The head of the UK’s nursing union wants to restart negotiations seeking a double-digit pay rise – despite previously recommending a lower offer.
Pat Cullen, the general secretary of the Royal College of Nursing (RCN), had advised members to accept an offer of 5%, but they voted to reject it.
Speaking to Sky News’ Sophy Ridge On Sunday programme, cabinet minister Grant Shapps said: “I find this a very curious story indeed because Pat Cullen just recently was encouraging her members to settle for the pay rise that was put on the table.
Image: Nurses on strike outside St Thomas’ Hospital in London in April
“I thought this was a great settlement.
“It’s frankly rather confusing having encouraged her members to accept that deal, she seems to now be coming back and saying the opposite.
“You have got to balance that with the rest of the public purse.”
But speaking on Sunday, Ms Cullen hit back, saying the decision by nurses to reject the deal in a ballot was them saying “loud and clear” that the offer – of a 9% increase consolidated over two years – was “just not enough”.
“They rejected that and they want negotiations re-opened for them and here needs to be more money added to the table,” she said.
Asked if a double-digit pay rise was achievable, she said: “There is nothing unrealistic about what nursing staff are asking for.
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“The only way that we are going to resolve this dispute is to listen to their voice and make sure this pay dispute is resolved, for patients as much as it is for the profession.”
RCN members will be balloted again for strike action on 23 May after the existing six-month mandate ran out at the start of the month.
Ms Cullen described striking as one of the “hardest decisions”, and told The Sunday Times that fresh negotiations were needed to prevent six more months of action.
“They [ministers] owe that to nursing staff not to push them to have to do another six months of industrial action right up to Christmas,” she said ahead of Sunday’s RCN congress in Brighton, telling Health Secretary Steve Barclay talks needed to “start off in double figures”.
“It’s just not right for the profession,” she said.
“It’s not right for patients. But whose responsibility is it to resolve it? It is this government.”
The nurses’ strikes: A timeline
25 November 2022 -The Royal College of Nursing announces it will hold strike action for the first time since its creation more than a century ago in a dispute over pay and working conditions.
15 December – Nurses hold their biggest nationwide strike in history with a 12-hour walkout, leading to thousands of appointments, procedures and surgeries being cancelled.
18 and 19 January – Thousands of nurses hold a further strike over two days
21 January – The head of NHS England warns repeated walkouts by health staff are making workloads ‘more challenging’.
2 February – A petition signed by 100,000 people is delivered to Downing Street demanding fair pay for nursing.
6 February – Tens of thousands of nurses and ambulance staff walkout together in the biggest strike in NHS history.
21 February – Nurses agree to pause a major 48-hour strike planned on 1 March for pay talks.
16 March – Unions, including the RCN, suspend further strikes and recommend a new pay offer involving a 5% pay rise for staff this year and a cash sum for last year.
20 March – NHS strikes in Scotland are called off after unions representing midwives and nurses voted to accept the Scottish government’s pay offer.
28 March – Up to 280,000 RCN members vote on whether to accept the government’s pay offer.
14 April – RCN members reject the deal and announce a 48-hour walkout on 30 April.
16 April – RCN leader Pat Cullen warns nurses could strike until Christmas and calls for the government to improve its pay offer.
21 April – The government takes legal action over the planned bank holiday walkout as the strike mandate runs out during the action on 1 May.
27 April – Strike action planned by the RCN on 2 May is called off after a judge ruled it would be unlawful.
29 April – The RCN agrees to supply some staff during the curtailed strike following patient safety concerns.
30 April – Nurses stage 28-hour strike.
2 May – Most health unions back the new pay deal, although both the RCN and Unite vote against it. The RCN says it will ballot members on further strikes between June and December.
9 May – It is announced nurses will vote between 23 May and 23 June on whether to stage more walkouts.
10 May – Nurses in Wales vote to strike again this summer after rejecting the Welsh government’s latest pay offer.
14 May – Ms Cullen calls for Health Secretary Steve Barclay to restart pay talks with a proposed rise in double digits – a move described as “curious and confusing” by cabinet minister Grant Shapps given she had recommended the previous offer to her members.
An RCN spokesperson said: “The negotiations covered two financial years which resulted in a consolidated NHS pay increase of 9%. When our members rejected that, it is clear they expect an offer into double figures.”
Fourteen other unions have accepted the government’s 5% offer, including Unison, the NHS’s biggest union. Others like Unite continue to seek a better offer.
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Earlier this month: Nurse strikes could go ‘right up to Christmas’
A health department source added: “It is strange how quickly the RCN leader has changed her tune from recommending this pay deal, which she now refers to as an insult to nurses.”
The comments come after Ms Cullen told The Sunday Times: “It’s not so long ago since the prime minister went on the media and very publicly said nurses are an exception,” she said when asked why nurses warrant a larger increase than other healthcare workers.
“I would totally agree with him… they should be made an exception because they are exceptional people.”
The mental health nurse, 58, from Co Tyrone, said patient safety was “at the centre of everything that we do”.
“We will do nothing that will add further risk to the patients that we look after,” she said, saying increased pay would see nurses return to the profession and ease a staffing crisis.
“The truth is that patient safety cannot be guaranteed on any day of the week. How could you guarantee patient safety when you have 47,000 nurses from your workforce every single day and night?”
She also warned Prime Minister Rishi Sunak not to take her members lightly.
“Looking back on this pay offer, I may personally have underestimated the members and their sheer determination,” she said.
“I think what I would be saying to the prime minister, Rishi Sunak, is ‘Don’t – don’t make that same mistake, don’t underestimate them’.
“Nurses believe it’s their duty and their responsibility because this government is not listening to them on how to bring it [the NHS] back from the brink and the message to the prime minister is that they are absolutely not going to blink first in these negotiations.”
Countries attending COP30, the biggest climate meeting of the year, have agreed steps to help speed up climate action, according to a draft deal.
The meeting of leaders in the Brazilian city of Belem also saw them agree to reviewing related trade barriers and triple the money given to developing countries to help them withstand extreme weather events, according to the draft.
However, the summit’s president Correa do Lago said “roadmaps” on fossil fuels and forests would be published as there was no consensus on these issues.
The annual United Nations conference brings together world leaders, scientists, campaigners, and negotiators from across the globe, who agree on collective next steps for tackling climate change.
The two-week conference in the Amazon city of Belem was due to end at 6pm local time (9pm UK time) on Friday, but it dragged into overtime.
The standoff was between the EU, which pressed for language on transitioning away from fossil fuels, and the Arab Group of nations, including major oil exporter Saudi Arabia, which opposed it.
The impasse was resolved following all-night negotiations led by Brazil, negotiators said.
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The European Union’s climate commissioner, Wopke Hoekstra, said on Saturday that the proposed accord was acceptable, even though the bloc would have liked more.
“We should support it because at least it is going in the right direction,” he said.
The Brazilian presidency scheduled a closing plenary session.
Brazil’s President Luiz Inacio Lula da Silva and about 80 countries, including the UK and coal-rich Colombia, had been pushing for a plan on how to “transition away from fossil fuels”.
This is a pledge all countries agreed to two years ago at COP28 – then did very little about since.
But scores of countries – including major oil and gas producers like Saudi Arabia and Russia – see this push as too prescriptive or a threat to their economies.
This breaking news story is being updated and more details will be published shortly.
Israel says it has begun striking Hamas targets in Gaza, reportedly killing at least nine people, after what it called a “blatant violation of the ceasefire agreement”.
Local health authorities in Gaza said there had been three separate airstrikes, one hit a car in the densely populated Rimal neighbourhood, killing five people and wounding several others.
Shortly after the attack on the car, the Israeli air force hit two more targets in the central Gaza Strip, medics said.
They said at least four people died when two houses were struck in Deir Al-Balah city and Nuseirat camp.
The Israeli military said there had been a “blatant violation of the ceasefire agreement”.
It claimed a gunman had crossed into Israeli-held territory after exploiting “the humanitarian road in the area through which humanitarian aid enters southern Gaza”.
A Hamas official rejected the Israeli military’s allegations as baseless, calling them an “excuse to kill”, adding the Palestinian group was committed to the ceasefire agreement.
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The Israeli airstrikes are a further test of a fragile ceasefire with Hamas, which has held since 10 October following the two-year Gaza war.
Israel pulled back its troops, and the flow of aid into the territory has increased. But violence has not completely halted.
Palestinian health authorities say Israeli forces have killed 316 people in strikes on Gaza since the truce.
Meanwhile, Israel says three of its soldiers have been killed since the ceasefire began and it has attacked scores of militants.
This breaking news story is being updated and more details will be published shortly.
The fast-moving developments on Trump’s Ukraine peace deal are dominating the G20 summit in South Africa, as European leaders scramble to put together a counter-proposal to the US-Russia 28-point plan and reinsert Ukraine into these discussions.
European countries are now working up proposals to put to President Trump ahead of his deadline of Thursday to agree a deal.
Ukraine is in a tight spot. It cannot reject Washington outright – it relies on US military support to continue this war – but neither can it accept the terms of a deal that is acutely favourable to Russia, requiring Ukraine to give up territory not even occupied by Moscow and reducing its army.
Overnight, the UK government has reiterated its position that any deal must deliver a “just and lasting peace”.
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Keir Starmer calls for growth plan at G20
The prime minister, who spoke with E3 allies President Macron of France, Chancellor Merz of Germany and President Zelenskyy of Ukraine on the phone on Friday, is having more conversations today with key partners as they work out how to handle Trump and improve this deal for Ukraine.
One diplomatic source told me allies are being very careful not to criticise Trump or his approach for fear of exacerbating an already delicate situation.
Instead, the prime minister is directing his attacks at Russia.
Image: Prime Minister Keir Starmer attends a plenary session on the first day of the G20 Leaders’ Summit. Pic: Reuters
“There is only one country around the G20 table that is not calling for a ceasefire in Ukraine and one country that is deploying a barrage of drones and missiles to destroy livelihoods and murder innocent civilians,” he said on Friday evening.
“Time and again, Russia pretends to be serious about peace, but its actions never live up to its words.”
Image: Pic: AP
On the Trump plan, the prime minister said allies are meetin on Saturday “to discuss the current proposalon the table, and in support of Trump’s push for peace, look at how we can strengthen this plan for the next phase of negotiations”.
Strengthening the plan really means that they want to rebalance it towards Ukraine’s position and make it tougher on Russia.
“Ukraine has been ready to negotiate for months, while Russia has stalled and continued its murderous rampage. That is why we must all work together with both the US and Ukraine, to secure a just and lasting peace once and for all,” said the prime minister.
“We will continue to coordinate closely with Washington and Kyiv to achieve that. However, we cannot simply wait for peace.
“We must strain every sinew to secure it. We must cut off Putin’s finance flows by ending our reliance on Russian gas. It won’t be easy, but it’s the right thing to do.”
Image: Pic: AP
Europeans hadn’t even seen this deal earlier in the week, in a sign that the US is cutting other allies out of negotiations – for now at least.
Starmer and other European leaders want to get to a position where Ukraine and Europe are at least at the table.
There is some discussion about whether European leaders such as Macron and Meloni might travel to Washington to speak to Trump early next week in order to persuade him of the European and Ukrainian perspective, as leaders did last August following the US-Russian summit in Alaska.
But Sky News understands there are no discussions about the PM travelling to Washington next week ahead of the budget.