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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.

Nurses on strike outside of St Thomas' Hospital in London in April
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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.

“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.”

Read more:
Nurses to vote on England-wide strike action after rejecting 5% pay rise
NHS employers and unions meet as health secretary ‘optimistic’ deal will be reached
Nurses’ strike begins as union insists critical care exemptions are in place

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.”

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I felt I had to go back to help Gaza’s hospitals, says British plastic surgeon

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I felt I had to go back to help Gaza's hospitals, says British plastic surgeon

Dr Victoria Rose is a consultant plastic surgeon who worked in Gaza hospitals for two separate periods last year. This is her first-hand story of the war in Gaza.

The word “dire” does not adequately describe the situation in Gaza’s hospitals.

On a daily basis when I was working there, I had a list of at least 10 patients, and 60% of them were under the age of 15.

These were tiny children with life-threatening burns and limbs blown off, often losing significant family members in the attacks and left to cope with their life-changing injuries alone.

Dr Victoria Rose in Gaza
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Dr Victoria Rose in Gaza

I first joined the charity IDEALS, which helps medical professionals during crises, in Gaza in 2019. I returned last year, working with orthopaedic surgeons.

I felt compelled to go back after becoming aware that a plastic surgeon from Gaza who trained with me in London had been inundated with complex trauma cases since the war broke out in October 2023.

Our aim was to deliver essential surgical equipment and assist our colleagues with the increasing trauma workload they faced. But as the war progressed, it became apparent that we had a third objective: to bear witness.

I worked at the European Gaza Hospital in March 2024 and then returned in August of that year for a month, working at Nasser Hospital.

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May: Dr Rose’s video diaries from Gaza hospital

The transformation of the landscape during these two visits was staggering. The streets were unrecognisable, just pile after pile of dust and rubble. Such a scale of destruction could only be justified if every single building in Gaza was part of Hamas’s infrastructure.

In February 2024, we were denied entry by COGAT – part of the Israel Defence Forces (IDF) controlling activities in the occupied territories – which, regrettably, has become a standard outcome for 50% of foreign doctors attempting to gain access. However, we managed to regain access in May.

Medics treat patients in Gaza
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Medics treating patients in Gaza

This mission was intended to last four weeks at the European Gaza Hospital. However, due to its bombing on the day we arrived and its subsequent decommissioning by the IDF, we were redirected to Nasser for three and a half weeks.

The population had now been relentlessly displaced, bombed in their tents, deprived of water and sanitation, and ultimately starved. I remember thinking it couldn’t get any worse – and then they cut the internet.

We ploughed on without essential equipment such as painkillers and antibiotics, patching the patients up, knowing that they were likely to be bombed again.

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When we left the hospital we went into the red zone – an area of active fighting that needed to be evacuated.

This meant that nothing could enter without the journey being “deconflicted” by the IDF. Minimal journeys have thus far been deconflicted. Patients struggle to gain entry, and staff cannot leave, as equipment continues to be depleted.

Much of Gaza has been reduced to rubble in the Israeli strikes
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Much of Gaza has been reduced to rubble by Israeli strikes

Nasser is the only hospital in the south equipped with a CT scanner, a blood bank, ICU capabilities and an oxygen generator.

I work with two orthopaedic surgeons who run the IDEALS charity. They have been travelling to Gaza since 2009.

A severely malnourished child in Gaza
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A severely malnourished child in Gaza

IDEALS started the lower limb reconstruction programme in 2013, visiting Gaza every other month and bringing four orthopaedic surgeons back to the UK for short periods of training.

In 2021, I arranged for a plastic surgeon from Gaza to come to London to train with me. He was an incredible trainee and returned to Gaza in February 2023 to take up the post of chief of plastic surgery at Shifa Hospital.

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Gaza crisis ‘acute’ and continuing

Shortly after the war broke out, I felt compelled to help him.

All eyes are now on Israel’s next move.

Gaza: Doctors On The Frontline will air on Sky News at 9pm on 19 June

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Amputations, badly burned bomb victims and lack of medicine: British surgeons on life in Gaza

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Amputations, badly burned bomb victims and lack of medicine: British surgeons on life in Gaza

Doctors are a very special category of people. Doctors who opt to work in war zones are an entirely different level of special.

They take their skills and medical experience into the most dangerous of environments, knowing they risk their own lives in their mission to save others. Yet they do this regardless.

Warning: This article contains details and images that some readers may find distressing.

Dr Tom Potokar performing surgery in Gaza, sent to Sky's Alex Crawford
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Dr Tom Potokar performing surgery in Gaza

The British doctors who we came to know and immensely respect at the centre of our report, Gaza: Doctors on the Frontline, don’t see themselves as heroes or even remarkable for what they’ve done over the past few weeks in Gaza.

That, of course, is what makes them even more remarkable.

“This shouldn’t be about us,” Dr Tom Potokar scolded us more than once.

“This should be about what’s happening to the Palestinians and health workers inside Gaza.”

But like it or not, the daily video blogs the travelling doctors did about their experiences on the ground in Gaza resonated with viewers.

Dr Tom Potokar performing surgery in Gaza, filmed for Sky's Alex Crawford

They sent us searing accounts of their daily lives while in Gaza. They told us of having to stitch together mostly young broken bodies, torn apart by repeated Israeli bombs.

They talked of having to perform amputations on the young, of trying to stem the pain and infections on badly burned bomb victims and of the lack of common medicines.

They fumed at what they saw as political ‘complicity’ from the international community for not doing enough to end the war. They begged for aid to be allowed in.

They spoke from the heart as humanitarians and doctors but also witnesses – and we saw them tired, frustrated, angry at times, maybe a little anxious, certainly emotional.

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British surgeon records video diary from Gaza

And yet, all the time they realised how they were just visitors in Gaza while their patients, their medical co-workers and their colleagues’ families were all living this permanently, with no escape while just trying to survive. Many do not.

“What do you say to a seven-year-old who’s lost both her legs,” Dr Tom says in one heart-wrenching vlog.

“Most of my patients are children,” Dr Victoria Rose tells us in another. We see her fall in love with a badly burned toddler, so swathed in bandages, only his face was uncovered.

“This is my favourite little guy,” she says in her vlog about three-year-old Haitum, “he has 35% burns”.

Haitum, a three-year-old Palestinian being treated by Dr Victoria Rose
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Haitum, a three-year-old Palestinian being treated by Dr Victoria Rose

“That’s a lot for a little guy,” she goes on. And the tens of thousands who watched her updates on social media platforms fell in love with the little boy too.

Viewers see how Haitum was far from an exceptional case too. “My first three patients today were under 12,” we learn from Dr Victoria in another post.

Read more from Dr Victoria Rose: ‘I felt I had to go back to help’

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Inside Gaza hospital after shooting

The two surgeons were in small teams sent into the battlefield courtesy of the IDEALS charity, which funded their trip.

Their limited time in the Gaza Strip turned out to be of an intensity which both recognised as unmatched before by either of them.

They witnessed alongside their patients and fellow medics, daily and nightly bombings; gunfire; dwindling medical supplies and saw the dire lack of food.

They treated tiny skeletal bodies desperate for sustenance – and helped mass evacuations of badly wounded patients from the fast-disappearing health facilities.

A severely malnourished child in Gaza
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A severely malnourished child in Gaza

‘No one is safe’

“There just seems to be indiscriminate bombing,” Dr Victoria says of the Israeli bombardment. “No one is safe – whether you’re a woman, man, child or health worker.

“But there seems to be a systematic pattern of attacking infrastructure, particularly around health provision.”

She goes on to cite how she’s observed the Israeli attacks focus on taking out the hospital water supplies, then the power source, as well as declaring red zones or implementing evacuation orders around health facilities to make it difficult for patients to access the hospital and for staff to travel into work.

The Israeli authorities have an alternative narrative – the Israeli Defence Forces claim they are carrying out “precision strikes”, insist Hamas is using patients as human shields and say they’ve uncovered vast military command centres beneath hospitals – including the European Gaza.

Much of Gaza has been reduced to rubble in the Israeli strikes
Image:
Much of Gaza has been reduced to rubble by Israeli strikes

Conflicting accounts

The doctors – equally insistently – say they’ve seen no arms in the hospitals and have seen no evidence of Hamas command centres or tunnels beneath.

Dr Tom rang me while our team was on assignment in Somalia. “You won’t have heard but the European Gaza Hospital has been bombed,” he said, “I’ll send you the videos”.

He shuns social media and has no accounts, but he’s a veteran who’s been travelling to Gaza for the past seven years, and he knew very well the importance of what he was witnessing on the ground and living through.

He’s extremely experienced and has travelled across the globe working in war zones like Cambodia and Lebanon, and is a former chief surgeon for the International Red Cross.

He’s also a burns specialist with his own international charity called Interburns. “If Cambodia was the killing fields, Gaza is the slaughterhouse,” he says about his most recent time inside Gaza.

Dr Tom Potokar in Gaza, speaking to Sky's Alex Crawford
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Dr Tom Potokar

Dr Victoria Rose is an NHS plastic surgeon based in London and was on her third trip to Gaza. She talks frankly of being motivated to go after helping to mentor Gaza surgeons who’d travelled to Britain to learn extra skills some years ago.

“We saw them struggling in Gaza and I felt I just had to help,” she explains. She videoed everything – unstintingly – and has her own Instagram handle @rosieplasticsurgeon.

She teases Dr Tom – on camera of course – about his lack of digital awareness. “This is the man who calls it Facetube, aren’t you Tom?”

The two have very different approaches but mutual respect. And both realised their job in Gaza was twofold. They had to bear witness. They had to report.

Dr Victoria Rose in Gaza, speaking to Sky's Alex Crawford
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Dr Victoria Rose

Running past huge craters

They had to provide insight into what fellow Palestinian medics are up against in Gaza; how hospitals – protected under international law – are being affected, and how ordinary Gazan civilians are suffering.

So, Dr Tom took us into the heart of the European Gaza Hospital minutes after Israeli forces dropped multiple bombs around the complex.

We saw him racing through the car park outside the Emergency Department and past huge craters and rubble.

He delivered commentary as he ran through the smoke-filled corridors to try to find his anaesthetist. He showed us the repeated bombings a day later – and the scramble to get injured patients out to safety.

The two surgeons may be very different people. But both are highly regarded in their fields and have been brought together by a burning desire to help the wounded and injured in Gaza as well as their fellow medics on the frontline.

Medics treat patients in Gaza

They also both entered Gaza with the knowledge that foreign journalists are barred from the territory – and many of those inside have been killed or maimed – so it fell to them, the doctors, to be the witnesses during their stay in Gaza and beyond.

“It’s really not something I’m comfortable with,” Dr Tom said. “For a start, it takes up a lot of time! But it’s important people see what’s going on here.

“The question people should be asking is, why are foreign journalists being barred? What is it the Israelis do not want people to see?”

Analysis: Jonathan Levy – Israel’s block on international journalists in Gaza should not be allowed to stand

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Dr Victoria texted a lot about her fears that Nasser Hospital, where the two travelling teams finally end up, may face the same fate as the European Gaza – evacuated and now out of action.

“We’ve got to keep on reminding people what’s going on here because Nasser is the last functioning hospital in the south, and if it has to be evacuated, it will have tragic consequences for the civilians here. Hundreds will die,” she says.

The film is a graphic, often painful watch of human endurance, tragedy, pain and survival – told through the eyes of two exceptional and inspiring surgeons who felt their duty as doctors also meant they should lay bare what’s happening inside the Gaza Strip – and what is still happening – while the world’s focus has shifted elsewhere.

Gaza: Doctors On The Frontline will air on Sky News at 9pm on 19 June

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UAE says navigational error caused oil tankers to collide near Strait of Hormuz

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UAE says navigational error caused oil tankers to collide near Strait of Hormuz

A crash between two oil tankers on a major shipping route near the UAE was likely caused by a navigational misjudgement by one of the vessels, officials have said.

The Adalynn and Front Eagle tankers collided and caught on fire on Tuesday near the Strait of Hormuz, a narrow channel which connects the Persian Gulf to the Gulf of Oman.

Israel-Iran latest: Tehran warns US against intervention

In a statement issued today, the United Arab Emirates’ energy ministry did not draw any link between the crash and an upsurge in electronic interference amid the Israel-Iran conflict.

Interference has disrupted navigation systems near the strait since the two countries began firing missiles at each other last week.

The multinational US-led Combined Maritime Force’s Joint Maritime Information Centre said in an advisory this week that it had received reports of interference stemming from near Iran’s Port of Bandar Abbas and other areas in the Gulf region.

Tehran has not commented on the collision or reports of interference.

The UAE coastguard said it evacuated 24 people from the Adalynn, while personnel on Front Eagle were reported safe with no pollution visible after a fire on its deck.

Read more from Sky News:
Why Israel-Iran conflict poses cost of living threat
Who has been targeted in Israel’s strikes?

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The Strait of Hormuz – which handles around a fifth of the world’s seaborne oil – links the Gulf to the northwest with the Gulf of Oman, the Arabian Sea beyond.

The Adalynn, owned by a company based in India, had no cargo and was sailing towards the Suez Canal in Egypt, according to monitoring service TankerTrackers.com.

The Front Eagle was on its way to Zhoushan in China – and loaded with two million barrels of Iraqi crude oil, the tracker said.

TankerTrackers.com said on X that the Front Eagle was moving southbound at a speed of 13.1 knots when it “executed a starboard [right] turn, resulting in a collision” with the Adalynn.

The exact cause of the collision, which resulted in no injuries or spills, is still unclear.

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