Emergency and urgent care will be prioritised over routine appointments and treatment during this week’s junior doctors’ strike, NHS England says.
The strike will begin early on Tuesday and run through until the early hours of Saturday, bringing “immense pressures” to staff and services, according to national medical director of NHS England Professor Sir Stephen Powis.
The health body said that appointments and operations will only be cancelled “where unavoidable”, following an estimate by the NHS Confederation that this could affect some 250,000 patients.
Professor Sir Stephen said: “The NHS has been preparing extensively for the next set of strikes but managing additional pressure doesn’t get easier as time goes by – it gets much more difficult, not only due to the sheer number of appointments that need to be rescheduled, but also that they can take time to rearrange with multiple teams involved.
“This is set to be the most disruptive industrial action in NHS history, and the strikes tomorrow will bring immense pressures, coming on the back of a challenged extended bank holiday weekend for staff and services.
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2:34
NHS braced as four-day strike looms
“Emergency, urgent and critical care will be prioritised but some patients will unfortunately have had their appointments postponed – if you haven’t, please do continue to come forward.”
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.
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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.
In an op-ed for The Sunday Telegraph, Health Secretary Steve Barclay described the BMA’s position as “unrealistic”, adding: “This demand is widely out of step with pay settlements in other parts of the public sector at a time of considerable economic pressure on our country.
“A salary hike of this size would see some junior doctors receiving more than an extra £20,000 a year,” he said.
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“I recognise their hard work and dedication.
“But it is deeply disappointing that this industrial action has been timed by the British Medical Association (BMA) junior doctors’ committee to cause maximum disruption to both patients and other NHS staff.”
Dr Mike Greenhalgh, deputy co-chair of the BMA’s Junior Doctors Committee, told BBC One’s Breakfast show: “If he was to bring a credible offer to us, it could still, even at this late stage, avert action.”
Two traders jailed for rigging benchmark interest rates have had their convictions overturned by the Supreme Court.
Tom Hayes, 45, was handed a 14-year jail sentence – cut to 11 years on appeal – in 2015, which was one of the toughest ever to be imposed for white-collar crime in UK history.
The former Citigroup and UBS trader, along with Carlo Palombo, 46, who was jailed for four years in 2019 over rigging the Euribor interest rates, took their cases to the country’s highest court after the Court of Appeal dismissed their appeals last year.
The Supreme Court unanimously allowed Mr Hayes’ appeal, overturning his 2015 conviction of eight counts of conspiracy to defraud by manipulating Libor, a now-defunct benchmark interest rate.
Image: Tom Hayes and Carlo Palombo celebrate after their convictions were overturned. Pic: Reuters
Ex-vice president of euro rates at Barclays bank Mr Palombo’s conviction for conspiring with others to submit false or misleading Euribor submissions between 2005 and 2009 was also quashed.
Mr Hayes, who served five and a half years in prison before being released on licence in 2021, described the “incredible feeling” after the ruling.
“My faith in the criminal justice system at times was likely destroyed and it has been restored by the justices from the Supreme Court today and I think it’s only right that more criminal appeals should be heard at this level,” he said.
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Image: Tom Hayes and Carlo Palombo outside the Supreme Court. Pic: Reuters
Both he and Mr Palombo have been described as “scapegoats” for the 2008 financial crisis, but Mr Hayes said: “We literally had nothing to do with it.”
A spokesperson for the Serious Fraud Office (SFO), which opposed the appeals, said it would not be seeking a retrial.
In 2012, the SFO began criminal investigations into traders it suspected of manipulating the Libor and Euribor benchmark interest rates.
Image: Former trader Tom Hayes. Pic: PA
Mr Hayes was the first person to be prosecuted by the SFO, which brought prosecutions against 20 people between 2013 and 2019, seven of whom were convicted at trial, two pleaded guilty and 11 were acquitted.
He had also been facing criminal charges in the US but these were dismissed after two other men involved in a similar case had their convictions reversed in 2022.
Mr Hayes, a gifted mathematician who is autistic, was described at his Southwark Crown Court trial as the “ringmaster” at the centre of an enormous fraud to manipulate benchmark interest rates and boost his own six-figure earnings.
He has always maintained that the Libor rates he requested fell within a permissible range and that his conduct was common at the time and condoned by bosses.
Mr Hayes and Mr Palombo argued their convictions depended on a definition of Libor and Euribor which assumes there is an absolute legal bar on a bank’s commercial interests being taken into account when setting rates.
The panel of five Supreme Court justices found there was “ample evidence” for a jury to convict the two men if it had been properly directed.
But in an 82-page judgment, Lord Leggatt said jury direction errors made both convictions unsafe, adding: “That misdirection undermined the fairness of the trial.”
Lawyers representing Mr Hayes and Mr Palombo said the ruling could open the door for the seven others found guilty to have their convictions overturned and that there were grounds for a public inquiry.
Two people have died and two are seriously injured after a shooting in County Fermanagh, Northern Ireland.
Police have cordoned off the scene in the village of Maguiresbridge, about 75 miles (120km) southwest of Belfast.
“We can advise there is no ongoing risk to the public,” a Police Service of Northern Ireland spokesperson said.
There was no mention of a motive behind the shooting, but Jemma Dolan, a member of the Northern Ireland Assembly from the area, called it “a domestic incident” in a post on social media.
Emergency services were called to the shooting in the Drummeer Road area of the village at 8.21am on Wednesday, a spokesperson for the Northern Ireland Ambulance Service said.
They confirmed that two people have been injured.
“Following assessment and initial treatment at scene, one patient has been taken to the Royal Victoria Hospital, Belfast, by air ambulance and another to South West Acute Hospital by ambulance,” the spokesperson added.
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Drummeer Road is currently closed, police said, warning that this could lead to delays on alternative roads.
Sinn Fein MP Pat Cullen has expressed her deep shock over the shooting, saying: “Firstly, my thoughts are with the victims and their families at this tragic time.
“I am in contact with the police around this ongoing situation. Police are currently at the scene of an incident outside Maguiresbridge and there are a number of road closures while they carry out their investigations.”
The Fermanagh and South Tyrone MP asked people “not to speculate on the details of this tragic and shocking incident”.
DUP MLA Deborah Erskine, who represents the area in the Northern Ireland Assembly, said that the community was “stunned” by the shooting in “a rural, quiet area.”
“Everyone is deeply affected by what has happened this morning,” she said.
His death came just weeks after he reunited with his Black Sabbath bandmates – Tony Iommi, Terence “Geezer” Butler and Bill Ward – and performed a huge farewell concert for fans.
The band paid tribute to him on Instagram by sharing an image of Osbourne on stage at the farewell gig in Birmingham and writing “Ozzy Forever”.
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Iommi, the band’s lead guitarist, said he was in disbelief at the news.
“It’s just such heartbreaking news that I can’t really find the words, there won’t ever be another like him. Geezer, Bill and myself have lost our brother.”
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Watch: Ozzy’s last concert
Butler, Black Sabbath’s bassist and primary lyricist, thanked Osbourne for “all those years – we had some great fun”.
He said: “Four kids from Aston – who’d have thought, eh? So glad we got to do it one last time, back in Aston. Love you.”
The original drummer for Black Sabbath, Bill Ward, posted a picture of him and Osbourne on Facebook saying: “Where will I find you now? In the memories, our unspoken embraces, our missed phone calls, no, you’re forever in my heart.”
Image: Osbourne with his wife Sharon during the 46th Annual Grammy Awards. Pic: AP
Sir Elton John described Osbourne as his “dear friend” and a “huge trailblazer” who “secured his place in the pantheon of rock gods”.
“He was also one of the funniest people I’ve ever met,” the singer wrote on Instagram.
Ronnie Wood, of The Rolling Stones, wrote: “I am so very sad to hear of the death of Ozzy Osbourne. What a lovely goodbye concert he had at Back To The Beginning in Birmingham.”
Born John Michael Osbourne on 3 December 1948 in Aston, Birmingham, he became known as the godfather of heavy metal.
The self-styled Prince of Darkness pioneered the music genre with Black Sabbath before going on to have huge success in his own right.
He was famous for hits including Iron Man, Paranoid, War Pigs, Crazy Train and Changes, both with the band and as a solo star.
Legendary American heavy metal band Metallica shared an image of them with Osbourne from 1986 along with an emoji of a broken heart.
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Posting on Instagram, Sir Rod Stewart said: “Sleep well, my friend. I’ll see you up there – later rather than sooner.”
Queen guitarist Sir Brian May said he was “grateful I was able to have a few quiet words” with Osbourne after his farewell show at Villa Park three weeks ago.
He said the world will miss the singer’s “unique presence and fearless talent”.
Foo Fighters said in a social media post: “Rock and Roll would not be as loud or as fun” without Osbourne, while Led Zeppelin front man Robert Plant wrote he had “truly changed the planet of rock”.