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A nursing union leader is calling on the prime minister to intervene on the evening of the biggest NHS walkout in history.

Royal College of Nursing’s director for England, Patricia Marquis, has told Sky News that so far there has been no “direct contact” with Rishi Sunak despite four previous strike days.

“It’s a cry out to Rishi Sunak”, she said, “to come to the table to seek a resolution. So far we’ve not had direct contact with him, all of our efforts have been through the secretary of state for health.

“And those have not really brought us any solutions.

Royal College of Nursing's director for England, Patricia Marquis
Image:
The Royal College of Nursing’s director for England, Patricia Marquis

“So really, now, we don’t want the strikes to go ahead tomorrow or at any point. And we’re really calling on the prime minister to intervene, to come to the table and seek a resolution with us.”

Monday 6 February will see tens of thousands of NHS workers including nurses, in England, and GMB union ambulance workers, in England and Wales, taking industrial action in a dispute over pay and conditions.

On Tuesday 7 February, a second day of nursing strikes will take place.

More on Nhs

Thursday 9 February will see more than 4,000 NHS physiotherapists walk out across England.

And on Friday there will be more ambulance worker strikes – this time members represented by Unison in London, Yorkshire, the South West, the North East and North West.

Carmel O’Boyle has been a nurse in Scotland and Liverpool for six years, and an NHS worker for nearly two decades.

Carmel O’Boyle has been a nurse in Scotland and Liverpool for six years.
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Carmel O’Boyle has been a nurse in Scotland and Liverpool for six years

She describes making the “horrendous” and “emotional” decision to strike.

“No nurse wants to strike,” she said, “but the wages just aren’t compatible with the cost of living”.

“We need a wage increase that is in line with inflation so that we can attract people, and keep people in the profession so that we can give the care to our patients that we want to deliver.”

Strikes will have ‘impact on patients’

The health secretary has described the industrial action as “regrettable” and said the strikes will “undoubtedly have an impact on patients and cause delays to NHS services”.

Carmel says the government needs to understand that “people aren’t dying because nurses are striking, nurses are striking because people are dying”.

Read more:
Nurses urge PM to take ‘swift’ action to avert strike
Junior doctors ‘likely’ to go on strike next month

Concern has also been raised over the impact the strikes will have on the NHS backlog of treatment and waiting lists.

Kim Whyman has been waiting for surgery on her elbow.
Image:
Kim Whyman has been waiting for surgery on her elbow

Kim Whyman has been waiting for surgery on her elbow for two years.

It often dislocates and she often has to “pop it back in” herself. Her operation to stabilise it was scheduled for Monday, but due to strikes it has been cancelled for the second time.

Mrs Whyman, from Norfolk, describes being in pain regularly and is worried about the amount of painkillers she has to take, over a longer period of time, while she waits for surgery.

She works as a receptionist in a GP surgery but is “angry” over her care being disrupted.

‘It’s not fair’

“I’m not very happy,” she told Sky News. “You build yourself up to go into hospital and this is the second time it’s been cancelled in just under a month.

“I understand where (nurses) are coming from. But it’s everybody that’s been affected by their strike. Not just nurses.

“It’s patients and families, there are people worse off than me that are being cancelled as well. And it’s not fair”.

She said she wants immediate action from the government: “Give them a pay rise.”

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Junior doctors ‘likely to strike’

The RCN and other NHS unions in Wales called off strikes in Wales this week after receiving a new pay offer from the Welsh government, while negotiations in Scotland are ongoing.

In a statement from the government, Health Secretary Steve Barclay said: “We accepted the recommendations of the independent pay review body to give over one million NHS workers, including nurses and ambulance workers, a pay rise of at least £1,400 this financial year, on top of an increase the previous year when wider public sector pay was frozen”.

He added: “I have been having constructive talks with unions about what is affordable for 2023/24, and urge them to call off the strikes and come back around the table.”

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LA fires: Data and videos reveal scale of ‘most destructive’ blazes in modern US history

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LA fires: Data and videos reveal scale of 'most destructive' blazes in modern US history

The fires that have been raging in Los Angeles County this week may be the “most destructive” in modern US history.

In just three days, the blazes have covered tens of thousands of acres of land and could potentially have an economic impact of up to $150bn (£123bn), according to private forecaster Accuweather.

Sky News has used a combination of open-source techniques, data analysis, satellite imagery and social media footage to analyse how and why the fires started, and work out the estimated economic and environmental cost.

More than 1,000 structures have been damaged so far, local officials have estimated. The real figure is likely to be much higher.

“In fact, it’s likely that perhaps 15,000 or even more structures have been destroyed,” said Jonathan Porter, chief meteorologist at Accuweather.

These include some of the country’s most expensive real estate, as well as critical infrastructure.

Beachfront properties are left destroyed by the Palisades Fire, Thursday, Jan. 9, 2025 in Malibu, Calif. (AP Photo/Mark J. Terrill)
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Beachfront properties in Malibu were destroyed by the Palisades fire. Pic: PA

Accuweather has estimated the fires could have a total damage and economic loss of between $135bn and $150bn.

“It’s clear this is going to be the most destructive wildfire in California history, and likely the most destructive wildfire in modern US history,” said Mr Porter.

“That is our estimate based upon what has occurred thus far, plus some considerations for the near-term impacts of the fires,” he added.

The calculations were made using a wide variety of data inputs, from property damage and evacuation efforts, to the longer-term negative impacts from job and wage losses as well as a decline in tourism to the area.

The Palisades fire, which has burned at least 20,000 acres of land, has been the biggest so far.

Sentinel
Sentinel satellite imagery of the Pacific Palisades from space, taken around 15 minutes after the Palisades Fire was first reported. The red indicates the area of land that had already burned. Pic: Sentinel Hub
Image:
Sentinel satellite imagery of the Pacific Palisades from space, taken around 15 minutes after the Palisades fire was first reported. The red indicates the area of land that had already burned. Pic: Sentinel Hub

Satellite imagery and social media videos indicate the fire was first visible in the area around Skull Rock, part of a 4.5 mile hiking trail, northeast of the upscale Pacific Palisades neighbourhood.

These videos were taken by hikers on the route at around 10.30am on Tuesday 7 January, when the fire began spreading.

At about the same time, this footage of a plane landing at Los Angeles International Airport was captured. A growing cloud of smoke is visible in the hills in the background – the same area where the hikers filmed their videos.

The area’s high winds and dry weather accelerated the speed that the fire has spread. By Tuesday night, Eaton fire sparked in a forested area north of downtown LA, and Hurst fire broke out in Sylmar, a suburban neighbourhood north of San Fernando, after a brush fire.

These images from NASA’s Black Marble tool that detects light sources on the ground show how much the Palisades and Eaton fires grew in less than 24 hours.

 

On Tuesday, the Palisades fire had covered 772 acres. At the time of publication of Friday, the fire had grown to cover nearly 20,500 acres, some 26.5 times its initial size.

The Palisades fire was the first to spark, but others erupted over the following days.

At around 1pm on Wednesday afternoon, the Lidia fire was first reported in Acton, next to the Angeles National Forest north of LA. Smaller than the others, firefighters managed to contain the blaze by 75% on Friday.

Fires map

On Thursday, the Kenneth fire was reported at 2.40pm local time, according to Ventura County Fire Department, near a place called Victory Trailhead at the border of Ventura and Los Angeles counties.

This footage from a fire-monitoring camera in Simi Valley shows plumes of smoke billowing from the Kenneth fire.

Sky News analysed infrared satellite imagery to show how these fires grew all across LA.

The largest fires are still far from being contained, and have prompted thousands of residents to flee their homes as officials continued to keep large areas under evacuation orders. It’s unclear when they’ll be able to return.

“This is a tremendous loss that is going to result in many people and businesses needing a lot of help, as they begin the very slow process of putting their lives back together and rebuilding,” said Mr Porter.

“This is going to be an event that is going to likely take some people and businesses, perhaps a decade to recover from this fully.”


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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They are hurting but managing to find hope in ‘tomorrow’ – the residents who have lost everything in the LA fires

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They are hurting but managing to find hope in 'tomorrow' - the residents who have lost everything in the LA fires

They are the displaced and there are tens of thousands of them, 600 in an evacuation centre we visited.

From elderly people who fled without their medication, to pregnant mothers desperate to escape the smoke, they had nowhere else to go.

Jim Mayfield, who has lived in the northern suburb of Altadena for 50 years, wept as he told me his dogs, Monkey and Coca, were all he had left.

He said: “The fire was coming down, a ball of fire, it hadn’t made it to my house, but then I woke up and I seen it so I had to start evacuating.

“I had to grab my dogs, I didn’t have enough water and my house is burned down to the ground.”

Thousands of buildings have been burned to the ground
Image:
Thousands of buildings have been burned to the ground since the fires in Los Angeles started

Sheila Kraetzel, another elderly resident, relived the sense of terror as homes were engulfed by the flames.

She said: “I smelt smoke, I was sleeping, and my dog alerted me that there was trouble.

More on California Wildfires

“When I looked outside, there were embers floating across my yard.

“My whole neighbourhood is gone.”

“It was a beautiful, unique place,” she added, smiling.

Thousands of firefighters have been working around the clock to contain the wind-driven fires in California
Image:
Firefighters have been working around the clock to contain the wind-driven fires

Asked how she could smile, she fought back tears and replied: “Well, there’s tomorrow you know.”

How anyone could find hope amid the destruction we have witnessed here is beyond me.

Read more:
Scale of ‘most destructive’ blazes in modern US history
In pictures: Before and after the blazes
What caused the fires?

There are people handing out food and water, medical staff doing what they can. Volunteers have rallied from far and near.

Buildings destroyed in fires

One of them, Stephanie Porter, told me it felt “heavy” inside the centre.

“You walk through and see the despair on people’s faces, not knowing what their next step is, not knowing if their house is still standing,” she said.

“I had to take a few moments… and kind of cry, and then you go back to serve.

“It just breaks your heart.”

Three miles up the road, Altadena resembles a war zone, but residents have not been allowed to return.

When they finally do, they’ll discover there’s nothing left of the material lives they left behind.

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The chancellor’s gamble with China: What price is Rachel Reeves willing to pay for closer trading ties?

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The chancellor's gamble with China: What price is Rachel Reeves willing to pay for closer trading ties?

Given gilt yields are rising, the pound is falling and, all things considered, markets look pretty hairy back in the UK, it’s quite likely Rachel Reeves’s trip to China gets overshadowed by noises off.

There’s a chance the dominant narrative is not about China itself, but about why she didn’t cancel the trip.

But make no mistake: this visit is a big deal. A very big deal – potentially one of the single most interesting moments in recent British economic policy.

Why? Because the UK is doing something very interesting and quite counterintuitive here. It is taking a gamble. For even as nearly every other country in the developed world cuts ties and imposes tariffs on China, this new Labour government is doing the opposite – trying to get closer to the world’s second-biggest economy.

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How much do we trade with China?

The chancellor‘s three-day visit to Beijing and Shanghai marks the first time a UK finance minister has travelled to China since Philip Hammond‘s 2017 trip, which in turn followed a very grand mission from George Osborne in 2015.

Back then, the UK was attempting to double down on its economic relationship with China. It was encouraging Chinese companies to invest in this country, helping to build our next generation of nuclear power plants and our telephone infrastructure.

But since then the relationship has soured. Huawei has been banned from providing that telecoms infrastructure and China is no longer building our next power plants. There has been no “economic and financial dialogue” – the name for these missions – since 2019, when Chinese officials came to the UK. And the story has been much the same elsewhere in the developed world.

More on China

In the intervening period, G7 nations, led by the US, have imposed various tariffs on Chinese goods, sparking a slow-burn trade war between East and West. The latest of these tariffs were on Chinese electric vehicles. The US and Canada imposed 100% tariffs, while the EU and a swathe of other nations, from India to Turkey, introduced their own, slightly lower tariffs.

But (save for Japan, whose consumers tend not to buy many Chinese cars anyway) there is one developed nation which has, so far at least, stood alone, refusing to impose these extra tariffs on China: the UK.

The UK sticks out then – diplomatically (especially as the new US president comes into office, threatening even higher and wider tariffs on China) and economically. Right now no other developed market in the world looks as attractive to Chinese car companies as the UK does. Chinese producers, able thanks to expertise and a host of subsidies to produce cars far cheaper than those made domestically, have targeted the UK as an incredibly attractive prospect in the coming years.

And while the European strategy is to impose tariffs designed to taper down if Chinese car companies commit to building factories in the EU, there is less incentive, as far as anyone can make out, for Chinese firms to do likewise in the UK. The upshot is that domestic producers, who have already seen China leapfrog every other nation save for Germany, will struggle even more in the coming year to contend with cheap Chinese imports.

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Why is Rachel Reeves flying to China?

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Whether this is a price the chancellor is willing to pay for greater access to the Chinese market is unclear. Certainly, while the UK imports more than twice as many goods from China as it sends there, the country is an attractive market for British financial services firms. Indeed, there are a host of bank executives travelling out with the chancellor for the dialogue. They are hoping to boost British exports of financial services in the coming years.

Still – many questions remain unanswered:

• Is the chancellor getting closer to China with half an eye on future trade negotiations with the US?

• Is she ready to reverse on this relationship if it helps procure a deal with Donald Trump?

• Is she comfortable with the impending influx of cheap Chinese electric vehicles in the coming months and years?

• Is she prepared for the potential impact on the domestic car industry, which is already struggling in the face of a host of other challenges?

• Is that a price worth paying for more financial access to China?

• What, in short, is the grand strategy here?

These are all important questions. Unfortunately, unlike in 2015 or 2017, the Treasury has decided not to bring any press with it. So our opportunities to find answers are far more limited than usual. Given the significance of this economic moment, and of this trip itself, that is desperately disappointing.

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