The NHS in Devon says it is preparing to take extra measures to keep patients safe because hospital emergency departments are under pressure due to doctors’ strikes.
In a statement, NHS Devon said it had entered OPEL 4 – the highest level of escalation – following the “continued pressures”.
It said this week’s walkout by junior doctors from 7am on Wednesday until 7am on Saturday has “left many hospitals facing difficulties in filling rotas, especially over the next two evenings – Thursday and Friday”.
And despite consultants ending their separate 48-hour strike on Thursday morning, “there remain far fewer clinical staff in hospital emergency departments than usual”.
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Public blame govt for doctors’ strikes
Measures to help A&Es cope could include people in the county who aren’t critically ill being re-directed from hospital emergency departments to other services.
This would allow the reduced number of staff on shift to care for the patients most in need of emergency treatment, said NHS Devon.
Ambulances who attend call-outs across Devon and parts of South East Cornwall may need to take patients to an emergency department that isn’t their local hospital where they may be seen sooner, depending on the needs of the patient and the pressures in the emergency departments at the time.
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Although health workers have been “working hard” to deal with the impact of the strikes, the NHS is now preparing to “deploy further measures if they are needed in coming days”, the statement also said.
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NHS: Double strike by doctors
‘We are counting on the understanding of local people’
In advice issued for local people, the NHS stressed when someone is seriously ill or injured, or their life is at risk – they should still call 999 immediately.
Patients who require urgent treatment, but do not have symptoms of a life-threatening condition, should call 111 or use the 111 service online, the advice added.
Devon’s chief medical officer Nigel Acheson said: “We have been doing everything we can to keep patients and colleagues safe through this period of extreme pressure due to the industrial action.
“We are ready to put in place all measures needed to make sure we can look after the people who most desperately need our help.
“We are counting on the understanding of local people at this difficult time and we encourage everyone to follow the advice we are giving today.”
Two motorways have been shut after human remains were found on the road.
Several drivers reported a body on the carriageway between junctions 20 and 21 of the M4 – between Almondsbury and Awkley – at about 6.40pm this evening.
The body is believed to be that of a man in his forties, whose next of kin have been told.
A police investigation to establish how the person came to be on the motorway continues.
Parts of the M4 and M48 motorways near Bristol are likely to remain closed until the early hours of Sunday morning, Avon and Somerset Police said.
In a statement, the force said: “Police are keen to hear from anyone who was travelling along that stretch of the M4 has any relevant information or dashcam footage.”
The road closures were likely to cause significant delays in and out of Wales tonight, with closures starting on the English side of the Prince of Wales Bridge and the Severn Bridge.
Sir Keir Starmer has urged Donald Trump to stand by Ukraine with a security guarantee as he warned a bad peace deal would be a “disaster for everyone”.
The prime minister is due to meet the US president for talks in Washington DC next week amid fragile relations between America and Europe after Mr Trump launched a verbal attack on President Volodymyr Zelenskyy.
The US president called Ukraine’s leader a “dictator” on Wednesday and later said Sir Keir and French President Emmanuel Macron, both of whom will visit the White House in the coming days, “haven’t done anything” to end the war.
Image: Sir Keir Starmer met with European leaders in Paris on Monday to discuss Ukraine. Pic: Reuters
Sir Keir said a good peace “can only be won through strength” and Ukraine “must have a voice in negotiations about its future”.
And he warned that a “peace deal which does not stop Putin from attacking again would be a disaster for everyone”.
Writing in The Sun on Sunday, he said Kyiv needs strong security guarantees “so the peace will last” and America “must be part of that guarantee”.
This could mean providing air defence and a promise that the US will come to the aid of a NATO country if Russia attacks them, the paper reported.
UK Defence Secretary John Healey has said “any negotiations about Ukraine cannot happen without Ukraine. We all want the fighting to end, but an insecure peace risks more war”.
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‘Turn the screws’ on Russia
The third anniversary of Russia’s full-scale invasion of Ukraine is on Monday.
Foreign Secretary David Lammy has said he will unveil new sanctions to “turn the screws” on Russia on Monday to coincide with the anniversary.
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Sir Keir also said the UK must increase its defence spending and play a bigger role in NATO.
And he is open to British troops playing a role in any European force in Ukraine after a peace agreement.
He added: “This is not something I say lightly.”
Sir Keir, along with other European allies and UK opposition parties, has backed Mr Zelensky as a “democratically elected leader”.
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2:25
Conflicting views over Ukraine deal
Also, Washington has warned that Europe must shoulder more of the cost of its own security.
Sir Keir is expected to use his upcoming trip to the US to confirm a timeline to raise UK defence spending from 2.3% to 2.5% of gross domestic product (GDP) in a bid to ease tensions.
It comes amid pressure from defence chiefs and opposition critics including Tory leader KemiBadenoch, who wrote to the prime minister on Saturday demanding he set out a plan for meeting the target.
:: Education secretary Bridget Phillipson, campaigner for global health and education Sarah Brown, and shadow defence secretary James Cartlidge will be discussing all the latest political stories in the UK and around the world on the Trevor Phillips on Sunday show on Sky News from 8.30am
A three-year-old girl has died after a collision between a tram and a van in Manchester city centre.
The girl was taken to hospital but died from her injuries, Greater Manchester Police (GMP) said.
“No arrests have been made and inquiries are ongoing,” the force said.
The child was a pedestrian and was not travelling in either the tram or van, GMP said.
The fatal collision happened on Mosley Street shortly before 10am, a Transport for Greater Manchester (TfGM) spokesperson said.
“All of our thoughts are with her family and loved ones at this incredibly difficult time. We are supporting police with their investigation,” a statement said.
A North West Ambulance Service spokesperson said two ambulances, a rapid response vehicle and two air ambulance crews attended the scene.
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TfGM said there was continued disruption across the Metrolink after the incident and advised people to check the Bee Network website and app for the latest travel information.
Manchester‘s Bee Network said: “Due to a road traffic collision on Mosley Street in the city centre, no tram services are operating between St Peter’s Square and Piccadilly Gardens.”
An X post from GMP’s traffic officers said: “Our officers are currently in attendance at a collision, involving a tram and another vehicle in Manchester city centre.
“We are presently trying to establish the circumstances however we envisage there will be a lengthy closure of surrounding streets near to St Peters Square.”