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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.

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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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UK weather: New snow warning as temperatures could drop to -16C this week

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UK weather: New snow warning as temperatures could drop to -16C this week

A fresh weather warning for snow has been issued for southern England, with cautions for snow and ice already in place across much of the country.

The Met Office’s yellow weather warning for snow covers the southern counties of England from 9am until midnight on Wednesday.

The warning stretches from Kent to Cornwall and up to south London and the Met Office said between two and five centimetres of snow could accumulate fairly widely, with as much as 10cm over higher ground.

Pic: Met Office
Image:
Pic: Met Office

This week is expected to see the coldest nights of the year, with temperatures potentially reaching -14C on Wednesday night and -16C on Thursday night, both in the North East of England and Scotland, the Met Office said.

Weather warnings issued on Tuesday for snow and ice covering the Midlands, parts of North Wales, the North West of England, west and northern parts of Scotland as well as Northern Ireland will remain in place until midday on Wednesday.

The forecaster said some roads and railways are likely to be affected and there could be icy patches on untreated roads.

Members of the public walk through heavy snowfall on the high street of Saddleworth.
Pic: AP
A woman walks through heavy snowfall on the high street of Saddleworth.
Pic: AP
Image:
Pics: AP

Meanwhile the Environment Agency has said at least 300 properties have flooded across England since New Year’s Eve. It estimates more than 41,000 properties have been protected.

Heavy rainfall over the New Year caused significant river and surface water flooding across the North West of England and Yorkshire and snowmelt has brought further disruption to parts of England, particularly the Midlands, the agency said.

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Floods minister Emma Hardy said: “My sympathies go out to the people, businesses and communities impacted by the recent flooding across the country.

“I want to express my heartfelt thanks for the vital work that the Environment Agency and emergency services are doing to keep people safe. People must continue to follow their advice and sign up for flood warnings.”

Flood warnings

Some 100 flood warnings were in force across England on Wednesday, with people urged to remain vigilant over the coming days.

A danger-to-life warning was issued on Tuesday morning for the River Soar near Barrow upon Soar, Leicestershire, but was later removed.

People living in caravan parks in the area were urged by the Environment Agency to act, with a large-scale evacuation needed to save lives.

Firefighters have rescued dozens of people across Leicestershire since Monday, Leicestershire Fire and Rescue Service said.

Hundreds of schools were closed across the UK, with road and rail links blocked, as Manchester, Bristol and Liverpool John Lennon airports suspended flights because of the conditions.

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Family of baby killed in car park crash on family holiday fundraise for funeral

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Family of baby killed in car park crash on family holiday fundraise for funeral

A six-month-old baby who died after a collision in a multi-storey car park was on a family holiday to Wales. 

Sophia Kelemen from Leigh, Manchester, died after the crash in a car park in the coastal town of Tenby, Pembrokeshire, on 2 January.

Sophia’s aunt, Adriana Kelemen, has now launched a fundraiser to help cover funeral costs.

Writing on the page, Ms Kelemen said “never in a million years” did she think she would have to write such a post.

Ms Kelemen said she hoped to “ease a very small part of [her] brother and sister-in-law’s hurt” by raising money to cover part of the funeral costs.

Sophia was taken to hospital after the crash and treated for her injuries but died the following day, police confirmed.

Dyfed-Powys Police said the crash happened on the ground floor of the car park and that a man had been charged in connection with the incident.

Sophia Kelemen. Pic: Adriana Kelemen/GoFundMe
Image:
Sophia Kelemen. Pic: Adriana Kelemen/GoFundMe

Speaking to the Manchester Evening News, Ms Kelemen described her niece as “smiley and bubbly” and “so advanced for her age”.

Sophia was “playful and energetic” and “the cutest and most adorable girl”, her aunt added.

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A spokesperson for Dyfed-Powys Police said Sophia’s family were being supported by specialist officers.

The force said it was a “tragic incident” and asked the public not to speculate on the circumstances.

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Jess Phillips does not rule out new national inquiry into grooming gangs

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Jess Phillips does not rule out new national inquiry into grooming gangs

Jess Phillips has said “nothing is off the table” when dealing with the grooming gangs scandal – including a new national inquiry if victims want one.

The safeguarding minister told Sky’s political editor Beth Rigby on the Electoral Dysfunction podcast that she would listen to victims on a new panel that was announced by the government this week.

“Nothing is off the table,” she said.

“And if the victims come forward to me in this victims panel and they say, ‘actually, we think there needs to be a national inquiry into this’, I’ll listen to them.”

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Beth Rigby and Jess Phillips

Her comments come days after it emerged she had rejected calls from Oldham Council to hold a government inquiry into grooming gangs in the town, and said the council should commission one instead.

That has led to tech billionaire Elon Musk attacking her and Sir Keir Starmer for not holding a national inquiry and accusing the prime minister of being “complicit” in the abuse.

Professor Alexis Jay finished an eight-year national inquiry into child sexual abuse in 2022 and set out recommendations for the government.

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The Conservatives tabled an amendment to the Children’s Safeguarding and Schools Bill on Wednesday to require a statutory inquiry into grooming gangs.

However, Education Secretary Bridget Phillipson told Sky News the Tories “don’t care about children” as the amendment could prevent the entire bill from going forward.

She said: “The measures that I’m setting out today and the legislation in many ways go further because it puts a requirement on all councils to have teams working to keep children safe.

“And the bandwagon jumpers that have come along in recent days, they don’t care about children, they don’t care about making sure that we stop this and we take action.

“They had years to do it and they didn’t do it.”

The Conservatives also rejected a call from Oldham Council for a government inquiry in 2022.

You can listen to Beth’s full interview with Jess Phillips in a special episode of Electoral Dysfunction released on Thursday.

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