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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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Israel allows foreign countries to parachute aid into Gaza

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Israel allows foreign countries to parachute aid into Gaza

Israel has said foreign countries can drop aid into Gaza from today.

A senior IDF official told Sky News on Friday: “Starting today, Israel will allow foreign countries to parachute aid into Gaza.

“Starting this afternoon, the WCK organisation began reactivating its kitchens.”

Humanitarian aid organisation World Central Kitchen paused its operation in Gaza in November after a number of its workers were killed in an Israeli airstrike last year.

Aid workers in Gaza – who help provide food, medicine and shelter for the millions displaced there – have been affected by the ongoing conflict between Israel and Hamas.

In recent weeks hundreds of Palestinians have been killed while waiting for food and aid.

This breaking news story is being updated and more details will be published shortly.

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‘Almost like a game of target practice’: British surgeon says IDF shooting Gazans at aid points

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'Almost like a game of target practice': British surgeon says IDF shooting Gazans at aid points

A British surgeon who recently returned from Gaza has told Sky News that there is “profound malnutrition” among the population – and claims IDF soldiers are shooting civilians at aid points “like a game of target practice”.

Dr Nick Maynard spent four weeks working inside Nasser Hospital, where a lack of food has left medics struggling to treat children and toddlers.

The conditions inside the hospital, in the south of the Strip, have been documented in a Sky News report.

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Malnourished girl: ‘The war changed me’

Dr Maynard told The World with Yalda Hakim: “I met several doctors who had cartons of formula feed in their luggage – and they were all confiscated by the Israeli border guards. Nothing else got confiscated, just the formula feed.

“There were four premature babies who died during the first two weeks when I was in Nasser Hospital – and there will be many, many more deaths until the Israelis allow proper food to get in there.”

Palestinians wait to receive food from a charity kitchen, amid a hunger crisis, in Gaza City, July 24, 2025. REUTERS/Khamis Al-Rifi
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Palestinians wait to receive food from a charity kitchen in Gaza City. Pic: Reuters

In other developments:

• Israel and the US have recalled their teams from Gaza ceasefire talks

• US envoy Steve Witkoff has accused Hamas “of failing to act in good faith”

• France has announced that it will recognise the state of Palestine

• An influential group of MPs is calling on the UK to “immediately” do the same

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‘Starvation used as a weapon’

‘They were shells’

Dr Nick Maynard has been going to Gaza for the past 15 years – and this is his third visit to the territory since the war began.

The British surgeon added that virtually all of the kids in the paediatric unit of Nasser Hospital are being fed with sugar water.

“They’ve got a small amount of formula feed for very small babies, but not enough,” he warned.

Dr Maynard said the lack of aid has also had a huge impact on his colleagues.

“I saw people I’d known for years and I didn’t recognise some of them,” he added. “Two colleagues had lost 20kg and 30kg respectively. They were shells, they’re all hungry.

“They’re going to work every day, then going home to their tents where they have no food.”

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Ex-Gaza aid worker claims personnel shot at Palestinians

IDF ‘shooting Gazans at aid points’

Elsewhere in the interview, Dr Maynard claimed Israeli soldiers are shooting civilians at aid points “almost like a game of target practice”.

He has operated on boys as young as 11 who had been “shot at food distribution points” run by the US and Israel-backed Gaza Humanitarian Foundation.

“They had gone to get food for their starving families and they were shot,” he said.

“I operated on one 12-year-old boy who died on the operating table because his injuries were so severe.”

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Gaza deaths increase when aid sites open

Dr Maynard continued: “What was even more distressing was the pattern of injuries that we saw, the clustering of injuries to particular body parts on certain days.

“One day they’d be coming in predominately with gunshot wounds to the head or the neck, another day to the abdomen.

“Twelve days ago, four young teenage boys came in, all of whom had been shot in the testicles and deliberately so.

“The clustering was far too obvious to be accidental, and it seemed to us like this was almost like a game of target practice.

“I would never have believed this possible unless I’d witnessed this with my own eyes.”

Palestinians are brought to Nasser Hospital after being shot by Israeli forces while gathering to receive bags of flour from aid trucks, according to hospital officials and eyewitnesses, in Khan Younis, Gaza Strip, on Thursday, July 24, 2025. (AP Photo/Mariam Dagga)
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Palestinians brought to Nasser Hospital after being shot by Israeli forces, according to hospital officials and eyewitnesses. Pic: AP

Sky News has contacted the Israeli Defence Forces for comment.

An IDF spokesperson previously told Sky News it “strongly rejected” the accusations that its forces were instructed to deliberately shoot at civilians.

“To be clear, IDF directives prohibit deliberate attacks on civilians,” the spokesperson said, adding that the incidents are “being examined by the relevant IDF authorities”.

Read more:
Medics at Nasser hospital struggle to feed children
Gaza food situation ‘worst its ever been’

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Israeli military show aid waiting inside Gaza

The Gaza Humanitarian Foundation has been managing the supply of aid to Gaza since Israel lifted an 11-week blockade in May.

It has four aid distribution sites, all of which are located in Israeli military zones, with journalists prohibited from entering.

More than 1,000 people have been reported killed while trying to receive food aid since the GHF took over, according to the UN.

UNRWA, its relief agency for Gaza, has heavily criticised the scheme.

Commissioner general Philippe Lazzarini said: “The so-called ‘GHF’ distribution scheme is a sadistic death trap. Snipers open fire randomly on crowds as if they are given a licence to kill.”

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Just a fraction of the aid trucks needed are making it into the enclave, the UN has said, while multiple aid groups and the World Health Organisation have warned Gazans are facing “mass starvation”.

Mr Lazzarini quoted a colleague on Thursday and said malnourished Palestinians in the Gaza “are neither dead nor alive, they are walking corpses”.

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Eleven civilians killed as Thailand and Cambodia exchange fire in escalating border dispute

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Eleven civilians killed as Thailand and Cambodia exchange fire in escalating border dispute

Eleven Thai civilians and a soldier have been killed in clashes between Thailand and Cambodia, officials have said, as long-standing tensions in disputed border areas boiled over into open conflict.

Among those killed was an eight-year-old boy, the army said in a statement.

It said most casualties occurred in Si Sa Ket province, where six people were killed after shots were fired at a fuel station.

Smoke and fire in the Kantharalak district in Thailand amid clashes between Thailand and Cambodia. Pic: Army Region 2 via Facebook/Reuters
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Smoke and fire in the Kantharalak district in Thailand amid clashes between Thailand and Cambodia. Pic: Army Region 2 via Facebook/Reuters

Another 14 people have been injured in three Thai border provinces.

Thailand’s health minister Somsak Thepsuthin confirmed the fatalities to reporters, adding Cambodia’s actions, including an attack on a hospital, should be considered war crimes.

Both countries accuse one another of starting the military clashes and have downgraded their diplomatic relations in the rapidly escalating dispute. Thailand has also sealed all land border crossings with Cambodia.

Early on Thursday, a Thai F-16 fighter jet bombed targets in Cambodia, according to Thailand’s army.

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“We have used air power against military targets as planned,” Thai army deputy spokesperson Richa Suksuwanon said.

Cambodia’s defence ministry said Thai jets had dropped bombs on a road near the ancient Preah Vihear temple, saying it “strongly condemns the reckless and brutal military aggression of the Kingdom of Thailand against the sovereignty and territorial integrity of Cambodia”.

What has caused Thailand-Cambodia border clashes?

Thai people who fled clashes between Thai and Cambodian soldiers take shelter in Surin province. Pic: AP
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Thai people who fled clashes take shelter in Surin province. Pic: AP

Fighting has taken place in disputed border areas
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Fighting has taken place in disputed border areas

‘Civilian areas targeted’

Clashes are ongoing in at least six areas along the border, the Thai defence ministry said.

Thailand’s foreign ministry said Cambodian troops fired “heavy artillery” on a Thai military base on Thursday morning and also targeted civilian areas, including a hospital.

“The Royal Thai Government is prepared to intensify our self-defence measures if Cambodia persists in its armed attack and violations upon Thailand’s sovereignty,” the ministry said in a statement.

A livestream video from Thailand’s side showed people, including children and the elderly, running from their homes and hiding in a concrete bunker as explosions sounded.

The clash happened in an area where the ancient Prasat Ta Muen Thom temple stands along the border between Thailand’s Surin province and Cambodia’s Oddar Meanchey province.

Thai people who fled clashes between Thai and Cambodian soldiers in Surin province, northeastern Thailand. Pic: AP
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Thai people who fled clashes in Surin province, northeastern Thailand. Pic: AP

‘Conflict not spreading’

Thailand’s acting premier said fighting must first stop before peace talks can start.

Caretaker Prime Minister Phumtham Wechayachai told reporters there had been no declaration of war and conflict was not spreading into more provinces.

He said Cambodia had fired heavy weapons into Thailand without any specific targets, resulting in civilian deaths.

Earlier on Thursday, Cambodia downgraded diplomatic relations with Thailand to their lowest level, expelled the Thai ambassador and recalled all Cambodian staff from its embassy in Bangkok.

The day before, its neighbour withdrew its ambassador and expelled the top Cambodian diplomat in protest after five Thai soldiers were wounded in a land mine blast, one of whom lost part of a leg.

A week earlier, a land mine in a different contested area exploded and wounded three Thai soldiers, including one who lost a foot.

Relations between the southeast Asian neighbours have collapsed after a Cambodian soldier was killed in an armed confrontation in a disputed border area in May.

Read more on Sky News:
UK’s ‘tough choices’
‘Man-made starvation’ in Gaza
Man ‘scarred’ by Trump max security prison

Nationalist passions on both sides have further inflamed the situation, and Thailand’s prime minister was suspended earlier this month as an investigation was opened into possible ethics violations over her handling of the border dispute.

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Border disputes are longstanding issues that have caused periodic tensions between the countries. The most prominent and violent conflicts have been around the 1,000-year-old Preah Vihear temple.

In 1962, the International Court of Justice recognised Cambodian sovereignty over the temple area.

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