Several NHS trusts across England have declared critical incidents on the first day of the junior doctors’ strike, while some are calling for staff to return to work amid patient safety concerns.
The six-day walkout – the longest in NHS history – began on Wednesday as junior doctors who are members of the British Medical Association take industrial action in a row over pay.
Under the NHS system, a junior doctor is any medical school graduate with between one and nine years’ experience.
Please use Chrome browser for a more accessible video player
1:22
Patient backs NHS despite cancellations
The following trusts in England have declared critical incidents:
• Lewisham and Greenwich • Nottingham and Nottinghamshire • Portsmouth Hospitals University
A spokesperson for Lewisham and Greenwich NHS Trust said this strike is “proving very challenging” as it “coincides with what is typically our busiest week”.
It has submitted a “safety mitigation request” calling for additional doctors to work as its two hospitals face “very high levels of patient demand.”
More on Nhs
Related Topics:
Spreaker
This content is provided by Spreaker, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Spreaker cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Spreaker cookies.
To view this content you can use the button below to allow Spreaker cookies for this session only.
The medical director at NHS Nottingham and Nottinghamshire has urged the public to only attend A&E if they are suffering “a life-threatening illness or injury that cannot be treated elsewhere” amid long waiting times.
Advertisement
Dr Dave Briggs said people should “think about self-care as an option for some conditions, such as coughs and colds”.
If self-care “isn’t an option” then people should call 111, he added.
The Portsmouth Hospitals University NHS Trust has cited “a combination of delays across our system and an increase in demand for services” as its reason for declaring a critical incident.
Image: The Queen Alexandra Hospital in Portsmouth
It added: “We are already experiencing a difficult week, following the bank holiday weekends, and as we cope with increasing winter pressures and low staffing numbers, particularly in our emergency department.
“We need help from our community to make sure that our hospital can continue to care for those who need our services.”
After a high number of calls in recent days, the Welsh Ambulance Service has also reminded people to only call 999 if they are seriously ill, injured or a life is in danger.
Image: Junior doctors plan to stay on the picket line for six days
A number of hospitals have submitted derogation requests, calling on doctors to return to work.
Just over 20 requests have been made but some hospitals may have submitted more than one. All but one has been rejected, while the final one is being considered by the union.
Junior doctors were given an 8.8% pay rise last summer with an extra 3% offered towards the end of the year, which was rejected by the BMA.
The union claimed the offer did not make up for the real-term pay cut of 26.1% that junior doctors have been subjected to since 2008.
They are calling for a full pay “restoration” to reverse the cut and other changes including the introduction of a mechanism to prevent future pay decreases against the cost of living.
Scientists are turning detective to work out what British dolphins are up to beneath the waves – by using forensic-style DNA techniques on their poo.
Conservationists have been studying the 250 or so bottlenose dolphins living in Cardigan Bay, west Wales, over many decades.
Up to now, they have only been able to observe the dolphins as they surface to breathe or play, identifying the animals from the unique marks on their dorsal fins to establish which animals were hanging out together and where.
Image: Dolphins in Cardigan Bay. Pic: Sarah Perry/WTSWW
But now for the first time scientists are using DNA excreted by the dolphins in their poo to build a more complete picture of their lives.
It allows them to identify the sex of individuals and how they are related to other animals. Signficantly, it also shows what the dolphins have been eating.
Image: Dolphin poo. Pic: Sarah Perry/WTSWW
Dr Sarah Perry, marine conservation manager at The Wildlife Trust of South and West Wales, said: “In order to be able to conserve them, we need to know why they’re here and a big a missing part of that is, what they’re feeding on.
“Is that changing at different times of the year? Are certain species of fish more important to them early on in the year, in the spring, and the summer months, and then does that change over the autumn and winter months?
“Are certain species important for younger animals? We don’t know that, so that kind of information, we need to find out.”
Image: Dr Sarah Perry
Catching dolphin poo involves a large element of luck.
The animals occasionally eject a cloud of waste material as they swim.
But it quickly sinks, so the scientists’ boat needs to be close enough for them to scoop it out of the sea with a fine-meshed net.
A sample is then sent to a lab at the University of Aberystwyth, where DNA is extracted for analysis.
Results so far suggest the dolphins are having to adapt to a change in fish species as the water warms.
Image: Dr Niall McKeown
Dr Niall McKeown, a marine biologist at the university, said: “We are seeing large amounts of sardine, sprat, and anchovy.
“This is quite interesting because these are species that are known to have increased in abundance in Welsh waters in recent years in response, we believe, to climate change.”
Image: Dr Niall analyses a sample
Scientists unsure why dolphin numbers are falling
But questions remain about the dolphins.
The number in Cardigan Bay seems to be falling, but scientists are not sure whether that’s a natural cycle or a response to other factors.
Boat noise and disturbance from some fishing activities, such as scallop dredging, could impact the animals, which rely on sound to communicate.
Dr Parry said: “How lucky are we to have such an important population of dolphins here? It’s crazy that we really don’t know that much about them.”
Sir Alan Bates has accused the government of presiding over a “quasi kangaroo court” for Post Office compensation.
Writing in The Sunday Times, the campaigner, who led a years-long effort for justice for sub-postmasters, revealed he had been given a “take it or leave it” offer that was less than half of his original claim.
“The sub-postmaster compensation schemes have been turned into quasi-kangaroo courts in which the Department for Business and Trade sits in judgement of the claims and alters the goal posts as and when it chooses,” he said.
“Claims are, and have been, knocked back on the basis that legally you would not be able to make them, or that the parameters of the scheme do not extend to certain items.”
More than 900 sub-postmasters were prosecuted between 1999 and 2015 after faulty Horizon accounting software made it look as if money was missing from their accounts.
Many are still waiting for compensation despite the previous government saying those who had their convictions quashed were eligible for £600,000 payouts.
Please use Chrome browser for a more accessible video player
6:36
‘It still gives me nightmares’
After the Post Office terminated his contract over a false shortfall in 2003, Sir Alan began seeking out other sub-postmasters and eventually took the Post Office to court.
More on Post Office Scandal
Related Topics:
A group litigation order (GLO) scheme was set up to achieve redress for 555 claimants who took the Post Office to the High Court between 2017 and 2019.
Sir Alan, who was portrayed by actor Toby Jones in ITV drama Mr Bates Vs The Post Office, has called for an independent body to be created to deliver compensation.
He added that promises the compensation schemes would be “non-legalistic” had turned out to be “worthless”.
It is understood around 80% of postmasters in Sir Alan’s group have accepted a full and final redress, or been paid most of their offer.
Please use Chrome browser for a more accessible video player
0:29
‘Lives were destroyed’
A Department for Business and Trade spokesperson told Sky News: “We pay tribute to all the postmasters who’ve suffered from this scandal, including Sir Alan for his tireless campaign for justice, and we have quadrupled the total amount paid to postmasters since entering government.
“We recognise there will be an absence of evidence given the length of time which has passed, and we therefore aim to give the benefit of the doubt to postmasters as far as possible.
“Anyone unhappy with their offer can have their case reviewed by a panel of experts, which is independent of the government.”
Sir Keir Starmer could decide to lift the two-child benefit cap in the autumn budget, amid further pressure from Nigel Farage to appeal to traditional Labour voters.
The Reform leader will use a speech this week to commit his party to scrapping the two-child cap, as well as reinstating winter fuel payments in full.
There are now mounting suggestions an easing of the controversial benefit restriction may be unveiled when the chancellor delivers the budget later this year.
According to The Observer, Sir Keir told cabinet ministers he wanted to axe the measure – and asked the Treasury to look for ways to fund the move.
The Financial Times reported it may be done by restoring the benefit to all pensioners, with the cash needed being clawed back from the wealthy through the tax system.
The payment was taken from more than 10 million pensioners this winter after it became means-tested, and its unpopularity was a big factor in Labour’s battering at recent elections.
Before Wednesday’s PMQs, the prime minister and chancellor had insisted there would be no U-turn.
Please use Chrome browser for a more accessible video player
1:20
Will winter fuel U-turn happen?
Many Labour MPs have called for the government to do more to help the poorest in society, amid mounting concern over the impact of wider benefit reforms.
Former prime minister Gordon Brown this week told Sky News the two-child cap was “pretty discriminatory” and could be scrapped by raising money through a tax on the gambling industry.
Please use Chrome browser for a more accessible video player
1:22
Brown questioned over winter fuel U-turn
Mr Farage, who believes Reform UK can win the next election, will this week accuse Sir Keir of being “out of touch with working people”.
In a speech first reported by The Sunday Telegraph, he is expected to say: “It’s going to be these very same working people that will vote Reform at the next election and kick Labour out of government.”