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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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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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Husband describes ‘horror’ as wife fatally hit by van at golf course after police chase

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Husband describes 'horror' as wife fatally hit by van at golf course after police chase

A husband has described how he watched in “helpless horror” as his wife was fatally hit by a van at a golf course after the vehicle was involved in a police chase.

Suzanne Cherry, 62, died in hospital four days after she was struck on the morning of 11 April, Staffordshire Police said.

Two patrol cars had been following the grey Nissan van in Kingstanding, Birmingham, after receiving reports of suspicious activity, according to the Independent Office for Police Conduct (IOPC).

They stopped chasing the van when it came off the road and went up an embankment at Aston Wood Golf Club, where it hit Ms Cherry, of Aldridge, Walsall.

In a statement released by police, Ms Cherry’s husband – who was not named – paid tribute to his “beautiful wife” and said her death leaves an “unfillable void” in the lives of her family.

“While enjoying what should have been the safest of one of Suzanne’s many activities, I watched in helpless horror as the life of my beautiful wife and our future together was snatched away in an instant,” he said.

Ms Cherry’s husband said she had “an amazing and infectious zest for life”, adding: “Suzanne leaves a legacy and an unfillable void in the lives of her mother Maureen, her three adult children, two step-children and countless others from her work, her sporting activities and social circle.

“Sue was loved, and will be painfully missed by her entire family and friends, we ask that our privacy at this difficult time be respected.”

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Officers from three different forces have arrested six men in connection with the incident.

The IOPC is continuing to investigate the circumstances before the collision.

Police are continuing to appeal for witnesses to come forward.

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Prince Andrew joins King and Queen at Easter Sunday church service

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Prince Andrew joins King and Queen at Easter Sunday church service

Prince Andrew was among members of the royal family who attended the traditional Easter Sunday service in Windsor.

It is the second year in a row that the Duke of York has joined the King and Queen at St George’s Chapel, appearing to enter the chapel quickly after his eldest brother’s arrival.

Other members of the royal family, including Princess Anne, the Duke and Duchess of Edinburgh, Princess Eugenie and Princess Beatrice and Andrew’s ex-wife Sarah Ferguson, also gathered outside the church.

The Duke of York leaves after attending the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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The Duke of York leaving St George’s Chapel. Pic: PA

William and Kate did not attend the annual service, deciding instead to spend time with their children, George, Charlotte and Louis, in Norfolk before they go back to school.

Crowds wished the King and Queen a Happy Easter as they left the chapel, with two children presenting Camilla with a bunch of flowers, before they were driven away.

King Charles III and Queen Camilla attend the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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King Charles and Queen Camilla arriving at St George’s chapel. Pic: PA

The Princess Royal speaks with the Dean of Windsor, the Right Rev Christopher Cocksworth, as she arrives for the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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The Princess Royal. Pic: PA

Andrew was seen glancing at a member of the crowd, who wished him a “Happy Easter” before the duke walked off with his ex-wife.

The duke has not been pictured at a formal royal family event since last Easter. He missed the royal family’s traditional Christmas gathering at Sandringham amid the controversy surrounding his links to an alleged Chinese spy.

He disappeared from public life after stepping down from official duties in March 2020, following his explosive TV interview with BBC’s Newsnight.

The Duchess of Edinburgh followed by Princess Eugenie and her husband Jack Brooksbank and Princess Beatrice arrive for the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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The Duchess of Edinburgh followed by Princess Eugenie and Princess Beatrice. Pic: PA

Sarah, Duchess of York, waves to the crowd as she attends the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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Sarah Ferguson. Pic: PA

The Easter sermon is traditionally led by the Archbishop of Canterbury, but was today led by the Archbishop of York, Stephen Cottrell, from York Minster.

Mr Cottrell has temporarily taken over the role after Justin Welby announced he was stepping down in November last year, after an independent review found he “could and should” have reported decades-long abuse of men and young boys by his former friend, the barrister John Smyth QC.

Mr Cottrell has also apologised for his handling of the case.

King Charles III and Queen Camilla leave after attending the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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Pic: PA

Queen Camilla waves to the crowd as she holds a posy after attending the Easter Mattins service at St George's Chapel in Windsor Castle, Berkshire. Picture date: Sunday April 20, 2025.
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The Queen waves to crowds in Windsor. Pic: PA

King’s message of ‘faith, hope and love’

Last year’s Easter Sunday service was the King’s first major public appearance after he announced his cancer diagnosis.

The 76-year-old monarch is still receiving treatment for cancer, and last month, spent a short period of time in hospital after experiencing temporary side effects.

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King and Queen attend Maundy service

In his Easter message – a tradition he started when he was the Prince of Wales – Charles reflected on the examples of “great cruelty and great kindness” that “daily come before our eyes” – saying they should remind the world of the importance of the “virtues of faith, hope and love”.

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He shared the message last week ahead of attending the annual Maundy service at Durham Cathedral, where he presented the Maundy recipients – 76 men and 76 women – with two purses: one red and one white, containing Maundy Money.

The ancient tradition traces back to the 13th century and is given to recipients in recognition of outstanding Christian service and work in their local communities.

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Police appeal over ‘senseless’ damage to seven statues during trans rights rally in London

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Police appeal over 'senseless' damage to seven statues during trans rights rally in London

Police are appealing for information after seven statues – including one of suffragette Millicent Fawcett – were daubed with graffiti during a trans rights rally in London.

The Metropolitan Police said the criminal damage took place during the protest in Parliament Square, Westminster, on Saturday.

Thousands of people had gathered for an “emergency demonstration” following the Supreme Court ruling earlier this week on the definition of a woman.

The words “Trans rights are human rights” were written on a statue of South African statesman Jan Christian Smuts.

Graffiti on the statue of South African statesman Jan Christian Smuts in Parliament Square. Pic: PA
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Graffiti on the statue of South African statesman Jan Christian Smuts in Parliament Square. Pic: PA

The Met Police said officers were trawling CCTV footage and no arrests have been made as yet.

Chief Superintendent Stuart Bell said: “Criminal damage and vandalism like this has no place on the streets of London and spoils the area for locals and those visiting.

“While the police support the public’s right to protest, criminality like this is senseless and unacceptable. We are pursuing this and will take action against those responsible.”

Pic: PA
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Graffiti on the statue of Millicent Fawcett. Pic: PA

Mr Bell said there were plans to remove the graffiti “but this requires specialist equipment and we are confident this will be done shortly”.

“We are keen to speak to those who saw anything on the day and urge anyone with information, pictures or footage to come forward,” he added.

The force has not shared details of which seven statues were defaced. Parliament Square is home to 12 statues of political figures including Winston Churchill, Abraham Lincoln and Mahatma Gandhi.

Protesters demonstrate in Westminster in support of the transgender community. Credit: Daniel Bregman
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Thousands of protesters joined the rally on Saturday. Pic: Daniel Bregman

The Met said it was also dealing with a number of complaints from the public about signs and images shared on social media that were reportedly displayed at the protest.

The force said while officers were investigating the displayed signs and images, they had so far proved to be from historic events, did not take place in London, or did not constitute a criminal offence.

The protest followed a long-awaited judgment delivered on Wednesday, when the UK’s highest court ruled the terms “woman” and “sex” in the Equality Act 2010 “refer to a biological woman and biological sex”.

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Gender ruling – How it happened

It essentially means trans women who hold gender recognition certificates are not women in the eyes of the law.

This means transgender women with one of the certificates can be excluded from single-sex spaces if “proportionate”.

The UK government said the unanimous decision by five judges brought “clarity and confidence” for women and service providers.

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