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.
A Romanian grooming gang has been convicted of sexually exploiting 10 vulnerable women in Dundee.
Four men and one woman were found guilty of dozens of offences – including rape – following an extensive investigation into sexual exploitation, human trafficking, and the supply of drugs in the Tayside area.
Marian Cumpanasoiu, 37, Remus Stan, 34, Catalin Dobre, 44, Cristian Urlateanu, 41, and Alexandra Bugonea, 34, denied any wrongdoing but on Thursday were convicted following a trial at the High Court in Glasgow.
Detective Inspector Scott Carswell branded the offenders “deplorable” in an interview with Sky News’ Scotland correspondent, Connor Gillies.
The detective said the gang plied the women with alcohol and free Class A drugs at parties before coercing them into sexual activity, “which a lot of them didn’t want to do”.
He said: “But as things progressed, they were so addicted to the drugs that they knew the only way they could get the drugs was to perform the sexual acts that they were having to get involved in.”
Detective Inspector Scott Carswell
DI Carswell said the gang got the women addicted to drugs in a bid to control them and keep them coming back for more.
He added: “They’ve had no thought as to the impact this is having on the victims. It’s been quite controlled in that they knew what they were doing.”
The gang will be sentenced at a later date.
Police Scotland said the offenders were arrested and charged as part of Operation Recloir, which was launched in late 2021 to target a gang of suspected human traffickers in the Tayside area.
DI Carswell said the inquiry initially focused on brothel-keeping in Dundee and the suspected trafficking of Romanian females into the country.
He added: “However, into the summer of 2022 we started to receive information that the crime group were targeting vulnerable Dundee females, and it looked like they were grooming them and coercing them with gifts of free drugs and other things until it moved on to the victims having to get involved in sexual activity to get the free drugs.
“And unfortunately, this got them addicted to the class A drugs that had been provided.”
DI Carswell said many of the victims identified believed they were the girlfriends of the men involved and did not realise they were being “groomed and used”.
The detective said the women were looking to be “cared for”, noting: “However, I believe that the end goal here was to groom the females and possibly move them into prostitution.”
Read more from Sky News:
Timeline of the grooming gangs scandal
Grooming gangs are ‘in every single part of our country’
DI Carswell said it was important to build up the victims’ “trust and confidence” in order to get them to engage with the force.
He said: “That did take a lot of patience, and it was something that I was passionate about with my inquiry team from the start.”
DI Carswell added work remains ongoing to ensure the women’s welfare and long-term safeguarding.
The detective believes his team identified all the victims, but not everyone wished to engage with the inquiry.
DI Carswell added: “What I would say to them is even at this time if they don’t want to engage with the police, the support’s always there if they need help with anything on the back of this.”
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