Ambulance workers go on strike today – with NHS offering advice on how patients will be affected
About 25,000 ambulance workers across England and Wales will strike today in a dispute with the government over pay, amid fears some patients will be forced to make their own way to hospital.
Staggered walkouts will take place over a 24-hour period and will include paramedics, call handlers, drivers and technicians from the Unison and GMB unions.
Workers will not strike for longer than 12 hours each, with call handlers expected to walk out for six-hour periods.
Staff working at the LAS emergency operations centre in Newham, east London, ahead of Wednesday’s strikes
Patients can expect waits for 999 and 111 calls to be answered as well as delays for ambulances, with health leaders warning of additional stress on an NHS that’s already under pressure.
Unison has balloted some 15,000 of its members who are set to walk out in London, Yorkshire, the North West, North East and South West.
Meanwhile, more than 10,000 GMB ambulance workers are also expected to strike, meaning ambulance services will be affected in the South West, South East coast, North West, South Central area, North East, East Midlands, West Midlands, Yorkshire and Wales.
NHS England has advised patients to continue to call 999 for life-threatening emergencies but to use 111, GPs and pharmacies for non-urgent needs.
It said some people may be asked to make their own way to hospital, but urged people to seek medical advice from 111 or 999 before doing so.
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Health workers daily ‘firefight’
‘Unwelcome return to unnecessary disruption’
Health and Social Care Secretary Steve Barclay said: “Today’s ambulance strike is an unwelcome return to unnecessary disruption and comes at a time when the NHS is already under huge pressure from COVID and flu.
“While we have contingency plans in place, including support from the military, community first responders and extra call handlers, to mitigate risks to patient safety, there will inevitably be some disruption for patients with fewer ambulances on the road.”
Ambulance responses are split into categories, with category one being the most life-threatening such as cardiac arrests, while category two covers conditions such as strokes and sepsis.
Unions and trusts will decide which category two calls will receive a response during the strike.
The West Midlands Ambulance Service said it had agreed on a response to all category one calls plus other life-threatening cases such as heart attacks, strokes, difficulty in breathing and maternity cases.
Ben Holdaway, director of operations at the East Midlands Ambulance Service, said teams have worked to maximise the number of staff, though he anticipated a “much slower” response than usual.
“Where possible, our 999 control rooms will carefully assess and prioritise an ambulance response for those who need it most, and this may only be where there is a threat to life,” he added.
South Central Ambulance Service said the strike will involve 200 workers and will mostly disrupt its non-emergency patient transport services.
Meanwhile, Yorkshire Ambulance Service warned all its services will be impacted – including frontline emergency ambulances and 999 call handling, non-emergency patient transport and NHS 111.
It said ambulances will still be able to respond during the strike, “but this will only be where there is an immediate risk to life”.
In London, there is an agreement in place that a maximum of 50% of the staff will be taking industrial action at any one time and staff will come off picket lines if call-answering times are too long, according to Daniel Elkeles, the service’s chief executive officer.
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Who is striking and when?
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Why is the NHS struggling so much?
‘Life and limb conditions’
On whether category two calls will be answered, he said: “They will. We have called it life and limb conditions because some of them are in category one, some of them are in category two, and actually, some might be in category three.”
Miriam Deakin, director of policy and strategy at NHS Providers, said trust leaders feared the NHS will be hit harder by Wednesday’s strike as more staff strike than they did in December, but said they will “pull out all the stops” to minimise the impact.
Monday’s talks between unions and the government failed to stop the planned strike, with industrial action also in the pipeline by teachers and rail staff.
Nurses are planning to strike next Wednesday and Thursday, while another ambulance strike is set to take place on 23 January.
Ambulance workers on the picket line outside Soundwell Ambulance Station, Bristol, in December
On Tuesday, the government brought in new legislation for “minimum safety levels” when workers stage walkouts.
But Business Secretary Grant Shapps told the Commons that Wednesday’s ambulance strike “still does not have minimum safety levels in place and this will result in patchy emergency care for the British people”.
Ambulance workers in England and Wales are striking over demands for a pay rise above inflation, but the government says most ambulance staff have received a pay rise of at least 4%.
Health Secretary Steven Barclay will be interviewed on Sky News at 7.20am.
UK
Budget 2025: Reeves urged to ‘make the case’ for income tax freeze – as PM hits out at defenders of ‘failed’ policy
Rachel Reeves needs to “make the case” to voters that extending the freeze on personal income thresholds was the “fairest” way to increase taxes, Baroness Harriet Harman has said.
Speaking to Sky News political editor Beth Rigby on the Electoral Dysfunction podcast, the Labour peer said the chancellor needed to explain that her decision would “protect people’s cost of living if they’re on low incomes”.
In her budget on Wednesday, Ms Reeves extended the freeze on income tax thresholds – introduced by the Conservatives in 2021 and due to expire in 2028 – by three years.
The move – described by critics as a “stealth tax” – is estimated to raise £8bn for the exchequer in 2029-2030 by dragging some 1.7 million people into a higher tax band as their pay goes up.
Rachel Reeves, pictured the day after delivering the budget. Pic: PA
The chancellor previously said she would not freeze thresholds as it would “hurt working people” – prompting accusations she has broken the trust of voters.
During the general election campaign, Labour promised not to increase VAT, national insurance or income tax rates.
Sir Keir Starmer has insisted there’s been no manifesto breach, but acknowledged people were being asked to “contribute” to protect public services.
He has also launched a staunch defence of the government’s decision to scrap the two-child benefit cap, with its estimated cost of around £3bn by the end of this parliament.
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Prime minister defends budget
‘A moral failure’
The prime minister condemned the Conservative policy as a “failed social experiment” and said those who defend it stand for “a moral failure and an economic disaster”.
“The record highs of child poverty in this country aren’t just numbers on a spreadsheet – they mean millions of children are going to bed hungry, falling behind at school, and growing up believing that a better future is out of reach despite their parents doing everything right,” he said.
The two-child limit restricts child tax credit and universal credit to the first two children in most households.
The government believes lifting the limit will pull 450,000 children out of poverty, which it argues will ultimately help reduce costs by preventing knock-on issues like dependency on welfare – and help people find jobs.
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Budget winners and losers
Speaking to Rigby, Baroness Harman said Ms Reeves now needed to convince “the woman on the doorstep” of why she’s raised taxes in the way that she has.
“I think Rachel really answered it very, very clearly when she said, ‘well, actually, we haven’t broken the manifesto because the manifesto was about rates’.
“And you remember there was a big kerfuffle before the budget about whether they would increase the rate of income tax or the rate of national insurance, and they backed off that because that would have been a breach of the manifesto.
“But she has had to increase the tax take, and she’s done it by increasing by freezing the thresholds, which she says she didn’t want to do. But she’s tried to do it with the fairest possible way, with counterbalancing support for people on low incomes.”
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She added: “And that is the argument that’s now got to be had with the public. The Labour members of parliament are happy about it. The markets essentially are happy about it. But she needs to make the case, and everybody in the government is going to need to make the case about it.
“This was a difficult thing to do, but it’s been done in the fairest possible way, and it’s for the good, because it will protect people’s cost of living if they’re on low incomes.”
The manager of an Edinburgh cocktail bar will speak to police today over the “catastrophic” theft of an eight-foot tall nutcracker figure from outside his venue.
In what can only be described as a total nightmare before Christmas, a person riding an e-bike guaranteed a place on the naughty list by stealing the Copper Blossom’s festive statue on Monday.
They are seen on CCTV placing the soldier across their lap and riding off into the night down George Street towards St Andrew Square.
The thief was wearing a dark hoodie
Speaking to The UK Tonight on Sky News, manager Paul Paxton said it was a massive financial blow for his bar.
“The individual nutcrackers are about £900 each,” he revealed.
The stolen one is named Nolan, while his “brother” Nelson remains “safe and sound”.
They were part of the Copper Blossom’s outdoor Christmas display, and Nelson has now been moved into the foyer.
Mr Paxton said he would be speaking to police about their investigation, with sightings having been reported “around Edinburgh” later on the night of the incident.
Nolan, who the owner described as “massive”, was taken at around 10.10pm. The CCTV footage shows the thief removing the statue and dragging it on to their bike.
You can see Nolan being taken away in this shot
As if losing a £900 nutcracker wasn’t bad enough, a table costing hundreds of pounds was also broken.
“It’s pretty catastrophic,” said Mr Paxton.
The bar had originally put out an appeal that said “if you return it, we’re all good” – but he admitted he doesn’t expect Nolan’s return any time soon.
Paul Paxton is dwarfed by his nutcracker soldiers
And while he’d “never want someone to go into harm’s way”, he told Jayne Secker he was a little disappointed no witnesses alerted him or his staff to the theft.
“There were about 12 or 13 people who walked past,” he said.
“Even if someone had run in, that could have helped. It wasn’t a quick process – he fell off his bike.
“A heads-up would have been lovely.”
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