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The NHS has been accused of “shocking waste” after research by a trade union found it was spending more than £1m a week on private ambulances for emergency calls.

Unison – whose members have just accepted a new government pay deal – says it had responses from two-thirds of ambulance trusts in England that paid private companies to provide emergency cover for critical patients.

It said more than a dozen private companies have been used by trusts in England to try and plug holes and meet response times amid what it called overwhelming demand.

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Intensive care nurses to stike

Crews and vehicles are booked up to a year in advance, Unison claimed, so they are available to response to emergency incidents such as strokes and road traffic accidents.

It added that spending the money on private 999 care was a “short-term fix, not a long-term solution to the crisis in ambulance services”.

Speaking ahead of the union’s annual health conference in Bournemouth, Unison’s head of health Sara Gorton said: “This spend on private 999 services shows a lack of long-term planning and is a shocking waste of money.

“It’s nothing more than a sticking plaster solution. Ambulance services are in a desperate state because the government has failed to invest long term.

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“Patients are waiting ages for help to arrive or worse still dying before crews can reach them. Others are stuck in emergency vehicles outside hospitals for hours and hours on end waiting for a bed.”

She urged ministers to offer “proper funding to tackle increasing demand and pay staff properly”.

A Department of Health and Social Care spokesperson said: “We are working hard to improve ambulance waiting times which have substantially reduced from the peak of winter pressures in December 2022.

“Our Urgent and Emergency Care Recovery Plan will allow people to be seen quicker by scaling up community teams, expanding virtual wards, and getting 800 new ambulances on the road. This is on top of £750m we provided this winter to speed up hospital discharge and free up beds.”

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‘Full and final offer’ on nurses pay

Despite Unison members accepting a pay deal, negotiations continue with the Royal College of Nursing, which announced on Friday that its members will strike for 48 hours from 8pm on 30 April after rejecting the offer.

NHS nurses in emergency departments, intensive care and cancer wards will also take industrial action for the first time.

Matthew Taylor, chief executive of the NHS Confederation, which represents health trusts, raised concerns over the possibility of nurses and junior doctors walking out at the same time in the dispute over pay.

“We are concerned about the speculation that the possibility of a combination of junior doctors’ and nurses’ action, so both of these things would be a significant escalation,” he told Sky News.

“It’s very difficult to see how either of those things wouldn’t endanger patient safety and dignity.”

Health Secretary Steve Barclay has told the union: “The decision to refuse at this stage any exemptions for even the most urgent and life-threatening treatment during this action will, I fear, put patients at risk.”

The Royal College of Nursing has said there are currently no plans to coordinate strike action with the British Medical Association.

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Ex-French president Nicolas Sarkozy enters prison for five-year sentence

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Ex-French president Nicolas Sarkozy enters prison for five-year sentence

Nicolas Sarkozy declared his innocence and held hands with his wife before entering prison to begin his five-year sentence.

The 70-year-old was pictured with his wife Carla Bruni-Sarkozy on Tuesday morning ahead of travelling to Paris’ La Sante prison.

He was found guilty last month of criminal conspiracy over the alleged illegal financing of his 2007 presidential election campaign with funds from Libya.

Nicolas Sarkozy leaves his house with his wife Carla Bruni-Sarkozy. Pic: Reuters
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Nicolas Sarkozy leaves his house with his wife Carla Bruni-Sarkozy. Pic: Reuters

Hundreds of supporters chanted “Nicolas, Nicolas” and sang the French national anthem as he left his home this morning and stepped into the car that would take him to jail.

It caps a stunning downfall of the man who led France between 2007 and 2012.

Sarkozy’s sons and daughter, Jean, Pierre, Louis and Giulia, and his grandchildren showed up at the gathering.

As he prepared to begin his prison term, he posted a message on social media repeating his claims that he is an “innocent man” and said he feels a “deep sorrow for France”.

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He will be the first former French leader to be jailed since Nazi collaborator Marshal Philippe Petain after the Second World War.

In his statement, Sarkozy said: “As I prepare to cross the walls of La Sante prison, my thoughts go out to the French people of all walks of life and opinions,” he said.

“I want to tell them with my unwavering strength that it is not a former President of the Republic who is being locked up this morning, it is an innocent person.”

He added: “I feel deep sorrow for France, which finds itself humiliated by the expression of a vengeance that has taken hatred to an unprecedented level. I have no doubt. The truth will triumph. But the price to pay will have been crushing.”

Former French President Nicolas Sarkozy kisses his wife Carla Brun-Sarkozy. Pic: Reuters
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Former French President Nicolas Sarkozy kisses his wife Carla Brun-Sarkozy. Pic: Reuters

Parisian resident Michelle Perie, 67, said she came out to support “because there is anger, injustice”.

“He’s not like any other defendants, he’s someone who holds state secrets, he’s someone who has always done his job with his head held high. We don’t understand,” she said.

Sarkozy’s lawyers said he will be held in solitary confinement, where he will be kept away from all other prisoners for security reasons.

The former president told French newspaper Le Figaro he would take three books with him, including Alexandre Dumas’ The Count of Monte Cristo, in which the hero escapes from an island prison before seeking revenge.

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Gunman who shot Slovak PM sentenced to 21 years in jail

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Gunman who shot Slovak PM sentenced to 21 years in jail

A man who shot and badly wounded Slovak Prime Minister Robert Fico has been given a 21-year jail sentence after being found guilty of terrorism charges.

Juraj Cintula, 72, opened fire on Mr Fico in May 2024, hitting him five times from little more than a one-metre distance as the prime minister greeted supporters in the central Slovak town of Handlová.

Cintula, who was acting alone, said he had not intended to kill Mr Fico and claimed his motive was that he disagreed with government policies.

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Robert Fico

The Slovakian leader, 64, was seriously injured in the attack. He was struck in the abdomen and also sustained wounds to his hip, hand and foot. He was rushed to hospital and immediately underwent five-hour long surgery.

Mr Fico has since recovered and made his first public appearance a few months after the attack.

The shooting and subsequent trial have shaken this small, European Union and NATO-member country, where populist Mr Fico has long been a divisive figure. He’s often been criticised for straying from Slovakia’s pro-Western path and aligning it closer to Russia.

Protesters at a march called "Slovakia is Europe" in Bratislava, May 9, 2025. Pic: Martin Baumann/TASR via AP
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Protesters at a march called “Slovakia is Europe” in Bratislava, May 9, 2025. Pic: Martin Baumann/TASR via AP

Cintula was arrested immediately after the attack. When questioned by investigators, he rejected the accusation of being a “terrorist”.

In testimony read out at his trial, Cintula stated: “I decided to harm the health of the prime minister but I had no intention to kill anyone.”

He added that he was relieved when he learned the prime minister survived.

Protesters against new consolidation of Slovak government in Bratislava, Sept. 11, 2025. Pic: Martin Baumann/TASR via AP
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Protesters against new consolidation of Slovak government in Bratislava, Sept. 11, 2025. Pic: Martin Baumann/TASR via AP

“The defendant did not attack a citizen, but specifically the prime minister,” Igor Králik, the head of the three-judge panel, said in delivering the verdict.

“He was against the government, he was inciting people to overthrow the government.”

Cintula can still appeal the verdict, but it was not immediately clear if he would do so.

In the aftermath of the attack, Mr Fico said he “had no reason to believe” the attack was the work of just one person and repeatedly blamed the liberal opposition and media for the assassination attempt. There is no evidence for that.

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The Slovak leader had previously said he “had no reason to believe” it was an attack by a lone deranged person.

He repeatedly blamed the liberal opposition and media for the assassination attempt, although no evidence was provided for these claims.

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Slovak PM shooting suspect’s home raided

Populist Mr Fico returned to power for the fourth time after his leftist Smer, or Direction, party won the 2023 parliamentary election after campaigning on a pro-Russia and anti-American message.

Thousands have repeatedly rallied in Bratislava and across Slovakia to protest Fico’s pro-Russian stance and other policies.

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Japan’s parliament votes in country’s first ever female PM

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Japan's parliament votes in country's first ever female PM

Japan’s parliament has voted in the country’s first ever female prime minister.

Sanae Takaichi won 237 votes in the 465-seat lower chamber of parliament, and is also set to secure a majority in the less powerful upper house before being sworn in later today.

Tuesday’s votes came after her Liberal Democratic Party agreed to a coalition with the right-wing Japan Innovation Party yesterday.

The last-minute deal came after the Liberal Democrats lost its longterm partner, the Buddhist-backed Komeito, which has a more centrist stance.

Incumbent prime minister Shigeru Ishiba, of Ms Takaichi’s party, announced his resignation last month.

The new prime minister stands and bows after the vote. Pic: AP
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The new prime minister stands and bows after the vote. Pic: AP

While Ms Takaichi’s election marks the shattering of a glass ceiling for Japan, it also marks a sharp tack to the right.

She is a staunchly conservative figure who cites Margaret Thatcher as an inspiration, and comes to power at a time when the country is increasingly worried about the cost of living and immigration.

Japan is currently grappling with rising prices that have sparked public anger, fuelling support for oppositions groups including the far-right Sanseito party.

Japanese lawmakers electing the new PM at the Lower House of Parliament in Tokyo. Pic: Reuters
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Japanese lawmakers electing the new PM at the Lower House of Parliament in Tokyo. Pic: Reuters

Ms Takaichi’s untested alliance is still short of a majority in both houses of parliament and she will need to win over other opposition groups to pass any legislation – which could make her government unstable.

She said at Monday’s signing ceremony: “Political stability is essential right now. Without stability, we cannot push measures for a strong economy or diplomacy.”

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While she is Japan’s first female PM, Ms Takaichi has previously shown she is in no rush to promote gender equality or diversity.

She is among the Japanese politicians who have stonewalled measures for women’s advancements and she supports the imperial family’s male-only succession, while opposing same-sex marriage and allowing separate surnames for married couples.

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