Junior doctors are staging a four-day strike from early on Tuesday 11 April until the early hours of Saturday 15 April.
The strikeswill bring “immense pressures” to staff and services, NHS England has warned, with people urged to avoid “risky behaviour” that could land them in hospital.
When is the strike?
Junior doctors will strike from 6.59am on Tuesday 11 April to 6.59am on Saturday 15 April – a total of 96 hours.
Up to 47,600 junior doctors who are members of the British Medical Association (BMA) union will walk out.
Why are junior doctors striking?
The strikes are primarily over pay. The BMA said the wage for junior doctors has fallen 26% in the last 15 years, with newly qualified medics making less than a barista in a coffee shop.
It has demanded a 35% pay rise for junior doctors to bring salaries back to 2008-2009 levels, calling this “pay restoration”.
“The lack of investment in wages by the government has made it harder to recruit and retain junior doctors,” the BMA said.
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“If junior doctors are forced out of the NHS because of poor pay and conditions, the services we all rely on to look after our loved ones will suffer.”
On the picket lines of the March strike, junior doctors told Sky News why they were strikingand described having to borrow money off family for medical exams, watching colleagues leave for better paid jobs abroad and how they were struggling to pay rent.
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Junior doctors demand 35% pay rise
What impact is this going to have on the NHS?
A quarter of a million NHS appointments and operations could be delayed.
Health leaders said they were having to plan for the worst to protect patient safety, including by cancelling more appointments and elective procedures than they would like to.
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It’s being called the worst NHS strike yet – why?
The timing has a lot to do with it – sandwiched between the long Easter weekend and another weekend. Health leaders are worried the effects of the four-day strike could be felt for 11 days.
Thousands of consultants provided cover during the last strike in March, but leaders did not expect a repeat performance as many consultants have annual leave booked over the holidays.
There is also typically higher demand over Easter. Last year there were 37% more NHS 111 calls between Good Friday to Easter Sunday compared with the weekend before.
The NHS Confederation said there was “huge uncertainty” over the level of cover NHS trusts will be able to secure to fill key shifts.
During the last strike, about 175,000 appointments and operations were postponed.
What does ‘junior doctor’ mean?
A junior doctor is a qualified doctor who has graduated from medical school and is on a training pathway to become a specialist or a GP, according to the BMA.
Full-time training can take between five and 11 years – more if it is done part-time.
Junior doctors make up around 45% of the NHS’s medical workforce and two-thirds of them are members of the BMA.
He also said the timing of the walkout would cause “considerable risk to patient safety”.
He described the BMA’s call for a 35% pay rise as “unreasonable”, saying 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,” he added.
Public safety is “at risk” because more inmates are being sent to prisons with minimal security, a serving governor has warned – as details emerge of another manhunt for a foreign national offender.
Mark Drury – speaking in his role as representative for open prison governors at the Prison Governors’ Association – told Sky News open prisons that have had no absconders for “many years” are now “suddenly” experiencing a rise in cases.
It comes after a man who was serving a 21-year sentence for kidnap and grievous bodily harm absconded from an open prison in Sussex last month.
Sky News has learned that Ola Abimbola is a foreign national offender who still hasn’t returned to HMP Ford – and Sussex Police says it is working with partners to find him.
WARNING: Some readers may find the content in this article distressing
Image: Ola Abimbola absconded from an open prison. Pic: Sussex Police
For Natalie Queiroz, who was stabbed 24 times by her ex-partner while she was eight months’ pregnant with their child, the warnings could not feel starker.
Natalie sustained injuries to all her major organs and her arms, while the knife only missed her unborn baby by 2mm.
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“Nobody expected either of us to survive,” she told Sky News.
“Any day now, my ex who created this untold horror is about to go to an open prison,” Natalie said.
Open prisons – otherwise known as Category D jails – have minimal security and are traditionally used to house prisoners right at the end of their sentence, to prepare them for integrating back into society.
With overcrowding in higher security jails, policy changes mean more prisoners are eligible for a transfer to open conditions earlier on in their sentence.
Image: Natalie Queiroz was stabbed 24 times by her ex-partner
“It doesn’t feel right, it’s terrifying, and it also doesn’t feel like justice,” Natalie said, wiping away tears at points.
Previously, rules stated a transfer to open prison could only take place within three years of their eligibility for parole – but no earlier than five years before their automatic release date.
The five-year component was dropped in March last year under the previous government, but the parole eligibility element was extended to five years in April 2025.
Raja, who is due for release in 2034, has parole eligibility 12 years into his sentence, which is 2028.
Under the rule change, this eligibility for open prison is set for this year – but under the new rules it could have been 2023, which is within five years of his parole date.
Another change, introduced in the spring, means certain offenders can be assumed suitable for open prisons three years early – extended from two years.
Image: Natalie says her ex-partner Babur Raja caused ‘untold horror’
Natalie has been campaigning to prevent violent offenders and domestic abuse perpetrators from being eligible to transfer to an open prison early.
She’s had meetings with ministers and raised both her case and others.
“They actually said – he is dangerous,” she told Sky News.
“I said to [the minister]: ‘How can you make a risk assessment for someone like that?’
“And they went: ‘If we’re honest, we can’t’.”
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The government told Sky News that Raja’s crimes were “horrific” and that their “thoughts remain with the victim”.
They also insist that the “small number of offenders eligible for moves to open prison face a strict, thorough risk assessment” – while anyone breaking the rules “can be immediately returned”.
Image: Mark Drury, a representative of the Prison Governors’ Association
But Mr Drury describes risk assessments as an “algorithm tick box” because of “the pressure on offender management units”.
These warnings come at an already embarrassing time for the Prison Service after migrant sex offender Hadush Kebatu was mistakenly freed last month.
In response to this report, the Ministry of Justice says it “inherited a justice system in crisis, with prisons days away from collapse” – forcing “firm action to get the situation back under control”.
The government has promised to add 14,000 new prison places by 2031 and introduce sentencing reforms.
The US Congress has written to Andrew Mountbatten Windsor requesting an interview with him in connection with his “long-standing friendship” with paedophile financier Jeffrey Epstein.
The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.
It told Andrew: “The committee is seeking to uncover the identities of Mr Epstein’s co-conspirators and enablers, and to understand the full extent of his criminal operations.
“Well-documented allegations against you, along with your long-standing friendship with Mr Epstein, indicate that you may possess knowledge of his activities relevant to our investigation.
“In the interest of justice for the victims of Jeffrey Epstein, we request that you co-operate with the committee’s investigation by sitting for a transcribed interview with the committee.”
Image: The congressional committee wants to understand any ‘activities’ relevant to its Epstein investigation. PA file pic
Virginia Giuffre, who died in April, accused Andrew of sexually assaulting her after being introduced by Epstein. Andrew has always vehemently denied her accusations.
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The letter to the former prince, is addressed to Royal Lodge, Windsor Great Park, the home he agreed last week to leave, when he was stripped of his royal titles.
It outlines his “close relationship” with Epstein and references a recently revealed 2011 email exchange in which Andrew told him “we are in this together”.
And it says the committee has identified “financial records containing notations such as ‘massage for Andrew’ that raise serious questions”.
The committee said Andrew’s links to Epstein “further confirms our suspicion that you may have valuable information about the crimes committed by Mr Epstein and his co-conspirators”.
The letter, signed by 16 members of Congress, requested Andrew responds by 20 November.
The move followed the publication Ms Giuffre’s posthumous memoirs, and the US government’s release of documents from the paedophile’s estate.
Ms Giuffre alleged she was forced to have sex with Andrew three times – once at convicted sex trafficker Ghislaine Maxwell’s home in London, once in Epstein’s address in Manhattan, and once on the disgraced financier’s private island, Little St James.
The incident at Maxwell’s home allegedly occurred when Ms Giuffre was 17 years old.
Epstein took his own life in a New York prison in 2019 while awaiting trial on sex trafficking and conspiracy charges.
Andrew Mountbatten Windsor has been summoned by Congress to answer questions about his friendship with Jeffrey Epstein.
The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.
Andrew’s friendship with the paedophile has come under intense scrutiny in recent years and has led to him being stripped of his titles and made to leave his accommodation at Royal Lodge on the Windsor estate.
The memoir of Virginia Giuffre, one of Epstein’s victims, was posthumously published last month and in it she alleged she had sex with Andrew three times while she was a teenager.
Andrew paid a settlement to Ms Giuffre in 2022 and has always denied wrongdoing. He has previously resisted calls to be summoned to the US.
Here is the letter in full:
We write to seek your cooperation in the Committee on Oversight and Government Reform’s (Committee) investigation into Jeffrey Epstein’s sex trafficking operations. The Committee is seeking to uncover the identities of Mr. Epstein’s co-conspirators and enablers and to understand the full extent of his criminal operations.
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Well-documented allegations against you, along with your long-standing friendship with Mr. Epstein, indicate that you may possess knowledge of his activities relevant to our investigation. In the interest of justice for the victims of Jeffrey Epstein, we request that you cooperate with the Committee’s investigation by sitting for a transcribed interview with the Committee.
It has been publicly reported that your friendship with Mr. Epstein began in 1999 and that you remained close through and after his 2008 conviction for procuring minors for prostitution.
It has also been reported that you traveled with Mr. Epstein to his New York residence, the Queen’s residence at Balmoral, and to Mr. Epstein’s private island in the U.S. Virgin Islands, where you have been accused of abusing minors.
This close relationship with Mr. Epstein, coupled with the recently revealed 2011 email exchange in which you wrote to him “we are in this together,” further confirms our suspicion that you may have valuable information about the crimes committed by Mr. Epstein and his co-conspirators.
As you are well aware, Virginia Roberts Giuffre made several allegations that you abused her when she was just 17 years old.
In her 2021 lawsuit, Ms. Giuffre alleged that she was forcibly “lent out” to you for sexual purposes on three separate occasions. In addition to these allegations, flight logs document several instances in which you were a passenger on Mr. Epstein’s plane between 1999 and 2006, while his criminal activities were ongoing.
In response to a subpoena issued to the Epstein estate, the Committee has identified financial records containing notations such as “massage for Andrew” that raise serious questions regarding the nature of your relationship with Mr. Epstein and related financial transactions.
In her posthumous memoir, Ms. Giuffre expressed a fear of retaliation if she made allegations against you, and writes that the settlement agreement you executed with her restricted her to one-year gag order designed to protect the Crown’s reputation.
Recent reporting confirms those fears, as law enforcement authorities in the United Kingdom have launched an investigation into allegations that you asked your personal protection officer to “dig up dirt” for a smear campaign against Ms. Giuffre in 2011.
This fear of retaliation has been a persistent obstacle to many of those who were victimized in their fight for justice. In addition to Mr. Epstein’s crimes, we are investigating any such efforts to silence, intimidate, or threaten victims, and are interested in any avenues that may further shed light on these activities.
Given these recent events and the appalling allegations that have come to light from Ms. Giuffre’s memoir and other reliable sources, the Committee requests that you make yourself available for a transcribed interview with the Committee and provide insight into the crimes of Jeffrey Epstein’s co-conspirators.
Due to the urgency and gravity of this matter, we ask that you provide a response to the Committee’s interest by November 20, 2025.
The Committee on Oversight and Government Reform is the principal oversight committee of the House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X. If you have any questions about this request, please contact Committee Democratic staff at (202) 225-5051. Thank you for your prompt attention to this request.
The letter is signed by 16 members of the Committee on Oversight and Government Reform.