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Doctors who have been working for the NHS for less than two weeks are among those downing tools this morning and going on strike.

Junior doctors from the British Medical Association (BMA) are staging a four-day walkout from 7am in an ongoing dispute over pay.

Concerns have been mounting over the impact of the strike following a High Court ruling that means the NHS cannot use agency staff to backfill striking workers.

NHS junior doctors take part in a march and rally in the centre of Birmingham, on the final day of the British Medical Association's 96-hour walkout in a dispute over pay. Picture date: Friday April 14, 2023.
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NHS junior doctors take part in a march and rally in the centre of Birmingham. File pic

Almost 835,000 appointments have been postponed since industrial action began in December.

But NHS Confederation said the true level of disruption is being “masked” and the number of cancellations could be double this figure.

It said many hospitals have stopped booking in routine activity on potential strike days to prevent causing more disruption to patients on waiting lists, and the action was hampering efforts to reduce the record backlog of care.

Sir Julian Hartley, chief executive of NHS Providers, warned the figure could close in on one million postponed appointments following strikes by junior doctors and consultants in August, as well as a potential further two-day strike by consultants in September.

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“There will be a long-lasting effect on patients who have had treatment delayed and on already low staff morale,” he added.

Making room for rescheduled appointments could also mean those further down the waiting list also face delays.

Striking junior doctors from British Medical Association take part in a rally in Manchester
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Striking junior doctors from British Medical Association take part in a rally in Manchester. File pic

It comes as NHS England revealed 7.6 million people were waiting for treatment at the end of June, the highest number since records began in August 2007.

Health Secretary Steve Barclay said: “Patients are bearing the brunt of the impact of continuous strikes across the NHS, and further action by the BMA will cause more appointments and procedures to be postponed.

“Our award balances the need to keep inflation in check while recognising the incredibly important work they do.

“My door is always open to discuss how to improve doctors’ working lives, but this pay award is final so I urge the BMA to end its strikes immediately.”

The BMA are demanding a 35% increase, arguing junior doctors have lost more than a quarter of their pay over 15 years as a result of salaries not keeping up with inflation.

But the government said a 6% uplift given to junior doctors, which it says is the equivalent to an average increase of 8.8% – in addition to a consolidated £1,250 rise – is “fair and reasonable”.

Read more:
What to do if you need NHS care during strikes
Waiting list at a record high
Joint COVID and flu autumn booster programme pushed back

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NHS treatment list at record high

It’s the fifth time junior doctors have walked out of the wards this year, and the ninth successive month of union action across the NHS.

The action will include some medics who only started their jobs with the NHS last Wednesday.

Dr Omolara Akinnawonu is one of those Foundation Year 1 doctors who started her role on 2 August. She said many medics struggle to make ends meet when they first start in the health service.

“I don’t think many of us as students imagined that we will be having to take to picket lines but I think that it’s necessary because it’s safeguarding our right now and also our future,” the 24-year-old said.

“We sort of graduated at the backfoot and to arrive finally as a doctor to not receive a fair salary is not fair.”

The strike is due to end at 7am on Tuesday.

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Ex-England footballer Stuart Pearce’s son Harley dies in tractor crash

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Ex-England footballer Stuart Pearce's son Harley dies in tractor crash

The son of former England footballer Stuart Pearce has died in a crash, his family has said.

Harley Pearce, from Marlborough in Wiltshire, was driving a tractor near Witcombe, Gloucestershire, on Thursday, when he was involved in a collision, police said.

The 21-year-old farming worker died at the scene, on the A417 Old Birdlip Hill in Witcombe, around five miles from Gloucester.

No other vehicles were involved, Gloucestershire Constabulary said. Emergency services were called to the scene of the incident at about 2.30pm on October 16.

Stuart Pearce at last year's FA Cup Final at Wembley. Pic: PA
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Stuart Pearce at last year’s FA Cup Final at Wembley. Pic: PA

Harley Pearce was 21 and worked in farming, according to reports.

‘Our shining star’

In a tribute posted on Facebook, Harley sister, Chelsea Pearce, said the family was “truly shocked and utterly heartbroken at the loss of our cherished son and devoted brother, Harley”.

He was, the family said, was a soul “who left an unforgettable imprint on all who knew him”.

“He was a golden boy with an infectious smile, and this shocking tragedy will leave a huge hole in the hearts of those who were fortunate enough to have known him.”

He had “a quiet, understated strength and deep kindness”.

The family said they were “so proud of the young man he had become, exhibiting a wonderful work ethic and entrepreneurial spirit in the farming industry.

“He will always be our shining star. Rest in Peace, our beautiful son and brother. You will never, ever be forgotten.”

What have police said?

Harley ran his own company, Harley Pearce Agricultural Service, talkSPORT said.

Gloucestershire Constabulary said on Thursday: “The driver of the tractor, a man in his 20s and from Wiltshire, was pronounced dead at the scene.

“His next of kin are aware and being supported by specially trained officers.”

The force is appealing for any witnesses or anyone with dashcam footage to contact them.

‘Tragic news’

Harley’s father, Stuart Pearce, played 78 times for England and was part of the Three Lions squads which reached the semi-finals of the 1990 World Cup and Euro 96, the FA said on its website.

He was later the head coach of the England Under-21s.

During a long club career, he made more than 400 appearances for Nottingham Forest, many of them as captain, during a 12-year spell at the City Ground.

He later managed the club, as well as another former club, Manchester City.

Pearce currently works as a pundit on talkSPORT, which said on its website that Harley and Chelsea were the two children he had with his ex-wife Liz.

Presenter Jim White said during a broadcast on Monday that “everybody here on this show and at talkSPORT sends our heartfelt condolences to the family of Stuart Pearce after that tragic news we’ve just heard”.

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Several of the clubs he played for posted tributes on X, including Forest, who said they were “deeply saddened”.

The club said: “The thoughts of everyone connected with Nottingham Forest are with Stuart and his family at this truly difficult time.”

West Ham United said: “We are saddened to hear of Harley Pearce’s passing.

“Everyone at the Club sends their deepest condolences to Stuart and his family at this tragic time.”

Manchester City said: “Everyone at Manchester City sends their love and thoughts to Stuart and his family at this very difficult time.”

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Inquiry launched into ‘repeated’ maternity failings at Leeds NHS trust

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Inquiry launched into 'repeated' maternity failings at Leeds NHS trust

After years of campaigning, bereaved families in Leeds have been told they will get a fully independent inquiry into local maternity services.

The inquiry was announced by Health Secretary Wes Streeting who said he was “shocked” that the families faced “repeated maternity failures… made worse by the unacceptable response of the trust”.

Despite running one of the largest teaching hospitals in Europe, Leeds Teaching Hospitals NHS Trust “remains an outlier on perinatal mortality”, according to official data.

In June, the Care Quality Commission downgraded maternity services at the trust to “inadequate”, describing serious risks to women and babies and a deep-rooted “blame culture” that left staff afraid to speak up.

Leeds was downgraded to "inadequate" in June by the Care Quality Commission, over serious risks to women and babies
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Leeds was downgraded to “inadequate” in June by the Care Quality Commission, over serious risks to women and babies

Grieving families have welcomed the launch of the inquiry.

In 2023, an inquest concluded Fiona Winser-Ramm and Daniel Ramm’s first baby, Aliona, died in 2020 as a result of neglect from medical staff.

“When after our daughter died, we were told that they had never seen anything like it before. And we believed it initially,” said Ms Winser-Ramm.

Fiona Winser-Ramm's baby died in 2020 after failings by staff
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Fiona Winser-Ramm’s baby died in 2020 after failings by staff


“We believed that we were the first people, the only people that this had ever happened to. And in the depths of our despair and grief, we needed to find other people that understood this, that were the same as us,” she added.

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Mr Ramm said the inquiry had been “a long time coming”.

“We have, as a group of families, spent years trying to essentially expose what the problems have been at least that we’ve known have existed all along,” he said.

Daniel Ramm says the inquiry has been 'a long time coming'
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Daniel Ramm says the inquiry has been ‘a long time coming’

Lauren Caulfield’s baby Grace was stillborn in 2022 and an investigation found failings in her care.

“We shouldn’t… as bereaved, grieving parents have to do this [campaigning] for so many years. [It’s] quite a relief to know that, you know, we don’t have to keep fighting,” she said.

Bereaved parent Lauren Caulfield is relieved, saying 'we don't have to keep fighting'
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Bereaved parent Lauren Caulfield is relieved, saying ‘we don’t have to keep fighting’

Mr Streeting said: “This stark contradiction between scale and safety standards is precisely why I’m taking this exceptional step to order an urgent inquiry in Leeds.

“We have to give the families the honesty and accountability they deserve and end the normalisation of deaths of women and babies in maternity units.

“These are people who, at a moment of great vulnerability, placed their lives and the lives of their unborn children in the hands of others – and instead of being supported and cared for, found themselves victims.”

Read more from Sky News:
Hospital trusts face maternity probe
‘Toxic cover-up’ culture in NHS
Nottingham trust admits baby failings

Brendan Brown, chief executive of Leeds Teaching Hospitals NHS Trust, said: “I want to start by offering the families an unreserved apology, not only for their experience, but also for the fight that they’ve had in raising these concerns.

“And I want to assure them of our commitment to engage with the independent inquiry openly, honestly and transparently.”

Chief executive of the Trust, Brendan Brown, has offered families an unreserved apology
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Chief executive of the Trust, Brendan Brown, has offered families an unreserved apology

The families are waiting for the terms of reference of the investigation to be confirmed, but feel the police should be involved.

They also called for it to be chaired by midwife Donna Ockenden, who is heading the independent review of maternity services at the Nottingham University Hospitals NHS Trust.

Leeds now joins a growing list: Morecambe Bay, Shrewsbury, East Kent, and the ongoing Nottingham inquiry, all uncovering shocking failures in maternity care across England.

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King visits scene of fatal Manchester synagogue attack

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King visits scene of fatal Manchester synagogue attack

The King has visited the scene of a fatal attack at a synagogue in Manchester.

The monarch was greeted by Rabbi Daniel Walker when he arrived at the Heaton Park Hebrew Congregation Synagogue.

He spent a few minutes at an outside memorial area next to the synagogue, where flowers and messages have been left by those paying their respects.

Rabbi Daniel Walker and the King
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Rabbi Daniel Walker and the King

Pics: PA
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Pics: PA

It was the King’s first official engagement since Prince Andrew‘s decision to relinquish his titles under intense public scrutiny following allegations he sexually abused Virginia Giuffre. The prince vehemently denies the allegations.

Andrew also faces the Metropolitan Police looking into reports he asked an officer to help with an attempted smear campaign against Ms Giuffre.

Pics: PA
Image:
Pics: PA

During the attack at the Manchester synagogue on the Jewish holiday of Yom Kippur, father-of-three Melvin Cravitz, 66, was killed, along with Adrian Daulby.

Mr Daulby, 53, was believed to have been inadvertently shot by police as he ran to block the synagogue doors to stop the attacker getting inside to continue his knife rampage.

(L-R) Victims Adrian Daulby and and Melvin Cravitz. Pics: Family handout/Greater Manchester Police
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(L-R) Victims Adrian Daulby and and Melvin Cravitz. Pics: Family handout/Greater Manchester Police


Attacker Jihad al Shamie, 35, called 999 during his deadly rampage, pledging allegiance to the so-called Islamic State terror group.

He drove his car at Jews gathering at the Heaton Park Hebrew Synagogue for the holy day of Yom Kippur, then attacked others with a knife and tried to storm the synagogue, wearing a fake suicide belt, before armed police shot him dead.

Last week, Yoni Finlay, who is believed to have been hit by a police bullet during the attack and underwent seven hours of surgery, was discharged from hospital.

He reportedly helped barricade the doors at the synagogue.

Read more:
The father of Jihad al Shamie calls for unity
How attacker became radicalised

Greater Manchester Police said two other men injured in the attack, a security guard who was hurt when the attacker rammed his car outside the synagogue and a volunteer who was stabbed, remain in stable conditions.

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