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NHS unions have reached a pay deal with the government in a major breakthrough that could herald the end of strikes by frontline staff in England.

The offer consists of a one-off payment of 2% of their salary for the current financial year 2022/23 and a 5% pay increase for 2023/24.

It will apply to key NHS workers including nurses and paramedics but not junior doctors, who are involved in a separate dispute over pay and conditions.

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Health Secretary Steve Barclay said the deal means a newly qualified nurse will get more than £1,800 this year on top of a pay rise of more than £1,300 next year.

He said: “I hugely admire the incredible work of NHS staff, including during the pandemic and the progress they have made to tackle the resulting backlog.

“This offer will give nurses, paramedics, physiotherapists and other non-medical staff a fair pay rise while protecting our commitment to halve inflation.”

The offer will now be put to union members for a vote, with industrial action paused during that process.

The Royal College of Nursing, GMB and Unison said they will recommend their members accept the offer – but Unite said it was not good enough.

The unions represent a wide variety of health staff including nurses, paramedics, 999 call handlers, midwives, security guards and cleaners.

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PM ‘delighted’ on NHS pay settlement

Sharon Graham, general secretary of Unite, said the decision ultimately lay with members and strikes will be paused while they are consulted on the deal.

But she added: “The offer from government is not one that Unite can recommend to our members.

“It is clear that this government does not hold the interest of workers or the NHS at heart. Their behaviour and disdain for NHS workers and workers generally is clear from their actions.

“Britain has a broken economy and workers are paying the price.”

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NHS strikes have forced govt into action due to waiting time targets


Liz Bates is a political correspondent

Liz Bates

Political correspondent

@wizbates

It looks like the government could be on the brink of a breakthrough with striking NHS workers, who will now vote on the latest pay offer.

For months, ministers insisted that they could not budge on pay because they needed to prioritise the public finances and did not want to risk rising wages fuelling inflation.

But that position seems to have softened over the past few weeks and now we see the purse strings have been loosened and some extra cash has suddenly been found.

So why the shift?

Whilst it appeared that Number 10 were – in the early stages – willing to tough out industrial action across a range of sectors, the longer it goes on the more political damage it does.

Day-to-day strikes are disrupting the public in many aspects of their lives, from getting to work to getting vital NHS treatment, and the finger of blame always tends, in the end, to point to those in power.

But the walkouts in the NHS have also created a very specific political problem for the prime minister who has made reducing waiting lists one of his five key pledges – a target he will not be able to hit whilst workers are on the picket line.

So, it is no surprise that this is the area that has been the focus of the most intense negotiations.

Ministers will now be hoping that if a deal is done with this sector others will follow and they will be able to tell voters that broken Britain is slowly but surely getting fixed.

‘Extra 2.5bn put on table’

Other unions were more welcoming of the agreement, even as they acknowledged it was “far from perfect”.

Unison said the one-off payment is worth £1,655 for staff at the bottom of band two (for example porters, cleaners and healthcare assistants), £2,009 for staff at the top of band five (nurses, midwives, physiotherapists), £2,162 at the top of band six (paramedics, health visitors, senior occupational therapists) and £3,789 for staff at the top of band nine.

Rachel Harrison, GMB National Secretary, said the offer is a “huge uplift for the lowest paid to keep them well above the Real Living Wage” as she called the offer “reasonable”.

She said the deal was reached after the government agreed to put an extra £2.5bn on the table to fund the pay increases.

“GMB members should rightly be proud of themselves. It’s been a tough road but they have faced down the Department of Health and won an offer that we feel is the best that can be achieved at this stage through negotiation,” Ms Harrison added.

She said progress has also been made on non-pay demands, such as addressing violence in the workplace.

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‘It is a decent sum of money’ says Head of Health at UNISON Sara Gorton.

Nursing staff ‘vindicated’

RCN General Secretary and Chief Executive, Pat Cullen, also welcomed the agreement, saying: “The government was forced into these negotiations and to reopen the pay award as a result of the historic pressure from nursing staff. Members took the hardest of decisions to go on strike and I believe they have been vindicated today.”

It is not clear how the pay rises will be funded, with the government previously saying money for wage increases would have to come out of the budget for frontline services.

When questioned on this Mr Barclay deferred to the Treasury, saying only that it “would not come from areas of the budget that impact on patients”.

Nurses protest during a strike by NHS medical workers, amid a dispute with the government over pay, outside St Thomas' Hospital, in London, Britain, February 6, 2023. REUTERS/Peter Nicholls

Prime Minister Rishi Sunak also insisted frontline services will “absolutely not” be affected by the pay deal to end strikes but would not say how the package will be funded.

Pressed during a visit to a south London hospital on whether patient care would be hit, the prime minister said: “Absolutely not. We’re going to be making sure we protect all frontline services with £14bn of more funding we announced at the end of last year.”

He said the deal is “fair and reasonable” and recognises the “fantastic” work NHS staff do while being affordable for the taxpayer.

“It’s a good example of this government getting things done and delivering for the British people,” he said.

Striking NHS junior doctors on the picket line outside Queen Elizabeth hospital in Birmingham as the British Medical Association is holding a 72-hour walkout in a dispute over pay. Picture date: Wednesday March 15, 2023.
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Junior doctors are not part of the deal offered by the health secretary

Ambulance members of Unison and Unite were due to strike next Monday and physiotherapists were going to walkout later this month but the action has been called off

Other strikes involving nurses and paramedics were paused earlier this month after the government finally agreed to talk about pay.

At the heart of the dispute was a demand for an increase for the current financial year, which ministers initially insisted was not affordable.

Tens of thousands of nurses, paramedics and other healthcare staff went on strike just before Christmas, then again in January and February.

Last month, the government finally agreed to talk about pay, averting several planned walkouts that would have seen thousands more operations cancelled.

The British Medical Association, which represents junior doctors, has called on Mr Barclay to meet with them tomorrow to discuss pay, following a 72-hour walkout earlier this week.

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‘My voice box was removed after NHS missed my throat cancer’

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'My voice box was removed after NHS missed my throat cancer'

Steve Barton is angry, and he has every right to be.

The 68-year-old retired engineer stares at his medical notes that, he says, expose in black and white the moment his life changed forever.

“I have somehow missed… due to my mistake,” a doctor writes in one of the notes, after it became apparent that Mr Barton had not been urgently referred to specialists over what later became an aggressive form of throat cancer.

Steve now has a prosthetic voice box and is one of many British patients fighting medical negligence claims after being misdiagnosed.

NHS officials in Scotland are dealing with thousands of cases annually. Meanwhile, Westminster’s Public Affairs Committee (PAC) recently disclosed England’s Department of Health and Social Care has set aside £58.2bn to settle clinical lawsuits arising before 2024.

Mr Barton, who lives in Alloa near Stirling, repeatedly contacted his doctors after he began struggling with his breathing, speaking and swallowing. His concerns were recorded by the NHS as sinus issues.

As panic grew and his voice became weaker, Mr Barton paid to see a private consultant who revealed the devastating news that a massive tumour had grown on his larynx and required part of his throat to be removed immediately.

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“I am angry, I am upset, I don’t want anyone else to go through this,” Mr Barton told Sky News.

“There were at least four, possibly five, conversations on the phone. He [the doctor] said to me that it sounds like I’ve got reflux.”

‘He was palmed off’

Mr Barton is now unable to work and cannot shower by himself because if water enters the hole in his neck, he could drown.

And a windy day can cause a debilitating coughing fit if a gust catches his prosthetic voice box.

Steve in hospital
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Steve Barton is one of thousands battling medical negligence cases

Asked if he believes this was avoidable, Mr Barton replied: “Absolutely. 100%.”

His wife, Heather, told Sky News: “He hates this. You see him crying. It breaks my heart. It’s been hard emotionally.”

She added: “Everybody knows their own body. He was palmed off and the consequence is a neck dissection. It [life] changed overnight.”

Legal battle over compensation

The Barton family have been locked in a legal battle over their ordeal with the Medical and Dental Defence Union Scotland (MDDUS) – a body which indemnifies GPs.

It has not admitted formal liability in this case but has agreed to settle financial compensation to Mr Barton.

Steve

Izabela Wosiak, a solicitor from Irwin Mitchell who represents the Bartons, said: “Cases like Steve’s are complex and usually quite difficult, but solicitors have accepted there was no defence to this case.

“They have arranged to make an interim payment; however we are still in the process of negotiating final settlement.”

A MDDUS spokeswoman refused to comment while talks are being finalised.

What is the scale of medical negligence in Britain?

The NHS in Scotland is under the devolved control of the Scottish government.

Figures suggest there were almost 14,000 clinical negligence claims and incidents in 2023/24, an increase on the previous year.

It comes as PAC warned that the total liabilities in England’s health service has hit £58.2bn.

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PAC chair Sir Geoffrey Clifton-Brown MP told Sky News: “I extend my sympathies to Steve and his family. Unfortunately, he is not alone.

“Some are really heart-wrenching tales. Every single claim somebody is involved, someone has been in some way injured, so this is a terrible thing.

“We are going to be working on how we can make the whole system less litigious and get compensation paid out quickly because if the state does harm to somebody, the least they could do is to compensate them as quickly as possible.”

Paul Whiteing, the chief executive of patient safety charity Action Against Medical Accidents, told Sky News: “The NHS itself last year [in England] paid out just over £5bn in compensational set aside money for compensation that it would need to pay out.

“It’s a huge cost and of course that doesn’t speak to the cost to every individual, every family, every person who is impacted by the consequences of some form of medical accident and the trauma that can go with that.”

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‘Shameful’ that black boys in London more likely to die than white boys, says Met Police chief

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'Shameful' that black boys in London more likely to die than white boys, says Met Police chief

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

In a wide-ranging interview with Sunday Morning with Trevor Phillips, the commissioner said that relations with minority communities are “difficult for us”, while also speaking about the state of the justice system and the size of the police force.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

“The challenge for us is, as we reach in to tackle those issues, that confrontation that comes from that reaching in, whether it’s stop and search on the streets or the sort of operations you seek.

“The danger is that’s landing in an environment with less trust.

“And that makes it even harder. But the people who win out of that [are] all of the criminals.”

Met Police Commissioner Sir Mark Rowley said racism is still an issue in the force
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Met Police Commissioner Sir Mark Rowley

The commissioner added: “I’m so determined to find a way to get past this because if policing in black communities can find a way to confront these issues, together we can give black boys growing up in London equal life chances to white boys, which is not what we’re seeing at the moment.

“And it’s not simply about policing, is it?”

Sir Mark said: “I think black boys are several times more likely to be excluded from school, for example, than white boys.

“And there are multiple issues layered on top of each other that feed into disproportionality.”

‘We’re stretched, but there’s hope and determination’

Sir Mark said the Met is a “stretched service” but people who call 999 can expect an officer to attend.

“If you are in the middle of the crisis and something awful is happening and you dial 999, officers will get there really quickly,” Sir Mark said.

“I don’t pretend we’re not a stretched service.

“We are smaller than I think we ought to be, but I don’t want to give a sort of message of a lack of hope or a lack of determination.”

“I’ve seen the mayor and the home secretary fighting hard for police resourcing,” he added.

“It’s not what I’d want it to be, but it’s better than it might be without their efforts.”

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How police tracked and chased suspected phone thief

‘Close to broken’ justice system ‘frustrating’ and ‘stressed’

Sir Mark said the criminal justice system was “close to broken” and can be “frustrating” for others.

“The thing that is frustrating is that the system – and no system can be perfect – but when the system hasn’t managed to turn that person’s life around and get them on the straight and narrow, and it just becomes a revolving door,” he said.

“When that happens, of course that’s frustrating for officers.

“So the more successful prisons and probation can be in terms of getting people onto a law-abiding life from the path they’re on, the better.

“But that is a real challenge. I mean, we’re talking just after Sir Brian Leveson put his report out about the close-to-broken criminal justice system.

“And it’s absolutely vital that those repairs and reforms that he’s talking about happen really quickly, because the system is now so stressed.”

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Leveson explains plans to fix justice system

Challenge to reform the Met

The Met chief’s comments come two years after an official report found the force is institutionally racist, misogynistic and homophobic.

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Baroness Casey insisted the Met deserved.

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However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

Watch the full interview on Sunday Morning with Trevor Phillips from 8.30am on Sunday.

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More than 70 arrests at protests over Palestine Action ban

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More than 70 arrests at protests over Palestine Action ban

More than 70 people have been arrested at protests against Palestine Action being designated a proscribed terrorist group.

Protesters gathered for the second week in a row in central London, where the Metropolitan Police made 42 arrests.

Other demonstrations took place around the UK, including in Manchester, where police said 16 arrests were made, in Cardiff, where South Wales Police arrested 13 people, and in Leeds, where West Yorkshire Police made one arrest.

In London, two groups of protesters gathered underneath statues of Mahatma Gandhi and Nelson Mandela in Parliament Square, shortly before 1pm.

They wrote the message “I oppose genocide, I support Palestine Action” on pieces of cardboard and silently held the signs in the air as they were surrounded by police officers and members of the media.

Police officers remove a person after they took part in a pro-Palestine Action protest in Parliament Square, London. Pic: PA
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Police officers remove a person. Pic: PA

Police with demonstrators as they take part in a protest in Parliament Square, London. Pic: PA
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Police with demonstrators in Parliament Square. Pic: PA

Some demonstrators could be seen lying on top of each other on the floor as police searched their bags, and took their ID cards and signs.

Officers then carried away a number of protesters, lifting them off the ground and into waiting police vans.

The last protester was lifted from the Nelson Mandela statue shortly after 2.30pm.

Forty-one of the 42 arrests at the London protest were for showing support for a proscribed organisation, while one person was arrested for common assault, the Met Police said.

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People take part in a protest in Parliament Square, London, to call for de-proscription of Palestine Action. Pic: PA
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People take part in a protest in Parliament Square, London. Pic: PA

Palestine Action’s terror group designation means membership of, or support for, the group is a criminal offence punishable by up to 14 years in prison.

Greater Manchester Police said it had arrested 16 people under the Terrorism Act 2000 after responding to a protest in St Peter’s Square at around 2.30pm.

Police lead a protester away in Manchester
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Police lead a protester away in Manchester

South Wales Police confirmed 13 people were arrested on suspicion of offences under the same act in the vicinity of Central Square in Cardiff.

West Yorkshire Police said a person was arrested in Leeds on suspicion of demonstrating support for Palestine Action.

The Met Police arrested 29 people at a similar protest last weekend.

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Scotland Yard has said its stance remains that officers will act where criminal offences, including support of proscribed groups or organisations, are committed.

It added that this includes “chanting, wearing clothing or displaying articles such as flags, signs or logos”.

The move to ban Palestine Action came after two aircraft were damaged at RAF Brize Norton in Oxfordshire last month.

Police said the incident caused around £7m worth of damage.

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