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NHS patients face major disruption over the next 48 hours as senior doctors in England begin their first major strike in nearly 50 years.

Consultant doctors along with hospital-based dentists will strike over pay from 7am on Thursday until 7am on Saturday.

It follows the longest period of industrial action in the history of the NHS by junior doctors across five days from last Thursday to Tuesday.

The NHS medical director warned the latest action would be one of the toughest strikes in the history of the service, with “routine care virtually at a standstill”.

Professor Sir Stephen Powis warned of the mass disruption expected across the NHS with consultants providing just emergency cover.

Apart from a brief dispute over pensions in 2012, senior consultants last took major long-term action in 1975 over their contracts.

Consultants are senior doctors who see patients but are also responsible for the supervision of junior doctors and other staff.

How much do consultants earn?

The British Medical Association rejected a 6% pay rise for consultants – calling it “insulting” and a “savage real-terms pay cut”.

It called for a 35% pay increase as it claims that it is the figure take-home pay has declined by over the last 15 years.

However, the BMA is using an outdated measure of inflation. While using the consumer price index, as the ONS recommends, the real-terms decrease in pay since 2010 is 15%

The BMA says current basic pay scales see consultants earning £88,364 as a starting salary, with tiered increases up to £119,133 for consultants with 19 years’ experience

The Department of Health and Social care says that on average, consultants earn £127,228 a year

This included basic pay of £97,406 supplemented by £29,882 in pay for working beyond contracted hours, being on call, and for medical awards such as the clinical excellence award

Patients have been warned a “significant amount” of planned care involving junior doctors will be affected because other clinicians cannot provide cover or carry out supervisory roles.

The British Medical Association said consultants will provide “Christmas Day cover” – meaning only an emergency care level of service.

NHS England said: “We are now entering the eighth month of industrial action across the NHS and staff continue to work hard to provide patients with the best possible care under the circumstances.

“Industrial action has impacted approximately 600,000 hospital appointments across the NHS with over 365,000 staff absences due to industrial action during this time.”

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How strike action impacts the NHS

What if you need urgent medical care?

The NHS states people should use NHS111 online to be assessed and directed to the right care.

If you do not have internet access, then the 111 helpline is available.

When someone is seriously ill or injured and their life is at risk, you should seek emergency care in the normal way by calling 999.

The NHS website states: “Regardless of any strike action taking place, it is really important that patients who need urgent medical care continue to come forward as normal, especially in emergency and life-threatening cases.

“Patients should take advice from 111/999 call-handlers on whether there are circumstances where it is suitable for them to make their own way to hospital.

“During strike days, it is likely 999 and 111 call handlers will be very busy, this may mean longer call response times.”

GP services and pharmacies will be running as normal.

Great-grandmother’s case highlights NHS dilemma

Carol Haworth is lying in a bed in Preston Hospital’s Emergency Department after breaking her left hip in a fall.

Dr Amogh Patel patiently explains that the 68-year-old great-grandmother will need immediate surgery to repair her shattered joint.

The surgery will fall on the first day of the nationwide NHS consultants strike

Carol’s case encapsulates the problems facing the NHS. She will have the emergency operation to repair her left hip, but has already waited nine months for surgery on her right hip.

And that wait will go on.

It is exactly the sort of life changing operation that will be cancelled in the thousands over the next 48 hours because of the consultants’ strike.

Carol remains philosophical: “We’ve had a lot of knock backs with COVID and this is only setting it back even further. So what can you do? It’s no good just squabbling about it, is it? You’ve just got to take it as it goes.”

‘My door is always open’

On the strikes by senior doctors, Health Secretary Steve Barclay said: “I hugely value the work of NHS consultants which is why we have accepted the independent pay review body recommendations in full, giving them a 6% pay rise this year, on top of last year’s 4.5% increase.

“My door is always open to discuss non-pay issues, but this pay award is final so I urge the BMA to end their strikes immediately.”

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Who are Bob Vylan – the duo who ‘very much crossed the line’ at Glastonbury with anti-IDF chant?

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Who are Bob Vylan - the duo who 'very much crossed the line' at Glastonbury with anti-IDF chant?

Musicians, especially punk acts, making headlines for their politics is nothing new.

The Sex Pistols, The Clash, Rage Against The Machine – in 2025, it’s Kneecap and now Bob Vylan riling politicians.

But in the case of chants made by Bob Vylan on stage at Glastonbury, it is not just MPs. Festival organiser Emily Eavis has also condemned the comments despite the festival’s advocacy for free speech, saying they “very much crossed a line”.

Police are investigating footage of the performance, which has since been removed by the BBC, to see if any offences were committed.

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What’s the Glastonbury controversy?

So who are Bob Vylan?

The duo are Bobby Vylan, the frontman, and drummer Bobbie Vylan. They have not revealed their real names to protect their privacy.

They formed in Ipswich in 2017 and their musical style is a mix of punk, rap, and hard rock.

They have released three albums – We Live Here (2020), Bob Vylan Presents The Price Of Life (2022), and last year’s Humble As The Sun – and their music has won them awards including best alternative act at the MOBOs in 2022, and best album at the Kerrang Awards in the same year.

Their songs confront issues including racism, homophobia, toxic masculinity, and far-right politics, and the track Pretty Songs is often introduced by Bobby saying that “violence is the only language that some people understand”.

Gigs often include some crowd-surfing from the frontman, and they have collaborated with artists including Amyl And The Sniffers singer Amy Taylor, Soft Play guitarist Laurie Vincent, and rock band Kid Kapichi.

In an interview with The Guardian last year, Bobby Vylan told how he attended his first pro-Palestine protest at the age of 15, escorted by a friend’s mother.

The duo have been outspoken on the war in Gaza and called out other acts seen as left-wing who haven’t been showing the same amount of public solidarity.

Bob Vylan performing on the West Holts Stage, during the Glastonbury Festival at Worthy Farm in Somerset. Yui Mok/PA Wire
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Bob Vylan on the West Holts Stage at Glastonbury on Saturday. Pic: PA

The Glastonbury set

Before their appearance at the festival, the duo highlighted it to fans watching at home, posting on Facebook: “Turns out we’re finally at a point where the BBC trust us on live tv! Watch us live either in the field or in the comfort of your own home!”

On stage, they performed in front of a screen bearing several statements, including one which claimed Israel’s actions in Gaza amount to “genocide”.

Afterwards, as controversy over the set grew, they appeared to double down with statements shared on social media.

Their comments have drawn criticism from the Israeli embassy and MPs – and now Glastonbury and Emily Eavis, too.

Read more
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Bob Vylan member on stage. Pic: PA
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Bobby Vylan on stage. Pic: PA

Both members of the band, Bobbie and Bobby Vylan, posted on Instagram following their set on Saturday. Pic: Instagram/Bobby Vylan
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Both members of the band, Bobbie and Bobby Vylan, posted on Instagram following their set on Saturday. Pic: Instagram/Bobby Vylan

Bob Vylan performed on stage ahead of Kneecap, kept on the bill despite calls for them to be axed.

Michael Eavis, the festival’s founder, said before the event that people who did not like the politics could “go somewhere else”.

However, Bob Vylan’s comments pushed things too far, a statement posted by the festival and Emily Eavis said on Sunday morning.

“As a festival, we stand against all forms of war and terrorism,” the statement said. “We will always believe in – and actively campaign for – hope, unity, peace and love.”

With almost 4,000 performances over the weekend, there will be artists and speakers appearing “whose views we do not share”, they continued, “and a performer’s presence here should never be seen as a tacit endorsement of their opinions and beliefs”.

But they described the statements by Bob Vylan as “appalling”.

“Their chants very much crossed a line and we are urgently reminding everyone involved in the production of the festival that there is no place at Glastonbury for antisemitism, hate speech or incitement to violence.”

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Glastonbury organiser Emily Eavis says anti-IDF chants ‘crossed a line’ and no place at festival for ‘hate speech’

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Glastonbury organiser Emily Eavis says anti-IDF chants 'crossed a line' and no place at festival for 'hate speech'

Glastonbury organiser Emily Eavis has said chants of “death to the IDF” on its West Holts stage on Saturday “very much crossed a line”.

Eavis, whose father Michael co-founded the festival, posted on Instagram on Sunday morning responding to rap duo Bob Vylan’s set the day before.

“Their chants very much crossed a line and we are urgently reminding everyone involved in the production of the Festival that there is no place at Glastonbury for antisemitism, hate speech or incitement to violence,” she wrote.

She said that while “as a festival, we stand against all forms of war and terrorism – we will always believe in – and actively campaign for – hope, unity, peace and love”, adding a performer’s comments “should never be seen as a tacit endorsement of their opinions and beliefs”.

Eavis added: “With almost 4,000 performances at Glastonbury 2025, there will inevitably be artists and speakers appearing on our stages whose views we do not share.”

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The rappers’ set was streamed live on the BBC on Saturday, showing one of them shouting the slogan into the mic, with some of the crowd joining in.

They also performed in front of a screen that claimed Israel’s actions in Gaza amount to “genocide”.

The Israeli embassy posted on X in the hours after the set saying it was “deeply disturbed by the inflammatory and hateful rhetoric”.

It said the slogan used “advocates for the dismantling of the State of Israel”.

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.”

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What’s the Glastonbury controversy?

The Campaign Against Antisemitism (CAA) said it will be formally complaining to the BBC over its “outrageous decision” to broadcast the performance.

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’s set may have pushed things too far


Gemma Peplow

Gemma Peplow

Culture and entertainment reporter

@gemmapeplow

Bob Vylan, a punk-rap duo known for their politically charged lyrics taking on racism, fascism, police brutality, toxic masculinity, inequality and more, performed on the festival’s third biggest stage, West Holts, with a capacity of about 30,000.

They played to their own fans but no doubt thousands who had turned out to secure their place for the controversial Irish-language rappers Kneecap who followed.

After the Bob Vylan performance was aired live, clips quickly flooded social media – shared by those supporting the band and condemning them.

“The BBC didn’t cover Kneecap’s set at Glastonbury Festival over Free Palestine chants, so Bob Vylan, who BBC covered, stepped in,” posted the Celebrities4Palestine account alongside a clip on Instagram, also shared by Bob Vylan.

The IDF comments on stage may well have been made regardless. Or did Kneecap’s “cancelling” by the BBC, as some people saw it, encourage other acts to speak out even more?

Police are investigating both performances. Kneecap’s Naoise O Caireallain, who performs under the name Moglai Bap, at one point mentioned “a riot outside the courts” over his bandmate Liam Og O hAnnaidh’s (Mo Chara) upcoming second appearance on a terror charge, before clarifying: “No riots, just love and support, and support for Palestine.”

With its history of activism, Glastonbury has always championed free speech. But it seems Bob Vylan’s set may have pushed things too far.

It’s fair to say that here at Glastonbury, for most of the 200,000 people on site this weekend, it is still all about the music. The majority did not see these sets and many are not even aware of the criticism outside Worthy Farm.

Today is the final day of artist performances, with acts including Olivia Rodrigo, Rod Stewart and the Prodigy on the bill. But instead of the magic of the most famous festival in the world, both organisers and the broadcaster are now facing more questions about Bob Vylan and, to a lesser extent, Kneecap, as criticism mounts.

Bob Vylan went on stage just ahead of a performance by Kneecap, the Irish rap band that the prime minister and others called to be removed from the Glastonbury and other festival line-ups over alleged on-stage endorsements of terrorist groups Hamas and Hezbollah.

Ultimately, the BBC decided not to broadcast Kneecap’s set live, but have since made it available to watch on catch-up on iPlayer.

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 Hezbollah at a gig.

His bandmate Naoise O Caireallain told Glastonbury crowds on Saturday 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 their set and told fans he was a “free man”.

Moglai Bap and Mo Chara of Kneecap perform at Glastonbury. Pic: Reuters
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Moglai Bap and Mo Chara of Kneecap on stage on Saturday. Pic: Reuters

Questions over why BBC broadcast chants

The government’s culture Secretary Lisa Nandy has spoken to BBC boss Tim Davie for an “urgent explanation” about what steps were taken around the Bob Vylan set.

Speaking to Sunday Morning With Trevor Phillips on behalf of the government, Health Secretary Wes Streeting described the chant as “appalling” and a “shameless publicity stunt”.

“The fact that we saw that chant at a music festival – when there were Israelis at a similar music festival who were kidnapped, murdered, raped, and in some cases still held captive,” he said in reference to the 7 October 2023 Hamas attack at the Nova music festival.

He added that while “there’s no justification for inciting violence against Israelis… the way in which Israel’s conducting this war has made it extremely difficult for Israel’s allies around the world to stand by and justify”.

“I’d also say to the Israeli embassy, get your own house in order, in terms of the conduct of your own citizens and the settlers in the West Bank,” he told Phillips.

Crowd and flags at Glastonbury. Pic: Reuters
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Palestinian flags at Glastonbury. Pic: Reuters

Meanwhile, Conservative leader Kemi Badenoch reposted a clip of the Bob Vylan set describing it as “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.

Lucy McMullin, who was in the crowd for Bob Vylan, told Sky News: “When there’s children and civilians being murdered and starved, then I think it’s important that people are speaking out on these issues.

“However, inciting more death and violence is not the way to do it.”

A BBC spokesperson confirmed the Bob Vylan stream will not be made available to watch on its iPlayer.

“Some of the comments made during Bob Vylan’s set were deeply offensive,” their statement said.

“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.”

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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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