Health Secretary Victoria Atkins has refused to get back round the table with junior doctors until they call off their industrial action.
The medics, who make up nearly half of all doctors in NHS England, began their second of three strike days on Thursday over pay and conditions, with a further six walkouts planned for January.
Talks between their union, the British Medical Association (BMA), and the government collapsed earlier this month when ministers failed to put a final offer on the table before the union’s deadline – leading to strike dates being set.
Reports suggested an additional pay rise of around 3% – on top of the 8.8% recommended by the independent pay review body in April – was put on the table by the government.
But the BMA said that would amount to real-term pay cuts for its members following years of below-inflation pay rises, with only a rise of 35% bringing pay back to 2008 levels.
And while both sides say they are willing to negotiate, the government is standing by its position of not holding talks while strikes are on the table, and the BMA will not cancel the action, branding ministers “an irrational partner”.
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Speaking to Sky News, Ms Atkins said she was “very much keen to negotiate with junior doctors”, adding: “If they call off the strikes, we will get straight back around that table and continue to negotiate.
“Because, of course, there isn’t just an economic cost to these strikes. There is also a very human cost to this, and there will be people at home watching this programme who are in pain, who are in distress and whose appointments have been cancelled over these three-day periods.”
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Asked if there would be extra money for junior doctors, the health secretary said “yes”, and that she wanted to “find fair and reasonable settlements with those parts of the workforce who have either taken part in industrial action or who are concerned”.
But pushed over why, if there is cash available, she won’t kick off talks immediately,Ms Atkins said: “NHS England is a little bit like an oil tanker. The moment that a strike is called, that has very very serious consequences for the whole of the system.
“So for the last week and a half, managers, medical directors, clinicians up and down the country have been devoting days and days of preparation to try to keep the system stable during these strikes and we have to have certainty from the junior doctors committee whereby they call off the strikes, then we can go into negotiation.”
She added: “I cannot flick NHS England on and off like a switch. And by the way, this is the principle we apply across the public sector. And so it is right that we treat people… when unions are having discussions with government, it’s right that we treat people the same.
“And we have always said if there are strikes happening at the moment, affecting patients, affecting the public, we will not negotiate, but the moment they call them off I will be back around that table.”
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3:17
Junior doctors brand government ‘irrational’
Co-chair of the BMA’s junior doctors committee, Dr Robert Laurenson, told Sky News on Wednesday that it was “completely reckless” for the government to have an offer they were willing to make, but refuse to do so during the strikes.
“It’s actually madness and it’s the behaviour of an irrational partner,” he said. “The government have the power to sort this out by giving us something sensible to put to our members, and until they do that, we have nothing to put to our members.”
Elsewhere in the UK, junior doctors in Wales are planning a 72-hour strike from 15 January, while junior doctors in Northern Ireland are being balloted for potential strike action.
Staff in Scotland have already come to an agreement with the Scottish government.
Masked burglars have stolen farm vehicles from the Windsor Castle estate while members of the Royal Family are believed to have been asleep nearby.
Two men scaled a 6ft fence on the night of 13 October and used a stolen truck to break through a security gate, The Sun first reported.
The pair then fled with a pick-up and a quad bike that were stored in a barn.
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But the Prince and Princess of Wales, along with their three children George, 11, Charlotte, nine, and six-year-old Louis were believed to have been in their home, Adelaide Cottage, on the estate, according to The Sun.
The family moved there in 2022.
In a statement, Thames Valley Police said: “At around 11.45pm on Sunday 13 October, we received a report of burglary at a property on Crown Estate land near to the A308 in Windsor.
“Offenders entered a farm building and made off with a black Isuzu pick-up and a red quad bike. They then made off towards the Old Windsor/Datchet area.
“No arrests have been made at this stage and an investigation is ongoing.”
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The UK is braced for “disruptive snow” as yellow weather warnings cover large parts of the country until Tuesday – with the Met Office saying there is the “potential” for the alerts to be “escalated”.
The forecaster has warned up to 20cm of snow may accumulate in the worst affected areas as the country experiences its “first taste of winter”.
The Met Office has also told people to expect ice, cold temperatures and wintry showers this week.
A yellow warning for snow and ice is in place for much of the north of the country – covering areas in the East Midlands, Yorkshire, Wales and the north of England – from 7pm on Monday night to 10am on Tuesday morning.
Those in the impacted areas have been told power cuts are possible and mobile phone coverage might be affected.
The Met Office has said there is a “slight chance” some rural communities could be cut off and that bus and train services may be delayed or cancelled.
People are also warned to be careful not to slip or fall on icy surfaces.
The Met Office has said there will be bright spells across northern and eastern areas throughout today, but rain in the south and west will gradually spread northeastwards and turn to snow over northern hills.
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Tom Morgan, Met Office meteorologist, said: “We could see some disruptive snow in the Pennine regions, in particular, the Peak District as well, especially Monday night, but we could well see some impacts lasting on until Tuesday morning’s rush hour.
“Even down to lower levels, we could well see some snow as well, so quite a bit of disruption possible by Tuesday morning, and then the week ahead is likely to stay cold nationwide, a windy day on Tuesday, and then winter showers through the week ahead.”
Mr Morgan said that despite a “mild” start to the month, the cold conditions are more typical of “mid-winter to late-winter”.
“What we can say is that it’s going to be very cold for the time of year, there will be widespread overnight frosts, and a few locations where there’s snow on the ground,” he continued.
Meanwhile, a yellow snow and ice weather warning that came into force at 4pm on Sunday will end at 11am this morning.
The warning covers the northern tip of Scotland and people there have been told there may be icy patches on some untreated roads, pavements and cycle paths.
The Met Office has said there is “potential” for both yellow warnings to be “escalated”.
In southern England, a typical maximum temperature for this time of year is 11C (52F), but daytime highs for the week ahead are forecast to be around 5C (41F), while some parts of Scotland will reach “only just above freezing”, Mr Morgan said.
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The meteorologist said the public can best prepare for the wintry weather by checking their cars are suitable for icy and potentially snowy conditions and to take extra supplies including food, blankets and a fully charged mobile phone with them on journeys.
He added there were “likely” to be changes to the weather warnings in the coming days, and that “winter flurries” could be seen in the south of England later in the week.
Despite the cold conditions, the “whole of the UK” will enjoy more sunshine this week, the meteorologist added.
He said: “There’ll be some snow showers in the peripheries of the UK, particularly northern Scotland, and down the east and the west coast, but if you live inland and you live in the south, there’ll be lots of sparkly blue skies on the most days through Tuesday to Friday.”
It comes as a cold weather alert issued by the UK Health Security Agency, which was introduced at 9am on Sunday, will be in place until 9am on Thursday.
It covers a large area of England, north of Northhampton. The alert is triggered when there is a risk that healthcare services might face extra pressure and is designed to prepare those who are “particularly vulnerable” and “likely to struggle to cope”.
A man has pleaded guilty to being the owner of a dangerously out of control XL bully dog which killed his neighbour.
Christopher Bell, 45, admitted to the offence at Newcastle Crown Court.
The XL bully killed Ian Langley in Shiney Row near Sunderland on 3 October last year.
The 54-year-old suffered fatal neck injuries when he was attacked while walking his puppy.
Bell, formerly of Maple Terrace, Shiney Row, pleaded guilty to being the owner of a dog which caused injury leading to death while dangerously out of control in a public place.
Bell, now living in Coltman Street, Hull, was granted bail and will be sentenced on 27 January.
The charge named his dog as Titan – “an American bully XL”.
Police shot the dog at the scene to protect the public.
Neighbours said Mr Langley, who was originally from Liverpool, was walking his patterdale puppy called Bow when he was attacked.
His puppy bolted and managed to escape and was being looked after by a neighbour in the aftermath of the attack which horrified residents living on the estate.
At the time, Michael Kennedy, also from Shiney Row, said he had known Mr Langley for more than 20 years, and said many people knew him simply as “Scouse”.
He said: “He was a really nice lad, he came from Liverpool, he was a lovable rogue you might say.
“He never did any harm, he was not a violent person, he wasn’t a hard man, he wasn’t the type to go looking for trouble.
“He was really thin, he would have no chance against a big dog.”