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National exemptions are in place to provide critical care during strike action by nurses, a union leader has insisted, telling Sky News staff would never leave patients unsafe or create more risk.

Royal College of Nursing (RCN) general secretary Pat Cullen was speaking to Sophy Ridge On Sunday ahead of a 28-hour walkout by members over pay.

But the union has pointed out the mitigations will be more limited and not cover whole services as they had previously, meaning the industrial action will be “more intense than before” although the duty to protect life remains.

The government has warned strike action without exemptions “clearly does put patients at risk”.

The industrial action will run from 8pm on Sunday until 11.59pm on Monday night after voting to reject the latest government offer.

Politics latest: Union leader says nurses are pushed to the brink

Hospitals in some regions are bracing themselves for “exceptionally low” staff numbers while Great Ormond Street Hospital (GOSH) declared a “business continuity incident”.

The RCN subsequently offered assurances after the hospital, which is the largest paediatric centre in the UK, raised “serious concerns” over staffing.

And Ms Cullen told Ridge national exemptions were in place.

According to the RCN website, limited safety critical mitigations would include allowing some staff “to preserve life-and-limb” care in emergency departments and intensive care units.

Ms Cullen said: “Our nurses, as I’ve said time and time again, will never leave their patients unsafe or create more risk that’s already in the system at this point in time.”

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GMB votes to accept NHS pay offer after Unite rejection

Ms Cullen added: “There are national exemptions in place for a range of services, for emergency departments, for intensive care units, for neonatal units, paediatric intensive care units, those really acute services.

“In fact, it was the Royal College of Nursing contacted NHS England to ask for a process to be put in place so that we could make sure that the strike was safe for our patients.”

‘Lives are being put at risk every single day’

However, the union leader repeatedly refused to be drawn on whether the strike action would put patients at risk.

She said: “Well, clearly there will be an impact of course… but it’s an impact that can be stopped by this government if they get round the table again and start to talk to me and the hundreds of thousands of nurses who have participated in this ballot.”

Pressed again, Ms Cullen said: “They are going on strike because patients’ lives are being put at risk every single day and why? Because we have tens of thousands of vacant nursing posts.”

Asked a third time, she said: “I accept that on days of strike that services do not have the same level of nursing staff that they have on other days.”

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NHS executive: ‘Strikes are disruptive’

Health workers across the NHS have gone on strike several times in past months in disputes over pay and conditions.

Unions including Unison and the GMB have voted in favour of a government pay offer to end the strikes, while Unite and the RCN have voted against.

Nurses make up a quarter of NHS staff and are the biggest proportion of the health service workforce.

Pay offer ‘fair and reasonable’

Warning of the danger of strike action without exemptions for emergency care, cabinet minister Mark Harper told Ridge: “It clearly does put patients at risk, which is why we urge the unions not to go ahead and do the strike.”

Appealing to the RCN, the transport secretary added: “I would urge them to think again and to do what the other trade unions in the health service have done, which is to accept what I think is a fair and reasonable pay offer, reflecting the value that we do place on hardworking NHS staff.”

‘Strike action will be more intense’

A RCN spokesperson said: “Whole services are not derogated like previous strikes but national agreement was reached on raising staffing levels in some key areas to preserve life and limb.

“The RCN and the NHS are clear, however, that this is not usual staffing levels either. This strike action will be more intense than before but the duty to protect life remains”.

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A spokesperson for NHS England said: “These exemptions do not represent a return to standard staffing.

“The industrial action will still have a very significant impact on other services during the strike period and patients can expect to see longer waits for care.”

‘I don’t want to see strikes go ahead’

Speaking on the same programme, Labour leader Sir Keir Starmer refused to say whether he supported nurses going on strike without exemptions.

He said: “I don’t want to see strikes go ahead.

“The way to avoid strikes is to get in the room with the nurses and resolve these issues.”

A High Court judge ruled on Thursday it would be unlawful for the RCN strike to continue into Tuesday as originally planned, meaning it will now end just before midnight on Monday.

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Musk sued over buying Twitter shares at artificially low prices by US finance regulator

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Musk sued over buying Twitter shares at artificially low prices by US finance regulator

Elon Musk is being sued for failing to disclose his purchase of more than 5% of Twitter stock in a timely fashion.

The world’s richest man bought the stock in March 2022 and the complaint by the US Securities and Exchange Commission (SEC) said the delay allowed him to continue buying Twitter stock at artificially low prices.

In papers filed in Washington DC federal court, the SEC said the move allowed Mr Musk to underpay by at least $150m (£123m).

The commission wants Mr Musk to pay a civil fine and give up profits he was not entitled to.

In response to the lawsuit a lawyer for the multi-billionaire said: “Mr Musk has done nothing wrong and everyone sees this sham for what it is.”

An SEC rule requires investors to disclose within 10 calendar days when they cross a 5% ownership threshold.

The SEC said Mr Musk did not disclose his state until 4 April 2022, 11 days after the deadline – by which point he owned more than 9% of Twitter’s shares.

More on Elon Musk

Twitter’s share price rose by more than 27% following Mr Musk’s disclosure, the SEC added.

Mr Musk later purchased Twitter for $44bn (£36bn) in October 2022 and renamed the social media site X.

Read more: Majority of public says Musk having a negative impact on British politics

Since the election of Donald Trump, Mr Musk has been put in charge of leading a newly created Department of Government Efficiency (DOGE) alongside former Republican presidential candidate Vivek Ramaswamy.

The president-elect said the department would work to reduce government bureaucracy, slash excess regulations, cut wasteful expenditures and restructure federal agencies.

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Hamas accepts Gaza peace deal as Israeli official says agreement is close but ‘not there yet’

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Hamas accepts Gaza peace deal as Israeli official says agreement is close but 'not there yet'

US president-elect Donald Trump has suggested Israel and Hamas could agree a Gaza ceasefire by the end of the week.

Talks between Israeli and Hamas representatives resumed in the Qatari capital Doha yesterday, after US President Joe Biden indicated a deal to stop the fighting was “on the brink” on Monday.

A draft agreement has been sent to both sides. It includes provisions for the release of hostages and a phased Israeli troop withdrawal from Gaza.

Qatar says Israel and Hamas are at their “closest point” yet to a ceasefire deal.

Two Hamas officials said the group has accepted the draft agreement, with Israel still considering the deal.

An Israeli official said a deal is close but “we are not there” yet.

More than 46,500 Palestinians have been killed in Gaza since Israel launched its ground offensive in the aftermath of the 7 October attacks, according to the territory’s Hamas-run health ministry.

Read more:
What’s in the proposed deal?

Palestinians inspect the site of an Israeli strike on beachfront cafe in Deir Al-Balah.
Pic: Reuters
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Palestinians inspect the site of an Israeli strike on beachfront cafe in Deir al Balah. Pic: Reuters

Biden hails possibility of agreement

President Biden said it would include a hostage release deal and a “surge” of aid to Palestinians, in his final foreign policy speech as president.

“So many innocent people have been killed, so many communities have been destroyed. Palestinian people deserve peace,” he said.

“The deal would free the hostages, halt the fighting, provide security to Israel, and allow us to significantly surge humanitarian assistance to the Palestinians who suffered terribly in this war that Hamas started.”

Qatari mediators have sent Israel and Hamas a draft proposal for an agreement to halt the fighting.

Analysis:
Deal might be close, but there are many unanswered questions

U.S. President Joe Biden delivers a speech at the State Department in Washington, U.S. January 13, 2025. REUTERS/Evelyn Hockstein
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Pic: Reuters

Trump: ‘We’re very close’

President-elect Donald Trump has also discussed a possible peace deal during a phone interview with the Newsmax channel.

“We’re very close to getting it done and they have to get it done,” he said.

“If they don’t get it done, there’s going to be a lot of trouble out there, a lot of trouble, like they have never seen before.

“And they will get it done. And I understand there’s been a handshake and they’re getting it finished and maybe by the end of the week. But it has to take place, it has to take place.”

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President-elect Donald Trump talks to reporters after a meeting with Republican leadership at the Capitol on Wednesday, Jan. 8, 2025, in Washington. (AP Photo/Jose Luis Magana)
Image:
Pic: AP

Israeli official: Former Hamas leader held up deal

Speaking on Tuesday as negotiations resumed in Qatar, an anonymous Israeli official said that an agreement was “close, but we are not there”.

They accused Hamas of previously “dictating, not negotiating” but said this has changed in the last few weeks.

Yahya Sinwar was the main obstacle for a deal,” they added.

Sinwar, believed to be the mastermind of the 7 October attacks, led Hamas following the assassination of his predecessor but was himself killed in October last year.

Under Sinwar, the Israeli official claimed, Hamas was “not in a rush” to bring a hostage deal but this has changed since his death and since the IDF “started to dismantle the Shia axis”.

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Biden: ‘Never, never, never, ever give up’

Iran ‘weaker than it’s been in decades’

Yesterday, President Biden also hailed Washington’s support for Israel during two Iranian attacks in 2024.

“All told, Iran is weaker than it’s been in decades,” the president said.

Mr Biden claimed America’s adversaries were weaker than when he took office four years ago and that the US was “winning the worldwide competition”.

“Compared to four years ago, America is stronger, our alliances are stronger, our adversaries and competitors are
weaker,” he said.

“We have not gone to war to make these things happen.”

The US president is expected to give a farewell address on Wednesday.

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Gaza ceasefire: What does the draft agreement say and how many hostages would be released?

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Gaza ceasefire: What does the draft agreement say and how many hostages would be released?

A draft ceasefire deal on the table between Israel and Hamas would see 33 hostages set free and a phased withdrawal of IDF forces from parts of Gaza.

President Joe Biden said an agreement to stop the fighting was “on the brink” and high level negotiations between the two sides resumed in Qatar on Tuesday.

The deal would see a number of things happen in a first stage, with negotiations for the second stage beginning in the third week of the ceasefire.

It would also allow a surge in humanitarian aid into Gaza, which has been devastated by more than a year of war.

Details of what the draft proposal entails have been emerging on Tuesday, reported by Israeli and Palestinian officials.

Relatives and supporters of Israeli hostages held by Hamas in Gaza hold photos of their loved ones during a protest calling for their return, in Tel Aviv, Israel, Wednesday, Jan. 8, 2025. (AP Photo/Ohad Zwigenberg)
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Relatives and supporters of Israeli hostages hold photos of their loved ones during a protest on 8 January. Pic: AP

Hostages to be returned

In the first stage of the potential ceasefire, 33 hostages would be set free.

These include women (including female soldiers), children, men over the age of 50, wounded and sick.

Israel believes most of these hostages are alive but there has not been any official confirmation from Hamas.

In return for the release of the hostages, Israel would free more than 1,000 Palestinian prisoners and detainees.

People serving long sentences for deadly attacks would be included in this but Hamas fighters who took part in the 7 October attack would not be released.

An arrangement to prevent Palestinian “terrorists” from going back to the West Bank would be included in the deal, an anonymous Israeli official said.

Read more:
A timeline of events since the 7 October attacks
The hostages who still haven’t returned home

Smoke billows as buildings lie in ruin in Beit Hanoun in the Gaza Strip.
Pic: Reuters
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Smoke billows as buildings lie in ruin in Beit Hanoun in Gaza. Pic: Reuters

Phased Israeli withdrawal from Gaza

The agreement also includes a phased withdrawal of Israeli forces from Gaza, with IDF troops remaining in the border perimeter to defend Israeli border towns and villages.

Security arrangements would be implemented at the Philadelphi corridor – a narrow strip of land that runs along the border between Egypt and Gaza – with Israel withdrawing from parts of it after the first few days of the deal.

The Rafah Crossing between Egypt and Gaza would start to work gradually to allow the crossing of people who are sick and other humanitarian cases out of Gaza for treatment.

Unarmed North Gaza residents would be allowed to return to their homes, with a mechanism introduced to ensure no weapons are moved there.

“We will not leave the Gaza Strip until all our hostages are back home,” the Israeli official said.

What will happen to Gaza in the future?

There is less detail about the future of Gaza – from how it will be governed, to any guarantees that this agreement will bring a permanent end to the war.

“The only thing that can answer for now is that we are ready for a ceasefire,” the Israeli official said.

“This is a long ceasefire and the deal that is being discussed right now is for a long one. There is a big price for releasing the hostages and we are ready to pay this price.”

The international community has said Gaza must be run by Palestinians, but there has not been a consensus about how this should be done – and the draft ceasefire agreement does not seem to address this either.

In the past, Israel has said it will not end the war leaving Hamas in power. It also previously rejected the possibility of the Palestinian Authority, which exercises limited governing powers in the West Bank, from taking over the administration of Gaza.

Since the beginning of its military campaign in Gaza, Israel has also said it would retain security control over the territory after the fighting ends.

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