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The number of acute inpatient and outpatient appointments rescheduled as a result of strike action by junior doctors and consultants has now exceeded one million, according to new figures.

Data on industrial action taken by NHS staff last week saw an additional 129,913 appointments rescheduled, with 26,802 staff absent from work at the peak of strike action.

There were a further 3,581 cancellations in mental health, learning disability and community settings also recorded.

The total number of appointments which have had to be rescheduled since December 2022 now stands at 1,015,067, the figures show.

NHS national medical director for secondary care and transformation, Dr Vin Diwakar, said: “These figures reveal just part of the relentless impact of strikes over the last 10 months.

“We know that each appointment rescheduled is incredibly difficult for patients and families, and as we prepare for further joint action next week, there is precious little time for staff and services to recover.”

Health and Social Care Secretary Steve Barclay said: “Today marks the grim milestone of over one million appointments cancelled as a result of strikes, with coordinated and calculated industrial action by the BMA creating further disruption and misery for patients and NHS colleagues.

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“Regrettably, the BMA is threatening to escalate strike action again next month, which would mean the number of cancellations rising further and adding to the pressures on health services as we head into winter.”

Mr Barclay added that doctors had received a “fair and reasonable pay rise” following recommendations by independent pay review bodies.

Steve Barclay MP
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‘Doctors have received a fair and reasonable pay rise’, according to Steve Barclay

He said: “Those who started their hospital training this year are receiving a 10.3% pay increase, with the average junior doctor getting 8.8% and consultants are receiving a 6% pay rise alongside generous reforms to their pensions, which was the BMA’s number one ask.

“My door is always open to discuss how we can work together with NHS staff to improve their working lives, but this pay award is final so I urge unions to end this damaging disruption.”

There are fears number of rescheduled appointments will continue to rise

One million rescheduled inpatient and outpatient appointments is a milestone.

The figure dates from the beginning of the industrial action by junior doctors back in December 2022.

Since then, consultants have also been out striking which has pushed the number of cancellations to new heights.

What is even more worrying is that 1,015,067 is on the conservative side, as it doesn’t include NHS England provider networks that run community services like mental health.

We also know hospitals have stopped booking as many appointments on strike days so they can cancel fewer of them.

But a chief executive of one NHS trust told Sky News that most trusts are essentially losing a week of planned activity each month.

Now the worry is that this new figure of cancelled appointments will continue to rise as there is no resolve between the BMA and the government, with junior doctors and consultants striking simultaneously next week for three days.

For the first time in NHS history both sets of staff took joint action, as consultants walked out on 19 September with junior doctors accompanying them a day after.

Nurses kick-started the protests against pay levels and patient safety concerns last December after the Royal College of Nursing (RCN) held the first nationwide strike in its 106-year history.

Ambulance workers and junior doctors have staged multiple strikes over the past year, mainly related to pay, working conditions and staffing.

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M4 and M48 closed after human remains found

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M4 and M48 closed after human remains found

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.

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National Highways said the M4 is shut in both directions between junctions 20 and 21, while the M48 eastbound is closed from junction 1 near Aust.

The links from the M5 junction 15 south to the M4 junction 20 west, and the M5 junction 16 north to M4 junction 20 west were also closed.

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Starmer asks US to stand by Ukraine with security guarantee as bad peace deal would be ‘disaster’ for all

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Starmer asks US to stand by Ukraine with security guarantee as bad peace deal would be 'disaster' for all

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.

Sir Keir Starmer leaves after a meeting in Paris with European leaders on Ukraine on 17 February. Pic: Reuters
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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.

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So far, talks aimed at ending the war have been taking place between US and Russian delegations in Saudi Arabia, which have not included the Ukrainians.

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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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 Kemi Badenoch, 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

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Girl, 3, dies after tram and van crash in Manchester city centre

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Girl, 3, dies after tram and van crash in Manchester city centre

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.”

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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.”

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