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Hospitals are bracing themselves for “exceptionally low” staff numbers in some regions as nurses prepare to go on strike over the bank holiday weekend, NHS England has warned.

The latest walkout comes as the health service warns that, due to nearly six months of strike action, the number of rescheduled appointments is set to hit half a million next week.

The bank holiday strike by members of the Royal College of Nursing union will take place from 8pm on Sunday to 11.59pm on Monday.

It will be the latest action by nurses in a long-running dispute over pay and conditions.

Nurses make up a quarter of NHS staff and are the biggest proportion of the health service workforce. They are seeking a pay rise that is 5% above inflation.

The RCN says nurses’ salaries have consistently fallen below inflation – with the consequences now worsened by the cost of living crisis.

During the strike action, the union said it will not agree to derogations (areas of care where unions agree to provide staffing during industrial action), meaning nurses in intensive care, A&E and cancer care will be on the picket line.

However, in a new development, the RCN has agreed with NHS England that nurses may offer “safety critical mitigations” in some emergencies to “maintain safe patient care”.

NHS England said the health service and RCN “are seeking to agree mitigations on an organisation by organisation basis if there is a critical risk to patient safety”.

But it warned that staffing levels for some areas of the country will be “exceptionally low, lower than on previous strike days”.

Meanwhile, Great Ormond Street Hospital’s chief executive Mat Shaw has said he is “incredibly grateful” to staff and the RCN for “granting safety exemptions” during the strike.

The world-renowned children’s hospital had earlier declared a business continuity incident due to “serious concerns over safely staffing the hospital” throughout the walkout.

It said on its website some children may need to be sent home in order to care for those who remain to be safe.

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Original strike plan deemed unlawful

Nurses are set to strike this weekend after a High Court judge ruled on Thursday it would be unlawful for the strike to continue into Tuesday as originally planned.

Health Secretary Steve Barclay secured the court’s interim declaration after bringing legal action against part of the trade union’s proposed walkout.

Meanwhile, NHS England is urging the public to use the health service wisely as hospitals prepare to cope with the bank holiday weekend.

It said emergency and urgent care would remain the priority, with people asked to use other services such as pharmacies and 111 where possible.

Unions encouraged to accept pay offer

The latest action comes as health unions are split over whether to accept a 5% pay offer from the government.

The NHS Staff Council – made up of health unions, employers and government representatives – is meeting on Tuesday to discuss the offer.

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From Thursday 27 April: RCN general secretary says government has ‘lost nursing’

The government ‘has lost nursing’ says RCN general secretary

Matthew Taylor, chief executive of the NHS Confederation which represents organisations that commission and provide services for the health service, told Sky News: “There is a danger, there is a concern that unions who haven’t accepted the deal might split off.

“We would very much encourage them not to do so. I think it’s extremely important for NHS staff to stick together.”

He continued: “We hope that if the staff council accepts this (pay offer), then all the unions will accept it.

“But I think it’s really important to say that that doesn’t mean that we as leaders of the health service don’t recognise the real concerns amongst staff that their pay has fallen.

“I talk to NHS all the time and many of them say to me they’ve never known at a time when they’re more concerned about staff morale, we see it’s very hard to retain staff in the health service.

“We recruit staff reasonably well, but too many of them leave because they find the pressures of the job very difficult. So the issues that lie behind the strike, issues of recruitment, of retention, of motivation, they will continue to be there and we need to address those questions.”

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Leak reveals BBC staff anger at Tory-linked board member as Nandy defends broadcaster

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Leak reveals BBC staff anger at Tory-linked board member as Nandy defends broadcaster

Culture Secretary Lisa Nandy has defended the BBC as a crisis initiated by an edit of a Donald Trump speech engulfs the corporation.

The organisation apologised on Monday after two of its top figures, including director-general Tim Davie, resigned amid concerns about impartiality – notably the editing of a Panorama documentary from October 2024.

It aired the week before the US presidential election and showed an edited speech made by Mr Trump before the 2021 Capitol riot, in which he appeared to tell supporters he was going to walk there with them to “fight like hell”.

Ms Nandy has defended the BBC, saying “some in the House” have suggested the BBC is institutionally biased, but that she disagrees as the BBC is a “light on the hill for people here and across the world”.

“All of us in this House should value it, uphold it and fiercely defend it,” she added.

Pedestrians outside BBC Broadcasting House. Pic: AP
Image:
Pedestrians outside BBC Broadcasting House. Pic: AP

The culture secretary said that she has been in “regular contact” with BBC chair Samir Shah, ensuring that where its standards were not met, “firm, swift and transparent action follows”.

“I welcome the steps that have already been set out and I will keep the House updated as the BBC leadership grips these issues,” she added, saying she agreed with Mr Shah that the national broadcaster has a responsibility to “uphold the highest standards”.

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Ms Nandy said a review of the BBC’s Royal Charter will begin “imminently” and a public consultation will be launched, with more details in the “coming weeks”.

Meanwhile, Mr Trump threatened to sue the BBC for $1bn, and a letter dated 9 November from Florida lawyer Alejandro Brito outlines three demands upon the organisation to avoid being sued, with a deadline of 10pm UK time on Friday to respond.

He demanded that the BBC issue a “full and fair retraction” of the documentary, apologise immediately, and “appropriately compensate” Mr Trump.

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Trump’s $1bn lawsuit threat against BBC

Shadow culture secretary Nigel Huddleston has demanded an apology from the BBC to Trump and to the British public.

He told the House of Commons on Tuesday that the corporation is “in a sorry mess… of its own making” and “needs saving from itself”.

Mr Huddleston stressed that his party wants the BBC to succeed and praises its successes, but emphasised that this “requires institutional change and far more than a few moves at the top”.

The problems of the corporation relate to its failure to honour its charter obligation to impartiality, he said.

In an all-staff call on Tuesday morning, the outgoing BBC director-general Mr Davie said the corporation had “made some mistakes that have cost us” but added he was “proud” and that the organisation needed to “fight” for its journalism.

He also admitted: “I think we did make a mistake, and there was an editorial breach, and I think some responsibility had to be taken.”

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Inside the BBC staff call

Mr Davie, who has worked for the BBC for 20 years and been in charge for the past five, is not stepping down immediately.

He said in his departure note to staff that he is “working through exact timings with the board to allow for an orderly transition to a successor over the coming months”.

There are several potential candidates who could replace him and take on the highest-profile role in British broadcasting, which effectively serves as both the corporation’s chief executive and its editor-in-chief across television, radio and online.

In a Q&A with Mr Davie after the all-staff call, staff were frustrated by having their questions vetted, Sky News arts and entertainment correspondent Katie Spencer reports.

Some of the questions were about the controversial appointment of Sir Robbie Gibb, the former Tory director of communications for prime minister Theresa May, to the BBC board.

Robbie Gibb, Theresa May's then director of communications, leaves No 10 in 2019. Pic: James Veysey/Shutterstock

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Robbie Gibb, Theresa May’s then director of communications, leaves No 10 in 2019. Pic: James Veysey/Shutterstock

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But when these questions were getting through the vetting process, staff tried to ask questions in the reply boxes, which were public.

The anonymous comments included questions like “How can we claim to be unbiased if Gibb is on the board?” and “Why is Robbie Gibb still on the board?”.

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“I find Robbie Gibb’s continued presence at the BBC to be incredibly demoralising. It feels as if he is fighting against and undermining the work we’re trying to do,” another comment read.

The leaders of the Lib Dems and SNP have both called for Sir Robbie’s removal.

But Ms Nandy told the Commons that the government is “unable” to remove Sir Robbie, as “the charter sets a strict legal threshold that must be met before dismissal of a board member”.

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‘Devious, scheming and manipulative’ NHS manager jailed for 28 years after grooming girls on Snapchat

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'Devious, scheming and manipulative' NHS manager jailed for 28 years after grooming girls on Snapchat

A senior NHS manager, described by a judge as “devious, scheming and manipulative”, has been jailed for 28 years for raping and sexually assaulting girls he groomed on Snapchat.

Paul Lipscombe, 51, from Rothley in Leicestershire, admitted 34 offences against six girls – aged between 12 and 15 – between September 2023 and April 2024 after targeting them via the social media app.

Leicester Crown Court heard that police became aware of his offending after a 15-year-old girl, who was reported missing, told officers that she had been raped.

Prosecutor Frida Hussain KC told Judge Keith Raynor on Monday that Lipscombe was initially arrested on suspicion of kidnapping the missing girl when officers pulled over his car in Birstall, near Leicester, in April 2024.

Lipscombe has been jailed for 28 years. Pic: Leicestershire Police
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Lipscombe has been jailed for 28 years. Pic: Leicestershire Police

Ms Hussain told the court the girl went missing from her home late at night and was picked up by Lipscombe nearby, before he took her to a hotel. Police later found the child at a rented address.

“He accused other people of serious crimes simply in order to mask his own crimes,” Ms Hussain added.

Follow-up searches at the hotel, his car and home uncovered evidence that the youngster had been sexually assaulted. Police recovered items including soft toys, restraints, vodka, his phone and another mobile which had been wiped.

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Devious, scheming and manipulative

Passing sentence on Tuesday, Judge Raynor told Lipscombe he was “intelligent, confident, resourceful and well-organised” and the victims had been “truly vulnerable”.

“The evidence shows you to have been devious, scheming and manipulative. You were bold in your offending and you took very high risks. The sexual abuse of young girls was an obsession in life for you,” he said.

Leicester Crown Court heard that when Lipscombe initially contacted the girls, he told them he was in his late 20s or early 30s. Five of the six girls had met with him and been raped or sexually assaulted.

Lipscombe is pictured in a Snapchat video. Pic: Leicestershire Police
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Lipscombe is pictured in a Snapchat video. Pic: Leicestershire Police


A significant number of indecent images of children were discovered on his devices and online storage accounts. He had also set up a website where people could buy illegal videos of child abuse created through AI technology.

The court was told Lipscombe had been targeting girls using several Snapchat accounts, including two fake names, Dom Woodmore and George.

Lipscombe set up multiple profiles on Snapchat to groom girls. Pic: Leicestershire Police
Image:
Lipscombe set up multiple profiles on Snapchat to groom girls. Pic: Leicestershire Police

In February, Paul Lipscombe pleaded guilty to 34 offences, including two counts of rape of a child under 13; 21 counts of sexual activity with a child; three counts of sexual assault of a child under 13; and causing or inciting a child to engage in sexual activity.

He also admitted six counts of making indecent photographs of children and distributing indecent photographs of children.

Lipscombe was sentenced on Tuesday to 28 years and one month, and to remain on licence for three years after his release. He has been placed on the sex offenders register for life.

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Could be other victims, say police

Detective Constable Lauren Speight, from the Child Abuse Investigation Unit (CAIU), said: “Our investigation into the offending carried out by this man is continuing.

“We suspect he may have been in contact with other girls and could well have committed sexual offences against others. We would urge anyone who has been in contact with him to contact us.”

The married NHS executive worked with the University Hospitals Coventry and Warwickshire NHS Trust as a performance and informatics specialist.

In a statement, the trust said Lipscombe was initially suspended when he was arrested, then later dismissed in June 2024.

It added there was “nothing has been identified at this stage to indicate this individual’s criminal activity was committed as part of their role”.

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St George’s flags are creating ‘no-go zones’ for NHS staff, health bosses warn

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St George's flags are creating 'no-go zones' for NHS staff, health bosses warn

The flying of St George’s flags across the country are creating “no-go” zones for NHS staff, with some facing frequent abuse, health bosses have warned.

Several NHS trust chief executives and leaders have said staff feel intimidated by the national symbols, including when they make home visits.

The findings follow a survey conducted among senior managers, 45% of whom were extremely concerned about discrimination towards staff.

A leader of a trust said anonymously that there were safety issues around how they work in the community, with nurses regularly visiting patients in their homes alone.

He said: “You’re going in on your own, you’re locking the door behind you.

“I have been into homes with people who have been convicted of sex offences, and we go in and provide care to them.

“It can be a really precarious situation, and they [the nurses] handle that absolutely brilliantly.

“The autonomy and the clinical decisions that they make within that, I think, is fantastic.

“We saw during the time when the flags went up – our staff, who are a large minority of black and Asian staff, feeling deliberately intimidated.

“It felt like the flags were up creating no-go zones. That’s what it felt like to them.

“You add that on top of real autonomous working, that real bravery of working in people’s homes, with an environment… [where] it feels like it’s an area that’s designed to exclude them.

“Our staff continue to work in that environment, and I think they deserve our real praise and thanks as a nation, frankly, for doing that within those really difficult circumstances.”

He added his trust had also seen “individual instances of aggression towards staff”.

File pic: iStock
Image:
File pic: iStock

Another NHS trust leader said a member of staff, who is white and has children of mixed heritage, had asked some people putting up flags to move so she could park her car.

“The individuals filmed what was happening, and then followed her, and she continued to receive abuse over a series of several days, not because she objected to the flags, but because she disturbed them,” they said.

“There are lots of stories like that. There are lots of stories where people have tried to take flags down outside of their own homes and have been abused and threatened as a consequence of that.”

The leader said the “springing up of flags everywhere has created another form of intimidation and concern for many, many of our staff”.

Daniel Elkes, chief executive of NHS Providers, which represents trusts, said: “The NHS has relied on overseas recruitment for a long time to ensure we have the right workforce.

“We have a really diverse workforce and without that you can’t deliver the NHS.

“We are trying to recruit from the very places where we provide healthcare so the intake into the NHS is representative of British people from more diverse backgrounds.”

Professor Nicola Ranger, the Royal College of Nursing’s general secretary, said: “Following a summer of further racist disorder, it is little wonder a growing number of nursing staff report feeling unsafe, particularly when having to work on their own and often at night.

“The government and all politicians have to stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism and work with trade unions to develop stronger mechanisms to protect staff.”

Read more from Sky News:
The rise of Christian nationalism in Britain
How Sky News investigated X’s algorithm for political bias

A Department of Health and Social Care spokesperson said there was “no place for intimidation, racism or abuse in our country or our NHS”, adding that threats and aggression should be reported to police.

They said the government valued the “diversity of our NHS”, and that workers “must be treated with dignity and respect”.

“Our flags represent our history, our heritage, and our values,” they said. “They are a symbol of our nation and belong to all of us – not just some of us.”

The survey findings come ahead of strike action by resident doctors over pay and jobs due to take place on Friday for five days.

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