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Members of the Royal College of Nursing are to go on strike again after they voted against the latest government pay offer.

This is despite a recommendation from union leaders that they accept it and means there will be a round-the-clock 48-hour strike – without exemptions – from 8pm on 30 April to 8pm on 2 May.

Unison members had voted in favour of the pay deal on the grounds it was the “best that could be achieved through negotiation”.

All of this comes as a 96-hour walkout staged by junior doctors comes to an end this morning.

Senior officials within the Royal College of Nursing (RCN) have suggested that they may consider coordinating future industrial action with junior doctors in an attempt to increase pressure on the government.

For the first time, the RCN’s strike will involve staff working in emergency departments, intensive care units, cancer care and other services that were previously exempt from strikes

More than six in 10 of eligible members took part in the ballot, with 54% voting to reject the government’s offer and 46% voting for it. Turnout was 61%.

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RCN General Secretary Pat Cullen said she had written to the government to notify it of “imminent” strike action, as well as a new ballot and a request for a fresh round of talks.

Final day of walkout by doctors and updates on nurses – politics latest

In a letter to Health Secretary Steve Barclay, Ms Cullen said what nurses had been offered was “simply not enough”.

She said: “Since our talks in February, we have seen the pressures on the NHS continue to increase.

“Until there is a significantly improved offer, we are forced back to the picket line.

“After a historic vote to strike, our members expect a historic pay award.”

The development will come as a blow to the government, which hoped a settlement with nurses would pave the way for breakthroughs in other sectors gripped by industrial action.

Instead, there is the likelihood of further strikes over the summer months after teachers also voted to reject the government’s offer.

However, the government will be buoyed by the “decisive” Unison result, in which three-quarters of 288,000 NHS workers across England voted to accept the offer.

Unison’s head of health, Sara Gorton said that while health workers “would have wanted more … this was the best that could be achieved through negotiation”.

The health unions are lodged in their own dangerous game of divide and rule

It’s not a good news, bad news type of situation – it’s a mess. By rejecting the government’s pay offer, nurses from the RCN are now in conflict with their health worker colleagues from Unison who have overwhelmingly decided to accept it.

At the start of the process the unions warned that the government was playing a dangerous game of divide and rule. Now they have managed to do it to themselves.

Other health unions including the GMB, Unite and those representing physios and dieticians are consulting their members. They have until the 28 April.

Until then we are in limbo. In early May all the unions will go back to the government with their decision. Unison has said it will ask the government to impose its pay deal on their members.

But the RCN has already announced further strike dates and will ballot its members for more action over the last six months of the year.

It raises the prospect of nurses and junior doctors standing together on picket lines for the first time. That is a situation that will fill NHS Trust leaders with dread.

The outcome will not be known until at least May. It means more uncertainty for long suffering patients.

Under the deal, Unison health workers will receive an additional one-off payment for the year 2022/23, along with a 5% pay rise for 2023/24 – 10.4% for the lowest paid.

Unison, GMB and Unite the Union all also represent nurses in some capacity, as well as paramedics, 999 call handlers, midwives, security guards and cleaners.

According to the RCN, if the majority of members across all unions vote to accept the deal, then the government could still implement it.

A Unison source told Sky News they will be pushing for the government to implement the pay offer their members voted for, even though RCN members have rejected it and other unions may do as well.

A government spokesperson said: “It is hugely disappointing that the Royal College of Nursing membership has rejected the pay deal recommended by their leadership.

“Following constructive discussions, all parties agreed this was a fair and generous offer which is demonstrated by Unison, representing the largest share of the NHS workforce, choosing to accept it.

“The fact that the Royal College of Nursing has announced an escalation in strike action with no derogations, based on a vote from the minority of the nursing workforce, will be hugely concerning for patients.”

Read more:
‘The system is broken’: On the A&E frontline during the strikes
Strike organiser on holiday as junior doctors stage 96-hour walkout

The pay deal rejected by RCN members would have seen nurses awarded a one-off payment of 2% of their salary, plus a COVID recovery bonus of 4% for the current financial year and 5% for the year after.

Mr Barclay previously explained that, under the offer, a newly qualified nurse would have received more than £1,800 this year on top of a pay rise of more than £1,300 next year.

NHS Providers Director of Communications Adam Brimelow said the RCN vote was a “setback” and was “extremely worrying”.

“Trust leaders understand the frustration of nurses, junior doctors and other staff who have seen their pay fall behind inflation year after year.

“It’s really important that the unions and government find a way through this to prevent more strikes and let the NHS focus on its big challenges, including cutting waiting lists and transforming services, instead of having to resort to ‘all hands on deck’ just to get through the day.”

The nurses’ dispute is separate from the junior doctors row. Ministers have repeatedly insisted they will not enter into talks with the British Medical Association (BMA) until the union drops its demand for a 35% pay rise for junior doctors.

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Funeral delays: Bereaved family faces ‘stressful’ time after eight-week wait

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Funeral delays: Bereaved family faces 'stressful' time after eight-week wait

Changes to how death certificates are issued in England and Wales have made the grieving process more “stressful”, according to bereaved families.

Anne Short died on New Year’s Eve, only a few months after she was diagnosed with cancer.

Her son Elliot, 30, from Newport, South Wales, says the grieving process was made harder after having to wait eight weeks to hold her funeral.

“Quite frankly, it’s ridiculous, when you’re already going through all this pain and suffering as a family,” he told Sky News.

“You can’t move on, you can’t do anything, you can’t arrange anything, you can’t feel that they’re at peace, you can’t put yourself at peace, because of a process that’s been put in that nobody seems to know anything about at the moment.”

That process has been introduced by the government to address “concerns” about how causes of death were previously scrutinised, following high-profile criminal cases such as those of Harold Shipman and Lucy Letby.

Up until last September, causes of death could be signed off by a GP, but now they have to be independently scrutinised by a medical examiner, before a death certificate can be issued.

Anne Short
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Anne Short

‘I felt helpless’

Mr Short said he was ringing “twice a day” for a progress update, but that it was “going through too many sets of hands”.

Until the death certificate was issued, Ms Short’s body could not be released into the care of the funeral director.

“The main stress for me was knowing that she was up there [at the hospital] and I couldn’t move her, so I felt helpless, powerless,” he said.

“I felt like I’d let her down in a lot of ways. I know now, looking back, that there’s nothing that we could have done, but at the time it was adding a lot of stress. I just wanted her out of there.”

Anne Short
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Elliot Short had to wait eight weeks to hold his mother’s funeral

‘Something has to be done’

Mr Short fears there’s a risk the new process might defeat its purpose.

“There’s other people that I know that have lost since, where it’s been in a care home or something like that, where they haven’t been happy with the care they’ve had, but they haven’t raised that because you’re in this bubble of grief and you just want to get it done,” he said.

“Something has to be done about that because I think it just drags on the grief and there’s obviously a danger then of it being against the reasons why they’re trying to do it.”

Arrangements after the death of his father less than two years ago was a “much easier process”, according to Mr Short.

“I lost my father as well 15 months before, so we went through the process prior to this coming in and we had the death certificate, he died at home, but we had it within three days,” he added.

Elliot Short, 30
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Elliot Short

‘State of limbo’

James Tovey is the sixth generation of his family running Tovey Bros, a funeral director in Newport.

He told Sky News that the delays were having a “huge impact” on the business and that the families they serve were being “left in a state of limbo” for weeks after their bereavement.

“I would say that most funerals will take place perhaps two to four weeks after the person’s passed away, whereas now it’s much more like four to six weeks, so it is quite a significant difference,” he said.

“It’s one thing on top of an already distressing time for them and we’re frustrated and upset for [the families] as much as anybody else and it’s just annoying that we can’t do anything about it.”

James Tovey is the sixth generation of his family to run Tovey Bros funeral directors in Newport, South Wales
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James Tovey

Mr Tovey said that the reform was “very useful” and he remained supportive of it.

“It’s just the delays. I’m sure they can do something about that over time, but it’s just waiting for that to happen, and I wish that could be addressed sooner rather than later,” he added.

“It does put pressure on other people, it’s not just ourselves, it’s pressure on the hospitals, on crematoria, on the registrar service and everyone else involved in our profession.

“But of course all of us we’re there to serve the families, and we’re just upset for them and wish we could do more to help.”

James Tovey
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The organisation representing funeral directors has called for “urgent action”

The National Association of Funeral Directors said some areas of England and Wales are experiencing much shorter delays than others, but has called for “urgent action”.

Rachel Bradburne, its director of external affairs, said the system was “introduced for all the right reasons” but that it was “not working as well as we need it to”.

“Funeral directors are relaying stories of delays, frustration, and bottlenecks on a daily basis, and urgent action is required to review and recalibrate the new system,” she added.

‘Unintended consequences’

Dr Roger Greene is the deputy chief executive of bereavement charity AtALoss.

He told Sky News that the delays were “one of the unintended consequences of what’s a well-intended reform of a system”.

“What has actually happened is that the number of deaths now requiring independent scrutiny has trebled,” he said.

“So in England and Wales in 2023, the last full year of data, there were nearly 200,000 deaths reported to a coroner, whereas there were 600,000 deaths.

“Now, what is the change in the process is that all deaths now need to be reported for independent scrutiny.”

Dr Roger Greene
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Dr Roger Greene

Dr Greene said there may be ways the system could be “tweaked a little bit”, such as giving medical examiners the ability to issue an interim death certificate.

“We believe that people can process grief well if they’re given the opportunity and they’ve got a proper understanding,” he added.

“But the systems that we have in the country need to be able to work as well with that diversity of faith and culture.”

‘Vital improvements’

Jason Shannon, lead medical examiner for Wales, told Sky News he recognised “the importance of a seamless, accurate and timely death certification process”.

“Medical examiners are one part of the wider death certification process and were introduced to give additional independent safeguards as well as to give bereaved people a voice, which they hadn’t had before,” he added.

“Medical examiners have no role in determining where the body of a family’s relative is cared for and except in a minority of deaths where a coroner needs to be involved, that decision should be one that a family is fully empowered to make in a way that is best for them.”

A Welsh government spokesperson said they “would like to apologise to any families who have experienced delays in receiving death certificates”.

The government said it was working with the lead medical examiner and the NHS in Wales “to understand where the delays are” and how to provide bereaved families with “additional support”.

Read more from Sky News:
Families feel impact of spiralling funeral costs
Calls for funeral sector to be regulated

A spokesperson for the Department of Health and Social Care said it recognised there were “some regional variations in how long it takes to register a death”.

They added that the changes to the death certification process “support vital improvements to patient safety and aim to provide comfort and clarity to the bereaved”.

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‘Andrew Tate phenomena’ surges in schools – with boys refusing to talk to female teacher

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'Andrew Tate phenomena' surges in schools - with boys refusing to talk to female teacher

Social media influencers are fuelling a rise in misogyny and sexism in the UK’s classrooms, according to teachers.

More than 5,800 teachers were polled as part of the survey by the NASUWT teaching union, and nearly three in five (59%) of teachers said they believe social media use has contributed to a deterioration in pupils’ behaviour.

The findings have been published during the union’s annual conference, which is taking place in Liverpool this weekend.

One motion that is set to be debated at the conference calls on the union’s executive to work with teachers “to assess the risk that far-right and populist movements pose to young people”.

Andrew Tate was referenced by a number of teachers who took part in the survey, who said he had negative influence on male pupils.

One teacher said she’d had 10-year-old boys “refuse to speak to [her]…because [she is] a woman”.

Another teacher said “the Andrew Tate phenomena had a huge impact on how [pupils at an all-boys school] interacted with females and males they did not see as ‘masculine'”.

While another respondent to the survey said their school had experienced some incidents of “derogatory language towards female staff…as a direct result of Andrew Tate videos”.

Last month, Prime Minister Sir Keir Starmer hosted a discussion in Downing Street on how to prevent young boys from being dragged into a “whirlpool of hatred and misogyny”.

The talks were with the creators of Netflix drama Adolescence, which explored so-called incel culture.

Read more from Sky News:
Former Rochdale footballer dies aged 36
Two Britons among four killed in cable car crash

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Starmer meets Adolescence creators

‘An urgent need for action’

Patrick Roach, the union’s general secretary, said “misogyny, racism and other forms of prejudice and hatred…are not a recent phenomenon”.

He said teachers “cannot be left alone to deal with these problems” and that a “multi-agency response” was needed.

“There is an urgent need for concerted action involving schools, colleges and other agencies to safeguard all children and young people from the dangerous influence of far-right populists and extremists,” Mr Roach added.

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A spokesperson for the Department for Education (DfE) said: “Education can be the antidote to hate, and the classroom should be a safe environment for sensitive topics to be discussed and where critical thinking is encouraged.

“That’s why we provide a range of resources to support teachers to navigate these challenging issues, and why our curriculum review will look at the skills children need to thrive in a fast-changing online world.”

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Joe Thompson: Former Rochdale footballer dies aged 36 after third cancer diagnosis

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Joe Thompson: Former Rochdale footballer dies aged 36 after third cancer diagnosis

Former Rochdale player Joe Thompson has died aged 36.

His former club said it was “devastated” to learn of his death.

Thompson, who retired in 2019, was diagnosed with cancer for a third time last year.

In its statement, Rochdale FC said he died “peacefully at home on Thursday, with his family by his side”.

He made over 200 appearances for Rochdale, who he joined from Manchester United‘s academy in 2005.

The club posted a tribute on X, describing the former midfielder as “a warm personality who had a deep connection with our club from a young age”.

In her tribute on Instagram, Thompson’s wife Chantelle said he had “made such an impact on so many people” and he was “the most incredible husband, son, brother, friend and father”.

During his career, he played for Tranmere Rovers, Bury and Carlisle United, with spells on loan at Wrexham and Southport.

He was first diagnosed with Hodgkin lymphoma in 2013, while playing for Tranmere.

When Thompson rejoined Rochdale from Carlisle in 2016 the disease soon returned, but he confirmed he was cancer free in June 2017.

Two years later, he announced his retirement at the age of 29, saying his body had been pushed “to the limit” having twice undergone treatment for cancer.

Last year, he revealed he had been diagnosed with stage four lymphoma which had spread to his lungs.

Read more from Sky News:
Man hijacks plane and stabs passengers
Two Britons among four killed in cable car crash

Hodgkin lymphoma is a relatively aggressive type of cancer that can spread quickly through the body, according to the NHS.

Rochdale, who face Altrincham on Friday, have confirmed that players will wear black armbands during the National League match.

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