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Ministers, health leaders and clinical experts are meeting at Number 10 in an attempt to solve the short and long-term issues facing the health service.

Rishi Sunak is hosting the NHS “recovery forum” in Downing Street as the winter crisis rolls on, with discussions focusing on social care and delayed discharge, urgent and emergency care, elective care, and primary care.

The prime minister’s spokesman said the aim was to “share knowledge and practical solutions so that we can tackle the most crucial challenges” in both health and social care.

But the chief executive of the NHS Confederation, Matthew Taylor, said the meeting would not be able to fix the crisis that “has been a decade or more in the making”, adding: “The reality is that there are no silver bullets here.”

The meeting comes amid warnings from senior doctors of the “intolerable and unbearable” state of the NHS this winter, with ambulances queuing for hours outside hospitals, several trusts announcing critical incidents, and rising cases of flu and COVID impacting the service.

It also comes as the government remains at loggerheads with nursing and ambulance unions over pay and working conditions, with both professions set to take further strike action later this month.

Junior doctors could join them on the pickets in March if a ballot is approved by union members.

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The chief of the Royal College of Nursing (RCN), Pat Cullen, said on Thursday that she would be willing to “meet the government halfway” over its pay demands, with Sky News understanding an increase of 10% could be accepted by her members.

But, while the government has invited unions for further talks next week and health secretary Steve Barclay has said he is “keen to have a dialogue”, ministers are sticking to their position of following recommendations from the independent pay review body of a rise nearer to 4%.

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The prime minister said he believed in the union’s role in society

Today’s forum will run for the majority of the day, with attendees including chief executives and clinical leaders from NHS organisations, local areas and councils from across the country, clinical experts from Royal Colleges and independent sector organisations working with health and social care services.

Mr Barclay is in attendance, alongside Treasury minister John Glen, Cabinet Office minister Oliver Dowden, and the chief executive Officer of NHS England, Amanda Pritchard.

But the RCN has not been invited.

Pointing to Mr Sunak’s first big speech of the year, where he listed the NHS as one of his priorities in office, a Downing Street spokesperson said: “As the prime minister made clear this week, easing the immediate pressures whilst also focusing on the long-term improvement of the NHS is one of his key promises.

“That’s why we’re bringing together the best minds from the health and care sectors to help share knowledge and practical solutions so that we can tackle the most crucial challenges such as delayed discharge and emergency care.

“We want to correct the unwarranted variation in NHS performance between local areas, because no matter where you live you should be able to access quality healthcare.”

But Labour said patients “deserve more than a talking shop”.

Shadow health secretary Wes Streeting said: “After 13 years of mismanaging the NHS, this is the equivalent of the arsonists convening a forum with the fire brigade to put out the inferno they started.

“Clinical leaders and health experts have been sounding the alarm for months about the crisis the NHS is facing, so why has it taken so long for Rishi Sunak and Steve Barclay to decide to listen to them?

“After five Conservative prime ministers and seven health secretaries, it’s clear that the longer the Conservatives are in power, the longer patients will wait.”

The Liberal Democrats also called the forum “too little, too late”, with deputy leader Daisy Cooper saying: “Sunak needs to stop operating at a snail’s pace, and start acting with the speed and urgency this unprecedented NHS crisis deserves.”

Talking NHS or just a talking shop? Either way, it won’t involve talking about pay


Rob Powell Political reporter

Rob Powell

Political correspondent

@robpowellnews

This ‘NHS recovery forum’ will be about best practice rather than staff pay.

There’s a political necessity for Rishi Sunak to show he’s exploring every avenue to try and tackle the backlogs plaguing the NHS. But is this, as Labour suggests, just a talking shop?

Independent analysts say while sharing best practice is always valuable, there have already been a long cast list of big brains trying to solve the issues afflicting the health service.

The difficulty is the solutions to the NHS crisis lie in complex areas around recruitment and retention; access to services and caring for an ageing population; pensions and yes, pay.

Change-making answers on these knotty questions are highly unlikely to be found on a rainy afternoon in Westminster.

Grassroots doctor groups have accused the event of being nothing more than the same “establishment” figures having the “same discussions”.

They want frontline clinicians to be brought in and listened to. Unions meanwhile say talks need to switch to the issue of pay.

That will happen on Monday. But with ministers refusing to reopen this year’s wage settlement, any resolution to avert strikes planned for later this month is hard to make out.

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The political earthquake Farage has long promised is now shaking our political system

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The political earthquake Farage has long promised is now shaking our political system

It’s quite simply a political earthquake. Across England, Reform proved it can translate positive polling into real power, picking up another parliamentary seat, a mayoralty, Staffordshire and Lincolnshire councils and dozens of seats by lunchtime. The popularity surge for this anti-establishment party is real. 

Look at the votes: Reform doubling its vote share in Runcorn against the general election to 38%, clocking up 42% of the vote in the Lincolnshire mayoral race and 32% in the Doncaster mayoral race, running Labour very close. By lunchtime, Reform had taken the long-held Staffordshire council from the Tories, wiping out their five-strong majority.

The significance of these wins, added in with the big gains for the Lib Dems and Greens, cannot be overstated. It speaks in a serious way to a new era of politics in the UK, in which the decades-long duopoly of Labour versus Conservative is crumbling with the rise of the other parties.

Politics latest: PM told to ‘change course’ as Reform surge to election wins

The trend was evident in the 2024 general election, when the two main parties got their lowest ever vote share. Labour’s clever targeting of seats ensured that it won a massive majority on just 34% of the popular vote. The Lib Dems won a record 70 seats, while Reform picked up five MPs and came second in 98 constituencies.

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Farage: ‘This is Reform-quake’

If that was a loveless landslide, this is the break-up, as voters, who backed Labour’s change message, seem to be pressing the change button again and turning out for a leader who is tapping into voters’ disillusionment with his slogan that “Britain is broken and needs Reform”.

For the government to lose a by-election just 10 months after winning a massive landslide is a terrible moment for Labour. It won this seat with 53% of the vote in July, against Reform polling at 18%. To end up losing it – albeit by just six votes – is a dreadful verdict from voters here on their early performance.

Those around the PM admit it is deeply frustrating but say they expected a kicking from an angry electorate impatient for change. They are taking crumbs of comfort in, just about, holding the mayoralties of Doncaster, North Tyneside and West of England.

But in early council results, the drop in the Labour vote is big, and that raises questions as to whether Starmer’s party will struggle to hold constituencies it gained in the July election, such as Hexham in Northumberland.

The approach from No 10 is to “keep calm and carry on” with its government agenda – the immigration white paper, defence review, infrastructure strategy – to deliver for the public and win back the support they had in the last general election in time for the next.

Read more:
Full local and mayoral election results
Reform has put the two traditional parties on notice

Nigel Farage holds up six fingers to indicate the six votes his party's candidate won by in the Runcorn and Helsby by-election.
Pic: Reuters
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Nigel Farage holds up six fingers to indicate the six votes his party’s candidate won by in the Runcorn and Helsby by-election. Pic: Reuters

For the Conservatives, it’s been – to quote one political rival – a “story of Tory councillors getting machine gunned”. In Staffordshire, where Farage did his final rally, Reform have taken a council where the Tories had a 50-strong majority.

The party has been absolutely hammered by Reform in the Tory heartlands of Lincolnshire, where Dame Andrea Jenkyns won the Greater Lincolnshire mayoralty by 40,000 votes. In the general election, the Conservatives held six of the eight parliamentary seats in this county, on Friday Jenkyns beat the Tories in eight out of the nine areas.

Those around Conservative leader Kemi Badenoch are trying to steady nerves, arguing that these results are disappointing but not surprising in the context of the party’s worst-ever election defeat in 2024, with the party “under new leadership” and “still in the early stages of a long-term plan to renew”.

Others are panicked and angry. “This is what political extinction looks like,” one senior Tory source told me, in a sign that questions over Badenoch’s leadership are only going to build.

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How significant are Reform’s wins?

There are many results still to come in, but what these elections are pointing to is the rise of multi-party politics with voting spread across three or four parties in many of the races and the two main parties rapidly losing ground.

It ties into the longer run trends in our voting, leaning towards more parties and less tribalism amongst voters, as the electorate shift loyalties, and frustration with Labour and the Tories fuels support for the alternatives.

Reform’s success in Runcorn and Durham, as well as Staffordshire and Lincolnshire, shows that Farage poses a significant threat to the two main parties. Add in the Lib Dems, challenging the Tories in their blue wall shires on the centre right, and what we see emerging is a party system where the two governing parties are no longer dominant.

These elections then, while relatively small, are profoundly consequential for our political system. Where we go next is hugely unclear. Much will rest on whether Labour can deliver on its promises and dull Farage’s drumbeat of change.

The shadow of Reform UK leader Nigel Farage is cast onto a branded board during a press conference at the Best Western Premier Mount Pleasant Hotel, Great North Road, Doncaster, in the run up to May's local and mayoral elections. Picture date: Monday April 7, 2025. PA Photo. See PA story POLITICS Reform. Photo credit should read: Danny Lawson/PA Wire
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Reform promised to fix ‘broken’ councils. Pic: PA

Reform’s challenge will be to prove that it can govern and sustain the additional scrutiny that being in office entails.

The Conservatives are in the most desperate place of all, squeezed by Reform on the right flank and the Lib Dems on the left. But what is clearer after today is that the political earthquake Farage has long promised is now shaking our political system in a perhaps epochal way.

The Reform leader has long been saying he is this country’s next prime minister. Looking at the way he and his party have translated poll leads into real power means that prospect is no longer a pipe dream.

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Sycamore Gap: Man says friend wanted to cut down world’s ‘most famous tree’

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Sycamore Gap: Man says friend wanted to cut down world's 'most famous tree'

One of two men on trial for cutting down the Sycamore Gap tree told a court his co-defendant had wanted to cut down the “most famous tree in the world”.

Daniel Graham, 39, said Adam Carruthers, 32, rang him the morning after to claim responsibility for felling the tree beside Hadrian’s Wall.

He said Carruthers had asked him to take the blame “because he had mental health issues”, believing he would be treated more leniently.

The prosecution allege that Graham and Carruthers drove from Carlisle to the Northumberland landmark in September 2023 during Storm Agnes.

Both men deny two counts of criminal damage to the sycamore and to the Roman Wall.

Adam Carruthers and Daniel Graham. Pic: CPS/PA
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Daniel Graham and Adam Carruthers. Pic: CPS/PA

On the fourth day of the trial, Graham was asked about a call Carruthers made to him on the morning of 28 September 2023.

“It was Adam claiming he had cut down the Sycamore Gap tree, claiming that it was him that cut it down,” he said.

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“I told him he was talking shite, I didn’t believe it.”

While Graham said his former friend had spoken of wanting to cut down the tree in the past, he “didn’t take it seriously”.

“At the time I didn’t know of the tree … He told me it was the most famous tree in the world.”

He told Newcastle Crown Court that he remembered Carruthers ordering a chainsaw and saying it was big enough to cover the Sycamore Gap’s circumference.

Adam Carruthers. Pic: CPS/PA
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Adam Carruthers. Pic: CPS/PA

Defence barrister Chris Knox said two people had been involved on the night in question, one feling the tree and the other filming.

But while Graham said that Carruthers felled the tree, he “[didn’t] know 100% who the other person was”.

Speaking from the witness box, Graham said he was not the one using his Range Rover or mobile phone on the night the tree was cut down, which were both traced to the tree’s location.

At the time, the pair were the “best of pals”, according to Graham.

When questioned by Mr Knox on whether Carruthers had asked to borrow his Range Rover, he added: “Adam wouldn’t need to ask to borrow anything of mine. He was welcome to it.”

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Jurors have been told that an anonymous call was made to the emergency services on 23 August last year, by a man believed to be Graham, in which Carruthers was named as being responsible for felling the Sycamore Gap.

The trial continues.

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

Russell Brand has been granted bail after appearing in court charged with sexual offences including rape.

During the brief hearing at Westminster Magistrates’ Court, the 49-year-old spoke only to confirm his name, date of birth, and address, also confirming to the judge that he understood his bail conditions.

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Russell Brand outside Westminster Magistrates’ Court. Pic: Reuters

Brand, who has been living in the US, was charged by post last month with one count each of rape, indecent assault and oral rape – as well as two counts of sexual assault – in connection with incidents involving four separate women between 1999 and 2005.

The allegations were first made in a joint investigation by The Sunday Times, The Times and Channel 4 Dispatches in September 2023.

Rusell Brand
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The comedian and actor did not say anything as he entered the court

The comedian, actor and author has denied the accusations and said he has “never engaged in non-consensual activity”.

Appearing before Senior District Judge Paul Goldspring, Brand stood to confirm his name and address. He then sat down while the charges were read to the court.

Russell Brand surrounded by media as he arrives at Westminster Magistrates' Court.
Pic: Reuters
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Brand surrounded by media. Pic: Reuters

Brand is charged with the rape of a woman in 1999 in the Bournemouth area. She alleges that after meeting Brand at a theatrical performance and chatting to him later in her hotel room, she returned from the toilet to find he’d removed some of his clothes. She claims he asked her to take photos of him, and then raped her.

The court also heard of another of Brand’s alleged victims, who has accused him of indecently assaulting her in 2001 by “grabbing her arm and dragging her towards a male toilet” at a TV station.

Brand is accused of the oral rape and sexual assault of a woman he met in 2004 in London. He is accused of grabbing her breasts before allegedly pulling her into a toilet.

The final complainant is a radio worker who has accused Brand of sexually assaulting her between 2004 and 2005 by “kissing” and “grabbing” her breasts and buttocks.

Russell Brand leaves court.
Pic: Reuters
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Brand leaves court. Pic: Reuters

The judge referred the case up to the Central Criminal Court – informally known as the Old Bailey.

Brand was asked to supply both his US and UK addresses to the court.

When asked if he understood his bail conditions, he replied, “Yes”.

The case was adjourned and Brand, of Hambleden, Buckinghamshire, was told he must appear at the Old Bailey on 30 May.

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