi and Dr Robert Laurenson, co-chairs of the BMS junior doctors committee, said: “When we are faced with such resolute ongoing silence, and there is no agreed settlement on the table, then we are left with no choice but to act.

“Junior doctors are not worth a quarter less than they were 15 years ago nor do they deserve to be valued so little by their own government.

“Pay erosion, exhaustion and despair are forcing junior doctors out of the NHS, pushing waiting lists even higher as patients suffer needlessly.

“The government’s refusal to address 15 years of pay erosion has given junior doctors no choice but to ballot for industrial action.

“If the government won’t fight for our health service, then we will.”

Ambulance workers, auxiliary NHS staff and nurses all went on strike in December over pay and conditions.

Nurses are set to go on strike again on 18 and 19 January, but that could be avoided after the Royal College of Nursing indicated on Thursday it would accept a pay rise of around 10%, instead of 19%, to end its ongoing dispute.

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At least 20 dead and 150 injured after magnitude 6.3 earthquake in north Afghanistan

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At least 20 dead and 150 injured after magnitude 6.3 earthquake in north Afghanistan

At least 20 people have died after a magnitude 6.3 earthquake in Afghanistan, the Taliban has said.

The tremor was recorded near the city of Mazar-e Sharif, in the northern Balkh province, at around 12.59am on Monday (8.29pm in the UK).

The Taliban Health Ministry added that 320 were injured, while ministry spokesperson Sharfat Zaman said that the numbers of dead and injured might rise.

The US Geological Survey (USGS) has issued an orange alert on its system of quake impacts, and suggested that “significant casualties are likely and the disaster is potentially widespread”.

A rescuer works following an earthquake at an unidentified location in Afghanistan. Pic: Afghan Red Crescent / Reuters
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A rescuer works following an earthquake at an unidentified location in Afghanistan. Pic: Afghan Red Crescent / Reuters

Previous events at that alert level have required a regional or national level response, according to the USGS’s alert system.

Balkh province spokesperson Haji Zaid added that the earthquake destroyed part of the city’s holy shrine, known as the Blue Mosque.

Soldiers dig up debris after an earthquake in Mazar-e Sharif, northern Afghanistan. Pic: Haji Zaid
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Soldiers dig up debris after an earthquake in Mazar-e Sharif, northern Afghanistan. Pic: Haji Zaid

Damage to the Blue Mosque in Mazar-e Sharif. Pic: Haji Zaid
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Damage to the Blue Mosque in Mazar-e Sharif. Pic: Haji Zaid

The United Nations in Afghanistan said on X that it is on the ground assessing needs and delivering aid, and that: “We stand with the affected communities and will provide the necessary support.”

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Mazar-e Sharif is the fifth-largest city in Afghanistan, with a population of around 523,000.

Located on two major active fault lines, Afghanistan is particularly vulnerable to earthquakes: More than 1,400 people were killed and at least 3,250 others injured after a magnitude 6.0 earthquake hit the country’s eastern regions in September.

That tremor wiped out villages in the Mazar Dara valley, which Sky’s Asia correspondent Cordelia Lynch visited in October.

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October: Boy recalls being rescued from quake – but losing his brother

In 2015, an earthquake struck northeastern Afghanistan, killing several hundred people in Afghanistan and nearby northern Pakistan.

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Four large earthquakes also struck in the Herat province in 2023, each magnitude 6.3. The Taliban said at the time that at least 2,445 people had died.

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

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Hurricane Melissa leaves 28 dead after tearing through Jamaica

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Hurricane Melissa leaves 28 dead after tearing through Jamaica

A total of 28 people have died following Hurricane Melissa’s rampage across Jamaica, the government has confirmed.

Melissa, one of the strongest storms on record to make landfall in the Caribbean, brought with it winds of up to 185mph when it hit the island earlier this week.

The Red Cross described it as a “disaster of unprecedented catastrophe”.

Melissa ravaged through Jamaica, Haiti, the Dominican Republic, and Cuba.

It weakened by the time it reached Cuba on Wednesday morning but still brought devastation – with houses collapsed and roads blocked.

A statement from the government of Jamaica said it was “deeply saddened to confirm 28 fatalities associated with the passage of Hurricane Melissa”.

It went on: “We extend heartfelt condolences to the families, friends, and communities mourning their loved ones.”

More on Hurricane Melissa

Eyewitness: ‘Send help’ – the desperate pleas from Hurricane Melissa survivors

The confirmation came as the first British repatriation flight was setting off from the island on Saturday evening local time.

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The flight, chartered by the Foreign, Commonwealth and Development Office, was for those “unable to leave Jamaica on commercial routes”.

Essential relief supplies are now rolling into some of the hardest hit areas.

Humanitarian aid has arrived and is waiting to be distributed. Pic: AP
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Humanitarian aid has arrived and is waiting to be distributed. Pic: AP

The UK government is mobilising an additional £5m in emergency humanitarian funding – on top of £2.5m announced earlier this week – to support the region’s recovery.

This new funding will enable the UK to send humanitarian supplies – including more than 3,000 shelter kits and over 1,500 solar-powered lanterns to help those whose homes have been damaged and those without power.

Read more:
Before and after images show hurricane’s destruction
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Jamaica victims left shell-shocked

The UK is working with the World Food Programme and Red Cross, to ensure emergency relief reaches those who need it most.

At least 25 people died in the southern Haitian coastal town of Petit-Goave after the La Digue river burst its banks as a result of the hurricane, according to the town’s mayor Jean Bertrand Subreme.

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Ukrainian troops ‘start surrendering’ in key city but Kyiv says situation ‘dynamic’

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Ukrainian troops 'start surrendering' in key city but Kyiv says situation 'dynamic'

Ukrainian soldiers encircled by Russian forces in the key eastern city of Pokrovsk have started surrendering, the defence ministry in Moscow claims.

But Ukraine‘s military has pushed back on the report by the TASS state news agency, saying the situation is “difficult and dynamic”.

Kyiv has also claimed its positions in some districts of Pokrovsk have improved despite its city being infiltrated by Russian troops.

Latest: Russian attacks are ‘nuclear terrorism’, Ukraine warns

Ukraine is increasing its number of assault troops in the area, the 7th Rapid Response Corps said on Facebook.

And Ukrainian troops are also working to cut Moscow’s military logistics routes, it added.

The Russian defence ministry also said its forces defeated a team of Ukrainian special forces that headed to Pokrovsk in a bid to prevent Russian forces from advancing further into the city.

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‘Footage of Ukrainian troops after surrendering’

It later posted videos of two Ukrainian troops who, it claimed, had surrendered.

The footage showed the men, one dressed in fatigues and the other in a dark green jacket, sat against a wall in a dark room, as they spoke of fierce fighting and encirclement by Russian forces.

The videos’ authenticity could not be independently verified, and there was no immediate public comment from Kyiv on the Russian ministry’s claims.

Ukrainian police officers on patrol in Pokrovsk. File pic: Reuters
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Ukrainian police officers on patrol in Pokrovsk. File pic: Reuters

Ukraine’s President Volodymyr Zelenskyy has previously acknowledged that some Russian units had infiltrated the city. But he maintained that Ukraine is tackling them.

He said Russia had deployed 170,000 troops in Ukraine’s eastern Donetsk province, where Pokrovsk is located, in a major offensive to capture the city and claim a big battlefield victory.

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Multiple Russian missiles strike Ukraine’s Zaporizhzhia

‘Operation to destroy enemy forces’

Ukraine’s army chief Oleksandr Syrskyi said on Saturday the situation in Pokrovsk remained “hardest” for Ukrainian forces, who were trying to push Russian troops out.

But he insisted there was no encirclement or blockade as Moscow has claimed.

“A comprehensive operation to destroy and push out enemy forces from Pokrovsk is ongoing. The main burden lies on the shoulders of the units of the armed forces of Ukraine, particularly UAV operators and assault units,” Mr Syrskyi said.

Read more:
Ukraine will work on ceasefire plan within next 10 days
24 hours in the kill zone

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Why is Ukraine attacking Moscow? What’s behind Putin’s nuclear test?

Why is Pokrovsk important?

One of Moscow’s key aims has been to take all of Ukraine’s industrial heartland of coal-rich Donbas, which comprises of the Luhansk and Donetsk provinces. Kyiv still controls about 10% of Donbas.

Capturing Pokrovsk, which Russian media has dubbed “the gateway to Donetsk”, and Kostiantynivka to its northeast, would give Moscow a platform to drive north towards the two biggest remaining Ukrainian-controlled cities in Donetsk – Kramatorsk and Sloviansk.

‘Key Russian fuel pipeline struck’

Meanwhile, Ukraine’s military intelligence, known as HUR, has said its forces have hit an important fuel pipeline in the Moscow region that supplies the Russian army.

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Dramatic drone rescue in Ukraine’s kill zone

In a statement on Telegram, HUR said the operation late on Friday was a “serious blow” to Russia’s military logistics.

HUR said its forces struck the Koltsevoy pipeline, which is 250 miles long and supplies the Russian army with gasoline, diesel and jet fuel from refineries in Ryazan, Nizhny Novgorod and Moscow.

The operation, which targeted infrastructure near Ramensky district, destroyed all three fuel lines, HUR said.

The pipeline was capable of transporting up to three million tonnes of jet fuel, 2.8 million tonnes of diesel and 1.6 million tonnes of gasoline annually, HUR said.

Russia ‘targets gas production site’

Also overnight, Russia launched an attack on a gas production site in Poltava, in central Ukraine.

A fire broke out, the local administration said, but no injuries were reported.

Kyiv condemns ‘nuclear terrorism’

Ukraine’s foreign ministry has condemned Russian strikes this week on substations powering some of its nuclear plants.

It accused Russia of carrying out “targeted strikes on such substations” which “bear the hallmarks of nuclear terrorism”.

Elsewhere, a civilian died and 15 more were injured on Saturday morning after Russia struck the Mykolaiv region in southern Ukraine with a ballistic Iskander missile, local official Vitaliy Kim said.

A child was among those hurt in the strike, he added.

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