England’s junior doctors prepare for strikes that put up to 250,000 appointments and operations at risk
Up to 250,000 appointments and operations are at risk in England’s hospitals when junior doctors walk off the job for four days next week.
The strikes, which are part of a long-running pay dispute, begin at 6.59am on Tuesday and last until 6.59am on Saturday 15 April.
NHS national medical director Professor Sir Stephen Powis said: “This next round of strikes will see unparalleled levels of disruption, and we are very concerned about the potential severity of impact on patients and services across the country.
“This time the action immediately follows a four-day bank holiday weekend, which is already difficult as many staff are taking much-needed holiday, and it will be more extensive than ever before with hospitals facing nearly 100 hours without up to half of the NHS medical workforce.”
The NHS will prioritise emergency, critical and neonatal care, as well as maternity and trauma services, but it is still expected that many thousands of appointments – including for cancer care – will have to be postponed.
The British Medical Association (BMA) wants the health secretary to negotiate to resolve 15 years of “pay erosion”, insisting that junior doctors have lost more than 25% of their pay in real terms.
The organisation has said the strikes could be avoided if the government makes a “credible” pay offer.
But the Department for Health and Social Care wants the strikes cancelled before it will enter into negotiations.
‘We’re happy to meet at any time’
Dr Mike Greenhalgh, deputy co-chair of the BMA’s junior doctors’ committee, told BBC One’s Breakfast show: “We’re happy to meet at any time.
“We would still meet him over the bank holiday weekend before the industrial action next week.
“And if he was to bring a credible offer to us, it could still, even at this late stage, avert action.”
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He apologised to patients having operations and appointment cancelled but added: “Patient safety was maintained at the last strikes, and it will be in these strikes.”
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Strike impact ‘really significant’
‘More concerned about this than about any other strike’
Dr Layla McCay, director of policy at the NHS Confederation, told BBC Radio 4’s Today Programme: “In the last junior doctors’ strike we saw about 175,000 appointments and operations having to be postponed.
“In terms of the disruption that we’re anticipating this time, we reckon it could be up to about a quarter of a million so that is a huge amount of impact for patients up and down the country.”
She added: “What we’re hearing from our members who are health leaders across the whole system is that they are more concerned about this than they have been about about any other strike.
“They think that the impact is going to be so significant that this one is likely to have impact on patient safety and that is a huge concern for every healthcare leader.”
Israel has said it will allow a “basic quantity of food” into the besieged enclave of Gaza to avoid a “starvation crisis” following a near three-month blockade.
Israeli Prime Minister Benjamin Netanyahu’s office said the decision was “based on the operational need to enable the expansion of the military operation to defeat Hamas“.
Gaza, where local authorities say more than 53,000 people have died in Israel’s 19-month campaign, has been under a complete blockade on humanitarian aid since 2 March.
It comes as global food security experts warn of famine across the territory and after a UN-backed report from last Monday which warned one in five people in Gaza were facing starvation.
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The statement from the prime minister’s office said it would “allow a basic quantity of food to be brought in for the population in order to make certain that no starvation crisis develops in the Gaza Strip”.
“Such a crisis would endanger the continuation of Operation ‘Gideon’s Chariots’ to defeat Hamas,” it added.
“Israel will act to deny Hamas’s ability to take control of the distribution of humanitarian assistance in order to ensure that the assistance does not reach the Hamas terrorists.”
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Gaza is ‘a slaughterhouse’ says surgeon
It comes after a British surgeon working in Gaza said in a video to Sky News the enclave is now “a slaughterhouse” amid Israeli bombardment.
Israel has just ramped up its offensive in Gaza – where it’s been conducting a military campaign in retaliation for 1,200 people killed and 251 taken hostage by Hamas on 7 October 2023 – with Palestinian health officials reporting at least 130 people were killed overnight into Sunday.
Israel Defence Forces (IDF) confirmed troops had begun “extensive ground operations throughout the northern and southern Gaza Strip”.
The Hamas-run health ministry in Gaza said 464 people had died in Israeli military strikes in the week to Sunday.
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In a statement on Sunday, IDF said its air force struck “over 670 Hamas terror targets throughout the Gaza Strip to disrupt enemy preparations and support ground operations” over the past week.
Israel has launched an escalation to increase pressure on Hamas, seize territory, displace Palestinians to the south and take greater control over the distribution of aid.
Pro-Western candidate Nicusor Dan has unexpectedly beaten hard-right populist George Simion in the Romanian presidential election.
Mr Simion, 38, and his rival – a centrist who’s mayor of Bucharest – faced off in the second round of the contest.
According to the official tally, Mr Dan was leading by nearly nine percentage points with more than 98% of the votes counted.
Pic: Reuters
Mr Dan and his supporters celebrated the exit polls. Pic: Reuters
After exit polls suggested he wasn’t going to win, Trump-supporting Mr Simion rejected the result and said estimates put him 400,000 votes ahead.
Speaking after voting ended, Mr Simion said his election was “clear” as he posted on Facebook: “I won!!! I am the new President of Romania and I am giving back the power to the Romanians!”
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Romania’s last election was annulled after its highest court ruled the leading candidate, nationalist Calin Georgescu, should be disqualified due to claims of electoral interference by Russia.
The result is surprising because in the first round, 38-year-old Mr Simion, founder of the right-wing Alliance for the Unity of Romanians (AUR), took 40.96% of the vote – almost 20 points ahead.
George Simion rejected the polls but official counting saw him slip behind. Pic: Reuters
Supporters of Mr Dan celebrated on the streets of the capital Bucharest. Pic: AP
An opinion poll on Friday had it much closer, but still suggested the two men were virtually tied.
Mr Dan, a 55-year-old mathematician, is running as an independent and has pledged to clamp down on corruption.
He is also staunchly pro-EU and NATO, and has said Romania’s support for Ukraine is vital for its own security.
When voting closed at 9pm local time, 11.6 million people – about 64% of eligible voters – had cast ballots. About 1.64 million Romanians living abroad also took part.
About 11.6 million people – 64% of eligible voters – cast ballots. Pic: AP
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The election is being closely watched across Europe amid a rise of support for President Donald Trump.
After polls closed, Mr Dan said “elections are not about politicians” but about communities and that in the latest vote “a community of Romanians has won, a community that wants a profound change in Romania”.
“When Romania goes through difficult times, let us remember the strength of this Romanian society,” he said.
“There is also a community that lost today’s elections. A community that is rightly outraged by the way politics has been conducted in Romania up to now.”
Israel has said it will allow a “basic quantity of food” into the besieged enclave of Gaza to avoid a “starvation crisis” following a near three-month blockade.
Israeli Prime Minister Benjamin Netanyahu’s office said the decision was “based on the operational need to enable the expansion of the military operation to defeat Hamas”.
Gaza, where local authorities say more than 53,000 people have died in Israel’s 19-month campaign, has been under a complete blockade on humanitarian aid since 2 March.
It comes as global food security experts warn of famine across the territory and after a UN-backed report issued last Monday which warned one in five people in Gaza were facing starvation.
Please use Chrome browser for a more accessible video player
Israel ramps up bombing in Gaza
The statement from the prime minister’s office said it would “allow a basic quantity of food to be brought in for the population in order to make certain that no starvation crisis develops in the Gaza Strip”.
“Such a crisis would endanger the continuation of Operation ‘Gideon’s Chariots’ to defeat Hamas,” it added.
“Israel will act to deny Hamas’s ability to take control of the distribution of humanitarian assistance in order to ensure that the assistance does not reach the Hamas terrorists.”
Please use Chrome browser for a more accessible video player
Gaza is ‘a slaughterhouse’ says surgeon
It comes after a British surgeon working in Gaza said in a video to Sky News the enclave is now “a slaughterhouse” amid Israeli bombardment.
Israel has just ramped up its offensive in Gaza, with Palestinian health officials reporting at least 130 people were killed overnight into Sunday.
Israel Defence Forces (IDF) confirmed troops had begun “extensive ground operations throughout the northern and southern Gaza Strip”.
The Hamas-run health ministry in Gaza said 464 people had died in Israeli military strikes in the week to Sunday.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
In a statement on Sunday, IDF said its air force struck “over 670 Hamas terror targets throughout the Gaza Strip to disrupt enemy preparations and support ground operations” over the past week.
Israel has launched an escalation to increase pressure on Hamas, seize territory, displace Palestinians to the south and take greater control over the distribution of aid.
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