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Emergency care will be prioritised by the NHS next week when strike action by junior doctors will see the biggest disruption of services to date, with thousands of routine appointments postponed.

The industrial action is set to begin on Monday at all trusts in England for 72 hours.

It is the longest continuous period of walkouts to hit the health service in recent months, following strikes by nurses, paramedics and physiotherapists.

However, with around 61,000 junior doctors making up half of the medical workforce and no national derogations having been agreed, the NHS is warning the latest action is expected to see some of the most severe disruption to date, impacting on efforts to cut the record-high waiting list.

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As a result, emergency, critical and maternity care will be prioritised, as well as patients who have waited the longest for elective care and cancer surgery where possible.

Professor Sir Stephen Powis, the medical director of the NHS, said: “The NHS has been working incredibly hard to mitigate the impact of this strike.

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“While we are doing what we can to avoid having to reschedule appointments, there’s no doubt that disruption will be much more severe than before and patients who have been waiting for some time will face postponements across many treatment areas.

“Where there are postponements, we’ll be trying to re-book as quickly as possible. However, it is vital to attend planned appointments unless told otherwise.

“We have no option but to prioritise emergency and critical care as a matter of patient safety, and we’re asking the public to help us and use 111 online as well as local services like general practice and pharmacies as first points of call, but people should of course always use 999 in a life-threatening emergency.”

The NHS stressed that the measures were needed to make sure safe care continues to be available for those in life-threatening situations.

It said routine appointments and procedures will only be cancelled where unavoidable and patients will be offered an alternative date as soon as possible.

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The warning comes after senior leaders reportedly told the Health Service Journal that ministers have not sufficiently sounded the alarm about the risk to patient harm posed by the strikes.

More than 98% of junior doctors from the British Medical Association (BMA) voted to take industrial action in the dispute over pay and conditions.

Talks between the BMA and Health Secretary Steve Barclay at the start of March did not improve matters, with the union saying the cabinet minister “refused to come forth with any improved offer”.

The BMA says that while workload and waiting lists are at record highs, pay for junior doctors has been cut “by more than a quarter since 2008”.

But the government says pay has increased by a cumulative 8.2% since 2019/20 and further wage increases aren’t affordable at a time of record-high inflation.

Health leaders ‘preparing for absolute worst’

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NHS Crisis: ‘Past breaking point’

The NHS Confederation, which represents trusts across the country, urged both sides to “show willingness to compromise and bring these strikes to an end without delay”.

It said health leaders are “preparing for the absolute worst” with some taking down 50% of their planned theatre activity and others are opting for 100%.

Elsewhere one large hospital is having to rearrange more than 2,000 outpatient appointments and over 200 non-urgent surgeries next week.

Read more:
Around 23,000 excess deaths in 2022 were ‘linked to A&E waits’
NHS England set to miss two key targets of COVID recovery plan

Matthew Taylor, chief executive of the NHS Confederation, said: “We are disappointed the government and BMA have failed to put a stop to the forthcoming junior doctors strikes, especially after the positive steps that have been made with the other trade unions.”

He added: “… no national exceptions have been agreed to these walkouts, and many trusts will find themselves in a difficult position trying to navigate payment of the BMA’s recommended rate card for consultants when covering the work of junior doctors.

“This means it is likely that disruption to patient services will be like nothing the NHS has seen since industrial action started last December. Thousands of procedures and appointments are likely to be cancelled.”

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Four mayoral elections to be postponed – as Labour accused of ‘scandalous attempt to subvert democracy’

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Four mayoral elections to be postponed - as Labour accused of 'scandalous attempt to subvert democracy'

Four mayoral elections due to take place in May 2026 are set to be postponed by two years, Sky News understands.

Elections for the new mayoralties of Essex, Hampshire and the Solent, Sussex and Brighton, and Norfolk and Suffolk will be pushed back until 2028.

The decision, first revealed by The Sun, is due to be announced by ministers on Thursday.

This is the second time elections are being delayed in these areas. Local elections due in May 2025 were delayed by then communities secretary Angela Rayner for a year in order to convert them into combined authorities led by mayors.

However, it is understood that these councils need more time to complete their reorganisation.

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Will Tories and Reform unite?

The news has sparked accusations Labour are delaying the elections for political purposes.

Reform UK’s head of policy Zia Yusuf said: “This is a blatant attempt to stop big Reform wins next May.

“It’s an act of a desperate government who are clinging onto power by any means necessary.

“Labour has proven time and time again that they’re not beyond denying democracy to millions of people in order to maintain their cosy status quo.”

Pic: PA
Image:
Pic: PA

The Tories’ shadow housing secretary James Cleverly said it was a “scandalous attempt to subvert democracy by a Labour government whose credibility and popularity are already in tatters”.

“The Conservatives firmly oppose this decision to delay the mayoral elections, especially when candidates have been selected and campaigning is well under way,” he added.

“Democracy is being denied yet again after the council elections cancelled by Labour this year.

“There is no credible justification for this move. The Labour government must reverse it immediately.”

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Starmer denies misleading voters

The reorganisation is part of Labour’s manifesto commitment to widen devolution, which it argues will improve local economies.

The government wants to abolish the two-tier system of county and district councils and merge them together to create larger unitary authorities. It also wants more areas to have regional mayors, like Greater Manchester’s Andy Burnham.

Read more:
Tory-Reform pact talks ‘not happening at any level’
Reeves hit by Labour rebellion

Reform UK enjoyed success in the local elections in May, winning more than 600 seats and taking control of 10 councils stretching from Kent to County Durham. The party also toppled a 14,000-strong Labour majority in a parliamentary by-election.

The Liberal Democrats’ local government spokesperson Zoe Franklin called the postponed elections “a disgrace”.

“Democracy delayed is democracy denied,” she added. “We are fighting to end this blatant stitch up between Labour and the Conservatives over local elections.”

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Nursery worker, 45, pleads guilty to 26 sexual offences against children

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Nursery worker, 45, pleads guilty to 26 sexual offences against children

A nursery worker has pleaded guilty to 26 sexual offences against children following one of the Metropolitan Police’s most harrowing and complex child sexual abuse investigations.

Vincent Chan, 45, of Finchley, worked at a nursery in north London between 2017 and 2024.

The offences include five counts of sexual assault of a child by penetration, four counts of sexual assault of a child by touching, 11 counts of taking indecent photographs or pseudo-photographs of a child, and six counts of making indecent photographs or pseudo-photographs of a child.

The latter offences involved images across categories A, B, and C, with category A depicting the most severe abuse.

Chan will be sentenced at Wood Green Crown Court on 23 January.

The Met said this was one of its most harrowing and complex child sexual abuse investigations.

Vincent Chan. Pic: Met Police
Image:
Vincent Chan. Pic: Met Police

Chan was unmasked as a paedophile after a nursery staff member reported that he had callously filmed a child falling asleep in their food with a nursery-issued device and set it to music for “comedic purposes” before sharing the video with his colleagues, the force said in a statement.

He was subsequently arrested in June 2024 on suspicion of neglect and officers seized 25 digital devices from his home and three from the nursery. Chan was released on bail, but lost his job at the nursery.

Three months later, his devices were submitted for analysis by police, which was completed in July 2025. Forensic teams found substantial amounts of indecent images and videos of children, including evidence of contact sexual offences against children, according to the police statement.

Chan was arrested in September this year on suspicion of sexual offences. Officers seized another 26 devices from his home as well as 15 from the nursery, a since-closed branch of Bright Horizons in West Hampstead.

Detective Superintendent Lewis Basford, right, speaking outside Wood Green Crown Court. Pic: PA
Image:
Detective Superintendent Lewis Basford, right, speaking outside Wood Green Crown Court. Pic: PA

Detective Superintendent Lewis Basford, who led the Met’s investigation, said: “Child sexual abuse is one of the most horrific crimes imaginable, and Chan’s offending spanned years, revealing a calculated and predatory pattern of abuse.

“He infiltrated environments that should have been safe havens for children, exploiting the trust of families and the wider community to conceal his actions and prey on the most vulnerable.”

DCI Basford added: “We recognise the member of staff who raised their concerns, as without that first report of child cruelty, Chan’s abuse could have continued unchecked, putting countless more children at risk.”

At this time, police identified four children as Chan’s victims.

The families of the victims have been contacted directly and are receiving specialist support, while the NSPCC is running a helpline for all 700 families of children who attended the nursery during the time Chan worked there between 2017 and 2024.

In a statement issued through legal firm Leigh Day, some of the families affected said: “As parents, we are still trying to process the sickening discovery that our children were subjected to despicable abuse by Vincent Chan at the nursery.

“We trust the judge to pass the strongest sentence to fit the crimes Vincent Chan has committed against young children, innocent victims who could not fight back.”

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A spokesperson for the nursery said following Chan’s guilty pleas: “This individual’s actions represent not only a violation of the victims, but also a profound betrayal of the trust placed in him by families and colleagues.”

They said the company has extensive safeguarding practices in place, including rigorous vetting and DBS criminal record checks.

The company has commissioned an external expert in the field to undertake a full review of its safeguarding practices after Chan “was able to commit these crimes despite our safeguarding measures”, the nursery spokesperson said.

Anyone who wants to make a report to police about Chan can contact OpLanark@met.police.uk, or call 101 from within the UK, quoting the reference CAD3697/1DEC.

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Harry Dunn: ‘Useless’ UK government failed teenager killed by US spy, family says

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Harry Dunn: 'Useless' UK government failed teenager killed by US spy, family says

The family of teenager Harry Dunn, killed by a former US spy, said a damning report into the UK government’s handling of their case was “incredibly painful” to read. 

American driver Anne Sacoolas left Britain with diplomatic immunity 19 days after the head-on crash that killed motorbike rider Harry, 19, outside RAF Croughton in Northamptonshire in August 2019.

The report into the government’s handling of the case, chaired by Dame Anne Owers, marks the end of a six-year struggle for justice and accountability.

It highlights the point at which Sky News first broke the story of Harry Dunn in October 2019 as a key moment when attention on the case escalated at the Foreign and Commonwealth Office (FCO).

Harry Dunn
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Harry Dunn

“There was in fact no direct contact between the FCO and the family until 4 October, the day before the Sky News interview was due to go out, when the family was offered a meeting with the foreign secretary himself,” Dame Anne said.

“The family drew the conclusion that this rapid escalation to a very senior level was a direct result of the spotlight of media coverage.”

The report lays bare layer upon layer of failings within the UK government that compounded Harry’s parents’ grief and anguish.

More on Anne Sacoolas

Former foreign secretary David Lammy officially launched the review into the case in July, with the report’s author highlighting “failings and omissions” in the department when dealing with Harry’s death.

It is understood Dame Anne told the Dunn family it was her “strong view” the then foreign secretary Dominic Raab should have been involved “far earlier in the process”, with his private office being copied into a note three days after the crash expressing concern over potentially “unpalatable headlines”.

Harry’s mother Charlotte Charles, a campaigner for road safety, said it was “incredibly painful” to read.

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‘Hugely let down’: Harry Dunn’s mother on damning review

“The report confirms what we have lived with every day for more than six years, that our family was not treated with the honesty or urgency that any grieving parent deserves,” she said, welcoming the findings.

His father Tim Dunn said: “We knew our own government would be useless to us and this report confirms what we knew in those early days. The UK was no match for the US.”

Dame Anne criticised the UK government’s initial handling of the case and subsequent years.

“This issue was not recognised as a crisis and escalated to a sufficiently high level at an early stage, losing opportunities to influence, rather than respond to, events,” she said in the report.

Dame Anne said the US showed “immediate high-level interest” and took “an inflexible approach” after Sacoolas had flown back to America.

Anne Sacoolas
Image:
Anne Sacoolas

“On the UK side this was initially treated as business as usual,” Dame Anne said in the report.

In 2022, Sacoolas admitted causing death by careless driving, but she remained in the US and appeared in a UK court via video link, something the report described as “unprecedented remote proceedings”.

The former spy refused to return to the UK for sentencing. In her absence, she was given an eight-month suspended prison sentence and driving ban.

The diplomatic loophole that Sacoolas and the US government exploited when she left, claiming immunity, has since been closed.

Read more:
Harry Dunn killer apologises
His family’s complaint against former police chief
Criticism over lack of driver training at US base

Driver safety initiatives at US bases in the UK have also been improved.

Dame Anne also made 12 recommendations to improve communications and support for families, as well as transparency around complex diplomatic arrangements at military bases like RAF Croughton.

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