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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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‘Britain’s strictest headteacher’ Katharine Birbalsingh criticises Education Secretary over ‘appalling’ schools bill

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'Britain's strictest headteacher' Katharine Birbalsingh criticises Education Secretary over 'appalling' schools bill

Educators are split over the government’s proposed Children’s Wellbeing and Schools Bill, with some saying the move will improve fairness and accountability and others warning it could limit innovation in academy schools.

Pushed by the Department for Education (DfE) as a means to reform the education system, the bill seeks to improve school standards, strengthen attendance policies, and ensure that children receive a well-rounded education that prioritises their wellbeing.

The legislation also includes measures to increase school accountability, particularly for academies, by giving more oversight to the DfE.

Katharine Birbalsingh, headteacher of Michaela School in Wembley, north London, called it “absolutely appalling”.

“I’m just really concerned because, at the moment, school leaders have the freedom to do various things that are right for their intake,” she told Sky News.

“This bill will take those freedoms away.”

Ms Birbalsingh, also known as ‘Britain’s strictest headteacher’, added: “We got unlucky because we could have had Wes Streeting as education secretary, which would have been fine. Unfortunately, we got her [Bridget Phillipson].

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“She [Ms Phillipson] is so arrogant. She’s just marched in there and gone, ‘I know what I’m doing, I’ll just do what I want’.”

But some argue that academies are left to their own devices and have a lack of accountability when it comes to things like parental complaints.

The bill will require all schools to follow the national curriculum and employ teachers who have Qualified Teacher Status (QTS) or are working towards it.

The founder of the Oasis Academies, Steve Chalke
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Steve Chalke, founder of Oasis Academies

The founder of Oasis Academies, Steve Chalke, told Sky News: “We’re excited about the changes because we feel that education has been in a very, very poor place for the last decade or more.

“Schools have been stripped of resources and there have been giant problems about the recruitment and retention of teachers.

“We feel that this important bill is beginning to address all of those issues.”

The bill plans to provide all primary school children with breakfast, alongside uniform limits.

This would prevent schools from having more than three items of branded uniform clothing, potentially addressing concerns parents have about the cost of uniforms.

Mr Chalke said: “I am a fan of working hard collaboratively to create the best opportunities for any and every young person and their family.

“Because behind every struggling child is normally a parent who’s struggling with that.”

He added: “We at Oasis are excited about all of this, but that doesn’t mean we don’t have questions.

“It doesn’t mean that we’re being led blindly down the road, but our job is to be engaged in the discussion about how academies work more widely with their local authorities.”

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February: Govt’s overhauling of Ofsted inspections

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The bill will also give local authorities greater control over the pupil admission process.

Ms Birbalsingh said: “Any council could decide to reduce the number of children in one school and therefore reduce the money at that school and give more pupils to another school that’s struggling.”

Mr Chalke said: “Educational academy boards, academy groups, need to be accountable in strong partnership with others. And if this bill delivers everything it promises, wow. I think [it] will be an extraordinary outcome.”

Empty classroom chairs TOP
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The bill will give local authorities greater control over the pupil admission process

The bill is set to be debated further in the coming weeks as it moves through parliament.

A DfE spokesperson said: “This government is determined to drive high and rising standards for every child through our Plan for Change, to ensure every family has a good local school for their child.

“Our landmark Children’s Wellbeing and Schools Bill delivers on this mission, getting high-quality teachers into every classroom, and ensuring there is a floor on pay and no ceiling.

“These measures will make sure we are giving every child an education as good as the best.”

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Labour MPs Yuan Yang and Abtisam Mohamed denied entry and deported from Israel

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Labour MPs Yuan Yang and Abtisam Mohamed denied entry and deported from Israel

Two Labour MPs have been denied entry to Israel and deported.

Yuan Yang and Abtisam Mohamed were rejected because they were suspected of plans to “document the activities of security forces and spread anti-Israel hatred”, according to a statement from the Israeli immigration ministry.

Ms Yang, who represents Earley and Woodley, and Ms Mohamed, the MP for Sheffield Central, both flew to the country from Luton on Saturday.

According to a statement from the Israeli immigration ministry, they were accompanied by two assistants and during questioning, the MPs claimed they were visiting Israel “as part of an official parliamentary delegation”.

The ministry branded their claim as “false”, but UK Foreign Secretary David Lammy reacted to news of the MPs’ detention saying their treatment while “on a parliamentary delegation to Israel” was “unacceptable”.

In their own statement, the two women said they were “astounded at the unprecedented step taken by the Israeli authorities”.

“It is vital that parliamentarians are able to witness, first-hand, the situation in the occupied Palestinian territory,” the statement said.

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“We are two, out of scores of MPs, who have spoken out in Parliament in recent months on the Israel-Palestine conflict and the importance of complying with international humanitarian law. Parliamentarians should feel free to speak truthfully in the House of Commons, without fear of being targeted.”

They said they had travelled to “visit humanitarian aid projects and communities in the West Bank” with “UK charity partners who have over a decade of experience in taking parliamentary delegations”.

“We thank them, the staff of the British Embassy in Tel Aviv, the British Consulate in Jerusalem, the Middle East minister and the Foreign Secretary for their tireless support,” the statement concludes.

Israel’s UK embassy said the MPs were denied entry because they had “accused Israel of false claims, were actively involved in promoting sanctions against Israeli ministers, and supported campaigns aimed at boycotting the state of Israel”.

Its statement said the women “chose not to exercise their right under Israeli law to petition the court to reconsider the decision”.

As a result, they were “offered hotel accommodation, which they declined” and their return flight was covered by the Israeli state.

“The visit was intended to provoke anti-Israel activities at a time when Israel is at war and under attack on seven fronts. Its purpose was to harm Israel and Israeli citizens and spread falsehoods about them,” the statement added.

“The state of Israel has both the authority and the duty to prevent the entry of individuals whose presence in the country is intended to cause harm to its citizens – just as such authority exists in the United Kingdom.”

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Mr Lammy said in a statement to Sky News: “It is unacceptable, counterproductive, and deeply concerning that two British MPs on a parliamentary delegation to Israel have been detained and refused entry by the Israeli authorities.

“I have made clear to my counterparts in the Israeli government that this is no way to treat British parliamentarians, and we have been in contact with both MPs tonight to offer our support.

“The UK government’s focus remains securing a return to the ceasefire and negotiations to stop the bloodshed, free the hostages and end the conflict in Gaza.”

In an interview with Sky’s Trevor Phillips, chief secretary to the treasury Darren Jones echoed Mr Lammy’s accusation of “unacceptable” behaviour by the Israelis.

But Conservative leader Kemi Badenoch told Sunday Morning With Trevor Phillips that “every country should be able to control its borders” and “that’s what Israel is doing” because they “gave reasons why those people shouldn’t have come in based on their laws”.

“It’s really important, I believe, to respect those countries’ decisions,” she told Sky News.

Ms Badenoch also said she is “very concerned” about the “rhetoric” on the Middle East from Labour MPs – and six independents – and therefore she was “not surprised” by the move of Israeli border officials.

She claimed there is “a lot of repeating of misinformation, repeating of conspiracy theories” during Prime Minister’s Questions.

“I see Labour MPs standing up and saying things which even Keir Starmer has to disagree with and shut down at PMQs,” she added.

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Artist behind Trump portrait branded ‘the worst’ by president says her business is ‘in danger of not recovering’

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Artist behind Trump portrait branded 'the worst' by president says her business is 'in danger of not recovering'

An artist whose official portrait of Donald Trump was publicly criticised by the president said her business is now “in danger of not recovering”.

The Republican leader made headlines at the end of last month when, in a post on his Truth Social platform, he said the portrait hanging in Colorado’s State Capitol had been “purposefully distorted”.

Following the criticism, officials said the portrait would be taken down and it has since been removed.

Sarah Boardman, the British artist who painted the Trump portrait, said in a statement to Sky News she felt her “intentions, integrity, and abilities” had been “called into question” when the president criticised the oil painting.

In his post, Mr Trump said a portrait by the same artist of former US president Barack Obama was “wonderful” but “the one on me is truly the worst”.

Sarah Boardman. Pic : AP
Image:
Sarah Boardman. Pic : AP

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Referring to Ms Boardman, whose collection of official portraits also includes one of former president George W Bush, Mr Trump said “she must have lost her talent as she got older”.

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Trump’s portrait to be taken down

He then added: “In any event, I would much prefer not having a picture than having this one.”

Almost two weeks since the criticism, Ms Boardman has now responded saying her business has been detrimentally impacted.

She said: “President Trump is entitled to comment freely, as we all are, but the additional allegations that I ‘purposefully distorted’ the portrait, and that I ‘must have lost my talent as I got older’ are now directly and negatively impacting my business of over 41 years which now is in danger of not recovering.”

The artist also described how “for the six years that the portrait hung in the Colorado State Capitol Building Rotunda, I received overwhelmingly positive reviews and feedback”.

“Since President Trump’s comments, that has changed for the worst,” she added.

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Ms Boardman said the Colorado State Capitol Advisory Committee, Denver, commissioned her to paint the official portrait of President Trump for the Denver State Capitol Gallery of Presidents.

“The reference photograph and my subsequent ‘works in progress’ were all approved, throughout that process, by that committee,” she said.

“I completed the portrait accurately, without ‘purposeful distortion’, political bias, or any attempt to caricature the subject, actual or implied. I fulfilled the task per my contract.”

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