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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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Why suspended Labour MPs clearly hit a nerve with Starmer

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Why suspended Labour MPs clearly hit a nerve with Starmer

After a tricky few weeks for the government, in which backbenchers overturned plans to cut back welfare spending, now a heavy hand to get the party into line.

Three newly-elected MPs, Neil Duncan-Jordan, MP for Poole, Brian Leishman, MP for the new Alloa and Grangemouth constituency, and Chris Hinchcliff, for North East Herefordshire, have all had the whip suspended.

Rachael Maskell, MP for York Central, who was first elected a decade ago, is the fourth.

Politics latest: Labour MP ‘appalled’ after Starmer suspends rebels

They will all sit as independent MPs and will not be allowed to stand for Labour at the next election, unless readmitted. All appear to be surprised – and upset.

Three more have lost plum roles as trade enjoys – Dr Rosena Allin-Khan, Bell Ribeiro-Addy and Mohammed Yasin, all on the left of the party.

All were active in the rebellion against the government’s welfare reforms, and voted against the changes even after a series of U-turns – but were among 47 Labour MPs who did so.

When MPs were told after the welfare vote that Number 10 was “fully committed to engaging with parliamentarians”, this was not what they were expecting.

We’re told the reasons for these particular suspensions go wider – over “persistent breaches of party discipline” – although most are not high profile.

In the scheme of things, Jeremy Corbyn and John McDonnell rebelled against the Labour whip hundreds of times under New Labour, without being suspended.

But these MPs’ pointed criticism of the Starmer strategy has clearly hit a nerve.

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Suspended MP: ‘There are lines I will not cross’

Maskell – who was referred to, jokingly, in the House of Commons earlier this month by Tory MP Danny Kruger as “the real prime minister” – led the rebellion against cuts to winter fuel allowance which triggered a U-turn which she said would still leave pensioners in fuel poverty.

There was an attack on the government’s values. Duncan-Jordan, a trade unionist who won the Poole seat by just 18 votes, led the welfare rebellion, telling Sky News the proposed cutbacks were “not a very Labour thing to do”.

Hinchliff, who has also opposed the government’s housebuilding strategy and plans to expand Luton airport,had told his local paper he was willing to lose the whip over welfare cuts if necessary. He also has a marginal seat, won by fewer than 2,000 votes.

Read more:
Who are the suspended Labour MPs?

Leishman, a former pro golfer, has also been vocal about government plans to close the refinery in his Grangemouth constituency after promising to try and make it viable. They are MPs who the leadership fear are going for broke – and that’s concerning as more tough decisions on spending are likely to come.

But after a poorly-handled welfare vote, in which MPs seemed to be in the driving seat forcing changes, will this instil a sense of discipline over the summer break?

While some MPs will see this as a deterrent to rebellion, for those whose chances of re-election are small, it may continue to be seen as a price worth paying.

To other Labour MPs, the move is confusing and may be counter-productive. One Labour MP on the left told me: “So, we’re suspending people for winning an argument with the government?”

Another, in the centre, feared it looked divisive, saying: “We need to go into the summer focused on the opposition – not involved in our melodramas.”

Number 10 wants to show rebelling comes at a price – but many Labour MPs with concerns about their political direction will want to know the prime minister is planning to listen to concerns before it gets to that point.

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‘Betrayed’ Afghan interpreter says family ‘waiting for death’ under Taliban after UK military data breach

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'Betrayed' Afghan interpreter says family 'waiting for death' under Taliban after UK military data breach

An Afghan interpreter who worked with the British military has told Sky News he feels “betrayed by the British government” after a massive data breach saw his personal details revealed.

Ali, whose name has been changed to protect his identity, had long suspected his details had been shared with the Taliban – but found out just yesterday that he was a victim of the breach three years ago.

He is now even more fearful for the lives of family members still in Afghanistan, who are already in hiding from the Taliban.

Ali worked alongside British soldiers in Helmand Province to help them speak with Afghan people. His job also involved listening in on Taliban radio communications and translating them for the British forces.

“The Taliban called us the British eyes,” he told Sky News. “Because they think if we are not on the ground with them, the British force cannot do anything.

“They know that you’re listening to their chatting and the British forces are acting according to our translation. We were always the first target and our job was always full of risk.”

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Here’s what the public couldn’t know until now.

After the Taliban seized power in Afghanistan in 2021, Ali – who had already suffered injuries after the Taliban targeted him with a car bomb – was brought to the UK through the British government’s Afghan Resettlement Programme (ARP) for his own protection.

Once in the UK, he began to suspect his data had been leaked after his father “died because the Taliban took him into custody and beat him”.

Ali contacted the Ministry of Defence to raise concerns over his personal information last year, and stated in an email that he was “terrified”, adding: “I beg of you, do not pass this information to anyone.”

“They just ignored what I told them and they never replied,” he said.

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Afghans being relocated after data breach

‘The Taliban want me’

Following confirmation that the data breach did take place, Ali is even more scared for the lives of his family members who have already been in hiding from the Taliban for around five months.

I’m feeling terrible and frustrated,” he said. “My family’s details have been shared with the Taliban intelligence forces and now they are looking for them.

“Every day, every single minute, my family’s waiting for their death, because if anyone comes to knock the door, they think that that is the Taliban.”

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Ali has twice applied for his family to be relocated to the UK but both applications have been rejected. He is now renewing his call for the British government to move his loved ones.

“I have carried the body of the British soldier,” he said. “I feel betrayed by the British government. They should relocate my family to a safe place.”

Read more:
Afghan man pleads for King’s help after data leak
How Afghan data breach unfolded
‘Serious questions to answer’ over data breach, says PM

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Ali has decided he will return to his homeland to help his family if they are not granted legal passage to the UK.

“If we don’t win [the case], I have decided I want to go back to Afghanistan and finish this,” he said. “The Taliban want me. If the British government can’t save my family, then I have this one responsibility to go and save them.

“I don’t want my family being killed for something they didn’t do.”

Sky News has contacted the Ministry of Defence for comment.

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Weather: Temperatures set to hit 30C in parts of UK this week

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Weather: Temperatures set to hit 30C in parts of UK this week

Temperatures are set to hit 30C in some parts of the UK this week.

Highs of 28C can be expected on Thursday before temperatures are forecast to peak at 30C in London on Friday, Met Office meteorologist Jonathan Vautrey said.

Other areas in southeast England will push towards the high 20s on Friday, where the average temperature in July is around 23C.

Find out the weather forecast for where you are

“We’re starting to see south-westerly winds come in, that’s bringing in hotter and more humid conditions, particularly in southern areas, we are going to see temperatures climbing again,” Mr Vautrey said.

“Friday is looking to be the peak of the current hot spell. This heat is not going to be as widespread as what we’ve just come out of, areas to the north aren’t going to be seeing the same highs.”

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Much of England at risk of drought

But the weather is set to turn later in the week, with a chance of heavy rain and thunderstorms across the UK on the weekend, Mr Vautrey said.

Temperatures will start to slowly drop but are still expected to reach 28C or 29C on Saturday and 25C on Sunday.

It comes after temperatures soared past 30C in parts of the UK last week – as the country had its third heatwave of the year.

A yellow thunderstorm warning has been issued for much of Northern Ireland from 11am until 8pm on Thursday, and this unsettled weather is forecast to spread across more of the UK.

Heavy showers and a few thunderstorms may cause some disruption, particularly to travel, with between 30mm and 40mm of rainfall over a few hours in Northern Ireland, the Met Office said.

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Is this the UK’s hottest year?

Meanwhile, Southern Water has become the latest company to bring in a hosepipe ban as England battles exceptionally dry weather.

Restrictions like watering gardens, filling paddling pools or washing cars would come in for households in Hampshire and the Isle of Wight from Monday, the company said.

Read more:
Extreme UK weather ‘becoming the norm’

East and West Midlands officially in drought – which areas could be next?
Hosepipe bans hit more households – what you need to know

It has been the driest start to the year since 1976 for England, causing many water companies to bring in hosepipe bans.

Rainfall across England was 20% less than the long-term average for June, the Environment Agency said. This June was the hottest on record for the country.

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