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Junior doctors will begin a four-day strike today as an NHS leader warns up to 350,000 appointments, including operations, could be cancelled.

The walkout by up to 47,600 junior doctors is part of a worsening pay dispute which threatens huge disruption to the NHS.

The strikes centre around a pay row between the British Medical Association (BMA) and the government.

The BMA, the doctors’ union, says junior doctors in England have seen a 26% real-terms pay cut since 2008/09 because pay rises have been below inflation.

The union has asked for a full pay restoration that the government said would amount to a 35% pay rise – which ministers have said is unaffordable.

Junior doctors will mount picket lines outside hospitals from 7am until Saturday morning in the longest walkout since nurses, ambulance crews and other health workers started taking action in 2022.

Matthew Taylor, chief executive of the NHS Confederation, has told Sky News he expects “up to 350,000 appointments” to be cancelled as a result of the four-day action.

Meanwhile, NHS managers have warned that patient care is “on a knife edge” over the next four days because of the strike.

The BMA has released an advert which shows how much doctors with 10, seven and one-years experience would earn for completing an operation where an appendix is removed.

The advert says they would earn £28, £24.46, and £14.09 respectively – a total of £66.55 for a potentially life-saving procedure.

‘My dad is telling me to quit’

Dr Jennifer Barclay, a surgical doctor in the North West, said: “I’ll be working a busy on-call shift; treating unwell patients, assessing new patients, consenting and preparing patients for surgery and answering never ending bleeps, when we have to run to theatre.

“I haven’t had time to eat or nip to the loo and I know I’ll be in theatre for around an hour. An appendicectomy like the one in this advert would be a typical case.

“I want the doctors treating my loved ones to be well rested and able to provide the best care possible.

“I don’t want them to be burnt out, worried about paying the bills or up to £100,000 of debt or thinking about alternative careers whilst making life and death decisions.

“My dad, an electrician, tells me to quit and retrain in his footsteps; I’d be earning more, have less stress, less responsibility, better hours and a better work-life balance after three years.”

Read more:
Why this could be the worst NHS strike yet

Junior doctors at a picket line outside St Thomas' Hospital in Westminster in March. Pic: AP
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Junior doctors at a picket line outside St Thomas’ Hospital in Westminster in March. Pic: AP

Dr Robert Laurenson and Dr Vivek Trivedi, BMA junior doctors committee co-chairs, said: “It is appalling that this government feels that paying three junior doctors as little as £66.55 between them for work of this value, is justified.

“This is highly skilled work requiring years of study and intensive training in a high-pressure environment where the job can be a matter of life and death.”

Pay rise demand is ‘unreasonable’

Health Secretary Steve Barclay said: “It is extremely disappointing the BMA has called strike action for four consecutive days.

“Not only will the walkouts risk patient safety, but they have also been timed to maximise disruption after the Easter break.

“I hoped to begin formal pay negotiations with the BMA last month but its demand for a 35% pay rise is unreasonable – it would result in some junior doctors receiving a pay rise of over £20,000.

“If the BMA is willing to move significantly from this position and cancel strikes we can resume confidential talks and find a way forward, as we have done with other unions.”

Read more:
Emergency and urgent care to be prioritised during junior doctors’ strike
‘Militant’ junior doctors accused of seeking ‘maximum disruption’

Mr Barclay also said people should attend appointments unless told otherwise by the NHS. He added they should also call 999 in a life-threatening emergency and use NHS 111 online services for non-urgent health needs.

Meanwhile, Mr Taylor told Sky News: “These strikes are going to have a catastrophic impact on the capacity of the NHS to recover.

“The health service has to meet high levels of demand at the same time as making inroads into that huge backlog… That’s a tough thing to do at the best of times – it’s impossible to do when strikes are continuing.”

Asked whether everyone who needs urgent care this week will get it, he said: “We hope so.

“There’s no point hiding the fact that there will be risks to patients, risks to patient safety, risks to patient dignity, as we’re not able to provide the kind of care that we want to.”

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‘Strikes going to have catastrophic impact’

Patients ‘crying out for leadership’

Shadow health secretary Wes Streeting said : “The junior doctors’ strike this week will cause huge disruption to patient care.

“Where is the Prime Minister and why hasn’t he tried to stop it?

“Rishi Sunak says he ‘wouldn’t want to get in the middle of’ NHS pay disputes.

“Patients are crying out for leadership, but instead they are getting weakness.”

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Hashem Abedi: Manchester Arena bomb plotter charged with three counts of attempted murder

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Hashem Abedi: Manchester Arena bomb plotter charged with three counts of attempted murder

Manchester Arena bomb plotter Hashem Abedi has been charged with three counts of attempted murder.

It comes after four prison officers were injured in an attack at the maximum security prison HMP Frankland in Co Durham on 12 April.

Abedi has also been charged with one count of assault occasioning actual bodily harm and one count of unauthorised possession of a knife or offensive weapon.

Counter Terrorism Policing North East has said it carried out a “thorough investigation” of the incident with Durham Constabulary and HMP Frankland.

He remains in prison and is due to appear at Westminster Magistrates’ Court on 18 September.

Three prison officers were taken to hospital with serious injuries following the incident.

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Three teenagers charged with murder after death of man, 49, in Kent

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Three teenagers charged with murder after death of man, 49, in Kent

Three teenagers have been charged with the murder of a man in Kent.

Kent Police were called to an incident in Leysdown-on-Sea, on the Isle of Sheppey, shortly after 7pm on Sunday.

Alexander Cashford, 49, from Kent, was found dead at the scene, having suffered multiple injuries.

He was allegedly assaulted following a “disturbance involving a small group of people”, according to police.

Police at the scene in the Leysdown-on-Sea resort on the Isle of Sheppey. Pic: PA
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Police at the scene in the Leysdown-on-Sea resort on the Isle of Sheppey. Pic: PA

A 16-year-old girl and two boys, aged 14 and 15, were arrested and taken into custody shortly after.

The three suspects, who were all from London, were charged with murder by joint venture on Tuesday.

They are due to appear before Medway Magistrates’ Court on Wednesday. The teenagers cannot be named for legal reasons.

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Police officers carry out searches near the scene where Mr Cashford was found dead. Pic: PA
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Police officers carry out searches near the scene where Mr Cashford was found dead. Pic: PA

A 12-year-old girl was arrested on Tuesday in Basildon, Essex, in connection with the incident.

She remains in custody while enquiries continue.

Read more from Sky News:
Jay Blades appears in court charged with rape
Backlash over police vans with facial recognition

Kent Police are appealing for witnesses who have not yet spoken to detectives to contact the force.

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‘Disturbing’ rise in abusive teen relationships – as experts warn of signs to look out for

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'Disturbing' rise in abusive teen relationships - as experts warn of signs to look out for

Marnie’s first serious relationship came when she was 16-years-old.

Warning: This article contains references to strangulation, coercive control and domestic abuse.

She was naturally excited when a former friend became her first boyfriend.

But after a whirlwind few months, everything changed with a slow, determined peeling away of her personality.

“There was isolation, then it was the phone checking,” says Marnie.

As a survivor of abuse, we are not using her real name.

“When I would go out with my friends or do something, I’d get constant phone calls and messages,” she says.

“I wouldn’t be left alone to sort of enjoy my time with my friends. Sometimes he might turn up there, because I just wasn’t trusted to just go and even do something minor like get my nails done.”

The internet is said to be helping to fuel a rise in domestic abuse among teens. Pic: iStock
Image:
The internet is said to be helping to fuel a rise in domestic abuse among teens. Pic: iStock

He eventually stopped her from seeing friends, shouted at her unnecessarily, and accused her of looking at other men when they would go out.

If she ever had any alone time, he would bombard her with calls and texts; she wasn’t allowed to do anything without him knowing where she was.

He monitored her phone constantly.

“Sometimes I didn’t even know someone had messaged me.

“My mum maybe messaged to ask me where I was. He would delete the message and put my phone away, so then I wouldn’t even have a clue my mum had tried to reach me.”

The toll of what Marnie experienced was only realised 10 years later when she sought help for frequent panic attacks.

She struggled to comprehend the damage her abuser had inflicted when she was diagnosed with PTSD.

This is what psychological abuse and coercive control looks like.

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‘His hands were on my throat – he didn’t stop’

Young women and girls in the UK are increasingly falling victim, with incidents of domestic abuse spiralling among under-25s.

Exclusive data shared with Sky News, gathered by domestic abuse charity Refuge, reveals a disturbing rise in incidents between April 2024 and March 2025.

Psychological abuse was the most commonly reported form of harm, affecting 73% of young women and girls.

Of those experiencing this form of manipulation, 49% said their perpetrator had threatened to harm them and a further 35% said their abuser had threatened to kill them.

Among the 62% of 16-25 year olds surveyed who had reported suffering from physical violence, half of them said they had been strangled or suffocated.

Earlier this year, Sky News reported that school children were asking for advice on strangulation, but Kate Lexen, director of services at charity Tender, says children as young as nine are asking about violent pornography and displaying misogynistic behaviour.

Kate Lexen, director of services at charity Tender
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Kate Lexen, director of services at charity Tender

“What we’re doing is preventing what those misogynistic behaviours can then escalate onto,” Ms Lexen says.

Tender has been running workshops and lessons on healthy relationships in primary and secondary schools and colleges for over 20 years.

Children as young as nine ‘talking about strangulation’

Speaking to Sky News, Ms Lexen says new topics are being brought up in sessions, which practitioners and teachers are adapting to.

“We’re finding those Year 5 and Year 6 students, so ages 9, 10 and 11, are talking about strangulation, they’re talking about attitudes that they’ve read online and starting to bring in some of those attitudes from some of those misogynistic influencers.

“There are ways that they’re talking about and to their female teachers.

“We’re finding that from talking to teachers as well that they are really struggling to work out how to broach these topics with the students that they are working with and how to make that a really safe space and open space to have those conversations in an age-appropriate way, which can be very challenging.”

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Hidden domestic abuse deaths

Charities like Tender exist to prevent domestic abuse and sexual violence.

Ms Lexen says without tackling misogynistic behaviours “early on with effective prevention education” then the repercussions, as the data for under 25s proves, will be “astronomical”.

At Refuge, it is already evident. Elaha Walizadeh, senior programme manager for children and young people, says the charity has seen a rise in referrals since last year.

Elaha Walizadeh, senior programme manager for children and young people at Refuge
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Elaha Walizadeh, senior programme manager for children and young people at Refuge

“We have also seen the dynamics of abuse changing,” she adds. “So with psychological abuse being reported, we’ve seen a rise in that and non-fatal strangulation cases, we’ve seen a rise in as well.

“Our frontline workers are telling us that the young people are telling them usually abuse starts from smaller signs. So things like coercive control, where the perpetrators are stopping them from seeing friends and family. It then builds.”

Misogyny to violent behaviour might seem like a leap.

But experts and survivors are testament to the fact that it is happening.

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