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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.

According to The Times, some junior doctors want future walkouts to be coordinated with strikes by the Royal College of Nursing (RCN) – but health officials have warned doing so would be “reckless and dangerous”.

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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Drones capture staggering images of Gaza devastation – as people find nothing left

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Drones capture staggering images of Gaza devastation - as people find nothing left

Drones have been a common sight in Gaza for a long time, but they have always been military.

The whine of a drone is enough to trigger fear in many within the enclave.

But now, drones are delivering something different – long, lingering footage of the devastation that has been wreaked on Gaza. And the images are quite staggering.

Gaza latest: Chants of ‘thank you Trump’ in Hostages Square

Whole city blocks reduced to rubble. Streets destroyed. Towns where the landscape has been wholly redesigned.

Whole city blocks reduced to rubble
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Whole city blocks reduced to rubble

Decapitated tower blocks and whole areas turned into black and white photographs, where there is no colour but only a palette of greys – from the dark hues of scorched walls to the lightest grey of the dust that floats through the air.

And everywhere, the indistinct dull grey of rubble – the debris of things that are no longer there.

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Gaza is full of people returning to their homes
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Gaza is full of people returning to their homes

The joy that met the ceasefire has now changed into degrees of anxiety and shock.

Gaza is full of people who are returning to their homes and hoping for good news. For a lucky few, fortune is kind, but for most, the news is bad.

Umm Firas has been displaced from her home in Khan Younis for the past five months. She returned today to the district she knew so well. And what she found was nothing.

Umm Firas returned to find nothing
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Umm Firas returned to find nothing

“This morning we returned to our land, to see our homes, the neighbourhoods where we once lived,” she says.

“But we found no trace of any houses, no streets, no neighbourhoods, no trees. Even the crops, even the trees – all of them had been bulldozed. The entire area has been destroyed.

“There used to be more than 1,750 houses in the block where we lived, but now not a single one remains standing. Every neighbourhood is destroyed, every home is destroyed, every school is destroyed, every tree is destroyed. The area is unliveable.

“There’s no infrastructure, no place where we can even set up a tent to sit in. Our area, in downtown Khan Younis used to be densely populated. Our homes were built right next to each other. Now there is literally nowhere to go.

“Where can we go? We can’t even find an empty spot to pitch our tent over the ruins of our own homes. So we are going to have to stay homeless and displaced.”

Read more from Sky News:
Nova festival survivor dies two years after girlfriend killed
Could the Gaza deal lead to something even bigger?

It is a story that comes up again and again. One man says that he cannot even reach his house because it is still too near the Israeli military officers stationed in the area.

Another, an older man whose bright pink glasses obscure weary eyes, says there is “nothing left” of his home “so we are leaving it to God”.

“I’m glad we survived and are in good health,” he says, “and now we can return there even if it means we need to eat sand!”

A man says there is 'nothing left'
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A man says there is ‘nothing left’

A bulldozer moves rubble
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A bulldozer moves rubble

The bulldozers have already started work across the strip, trying to clear roads and allow access. Debris is being piled into huge piles, but this is a tiny sticking plaster on a huge wound.

The more you see of Gaza, the more impossible the task seems of rebuilding this place. The devastation is so utterly overwhelming.

Bodies are being found in the rubble while towns are full of buildings that have been so badly damaged they will have to be pulled down.

Humanitarian aid is needed urgently, but, for the moment, the entry points remain closed. Charities are pleading for access.

It is, of course, better for people to live without war than with it. Peace in Gaza gifts the ability to sleep a little better and worry a little less. But when people do wake up, what they see is an apocalyptic landscape of catastrophic destruction.

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My interview with a Hamas leader was a glimpse into the unpredictable and frankly unbelievable world of global politics right now

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My interview with a Hamas leader was a glimpse into the unpredictable and frankly unbelievable world of global politics right now

The thought of Hamas publicly thanking Donald Trump for his peacemaking efforts would have been impossible to imagine just days ago. 

This, after all, is the president who vowed “all Hell” would be unleashed on Hamas if the hostages weren’t returned.

And yet, in an exclusive interview with Hamas’s senior leader Dr Basem Naim, that’s exactly what happened.

“Without the personal interference of President Trump in this case, I don’t think that it would happen to reach this end, the end of the war,” Dr Naim told me.

“Therefore, yes, we thank President Trump and his personal efforts to interfere and to pressure Israel to make an end of this massacre and slaughtering.”

He was speaking from his office in Doha, where last month he and a group of Hamas leaders, meeting to discuss Trump’s plan, were targeted in an Israeli air strike.

He survived the attack, and in the days that followed, international condemnation seems to have helped build momentum towards the ceasefire deal finally being reached.

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It's been a week in which news of a major peace plan breakthrough came in a surreptitiously passed note. Pics: Reuters/AP
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It’s been a week in which news of a major peace plan breakthrough came in a surreptitiously passed note. Pics: Reuters/AP

Serious pressure

This is the unpredictable, and frankly unbelievable, world of global politics right now: A Hamas leader, who narrowly escaped assassination just weeks ago, telling me he believes Donald Trump is the key man to ensure Israel sticks to the ceasefire agreement.

Let’s be clear: Hamas is under serious pressure.

It is facing calls to step away from governing Gaza and disarming altogether, not just from Israel and the US but regional powers as well.

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Could Gaza ceasefire lead to a much bigger peace?

Gaza needs an enormous amount of aid, investment and reconstruction.

A humanitarian catastrophe which has killed 67,000 Gazans, destroyed or damaged 90% of people’s homes and forced 1.2 million people to become displaced.

The message from major international powers is that their long-term commitment will require a new ruling force in the strip.

Dr Naim told me the organisation was willing to cede political control but rejected calls to lay down their arms until a comprehensive agreement was reached.

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Hamas statement on peace deal

“We are ready to hand over government, we are ready to be totally away from any government or government body but when it comes to Hamas as an entity, as a Palestinian liberation movement, I think no one can overcome or exclude Hamas,” he said. “Our weapons are only going to be handed over only to the hands of a Palestinian state and our fighters will be integrated into a Palestinian national army.

“Before that, no one has the right to deny us the right to resist the occupation by all means.”

Read more:
All the hostages believed to be alive and who are due for release

Could the Gaza deal lead to something even bigger?

The negotiators of Wednesday’s deal in the Egyptian resort of Sharm el-Sheikh may choose to ignore those comments for the time being.

Displaced Palestinians begin to head to what is left of their homes in southern Gaza Strip. Pic: AP
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Displaced Palestinians begin to head to what is left of their homes in southern Gaza Strip. Pic: AP

There is, after all, undeniable relief that the fighting has finally stopped, the hostages will be released and 2 million Gazans can sleep safely without the fear of Israeli bombardment.

But for the next phase of this deal to be realised, it will need clear answers as to who runs Gaza?

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Donald Trump and his team believe former British prime minister Sir Tony Blair will have some role to play, something the Hamas official was quick to dismiss.

Sir Tony Blair 'not welcome'. Filepic: Reuters
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Sir Tony Blair ‘not welcome’. Filepic: Reuters

“To be honest, when I hear the name Tony Blair, I can see this could be Balfour Declaration 2… I think all Palestinians, not only in Hamas, not only in Gaza, have very bad, and very negative image of him.

“And I do not believe that he will be very welcome.”

There will be many who read his comments as proof the organisation has no intention of relinquishing control of Gaza.

Hamas itself may feel some sense of achievement that it was the only representative of the Palestinian political factions involved in the negotiations earlier this week.

But the key question now is, who will be responsible for the governance of Gaza and the daunting security challenges that millions are facing.

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Nova festival survivor dies two years after girlfriend shot dead as he shielded her

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Nova festival survivor dies two years after girlfriend shot dead as he shielded her

It was supposed to be a day of pure joy, with hours spent dancing with the love of his life.

But when Hamas terrorists attacked Nova festival on 7 October 2023, Roei Shalev’s life was tragically changed forever.

The 29-year-old was dancing the night away with his partner, Mapal Adam, and their best friend Hilly Solomon when rocket fire suddenly drowned out the music.

Roei, Mapal and Hilly frantically tried to escape by car, driving away from the festival grounds until they encountered a young woman stumbling into the road, covered in blood.

She warned them that there were Hamas gunmen behind her, so the trio exited their vehicle and ran to nearby trees to hide.

“Bullets whizzed past us, grenades exploded nearby, and terror engulfed us from all directions,” Roei said.

They dived under two abandoned cars – Roei and Mapal under one, Hilly under the other.

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But the gunmen caught up with them, shooting the three festivalgoers as they were pinned under the cars.

Roei tried to shield 26-year-old Mapal from the bullets, but she died beneath him while he was shot in the back. Hilly, 26, was also killed instantly.

Roei was shot in the back twice. Pic: Instagram/@roeishalev
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Roei was shot in the back twice. Pic: Instagram/@roeishalev

What followed were “agonising” hours during which Roei lay still, covered in his and his girlfriend’s blood, and played dead.

Even when a second group of gunmen approached and shot at him a second time, hitting him in the back yet again, he did not move.

Seven hours later, the Israeli army found Roei alive.

“That day was the darkest I’ve ever known,” he later said.

The terror continued

A week after his girlfriend and best friend were killed, Roei’s mother Raffaela took her own life because she “couldn’t contain the pain and losses of October 7”, according to her son.

“In just one week, I lost three of the most important women to me in the world,” Roei said.

“In the months that followed, I struggled to cope. Flashbacks and anxiety consumed me, and sleep became a distant memory.”

Roei said therapy and the unwavering support of others gave him the strength to share his story publicly.

“I opened up on social media, laying bare the rawest details of my trauma. The response was overwhelming,” Roei wrote on a fundraising page for Nova festival survivors and their families last year.

“Messages poured in from people who found solace and inspiration in my journey. Their words gave me purpose, a reason to keep fighting.”

He said he was “uncertain of what the future holds”, but knew that he had to “honour the memory of the three extraordinary girls who were taken from us too soon”.

Roei Shalev and Mapal Adam. Pic: Instagram/@roeishalev
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Roei Shalev and Mapal Adam. Pic: Instagram/@roeishalev

In the two years that followed these tragic events, Roei renamed the family bakery he had been running with his girlfriend to “Mapal Cafe”, in tribute to his “one and only love” and organised events to commemorate Mapal and Hilly.

“Amidst the pain and sorrow, I hold onto one truth: we will dance again,” he said in his fundraising post a year ago.

‘Longing for you is only getting bigger’

On the anniversary of his girlfriend’s death, Roei wrote on Instagram: “Two years have passed since the most terrible day of my life… and of a whole country.

“The longing for you is only getting bigger, the pain does not pass with time. It is always there, everywhere, all the time. I’m full of pain this year, even more than last year.”

In the post, Roei thanked his girlfriend for “moments I won’t forget, pure love and the best relationship I could ask for”.

He also addressed both her and Hilly, saying: “A huge apology that I couldn’t keep you safe on this terrible day, you know I did everything, I did everything to keep you safe, my beloved.

“I preferred to die in agony and for you to survive it.”

A woman leans on a picture of Mapal Adam, at the site of the Nova music festival. File pic: AP
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A woman leans on a picture of Mapal Adam, at the site of the Nova music festival. File pic: AP

On Friday night, three days after the anniversary of the tragic events, Roei posted a note on his Instagram account, saying he “can’t go on anymore”.

“I’ve never felt such deep and burning pain and suffering in my life. It’s eating me up inside,” Roei wrote.

His note raised concern among his family and friends, and a frantic search was launched.

The search ended a few hours later in the tragic discovery of Roei’s body inside a burning car near Poleg Beach in Netanya, Israel. Police have opened an investigation, according to Israeli media.

His friends describe Roei as a warm and devoted member of the Nova community who “gave strength to everyone else while quietly carrying immense pain”, The Times of Israel reports.

Roei’s family confirmed his death in a statement and asked for their privacy to be respected.

Roei Shalev was found dead on Friday. Pic: Instagram/@novaexhibitions
Image:
Roei Shalev was found dead on Friday. Pic: Instagram/@novaexhibitions

The Nova Tribe Community organisation, which represents survivors and families of the victims of the October 7 attack on the music festival, called his death “heartbreaking” and “deeply saddening” in a tribute.

“Roei was a pillar of strength within the community, and his death is an immeasurable loss for us,” the organisation said.

The statement continued: “Sadly, many members of the Nova community are still experiencing traumatic moments daily since October 7.

“We ask everyone to show constant awareness and emotional sensitivity to the mental state of those affected by the October 7 events and to all survivors and bereaved families.”

Read more:
Shoes and fairy lights: Remnants of Nova festival attack
All the hostages believed to be alive and due for release

SafeHeart, a non-profit organisation providing psychological support for October 7 survivors and their families, said in a statement: “Our hearts are broken alongside Roei’s family, friends, and the entire survivor community.

“This terrible tragedy is a painful reminder that for many survivors, the trauma of October 7 has not ended. It continues to live within them, day by day, moment by moment. The pain does not simply fade with time; in many cases, it grows stronger.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK.

Alternatively, you can call Mind’s support line on 0300 102 1234, or NHS on 111.

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