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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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Liverpool parade collision: Why police released ‘unprecedented’ details about man arrested

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Liverpool parade collision: Why police released 'unprecedented' details about man arrested

Merseyside Police knows – better than any force, perhaps – that in a social media age, an information vacuum can become a misinformation cauldron.

They have learnt from the aftermath of the Southport stabbing attack, where the force was criticised for being too slow to release information that could have calmed the riots that followed.

So, it feels like things have been done differently this time.

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Police tents surrounded by debris at the scene in Water Street near the Liver Building in Liverpool.
Pic: PA
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Police tents surrounded by debris at the scene in Water Street. Pic: PA

The incident happened just after 6pm on Monday.

Videos – captured by fans on their phones – were online within moments. Shared and speculated upon, with guesses as to the attacker’s identity and motive.

But alongside the huge and immediate police investigation, the communication machine moved equally fast.

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Within a few hours, police released a description of the man they had arrested – a 53-year-old white British man from the Liverpool area.

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Moment car drives into crowds in Liverpool

A few hours after that, we had an extensive press conference during which police ruled out terrorism as a motive.

Again, they appealed for videos not to be shared online and for people not to speculate.

Liverpool City Region Mayor Steve Rotheram said Merseyside Police “handled the situation fantastically” given how quickly footage of the incident was shared online.

He told Sky News that online misinformation can set “a lot of false narrative”.

The mayor added: “And we all know that speculation and social media are a wildfire of different vantages, and some of it is for nefarious reasons.

“So, it was right, of course, that the police reacted as quickly as they did to dampen down some of the types of posts that we were witnessing, you know, saying that there were other things happening throughout the city.”

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‘These were utterly tragic scenes’

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Eyewitnesses describe shock and sadness

Police commentator Graham Wettone also told Sky News the force had done well to quickly combat misinformation spreading online.

He said: “That’s always a problem in today’s day and age, social media taking over so much news reporting, with so many people as well present at the scene where that awful incident took place, mobile phones out, people recording it, and then posting it almost straight away.”

Dal Babu, a former Metropolitan Police chief superintendent, also highlighted it was “unprecedented” that the force “very quickly” gave the ethnicity and race of the suspect.

Speaking to BBC Radio 5 Live, he said: “I think that was to dampen down some of the speculation from the far-right that sort of continues on X even as we speak that this was a Muslim extremist and there’s a conspiracy theory.”

Mr Babu agreed that Merseyside Police appears to have learned lessons from what happened after the Southport stabbings.

He added: “The difficulty we have is in the olden days, when I was policing, you would have a conversation with trusty journalists, print journalists, radio journalists, broadcasting journalists, you’d have a conversation and say look can you please hold fire on sharing this information and people would listen.

“We don’t have that with social media, it’s like the Wild West and anything goes and so puts the police in a very, very difficult position.”

Meanwhile, the police investigation continues.

In central Liverpool, Water Street is cordoned off with police officers and vehicles in place.

Flags, sprays of paint flares and empty bottles still cover the road. Whereas they have been cleared elsewhere along the parade route, here they remain. Chilling symbols of the party, that within moments became a scene of utter horror.

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King Charles urged to seek Canadian apology for historical abuse of British children

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King Charles urged to seek Canadian apology for historical abuse of British children

King Charles and Queen Camilla are being urged to use their visit to Canada to seek an apology for the abuse of British children.

Campaigners have called on them to pursue an apology for the “dire circumstances” suffered by so-called “Home Children” over decades.

More than 100,000 were shipped from orphan homes in the UK to Canada between 1869 and 1948 with many used as cheap labour, typically as farm workers and domestic servants. Many were subject to mistreatment and abuse.

Canada has resisted calls to follow the UK and Australia in apologising for its involvement in child migrant schemes.

King Charles and Mark Carney on Monday. Pic: PA
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King Charles and Mark Carney on Monday. Pic: PA

Campaigners for the Home Children say the royal visit presents a “great opportunity” for a change of heart.

“I would ask that King Charles uses his trip to request an apology,” John Jefkins told Sky News.

John’s father Bert was one of 115,000 British Home Children transported to Canada, arriving in 1914 with his brother Reggie.

“It’s really important for the Home Children themselves and for their descendants,” John said.

“It’s something we deserve and it’s really important for the healing process, as well as building awareness of the experience of the Home Children.

“They were treated very, very badly by the Canadian government at the time. A lot of them were abused, they were treated horribly. They were second-class citizens, lepers in a way.”

More on this story:
The forgotten legacy of British children sent to Canada

John Jefkins
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John Jefkins

John added: “I think the King’s visit provides a great opportunity to reinforce our campaign and to pursue an apology because we’re part of the Commonwealth and King Charles is a new Head of the Commonwealth meeting a new Canadian prime minister. It’s a chance, for both, to look at the situation with a fresh eye.

“There’s much about this visit that looks on our sovereignty and who we are as Canadians, rightly so.

“I think it’s also right that in contemplating the country we built, we focus on the people who built it, many in the most trying of circumstances.”

The issue was addressed by the then Prince of Wales during a tour of Canada in May 2022. He said at the time: “We must find new ways to come to terms with the darker and more difficult aspects of the past.”

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King Charles and Queen Camilla are on a two-day visit to Canada.

On Tuesday, the King will deliver the Speech from the Throne to open the 45th session of Canada’s parliament.

Camilla was made Patron of Barnardo’s in 2016. The organisation sent tens of thousands of Home Children to Canada. She took on the role, having served as president since 2007.

Buckingham Palace has been contacted for comment.

A spokesperson for the Canadian government said: “The government of Canada is committed to keeping the memory of the British Home Children alive.

“Immigration, Refugees and Citizenship Canada deeply regrets this unjust and discriminatory policy, which was in place from 1869 to 1948. Such an approach would have no place in modern Canada, and we must learn from past mistakes.”

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Ministers considering scrapping two-child benefit cap, education secretary says

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Ministers considering scrapping two-child benefit cap, education secretary says

Ministers are considering scrapping the two-child benefit cap, the education secretary told Sky News.

Bridget Phillipson, asked by Wilfred Frost on Sky News Breakfast if the cap should be lifted, said: “It’s not off the table.

“It’s certainly something that we’re considering.”

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The policy means most families cannot claim means-tested benefits for more than their first two children born after April 2017.

Ms Phillipson’s comments are the strongest a minister has made about the policy potentially being scrapped.

Analysis by The Resolution Foundation thinktank over the weekend found 470,000 children would be lifted out of poverty if parents could claim benefits for more than two children.

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However, Ms Phillipson said the government inherited a “really difficult situation” with public finances from the Conservative government.

“These are not easy or straightforward choices in terms of how we stack it up, but we know the damage child poverty causes,” she added.

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Why did Labour delay their child poverty strategy?

The education secretary, who is also head of the government’s child poverty taskforce, said ministers are trying to help in other ways, such as expanding funded childcare hours and opening free breakfast clubs.

She said it is “the moral purpose of Labour governments to ensure that everyone, no matter their background, can get on in life”.

Her “personal mission” is to tackle child poverty, she said.

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Sir Keir Starmer is said to have privately backed abolishing the two-child limit and requested the Treasury find the £3.5bn to do so, The Observer reported on Sunday.

The government’s child poverty strategy, which the taskforce is working on, has been delayed from its original publication date in the spring.

Whether to scrap the two-child benefit cap is one of the main issues it is looking at.

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