Routine care in the NHS will be “virtually at a standstill” as it faces another two days of strikes.
Consultant doctors and hospital-based dentists will walk out for 48 hours from 7am on Thursday until 7am on Saturday.
It follows five days of strikes by junior doctors lasting from last Thursday to Tuesday morning – the longest period of industrial action in NHS history.
Other clinicians cannot provide cover for consultants and any planned care delivered by junior doctors or other healthcare professionals that requires even remote consultant supervision will need to be rescheduled.
This means a “significant amount” of planned care involving junior doctors will be affected this week, NHS England said.
Professor Sir Stephen Powis warned of the mass disruption expected across the NHS as consultants move to provide just emergency cover.
He said the strikes could have “the most severe impact… with routine care virtually at a standstill for 48 hours”.
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“Consultants will not only stop seeing patients themselves, but they won’t be around to provide supervision over the work of junior doctors, which impacts thousands of appointments for patients,” he said.
“It also follows on very closely from the longest-ever junior doctors’ strike, which itself affected thousands of appointments, with back-to-back action leaving NHS services with almost no time to recover.
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“We are working closely with the British Medical Association and British Dental Association to ensure that emergency and urgent care is prioritised and patients remain safe, but in the eighth month of industrial action, and with more than 600,000 appointments already affected, it’s becoming even more challenging to get services back on track after each round of action,” Sir Stephen added.
Matthew Taylor, chief executive of the NHS Confederation, said: “Leaders anticipate serious disruption over the coming days despite their diligent efforts to prepare.
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Junior doctors chanted and sung about the health secretary as they kicked off their 72-hour walkout.
“A consultants’ strike is something of an unknown quantity and while there are plans in place for Christmas Day levels of cover in emergency care, the patience of patients may be tested as wider services are reduced and operations postponed.
“This, in essence, is two Christmas Days back to back and follows a working week’s worth of walkouts from other staff, so it’s very much a step into the unknown.”
The government announced pay increases for millions of public sector workers, including doctors, last week.
It said most eligible dentists and doctors will receive at least a 6% pay rise, while hospital consultants will receive a 6% rise.
Prime Minister Rishi Sunak said the deal was the “final offer” and that there will be “no more talks on pay”.
But the BMA said the increase was a “savage real-terms pay cut” and called it “derisory”.
After the government announcement, hospital consultants said they will strike for two more days on 24 and 25 August.
Speaking about this week’s strike, Dr Vishal Sharma, chairman of the BMA consultants committee, said: “The responsibility for this industrial action lies squarely at the door of the government. It still does not need to go ahead.
“It is with a heavy heart that consultants have backed this strike, but we are doing so precisely because we care so deeply about patients and the NHS, which is currently failing to deliver the quality of care that patients deserve on non-strike days.
“The government must be challenged on whether they hold care for patients in the same high regard, given they are currently refusing to support and take steps to retain the expert clinicians responsible for giving people the care they need.”
The man suspected of abducting Madeleine McCann won’t face any charges in the foreseeable future, a prosecutor has told Sky News.
German drifter Christian B, who cannot be fully identified under his country’s privacy law, is expected to be freed from an unrelated jail sentence this year while police in three countries continue to search for evidence against him.
Prosecutor Hans Christian Wolters said: “There is currently no prospect of an indictment in the Maddie case.
“As things stand, the accused Christian B’s imprisonment will end in early September.”
Madeleine, aged three, was asleep with her younger twin siblings in the family’s Portuguese rented holiday apartment before mother Kate discovered her missing at around 10pm on 3 May, 2007.
Her parents were dining nearby on the complex with friends and taking turns to check on all their sleeping children every half an hour.
Madeleine’s disappearance has become the world’s most mysterious missing child case.
Philipp Marquort, one of Christian B’s defence lawyers, welcomed the prosecutor’s pessimism about bringing charges.
He said: “This confirms the suspicions that we have repeatedly expressed, namely that there is no reliable evidence against our client.
“We regret that we have not yet been granted access to the investigation files. We have not yet been able to effectively counter the public prejudice arising from statements made by the prosecutor’s office.”
Christian B, 47, is in jail and coming to the end of his sentence for the rape of an elderly American woman in Praia da Luz, the Portuguese resort where Madeleine disappeared.
In October, he was acquitted on a series of rape and indecent assault charges after a non-jury trial in Germany, in which several references were made to his status as the main suspect in the Madeleine case.
The prosecutor said he was awaiting the court’s written judgment before launching an appeal against the acquittal. He believes the trial judges were biased against the prosecution.
If successful, he could apply for a new arrest warrant for Christian B to keep him in custody until a retrial with new judges.
He said: “We hope that the Federal Court of Justice will decide before the end of the accused’s imprisonment. If the Federal Court follows our legal opinion, we could apply for a new arrest warrant for the accused’s offences, so that the accused would then remain in custody beyond September 2025.
Mr Marquort said the defence team would oppose the prosecution’s appeal against the acquittal.
Prosecutor Mr Wolters has said in the past that he believes Madeleine is dead and that Christian B was responsible for her death. The suspect denies any involvement.
The case against Christian B is purely circumstantial; he’s alleged to have confessed to a friend that he abducted Madeleine, he has convictions for sex crimes against children, he was living in the area at the time, his mobile phone was close by when the young girl vanished and he re-registered one of his vehicles the next day.
The prosecutor won’t say what evidence he has to convince him Madeleine is dead, but he admitted he is still trying to find forensic evidence to link Christian B to the girl.
Jim Gamble, former head of the UK Child Exploitation and Online Protection centre, said he had expected the prosecutor to charge Christian B soon.
“He’s implied the whole way through that he has something more than the public are aware of,” he said.
“He’s made fairly definitive statements about whether Madeleine is alive or dead so you would expect their strategy to have been to charge him sooner rather than later.
“From what he’s said today I wonder if we’re witnessing the re-positioning of something to manage the disappointment that’ll come.”
Mr Wolters, who is based in Braunschweig, Lower Saxony, is investigating the case with the help of Portuguese police and detectives from Scotland Yard.
The UK will play its “full part” in peacekeeping in Ukraine, Sir Keir Starmer has said.
The prime minister told Sky News’ political editor Beth Rigby that the conflict with Russia was not just about “sovereignty in Ukraine” but about the impact it also had on the UK, including the cost of living crisis.
Sir Keir was speaking to Sky News while on a surprise visit to Ukraine on Thursday – his first since his party’s landslide election win six months ago.
The purpose of the trip was to discuss the next steps for Ukraine, with the situation now more uncertain following Donald Trump’s election victory in November.
Mr Trump, whose inauguration takes place on 20 January, has said he wants a peace deal between Russia and Ukraine within 100 days.
But some European leaders fear pushing Kyiv into a deal could lead to Ukraine ceding some of its territory to Vladimir Putin.
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Sir Keir said he did not want “to get ahead of ourselves” but that the UK would play its “full part” in any peace negotiations – including by deploying British troops for peacekeeping.
Asked if he would be prepared to do that, the prime minister replied: “Well, I don’t want to get ahead of ourselves, but I do have indicated that we will play our full part – because this isn’t just about sovereignty in Ukraine.
“It’s about what the impact is back in the United Kingdom and our values, our freedom, our democracy. Because if Russia succeeds in this aggression, it will impact all of us for a very, very long time.”
Sir Keir said the drone threat was “a reminder of what Ukraine is facing every day” and that the war was brought about by “Russian aggression”.
Elsewhere in the interview, Sir Keir was asked about his views on Ukraine’s longstanding desire to join NATO – something President Putin strongly opposes.
At a NATO summit in Washington last summer, the alliance’s members announced that Ukraine was on an “irreversible” path to NATO membership.
“We fully support Ukraine’s right to choose its own security arrangements and decide its own future, free from outside interference. Ukraine’s future is in NATO,” the declaration said.
However, Mr Zelenskyy has somewhat tempered his language around NATO membership, telling Sky News in an exclusive interview in November that a ceasefire deal could be struck if Ukrainian territory he controlled falls “under the NATO umbrella” – allowing him to negotiate the return of the rest later “in a diplomatic way”.
However, Mr Trump has acknowledged Moscow’s opposition to Ukraine joining NATO, saying: “Russia has somebody right on their doorstep, and I can understand their feeling about that.”
Watch the full interview with Beth Rigby and Sir Keir Starmer on the Politics Hub with Sophy Ridge at 7pm.
An abusive boyfriend whose girlfriend blamed him for her death in a suicide note – after he subjected her to years of violence – has been jailed for six-and-a-half years for controlling and coercive behaviour and assault.
He was the first defendant in England to face trial for the unlawful killing of his partner after her suicide following domestic violence.
Shortly after Ms Dawes wrote her note on her phone, in which she described Wellings as a “monster”, the 23-year-old hairdresser left it with a friend before she took her own life on 22 July 2022.
Prosecuting, Paul Greaney KC cited the suicide note at Wellings’s trial. In it, Ms Dawes said he had “killed [her]”.
“He ruined every bit of strength I had left,” the note said. “I had dreams. I had a future at one point. That was taken away from me.”
Wellings denied the allegations against him and told jurors “I’m not a monster”.
While a jury cleared Wellings of Kiena’s manslaughter, Mr Greaney invited the court to sentence the defendant “on the basis that [the offending of which he was convicted] formed the background to and set the scene for her death”.
He said the abuse was “both regular and routine across the relationship”.
On one occasion, the court heard the defendant “held a drill to Kiena’s face, switched the drill on and threatened to drill out her teeth”.
‘Breaks my heart’
In a personal statement read out on her behalf in court, Angela Dawes, Kiena’s mother, said: “It breaks my heart that [Kiena’s] beautiful baby doesn’t have her mummy here because of that monster.”
“I truly hope that no other young lady or child has to go through what he did to my daughter and her baby,” she added.
Kiena’s grandmother, Irene Ball, said she had noticed at times during Kiena’s relationship with Wellings that her smile was “false” but recalled her granddaughter “tried to reassure [her]”.
“It was extremely shocking to see my granddaughter hurt and with injuries to her beautiful face,” she said.
“I told Kiena that he would really badly hurt her one day and I pleaded with her not to go back to him.”
Kynan Dawes, Kiena’s brother, said: “I introduced Kiena to this monster and I will regret that for the rest of my life.”
Mr Dawes said he felt “justice [had] been served” as “the world now knows what a monster he is”.
Addressing those who’d been following Kiena’s case online, he added: “I want people to see that domestic violence is not OK and men should respect their partners.”
He also urged anyone experiencing domestic violence to “go to the police”, adding “if you don’t feel like you can do this, speak to family or friends”.
‘Friendly and kind young woman’
In sentencing, Judge Robert Altham said Ms Dawes was “a popular, vivacious, friendly and kind young woman”.
“She pleaded with you to stop hitting her, but you just carried on. You tried to persuade her that it was her fault for upsetting you,” he added.
Ms Dawes had attempted suicide in the past, before her relationship with Wellings, and lawyers for Wellings told the court her death was because of “multiple factors”.
The judge said the defendant was aware of Ms Dawes’s history of mental health issues, he “called her names connected with her illness” and “repeatedly told her that she may as well kill herself”.
However, he said his sentence was based on the jury’s conclusion that the defendant had “no criminal responsibility” for Kiena’s death.
In mitigation, John Jones KC told the court the relationship between Ms Dawes and Wellings, a landscape gardener from Bispham who had a previous conviction for battering an ex-partner, was “inconsistent” throughout its two-and-a-half years.
“It would be wrong to say that that coercive relationship was in existence throughout,” he said.
The court heard the abuse of Ms Dawes included regular slapping and “ragging” by her hair, and threats to use a drill to take out her teeth and throw acid in her face.
After she became pregnant, Wellings gave her a black eye and began criticising her weight, calling her “fat” while contacting escorts and prostitutes online.
Police were called more than once, but Wellings threatened Ms Dawes that their daughter would be taken from them if she told them what was happening, so she declined to help prosecute him.
But she did report Wellings following an attack which left her needing hospital treatment and he was arrested.
He broke his bail conditions but was not locked up, leaving Ms Dawes feeling let down by police. Four days later, she killed herself.
Wellings’ sentences, to run consecutively, were for controlling or coercive behaviour in an intimate relationship and for assault occasioning actual bodily harm.
A further count of assault on the defendant’s former friend Scott Fletcher was also included as part of the sentence, an offence to which he had previously pleaded guilty.
Wellings will serve half of the sentence in prison before he is released on licence.
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.