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Hospital leaders have expressed serious concerns about how they will maintain patient safety as the health service enters “unchartered territory” during “unprecedented” strike action next week.

Junior doctors who are training in England will stage their longest walkout so far between 11 and 15 April.

The 96-hour strike is likely to be the most disruptive in the history of the health service due to the length of the action and the fact doctors have chosen to stage it directly after a long bank holiday weekend.

The bank holiday traditionally causes disruption to the NHS even without the prospect of strike action.

The walkout also coincides with the Easter school holidays, which means many consultant staff who provided cover during the first round of strikes will be unable to do so again due to pre-planned holidays and childcare commitments.

NHS Providers, which represents NHS trusts, said the timing of the strike and its duration present a “range of challenges over and above the disruption seen from the industrial action in recent months”.

It said that during the strike, the NHS will focus resources on emergency treatment, critical care, maternity, neonatal care and trauma.

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But even in these areas, there are “real concerns of a raised risk to safety”, NHS Providers said.

The strikes could lead to delays for some patients starting treatment – for instance, if a new cancer patient needed to start weekly rounds of chemotherapy, the start of their treatment may be delayed until after the strike action to ensure continuity.

Last month’s 72-hour walkout led to about 175,000 hospital appointments and operations being postponed.

Hospital leaders have raised concerns with NHS Providers about the impact of the strike.

“This is less about what planned routine work gets pulled down and everything about maintenance of safety in emergency departments, acute medicine and surgery,” one hospital trust chief executive said.

“Concerned doesn’t begin to describe it.”

Another said: “I am not confident this time that we can maintain patient safety as we will not be able to provide the cover.”

“Many of the consultants who stepped up to do nights last time are not available or are more reluctant this time,” a third said.

While another added: “Those with families almost certainly won’t as [they] can’t rearrange out of school holidays.”

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Analysis: Where will the money for a 5% pay deal come from?

Sir Julian Hartley, chief executive of NHS Providers, said: “It’s clear from our extensive dialogue with trust leaders that we are in uncharted territory.

“Yet again we are seeing colleagues pull out all the stops to minimise disruption and ensure patient safety. But the challenges here are unprecedented.”

Dr Latifa Patel, workforce lead for the British Medical Association, said: “No one understands better than us, the doctors who care for them, that patients are getting a substandard experience 365 days a year from an overstretched and understaffed NHS.

“In this brutal work environment, patient care is at risk every day due to chronic staff shortages and years of underinvestment in equipment and services.

“Junior doctors have no desire to strike, they been pushed into this action by long-term government inaction and now want to bring this dispute to an end as quickly as possible.

“We hope the health secretary will come to the table immediately with a meaningful pay offer so doctors can avoid more strike action and instead return to doing what they want to be doing: caring for their patients.”

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Why are doctors quitting the NHS?

A department of health and social care spokesperson said: “Four days of strikes by junior doctors will risk patient safety and cause further disruption and postponed treatment.

“The BMA’s demand for a 35% pay rise is totally unreasonable and unaffordable.

“We urge them to come to the table with a realistic approach so we can find a way forward, as we have done with other health unions, which balances fairly rewarding junior doctors for their hard work with meeting the prime minister’s ambition to halve inflation.

“We are working with NHS England to put in place contingency plans to protect patient safety.

“The NHS will prioritise resources to protect emergency treatment, critical care, maternity and neonatal care, and trauma.”

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Mohamed al Fayed: Former royal security head says he warned Royal Family before Diana went on holiday with businessman

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Mohamed al Fayed: Former royal security head says he warned Royal Family before Diana went on holiday with businessman

The former head of royal protection says he warned the Royal Family about Mohamed al Fayed’s reputation before Princess Diana took her sons on holiday with him.

The former Harrods owner, who died last year at the age of 94, was described as a “monster” earlier this week by lawyers representing 37 alleged sexual abuse victims.

The women say he raped and sexually assaulted them while they worked at the luxury department store, prowling the shop floor and “cherry-picking” women to be brought to his executive suite.

Now, Mr Davies says people were aware of the Egyptian businessman’s reputation as far back as the 1990s, and that he raised concerns about him to the Royal Family.

Princess Diana on the quay of the residence of Mohamed Al Fayed in Saint Tropez on 20 July 1997. File pic: AP
Image:
Princess Diana on the quay of the residence of Mohamed al Fayed in Saint Tropez on 20 July 1997. File pic: AP

“This was a man who I would be concerned [about] if a relative of mine was going on holiday with him, let alone the future king and his brother and their mother, Princess Diana,” Dai Davies told Sky News.

Fulham's owner Mohammed Al Fayed during the Barclays Premier League match at Craven Cottage stadium, London. Saturday January 12, 2013.
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Mohamed al Fayed during a match at Craven Cottage stadium in 2013: File pic: PA

In July 1997, a month before she died, Princess Diana went on holiday with Fayed and his wife to their residence in St Tropez.

She took the two young princes with her – a holiday Prince Harry described as “heaven” in his 2023 memoir Spare.

“I was horrified because I was aware of some of the allegations even then that were going around,” said Mr Davies.

“I was aware that he had tried very hard to ingratiate himself with the Royal Family and obviously knowing, as I did, the reputation he was alleged [to have] then, I was concerned, and I took the opportunity to inform the Royal Family.”

Princess Diana, Prince William (right) and Prince Harry (left) in Saint Tropez on 14 July 1997. File pic: AP
Image:
Princess Diana, Prince William (right) and Prince Harry (left) in Saint Tropez on 14 July 1997. File pic: AP

Mr Davies says he was told: “Her Majesty is aware.”

“The rest is history,” he said.

Buckingham Palace told Sky News it had no comment on the allegations.

Fulham ‘deeply disturbed’ by allegations

Fulham FC, a football club that was owned by Fayed between 1997 and 2013, has said it is “deeply troubled” by the dozens of “disturbing” sexual abuse allegations against the businessman.

The Premier League club also said it is “in the process of establishing whether anyone at the club is or has been affected” by this alleged behaviour.

Mohamed al Fayed waves a Fulham scarf in front of supporters in 2012. Pic: Reuters
Image:
Mohamed al Fayed waves a Fulham scarf in front of supporters in 2012. Pic: Reuters

However, Gaute Haugenes, who managed the club’s women’s team between 2001 and 2003, told the BBC extra precautions were taken to protect female players from Fayed.

“We were aware he liked young, blonde girls. So we just made sure that situations couldn’t occur. We protected the players.”

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‘The door was locked behind me’

A former Harrods employee told Sky News she was summoned to Fayed’s apartment when she began working for the department store at 19 years old.

She was told the meeting was a “job review” before “the door was locked behind me”.

“I saw his bedroom door partially open – there were sex toys on view,” she said.

“I felt petrified. I perched myself at the very end of the sofa and then… my boss, the person I worked for, pushed himself onto me.”

Read more: ‘One of the worst cases of corporate sexual exploitation’

Harrods said in a statement on Thursday it was “utterly appalled” by the allegations of abuse and apologised to Fayed’s alleged victims.

The department store has also set up a page on its website inviting former employees to come forward if they have allegations.

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The legal team involved in a civil claim against Harrods for allegedly failing to provide a safe system of work for its employees said they aimed to seek justice for the victims of a “vast web of abuse”.

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Lily Allen says she had her children for ‘all the wrong reasons’

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Lily Allen says she had her children for 'all the wrong reasons'

Lily Allen says she had her children “for all the wrong reasons,” at a “high pressure” point in her career when she felt “overwhelmed”.

The singer and actress had her two daughters, Marnie, 12 and Ethel, 11, with her ex-husband Sam Cooper when she was in her mid-20s.

By the time she became a mum, she’d already had hit singles including Smile and The Fear, released two studio albums and received a Brit Award for best British female solo artist.

Speaking about motherhood on the BBC podcast Miss Me?, which Allen hosts with her long-time friend Miquita Oliver, she said: “I think I had children for all the wrong reasons, really.

“Because I was yearning for unconditional love, which I haven’t felt in my life since I was a child.”

The now 39-year-old star added: “And also, my career was at such high speed, high pressure, and I felt like very overwhelmed by what was happening. I just didn’t get much respite you know?

“And I felt like the only way to stop people hassling me was to say, ‘It’s not about me, actually this is about this other person that’s inside me’.

When asked by Oliver if it worked, Allen says: “Yeah, they did leave me alone. I don’t think I really understood what was happening, what I got myself into.”

The daughter of actor Keith Allen and film producer Alison Owen, she went on to discuss her own childhood.

“My mum, bless her, had children really early as well, and she really struggled. But she doesn’t really talk about the struggle. And so… She inadvertently gaslit me into thinking it was, you know, easy.

“You just sort of throw the kid over your shoulder and you get on with it.

“Her job was very static, and in one place and went to an office and mine wasn’t like that at all. It wasn’t easy. It just wasn’t easy.”

Lily Allen is married to Stranger Things star David Harbour
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Allen is married to Stranger Things star David Harbour

The ‘nasty scars’ caused by absent parents

Allen previously told the Radio Times podcast that while she loves her children, having them “ruined her career”.

She said her decision to prioritise them over her pop career was a decision she made so as not to inflict the “nasty scars” of being an “absent” parent onto them.

She also said the myth of having it all “really annoyed” as it simply was not true.

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Allen, whose younger brother is Game Of Thrones actor Alfie Allen, married Stranger Things star David Harbour in 2020.

Away from her music career, Allen has branched out into acting over the last few years, starring in two plays in London’s West End, and winning a role in Sky drama Dreamland last year.

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Investigation launched into ‘Jail Starmer’ graffiti at MP’s office

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Investigation launched into 'Jail Starmer' graffiti at MP's office

An investigation has been launched after “Jail Starmer” graffiti was daubed on the window of an MP’s office.

The Met Police received an allegation of criminal damage on Saturday in relation to the incident at Clive Efford’s office in Eltham & Chislehurst, South London.

This is a new seat which was won by Labour at the general election, though in 2019 it was notionally Conservative.

On Friday night the window was painted with white graffiti which says “Jail Starmer”.

Sources told Sky News’ political editor Beth Rigby that an image of the vandalism has been circulating among Labour MPs’ WhatsApp groups this morning. However, Mr Efford has downplayed the incident.

There have been growing concerns about the safety of politicians in recent years, following the murders of Jo Cox and Sir David Amess.

MPs have described working in an increasingly hostile environment, with experiences ranging from death threats and abuse to attacks on their constituency offices and protests at their homes.

More on Sir Keir Starmer

Ahead of the general election, Tory MP Mike Freer stepped down over concerns for his personal safety, saying an arson attack on his constituency office was the final straw.

The latest incident comes as the Labour Party Conference is about to kick off in Liverpool.

It is the first time in 15 years the event has been held while the party is in government.

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In a statement, the Met Police said: “On Saturday 21, September, police received an allegation of criminal damage to an office building in Westmount Road SE9.

“Graffiti had been daubed on the premises the previous day.

“An investigation has been launched and enquiries are ongoing.

“Anyone with information is asked to call 101 quoting CAD 2672/21Sep.”

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