NHS strikes: ‘All options on table’ for ‘unprecedented’ coordinated junior doctors and nurses strikes

Published

2 years ago

April 16, 2023

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“All options are on the table” regarding possible coordinated strikes by junior doctors and nurses, a union representative has warned.

Dr Arjan Singh, a member of the British Medical Association’s (BMA) junior doctors committee, refused to rule out the possibility of coordinating industrial action with Royal College of Nursing (RCN), saying: “We have a very close relationship with the RCN and every option is to be considered.”

He told Sky News the BMA is “in full solidarity with nursing colleagues”, after the RCN voted for a fresh 48-hour walkout from 8pm on 30 April to 8pm on 2 May.

Dr Singh called the government’s pay offer to the nurses “derisory” and “not reflective of years of pay erosion that they have endured or the sacrifices they’ve made”.

Sir Julian Hartley, chief executive of NHS Providers, said a coordinated strike would be “completely unprecedented”.

“We would be in uncharted territory,” he told Sky News. “It would be even more challenging to plan for, manage and mitigate all the enormous challenges it would present the service with.

“Doctors and nurses are fundamental to the delivery of care across the service. It really is deeply concerning if that’s the scenario we’re facing.”

‘Desperate need’ to end strikes

Sir Julian said the NHS was in “desperate need” of an end to strike action.

“We need both the government and unions to come together quickly to try and find a way through this,” he added.

The RCN strike comes after a 54% vote to reject an offer of a 5% pay rise this year and a cash payment for last year.

Staff in emergency departments, intensive care units and cancer care are expected to take action for the first time.

But members of a second union, Unison, voted to accept the same offer by 74% on a turnout of 53%.

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 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.

Junior doctors await ‘credible offer’

Around 47,000 junior doctors finished their four-day strike in a separate dispute over pay at 7am on Saturday.

The BMA has urged the government to hold talks over junior doctors’ demands for “pay restoration” to 2008 levels, but ministers have claimed that would amount to a 35% pay rise.

Dr Singh accused Health Secretary Steve Barclay of “hiding” behind pre-recorded media interviews.

“We said, ‘give us a credible offer, and we would call off the strikes’,” he said.

“But radio silence is what we’re hearing from our health secretary at the moment, and it’s very concerning.”

A “mass haemorrhaging and exodus of doctors” would continue if a “credible offer” was not made, he added.

UK

Unlicensed Botox-like injections spark outbreak of disease many doctors have never treated

Published

9 hours ago

July 26, 2025

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Unlicensed Botox-like injections spark outbreak of disease many doctors have never treated

A woman who thought she was being injected with Botox was left unable to swallow and doctors thought she had suffered a stroke – after she contracted a life-threatening illness from a potentially illegal product.

Nicola Fairley is one of dozens of people who have developed botulism linked to unlicensed anti-wrinkle injections.

She had the procedure done with her regular beautician after winning a Facebook competition for three areas of “Botox”.

“Within two or three hours my forehead and the sides of my eyes had started to freeze,” Nicola says.

“At first I thought ‘amazing’, that’s what I wanted – then it just carried on.”

Nicola was eventually sent to A&E in Durham, where she met several other patients who all had similar symptoms.

Doctors were stumped. “They thought I’d had a stroke,” she says.

“We all had problems with our eyes, some of us with our breathing. I couldn’t swallow – they put me on nil by mouth because they were worried I would choke in the waiting room.”

It turns out all of the patients had recently had anti-wrinkle injections containing botulinum toxin.

Health officials believe they were imported, illegal products.

Botulism – the disease they caused – is so rare many doctors never see it in their entire careers.

It can cause symptoms including slurred speech and breathing problems, and can be deadly.

The disease is so unusual, and so many cases were coming in, that doctors exhausted their stocks of anti-toxin and had to ask hospitals as far away as London to get more.

The UK Health Security Agency has so far confirmed 38 cases of botulism linked to cosmetic toxin injections, but Sky News has been told of several more.

The outbreak began in the North East but cases have now been seen in the East of England and East Midlands as well.

There are only a handful of legal botulinum toxin products in the UK – of which Botox is one.

But cosmetic treatments are largely unregulated, with anyone allowed to inject products like fillers and toxins without any medical training.

Cheap, illegal products imported from overseas are easily available.

‘It’s the Wild West’

Dr Steven Land runs Novellus Aesthetics clinic in Newcastle upon Tyne. He worked for decades as an emergency medicine doctor before moving into aesthetics.

He says he has been warning health officials of an outbreak for years.

“It’s the Wild West,” Dr Land told Sky News.

“Because anyone can do this, there is a lack of knowledge around what is legal, what’s not legal, what is okay to be injected.

“These illegal toxins could have 50 units, 5,000 units or rat poison – there could be anything in there.”

Dr Land showed us messages that he says he gets on a weekly basis, from sellers trying to push him cheap, unlicensed products.

They advertise “limited time offers” and cheap bundles on toxins imported from overseas. He calls them “drug dealers”.

“They are preying on the lack of knowledge among non-medical practitioners,” he says.

Consultations on how to regulate the aesthetics industry have been ongoing for years – but so far, no changes have been introduced.

The UK government now says it does plan to regulate certain procedures, but it’s not said how it will do this, or when.

“What will it take?” Nicola says. “One of the women we were with did almost die – she had to be resuscitated.”

Nicola’s beautician has stopped responding to her messages, so she says she still has no idea what the product was “or how much of it is in me”.

She doesn’t know how long her symptoms will last, but just hopes she will eventually recover.

UK

Trump issues warning to leaders as he arrives in Scotland

Published

12 hours ago

July 26, 2025

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'Immigration is killing Europe': Donald Trump issues warning to leaders as he arrives in Scotland

Donald Trump has landed in Scotland for a four-day trip including high-level meetings – praising Sir Keir Starmer as “a good man” but calling illegal migration a “horrible invasion” that is “killing Europe”.

Crowds gathered at Prestwick Airport in Ayrshire amid a major security operation for the US president’s visit.

Mr Trump told reporters: “I like your prime minister. He’s slightly more liberal than I am… but he’s a good man… he got a trade deal done. It’s a good deal for the UK.”

The pair are expected to discuss potential changes to the UK-US trade deal which came into force last month.

Trump left Air Force One to head to Turnberry, one of his Scottish golf courses. Part of the trip will include the opening of another course in Aberdeenshire, billed as “the greatest 36 holes in golf”.

“There’s no place like Turnberry. It’s the best, probably the best course in the world. And I would say Aberdeen is right up there,” the US president said.

“Sean Connery helped get me the [planning] permits. If it weren’t for Sean Connery, we wouldn’t have those great courses,” he added.

During the trip, President Trump will also hold discussions with Scotland’s First Minister John Swinney and EU Commission President Ursula von der Leyen, who is keen to secure a trade deal with the US.

Mr Trump told reporters there was “a good 50-50 chance” of an agreement with the EU but added there were “maybe 20 different” sticking points.

EU diplomats say a deal could result in a broad 15% tariff on EU goods and half of the 30% Trump is threatening to impose by 1 August.

The US president touched on illegal immigration and gave European leaders a stark warning.

“You better get your act together or you’re not going to have Europe anymore. You got to get your act together,” he said.

“But you’re allowing it to happen to your countries and you got to stop this horrible invasion that’s happening to Europe. Immigration is killing Europe.”

He was also scathing about the installation of wind turbines across the continent.

“Stop the windmills. You’re ruining your countries,” he said. “It’s so sad. You fly over and you see these windmills all over the place, ruining your beautiful fields and valleys and killing your birds.”

Domestically, Mr Trump faces the biggest political crisis of his second term in office over his administration’s handling of files linked to disgraced financier and sex offender Jeffrey Epstein, who died in prison in 2019.

He faced another round of questions after stepping off Air Force One.

“You’re making a big thing over something that’s not a big thing. I’m focused on making deals, not on conspiracy theories that you are,” he said.

Mr Trump added that “now’s not the time” to discuss a pardon for Ghislaine Maxwell, Epstein’s imprisoned accomplice.

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While the president’s visit did attract some enthusiastic flag-waving supporters at Prestwick Airport, he is also likely to trigger a number of protests, prompting Police Scotland to call in support from other forces in the UK.

The Stop Trump Scotland group has planned demonstrations on Saturday in Edinburgh, Aberdeen and Dumfries.

About 70% of Scots have an unfavourable opinion of Mr Trump, while 18% have a positive opinion, an Ipsos poll in March found.

Mr Trump is staying at his Turnberry property on Scotland’s west coast this weekend, before travelling to Aberdeenshire on Monday, where he will open a second 18-hole course.

He is due to return to the UK in September for a state visit hosted by the King – the first world leader in modern times to undertake two UK state visits.

UK

‘Immigration is killing Europe’: Donald Trump issues warning to leaders as he arrives in Scotland

Published

18 hours ago

July 26, 2025

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Donald Trump has landed in Scotland ahead of a four-day trip, which includes high-level meetings, praising Sir Keir Starmer as “a good man” but also calling illegal migration a “horrible invasion” that was “killing Europe”.

Crowds gathered at Prestwick Airport in Ayrshire amid a major security operation for the US president’s visit.

Mr Trump told reporters: “I like your prime minister. He’s slightly more liberal than I am… but he’s a good man… he got a trade deal done. It’s a good deal for the UK.”

Trump latest: Donald Trump arrives in Scotland

The pair are expected to discuss potential changes to the UK-US trade deal which came into force last month.

“There’s no place like Turnberry. It’s the best, probably the best course in the world. And I would say Aberdeen is right up there,” the US president said.

“Sean Connery helped get me the [planning] permits. If it weren’t for Sean Connery, we wouldn’t have those great courses,” he added.

Mr Trump told reporters there was “a good 50-50 chance” of an agreement with the EU but added there were “maybe 20 different” sticking points.

EU diplomats say a deal could result in a broad 15% tariff on EU goods and half of the 30% Trump is threatening to impose by 1 August.

The US president touched on illegal immigration and gave European leaders a stark warning.

“You better get your act together or you’re not going to have Europe anymore. You got to get your act together,” he said.

“But you’re allowing it to happen to your countries and you got to stop this horrible invasion that’s happening to Europe. Immigration is killing Europe,” he told reporters.

He was also scathing about the installation of wind turbines across Europe.

Domestically, President Trump faces the biggest political crisis of his second term in office over his administration’s handling of files linked to disgraced financier and sex offender Jeffrey Epstein, who died in prison in 2019.

He faced another round of questions after stepping off Air Force One. “You’re making a big thing over something that’s not a big thing. I’m focused on making deals, not on conspiracy theories that you are,” he said.

Mr Trump added that “now’s not the time” to discuss a pardon for Ghislaine Maxwell, Epstein’s imprisoned accomplice.

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The Stop Trump Scotland group has planned demonstrations on Saturday in Edinburgh, Aberdeen and Dumfries.

About 70% of Scots have an unfavourable opinion of Trump, while 18% have a positive opinion, an Ipsos poll in March found.

President Trump is staying at his Turnberry property on Scotland’s west coast this weekend, before travelling to Aberdeenshire on Monday, where he will open a second 18-hole course.

He is due to return to the UK in September for a state visit hosted by the King – the first world leader in modern times to undertake two UK state visits.