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Consultants and junior doctors are set to strike for several more days this week and early next month, bringing more chaos to the NHS after several months of walkouts and delayed appointments.

Senior doctors are walking out on 19 and 20 September, as well as 2, 3 and 4 October. Meanwhile junior doctors, who have staged 19 days of strike action since March, will also strike on 20, 21 and 22 September and 2, 3 and 4 October.

A health chief said the NHS is in “uncharted territory” due to the strikes, with thousands of patient appointments expected to be cancelled.

Saffron Cordery, deputy chief executive of NHS Providers, said this week’s strike action “can’t become the status quo”.

When are the strikes?

Consultants are walking out on 19 and 20 September, as well as the 2, 3, and 4 October.

Junior doctors will strike on 20, 21 and 22 September and the 2, 3 and 4 October.

This means that Wednesday’s strike this week, plus the three days next month, will see both consultants and junior doctors absent from work on the same days.

Why are junior doctors striking?

The strikes are primarily over pay.

The government has implemented a 6% pay rise for consultants and 6% plus a lump sum of £1,250 for junior doctors and has said there will be no further offers.

The British Medical Association (BMA), meanwhile, is calling for “full pay restoration” back to 2008/09 levels, saying pay has been eroded over several years.

The BMA said the wage for junior doctors has fallen 26% in between 2008 and 2022, with newly qualified medics making less than a barista in a coffee shop.

It has demanded a 35% pay rise for junior doctors to bring salaries back to 2008-2009 levels, calling this “pay restoration”.

“The lack of investment in wages by the government has made it harder to recruit and retain junior doctors,” the BMA has previously said.

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Dr Tal Ellenbogen tells Sky News ‘we are being set up to fail’

“If junior doctors are forced out of the NHS because of poor pay and conditions, the services we all rely on to look after our loved ones will suffer.”

On the picket lines of the March strike, junior doctors told Sky News why they were striking and described having to borrow money off family for medical exams, watching colleagues leave for better paid jobs abroad and how they were struggling to pay rent.

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Junior doctors demand 35% pay rise

What impact is this going to have on the NHS?

Thousands of NHS appointments and operations could be delayed.

The service is expected to see a Christmas Day level of staffing when both consultants and junior doctors are off, with emergency care taking priority.

Ms Cordery said “it’s all hands on deck in trusts across the country”.

“This ‘double whammy’ of the first ever joint strikes by senior and junior doctors is the toughest test yet for trust leaders, ramping up pressure on already stretched services,” she said.

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“Ten months of industrial action have seen almost one million routine appointments and procedures delayed.”

Earlier this week, NHS Providers said it had heard from one trust that it was having to reschedule care for more seriously ill patients who previously may have been protected from strike disruption.

Another trust is rescheduling appointments for patients already hit by strike action, while a third said it would deploy volunteers to support patients with meals and drinks as well as providing company in A&E departments during the strikes.

NHS Providers said the strikes are estimated to have cost the health service at least £1bn so far and trust leaders are worried that senior doctors are increasingly unwilling to cover shifts when junior doctors are striking.

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Hundreds of operations cancelled

Why will this strike be particularly bad?

Wednesday marks the first time both consultants and junior doctors will walk out at the same time, leading to unprecedented pressure on the NHS.

Both junior and senior doctors will also be absent from work on the same days next month.

“Even when consultants go back to work on Thursday, junior doctors will be on strike until Friday with more strikes by both groups and radiographers planned for early October,” Ms Cordery said.

The October strike dates also coincide with the Conservative Party annual conference in Manchester.

Read more:
Emergency care to be prioritised
‘Huge concern’ over worst NHS strike yet

Share how this week’s strike action is impacting you with Sky News

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Junior doctors set for four days of strike action

Is this the first time doctors have gone on strike?

No – junior doctors who are members of the BMA have held a total of 19 strike days since March.

They first walked out for 72 hours from 13-15 March. During that strike, about 175,000 appointments and operations were postponed.

This week’s strike will be their sixth walk out.

Meanwhile, consultants previously walked out for 48 hours in July.

What does ‘junior doctor’ mean?

A junior doctor is a qualified doctor who has graduated from medical school and is on a training pathway to become a specialist or a GP, according to the BMA.

Full-time training can take between five and 11 years – more if it is done part-time.

Junior doctors make up around 45% of the NHS’s medical workforce and two-thirds of them are members of the BMA.

What has the government said about the strikes?

The prime minister’s official spokesman said on Monday: “These co-ordinated strikes will pose a huge challenge for the NHS and for patients, who will see their care significantly disrupted.”

Meanwhile, Health Secretary Steve Barclay was open to discussions about the “non-pay elements” of the BMA’s concerns but there were no plans to “revisit” the pay deal, the spokesman said.

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Sir Keir Starmer could be ousted as PM within months, two senior Labour MPs tell Sky News

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Sir Keir Starmer could be ousted as PM within months, two senior Labour MPs tell Sky News

Two senior Labour MPs have suggested the prime minister may have to go within months if the government continues to perform poorly.

Sky News’ deputy political editor Sam Coates said his sources – a member of the government and a prominent politician – have “put Sir Keir Starmer on notice”.

Both warned that, if Labour performs badly in next May’s elections across Wales, Scotland and London, it could mark the end of his time in Downing Street.

Coates added: “The level of unhappiness and despair in parts of the Labour Party is so striking that right now, on the first anniversary, I am hearing from ministers in government that Starmer might have to go in months.”

Reform UK is surging in the polls in Wales, while Labour faces a threat from left-wing parties such as the Greens in London.

It comes as the prime minister made it clear that Rachel Reeves has his “complete support” as chancellor and remains integral to his project, Sky News’s political editor Beth Rigby understands.

She looked visibly upset during Prime Minister’s Questions, with a spokesperson claiming she had been affected by a “personal matter”.

A day earlier, Sir Keir’s controversial welfare bill was passed despite a sizeable rebellion from Labour MPs, with major U-turns meaning a new £5bn black hole has appeared in the country’s finances.

One senior figure told Rigby that the pair were as “as close politically” as any chancellor and prime minister have ever been.

“She is going absolutely nowhere,” they added.

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Welfare vote ‘a blow to the prime minister’

Ms Reeves’s tears sent markets spiralling, with the value of the pound and long-term government bonds falling sharply.

Later in the day Sir Keir, said Ms Reeves will be chancellor for a “very long time to come”.

The prime minister said it was “absolutely wrong” to suggest her tearful appearance in the Commons related to the welfare U-turn.

“It’s got nothing to do with politics, nothing to do with what’s happened this week. It was a personal matter for her,” he said while speaking to the BBC’s podcast Political Thinking with Nick Robinson.

“I’m not going to intrude on her privacy by talking to you about that. It is a personal matter.”

Read more from Sky News:
Just 25% of public think Starmer will win next election
Analysis: Emotional Reeves a reminder of tough decisions ahead

Asked if she will remain in post, he said: “She will be chancellor by the time this is broadcast, she will be chancellor for a very long time to come, because this project that we’ve been working on to change the Labour party, to win the election, change the country, that is a project which the chancellor and I’ve been working on together.”

He said Ms Reeves has done a “fantastic job” and added: “She and I work together, we think together. In the past, there have been examples – I won’t give any specific – of chancellors and prime ministers who weren’t in lockstep. We’re in lockstep.”

Wes Streeting, the health secretary, also offered a strong defence for the prime minister and chancellor.

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Health Secretary: Reeves is ‘resilient’

He told Sky News this morning that Sir Keir has been “consistently underestimated” and was “of course” safe as prime minister.

And he said Ms Reeves was a “tough character” who was ” resilient” and “here to stay”.

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Greater Manchester Police investigating grooming cases with more than 700 victims

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Greater Manchester Police investigating grooming cases with more than 700 victims

Despite making “significant improvements”, Greater Manchester Police (GMP) has lost the “trust and confidence” of some victims of grooming gangs, according to a report by the police watchdog.

Michelle Skeer, His Majesty’s Inspector of Constabulary, said that since 2019, when GMP started to review its non-recent child sexual exploitation investigations, “the force has improved its understanding and approach to investigating allegations of child criminal and sexual exploitation”.

The document, published today, said police have live investigations into “multi-victim, multi-offender” child sexual exploitation inquiries, involving 714 victims and survivors, and 1,099 suspects.

Grooming gangs scandal timeline

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‘Our chance for justice’

But despite recording improvements, a report by His Majesty’s Inspectorate of Constabulary and Fire & Rescue Services (HMICFRS) also identified:

• Various training gaps within the investigation team
• Lack of consistency in evaluating case files between social care, health and police
• Failures to initially support victims meant they had “lost trust and confidence” in police

The report was commissioned by the Mayor of Greater Manchester Andy Burnham in 2024 to evaluate whether police, councils and health services can protect children from sexual exploitation in the future.

More on Andy Burnham

Its release comes days after Sir Keir Starmer announced he was launching a new national inquiry into grooming gangs after previously arguing one was not necessary,

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Starmer to launch new grooming gang inquiry

The findings were issued as the final part of the CSE (child sexual exploitation) Assurance Review process which started in 2017. The first three reports examined non-recent child sexual exploitation in Manchester, Oldham and Rochdale.

Mr Skeer said that the force has been trying to improve its service to those who have experienced sexual exploitation, but previous failings have badly affected trust in GMP.

He said: “For some, trust and confidence in the police had been lost, and the force would not be able to rectify their experiences.

“It is vital that improvements are led by victims’ experiences, and if they do come forward, they are supported, protected and taken seriously.”

A recent report by Baroness Casey found a significant over-representation of Asian men who are suspects in grooming gangs in Greater Manchester, adding though authorities are in “denial” more needs to be done to understand why this is the case.

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Teen caught in child sex exploitation

Inspectors also said there were “training gaps” in some investigation teams and issues with data sharing, with local councils sometimes not willing to provide detectives with information, leading to “significant delays in investigations” into grooming gangs.

It cites problems with intelligence provided by Manchester City Council, which took months to arrive and “was so heavily redacted that some pages contained only a few words”, the report said.

Read more from Sky News:
Analysis: Badenoch’s grooming gangs outrage
Grooming survivor wants apology from Starmer

GMP is the only force in the country to set up a dedicated team to investigate grooming gangs. Called the Child Sexual Exploitation Major Investigation Team (CSE MIT) it has about 100 staff and a ringfenced budget.

In October 2024, the force told inspectors there were 59 live multi-victim, multi-offender child sexual exploitation investigations, of which 13 were being managed by the CSE MIT.

The report adds: “The force fully accepts that it made mistakes in the past.

“It has taken positive and effective steps to learn from these mistakes and improve how it investigates recent and non-recent child sexual exploitation.”

Separately, the Baird Inquiry published in July 2024 found officers at GMP were abusing their power – making unlawful arrests, unlawful and demeaning strip searches, sometimes treating victims as perpetrators, and traumatising those who have suffered sexual abuse or domestic violence.

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Wes Streeting defends chancellor and PM ahead of ‘seismic’ 10-year plan for NHS

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Wes Streeting defends chancellor and PM ahead of 'seismic' 10-year plan for NHS

The health secretary has offered a strong defence of the prime minister and chancellor – ahead of Sir Keir Starmer setting out his 10-year vision for the NHS.

PM ‘might have to go in months’ – politics latest

Wes Streeting dismissed suggestions the prime minister could be forced out in months following the toughest week of his premiership yet, and described Rachel Reeves as “resilient” and would “bounce back” following her tearful appearance in the Commons on Wednesday.

Overnight, two senior sources – a member of the government and a prominent politician – told Sky News’ deputy political editor Sam Coates that they had “put Sir Keir Starmer on notice”.

The health secretary, who was speaking as Sir Keir prepares to set out his 10-year vision for the NHS, said the prime minister had been “consistently underestimated”.

Asked by Kamali Melbourne on Sky News Breakfast whether Sir Keir was “safe”, Mr Streeting said: “Of course.

“Keir Starmer has been consistently underestimated. I wonder when people will learn.

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Reeves has ‘complete support’

“They said he couldn’t win the Labour leadership, but he did. They said he couldn’t change the Labour Party, but he did.

“They said he couldn’t take the Labour Party from its worst defeat since the 1930s to election victory last year. And he did and now the cynics say he can’t change the country, but he will.”

As for Ms Reeves – whose tearful appearance in the Commons spooked markets after the prime minister initially failed to back her, Mr Streeting said the chancellor was a “tough character” who was “resilient and she will bounce back”.

The health secretary declined to expand on why Ms Reeves was in the chamber at all yesterday, repeating that it was a personal matter.

“Rachel Reeves as chancellor is here to stay,” he continued.

“We need her to get the economy from strength to strength, to make sure that family finances are in better health than we were when we came into office.”

Speculation about the futures of the two most senior members of the government threaten to overshadow the announcement today, which the government says is “one of the most seismic shifts” in the health service’s history.

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Why has Starmer axed NHS England?

Sir Keir will pledge three main facets of the plan: moving care into the community, digitising the NHS, and a focus on sickness prevention.

The prime minister will announce neighbourhood health services will be rolled out across England to improve access to the NHS and to shift care out of overstrained hospitals.

Sir Keir has already promised thousands more GPs will be trained, and to end the 8am “scramble” for an appointment.

He also previously said his government will bring the NHS into the digital age, with “groundbreaking” new tools to support GPs rolled out over the next two years – including AI to take notes, draft letters and enter data.

And he will promise new contracts that will encourage and allow GP practices to cover a wider geographical area, so small practices will get more support.

Unite, one of the UK’s largest healthcare unions, welcomed the plan cautiously but said staff need to be the focus to ensure people are better looked after.

Read more:
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‘Reform or die’

Sir Keir said: “The NHS should be there for everyone, whenever they need it.

“But we inherited a health system in crisis, addicted to a sticking plaster approach, and unable to face up to the challenges we face now, let alone in the future.

“That ends now. Because it’s reform or die.”

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Do you want AI listening in on chats with your doctor?

Neighbourhood health services

The newly announced neighbourhood health services will provide “pioneering teams” in local communities, so patients can more conveniently access a full range of healthcare services close to home.

Local areas will be encouraged to trial innovative schemes like community outreach door-to-door to detect early signs of illness and reduce pressure on GPs and A&E.

The aim is to eventually have new health centres open 12 hours a day, six days a week to offer GP services as well as diagnostics, post-operative care and rehab.

They will also offer services like debt advice, employment support, stop smoking help or weight management.

More NHS dentists

Dentists will also be part of the plan, with dental care professionals part of the neighbourhood teams.

Dental “therapists” will carry out check-ups, treatments and referrals, while dental nurses could give education and advice to parents or work with schools and community groups.

Newly qualified dentists will be required to practice in the NHS for a minimum period, which they have said will be three years.

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