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.
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.
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The unions represent a wide variety of health staff including nurses, paramedics, 999 call handlers, midwives, security guards and cleaners.
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0:37
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.”
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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2:14
‘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”.
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.
Image: 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.
The home secretary is set to unveil sweeping measures to tackle illegal migration, vowing to end the UK’s ‘golden ticket’ for asylum seekers.
People granted asylum in the UK will only be allowed to stay in the country temporarily, in the changes expected to be unveiled on Monday by Shabana Mahmood.
Modelled on the Danish system, the aim is to make the UK less attractive for illegal immigrants and make it easier to deport them.
Planned changes mean that refugee status will become temporary and subject to regular review, with refugees removed as soon as their home countries are deemed safe.
The Home Office said the “golden ticket” deal has seen asylum claims surge in the UK, drawing people across Europe, through safe countries, onto dangerous small boats.
Under current UK rules, those granted refugee status have it for five years and can then apply for indefinite leave to remain and get on a route to citizenship.
As part of the changes, the statutory legal duty to provide asylum seeker support, including housing and weekly allowances, will be revoked.
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The government will seek to remove asylum support, including accommodation and handouts, to those who have a right to work and who can support themselves but choose not to or those who break UK law.
Image: Home Secretary Shabana Mahmood. Pic: PA
‘Last chance for a decent politics’
A government source said Ms Mahmood believes her reforms are about “more than the electoral fortunes of her party”.
“This is the last chance for a decent, mainstream politics. If these moderate forces fail, she believes, something darker will follow,” they said.
“But this demands that moderates are willing to do things that will seem immoderate to some. She has reminded those who are reluctant to embrace her ambition for bold reform, with an ultimatum: ‘if you don’t like this, you won’t like what follows me.'”
Ms Mahmood said they were the most sweeping changes to the asylum system “in a generation”, as she vowed the government will “restore order and control to our borders”.
The home secretary also told The Sunday Times that “I can see – and I know my colleagues can – that illegal migration is tearing our country apart”.
The source said Ms Mahmood believes the system is being “gamed by those travelling on boats or abusing legal visas”.
Some 39,075 people have arrived in the UK after making the journey across the Channel so far this year, according to the latest Home Office figures.
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The gangs smuggling people to the UK
That is an increase of 19% on the same point in 2024 and up 43% on 2023, but remains 5% lower than at the equivalent point in 2022, which remains the peak year for crossings.
What happened in Denmark?
The UK government points to Denmark remaining a signatory of the European Convention on Human Rights, while also cutting the number of asylum applications to the lowest number in 40 years and successfully removing 95% of rejected asylum seekers.
What are Denmark’s migration rules?
Denmark has adopted increasingly restrictive rules in order to deal with migration over the last few years.
In Denmark, most asylum or refugee statuses are temporary. Residency can be revoked once a country is deemed safe.
In order to achieve settlement, asylum seekers are required to be in full-time employment, and the length of time it takes to acquire those rights has been extended.
Denmark also has tougher rules on family reunification – both the sponsor and their partner are required to be at least 24 years old, which the Danish government says is designed to prevent forced marriages.
The sponsor must also not have claimed welfare for three years and must provide a financial guarantee for their partner. Both must also pass a Danish language test.
In 2018, Denmark introduced what it called a ghetto package, a controversial plan to radically alter some residential areas, including by demolishing social housing. Areas with over 1,000 residents were defined as ghettos if more than 50% were “immigrants and their descendants from non-Western countries”.
In 2021, the left of centre government passed a law that allowed refugees arriving on Danish soil to be moved to asylum centres in a partner country – and subsequently agreed with Rwanda to explore setting up a program, although that has been put on hold.
Shadow home secretary Chris Philp said the Labour government has “lost control” of the UK’s borders” with illegal channel crossings “surging to over 62,000 since the election”.
He said some of the new measures were welcome but “they stop well short of what is really required and some are just yet more gimmicks – like the previous ‘smash the gangs’ gimmick”.
Mr Philp added: “Only the Conservative borders plan will end illegal immigration – by leaving the ECHR, banning asylum claims for illegal immigrants, deporting all illegal arrivals within a week and establishing a Removals Force to deport 150,000 illegal immigrants each year.”
And Enver Solomon, chief executive of Refugee Council, said: “These sweeping changes will not deter people from making dangerous crossings, but they will unfairly prevent men, women and children from putting down roots and integrating into British life.”
The train crew member who was seriously injured while trying to protect passengers during a mass stabbing has been discharged from hospital.
Samir Zitouni, 48, known as Sam, was working on board the London North Eastern Railway (LNER) train from Doncaster to London when the attack began in Cambridgeshire on Saturday 1 November.
Mr Zitouni had been in a critical condition, having suffered multiple injuries in the incident, but was discharged on Saturday.
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Mahmood praises rail worker
His family said: “We are so grateful for the outpouring of support from the public, and very touched by all the kind words about Sam’s brave actions on the night of the attack.
“While we are really happy to have him home, he still has a significant recovery ahead and we would now like to be left in privacy to care for him as a family.”
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Train mass stabbing: A timeline of events
David Horne, managing director at LNER, said: “In a moment of crisis, Sam did not hesitate as he stepped forward to protect those around him.
“His actions were incredibly brave, and we are so proud of him, and of all our colleagues who acted with such courage that evening. Our thoughts and prayers remain with Sam and his family. We will continue to support them and wish him a full and speedy recovery.”
The attack is understood to have started shortly after the train left Peterborough, with passengers pulling the emergency alarms on the LNER service.
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Police believe train attacker filmed waving knife
Train driver Andrew Johnson, who served in the Royal Navy for 17 years, contacted a signaller and requested an unscheduled stop at Huntingdon station.
11 people were treated in hospital after the mass stabbing – nine were initially reported as having life-threatening injuries.
Anthony Williams, 32, was remanded into custody at Peterborough Magistrates’ Court on November 3, charged with 10 counts of attempted murder over the incident.
He will appear at Cambridge Crown Court on 1 December.
Donald Trump has said he will sue the BBC for between $1bn and $5bn over the editing of his speech on Panorama.
The US president confirmed he would be taking legal action against the broadcaster while on Air Force One overnight on Saturday.
“We’ll sue them. We’ll sue them for anywhere between a billion (£792m) and five billion dollars (£3.79bn), probably sometime next week,” he told reporters.
“We have to do it, they’ve even admitted that they cheated. Not that they couldn’t have not done that. They cheated. They changed the words coming out of my mouth.”
Mr Trump then told reporters he would discuss the matter with Prime Minister Sir Keir Starmer over the weekend, and claimed “the people of the UK are very angry about what happened… because it shows the BBC is fake news”.
The Daily Telegraph reported earlier this month that an internal memo raised concerns about the BBC’s editing of a speech made by Mr Trump on 6 January 2021, just before a mob rioted at the US Capitol building, on its flagship late-night news programme.
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BBC crisis: How did it happen?
The concerns regard clips spliced together from sections of the president’s speech to make it appear he told supporters he was going to walk to the US Capitol with them to “fight like hell” in the documentary Trump: A Second Chance?, which was broadcast by the BBC the week before last year’s US election.
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Following a backlash, both BBC director-general Tim Davie and BBC News chief executive Deborah Turness resigned from their roles.
‘No basis for defamation claim’
On Thursday, the broadcaster officially apologised to the president and added that it was an “error of judgement” and the programme will “not be broadcast again in this form on any BBC platforms”.
A spokesperson said that “the BBC sincerely regrets the manner in which the video clip was edited,” but they also added that “we strongly disagree there is a basis for a defamation claim”.
Earlier this week, Mr Trump’s lawyers threatened to sue the BBC for $1bn unless it apologised, retracted the clip, and compensated him.
Image: The US president said he would sue the broadcaster for between $1bn and $5bn. File pic: PA
Legal challenges
But legal experts have said that Mr Trump would face challenges taking the case to court in the UK or the US.
The deadline to bring the case to UK courts, where defamation damages rarely exceed £100,000 ($132,000), has already expired because the documentary aired in October 2024, which is more than one year.
Also because the documentary was not shown in the US, it would be hard to show that Americans thought less of the president because of a programme they could not watch.
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2:05
Sky’s Katie Spencer on what BBC bosses told staff on call over Trump row
Newsnight allegations
The BBC has said it was looking into fresh allegations, published in The Telegraph, that its Newsnight show also selectively edited footage of the same speech in a report broadcast in June 2022.
A BBC spokesperson said: “The BBC holds itself to the highest editorial standards. This matter has been brought to our attention and we are now looking into it.”
This breaking news story is being updated and more details will be published shortly.