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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.

“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”.

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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.”

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Israeli embassy ‘deeply disturbed’ by Bob Vylan’s ‘death to the IDF’ Glastonbury chant

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Israeli embassy 'deeply disturbed' by Bob Vylan's 'death to the IDF' Glastonbury chant

The Israeli embassy has said it’s “deeply disturbed” by chants of “death to the IDF” at Glastonbury – as police also investigate the incident.

Video shows one of the members of Bob Vylan shouting the slogan into the mic and some of the crowd joining in.

The duo were performing ahead of a performance by Kneecap, the Irish act who the prime minister said should be ditched from the line-up.

“The Embassy of Israel in the United Kingdom is deeply disturbed by the inflammatory and hateful rhetoric expressed on stage at the Glastonbury Festival,” a statement said.

It said slogans like Saturday’s chant “advocate for the dismantling of the State of Israel”.

Bob Vylan performing on the West Holts Stage. Pic: PA
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The BBC said some of the comments by Bob Vylan were ‘deeply offensive’. Pic: PA

The post on X added: “When such messages are delivered before tens of thousands of festivalgoers and met with applause, it raises serious concerns about the normalisation of extremist language and the glorification of violence.”

Avon and Somerset Police said they are looking at whether a criminal offence was committed.

“Video evidence will be assessed by officers to determine whether any offences may have been committed that would require a criminal investigation,” the force said in a post on social media.

Bob Vylan also performed in front of a screen quoting a claim that Israel’s actions in Gaza amount to genocide.

Culture Secretary Lisa Nandy has spoken to BBC boss Tim Davie for an “urgent explanation” about what due diligence it carried out into Bob Vylan.

Bob Vylan member on stage. Pic: PA
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Thousands watched the set on the West Holts stage. Pic: PA

A spokesman said the government strongly condemned the “threatening comments” by the group, whose X bio describes them as a “punk/rap/alt thing”.

A BBC statement said: “Some of the comments made during Bob Vylan’s set were deeply offensive.

“During this live stream on iPlayer, which reflected what was happening on stage, a warning was issued on screen about the very strong and discriminatory language.

“We have no plans to make the performance available on demand.”

Tory leader Kemi Badenoch re-posted a clip of the incident and called it “grotesque”.

“Violence against Jews isn’t edgy. The West is playing with fire if we allow this sort of behaviour to go unchecked,” she said on X.

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A statement from Glastonbury Festival said it “does not condone hate speech or incitement to violence of any kind from its performers”.

DJ Provai of Kneecap. Pic: Reuters
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Kneecap also performed – with the BBC not showing them live. Pic: Reuters

Irish group Kneecap followed Bob Vylan – with the broadcaster not carrying their performance live amid concern over what they might do or say.

However, it’s understood their show will be made available on demand after a review.

One of its members, Liam Og O hAnnaidh, was charged with a terror offence in May after being accused of displaying a flag in support of proscribed terror group Hezbollah at a gig.

Mo Chara of Kneecap at Glastonbury. Pic: Reuters
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Pic: Reuters

Crowd and flags at Glastonbury. Pic: Reuters
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There were Palestinian flags among the crowd for Kneecap’s show. Pic: Reuters

Bandmate Naoise O Caireallain told the packed Glastonbury crowd they should “start a riot outside the courts”, before clarifying: “No riots just love and support, and support for Palestine.”

O hAnnaidh – also known as Mo Chara – wore a Palestinian keffiyeh scarf for Saturday’s set and told fans he was a “free man”.

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Girl, 7, dies after tree collapses at park in Southend

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Girl, 7, dies after tree collapses at park in Southend

One girl has died and another is in a critical condition after a tree partially collapsed at a park in Essex.

The girls, aged seven and six, suffered serious injuries when they were among a number of children caught beneath the tree at Chalkwell Park in Southend.

Essex Police confirmed the seven-year-old girl died in hospital and her family is receiving support from specialist officers.

Three other children suffered minor injuries following the incident.

An East of England Ambulance Service spokesperson said: “We were called at 2.55pm to reports that a tree had fallen in Chalkwell Park in Chalkwell.

“Six ambulances, three ambulance officer vehicles, the London Air Ambulance and Kent Air Ambulance were sent to the scene.”

Map showing the location of Chalkwell Park in Essex

Police said an investigation is continuing into what caused the tree to collapse.

‘Unimaginable hardship’ for families

Chief Superintendent Leighton Hammett said: “Families are facing unimaginable hardship this evening and all of our thoughts are with them at this time.

“I cannot begin to put into words how difficult today’s events have been, and continue to be, for them.

“It’s also not lost on me how traumatic it must have been for the members of the public who witnessed this awful incident.

“Across a matter of moments, many of them went from enjoying the warm summer weather to rushing to the aid of strangers without a second thought.”

Chief Sup Hammett also paid tribute to police, ambulance and fire crews who “did all they could,” adding that “today’s loss is one they will all take personally”.

Death is ‘truly devastating’

Local MP David Burton-Sampson said: “The news of the sad death of one of the children involved in the incident at Chalkwell Park today is truly devastating.

“I am sure I reflect the thoughts of all our residents here in Southend in sending my deepest condolences to the child’s family and friends.

“My thoughts are also with the other children injured and I wish them a full and speedy recovery.

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Hundreds of NHS quangos to be axed – as plans unveiled for health funding to be linked to patient feedback

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Hundreds of NHS quangos to be axed - as plans unveiled for health funding to be linked to patient feedback

NHS funding could be linked to patient feedback under new plans, with poorly performing services that “don’t listen” penalised with less money.

As part of the “10 Year Health Plan” to be unveiled next week, a new scheme will be trialled that will see patients asked to rate the service they received – and if they feel it should get a funding boost or not.

It will be introduced first for services that have a track record of very poor performance and where there is evidence of patients “not being listened to”, the government said.

This will create a “powerful incentive for services to listen to feedback and improve patients’ experience”, it added.

Sky News understands that it will not mean bonuses or pay increases for the best performing staff.

NHS payment mechanisms will also be reformed to reward services that keep patients out of hospital as part of a new ‘Year of Care Payments’ initiative and the government’s wider plan for change.

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Speaking to The Times, chief executive of the NHS Confederation Matthew Taylor expressed concerns about the trial.

He told the newspaper: “Patient experience is determined by far more than their individual interaction with the clinician and so, unless this is very carefully designed and evaluated, there is a risk that providers could be penalised for more systemic issues, such as constraints around staffing or estates, that are beyond their immediate control to fix.”

He said that NHS leaders would be keen to “understand more about the proposal”, because elements were “concerning”.

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Health Secretary Wes Streeting said: “We will reward great patient care, so patient experience and clinical excellence are met with extra cash. These reforms are key to keeping people healthy and out of hospital, and to making the NHS sustainable for the long-term as part of the Plan for Change.”

In the raft of announcements in the 10 Year Health Plan, the government has said 201 bodies responsible for overseeing and running parts of the NHS in England – known as quangos – will be scrapped.

These include Healthwatch England, set up in 2012 to speak out on behalf of NHS and social care patients, the National Guardian’s Office, created in 2015 to support NHS whistleblowers, and the Health Services Safety Investigations Body (HSSIB).

The head of the Royal College of Nursing described the move as “so unsafe for patients right now”.

Professor Nicola Ranger said: “Today, in hospitals across the NHS, we know one nurse can be left caring for 10, 15 or more patients at a time. It’s not safe. It’s not effective. And it’s not acceptable.

“For these proposed changes to be effective, government must take ownership of the real issue, the staffing crisis on our wards, and not just shuffle people into new roles. Protecting patients has to be the priority and not just a drive for efficiency.”

Elsewhere, the new head of NHS England Sir Jim Mackey said key parts of the NHS appear “built to keep the public away because it’s an inconvenience”.

“We’ve made it really hard, and we’ve probably all been on the end of it,” he told the Daily Telegraph.

“The ward clerk only works nine to five, or they’re busy doing other stuff; the GP practice scrambles every morning.”

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