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The NHS “doesn’t just belong” to striking junior doctors and can’t be “switched on and off on whim”, the health secretary said.

Victoria Atkins turned up the heat in the government’s row with the British Medical Association (BMA) as their record-breaking walk-out continues.

Junior doctors in England are in the middle of a six-day strike over pay and conditions, the longest industrial action in NHS history.

A number of hospitals in England have pleaded for medics to leave picket lines and get back to work due to safety concerns, also known as derogation requests.

But this has sparked a row as the BMA has suggested the requests are “politically motivated”.

Ms Atkins promised to start talks with the BMA “in 20 minutes” if the strikes were called off.

Speaking on a visit to London Ambulance Service, she told the PA news agency: “I’ve said throughout this that, please, to the junior doctors’ committee, the moment you call off the strikes, I’ll get back around the table with you within 20 minutes.”

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She said the strikes have to be called off for negotiations to happen, “because the NHS belongs to us all”.

“It doesn’t just belong to the junior doctors’ committee, and for the 1.3 million people who work in the NHS, as well of course for the tens of millions of people it looks after, the NHS cannot be switched on and off on whim.”

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The longest strike in NHS history

However, the BMA hit back calling it a “political choice” for Downing Street to “stick rigidly to its dogma of not negotiating while strikes are planned”.

Professor Philip Banfield, BMA council chairman, said: “In the past, the government waived this principle for the barrister strikes, so there is no reason for them to waste time and money by refusing to talk now.

“We are clear: we are ready to talk 24/7. Get back around the table, give us a credible offer and we can end these strikes right now.”

The government gave junior doctors an 8.8% pay rise last summer, with an extra 3% offered during the last round of negotiations towards the end of the year.

 Victoria Atkins MP
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Victoria Atkins MP

But the BMA rejected the 3% offer, saying it does not make up for a real-term pay cut of nearly a quarter for junior doctors since 2008.

They want full pay “restoration” to reverse real-term cuts in pay since 2008-9, a new pay mechanism to prevent any future pay decreases against inflation and the cost of living, and a reformed pay review body to “safeguard recruitment and retention of junior doctors”.

The strikes are a headache for Rishi Sunak as the UK enters an election year.

The prime minister has staked his premiership on five key pledges which include cutting NHS waiting lists.

Although the backlog was at a record high before the industrial action broke out, over one million appointments have been cancelled or rescheduled due to strike action by junior doctors and other workers in the NHS in the past year.

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Junior doctors start their longest strike in NHS history – here’s what they want

While the government has managed to resolve other disputes, with a new pay offer recently made to senior doctors, the row with junior medics is showing no signs of abating.

More than 20 derogation requests have been submitted to the BMA for this round of strikes, but so far none have been approved.

Junior doctors and members of the British Medical Association (BMA) outside St Thomas' Hospital, London, as they take to picket lines for six days during their continuing dispute over pay. Picture date: Wednesday January 3, 2024.

The union said that NHS England and some trusts are refusing to provide evidence that they have undertaken steps to show they have “exhausted” all other sources of staffing before recalling medics from the picket line.

In a letter to NHS bosses, the BMA accused health leaders of misusing the system and bowing to political pressure to undermine the strike.

NHS England said they will “continue to engage with the BMA in good faith” and they will address the process for considering patient safety mitigations.

Ms Atkins, echoing Mr Sunak’s comments earlier on Thursday, said she backed NHS leaders in making the mitigation requests but this is being done “completely independent of government”.

She said the strikes are having “very serious consequences”, with 88,000 appointments cancelled during the last set in December.

Health officials have warned that this strike will be worse because it coincides with one of the busiest weeks of the calendar year, due to a rising tide of winter bugs and people storing up problems over the Christmas break.

On the first day of the strike on Tuesday, critical incidents were declared at Queen Alexandra Hospital in Portsmouth and by the NHS in Nottingham.

Meanwhile more than a dozen hospitals said that emergency services were busy, with some reporting “extreme heightened pressure”.

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‘Shameful’ that black boys in London more likely to die than white boys, says Met Police chief

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'Shameful' that black boys in London more likely to die than white boys, says Met Police chief

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

The commissioner told Sunday Morning with Trevor Phillips that relations with minority communities “is difficult for us”.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said it is “not right” that black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

The Met Police chief’s admission comes two years after an official report found the force is institutionally racist, misogynistic and homophobic.

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Police chase suspected phone thief

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found that stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Casey insisted the Met deserved.

However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

After the report was released, Sir Mark said “institutional” was political language so he was not going to use it, but he accepted “we have racists, misogynists…systematic failings, management failings, cultural failings”.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

Watch the full interview on Sunday Morning with Trevor Phillips from 8.30am on Sunday.

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Unite votes to suspend Angela Rayner over Birmingham bin strike

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Unite votes to suspend Angela Rayner over Birmingham bin strike

Labour’s largest union donor, Unite, has voted to suspend Deputy Prime Minister Angela Rayner over her role in the Birmingham bin strike row.

Members of the trade union, one of the UK’s largest, also “overwhelmingly” voted to “re-examine its relationship” with Labour over the issue.

They said Ms Rayner, who is also housing, communities and local government secretary, Birmingham Council’s leader, John Cotton, and other Labour councillors had been suspended for “bringing the union into disrepute”.

There was confusion over Ms Rayner’s membership of Unite, with her office having said she was no longer a member and resigned months ago and therefore could not be suspended.

But Unite said she was registered as a member. Parliament’s latest register of interests had her down as a member in May.

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The union said an emergency motion was put to members at its policy conference in Brighton on Friday.

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Unite is one of the Labour Party’s largest union donors, donating £414,610 in the first quarter of 2025 – the highest amount in that period by a union, company or individual.

The union condemned Birmingham’s Labour council and the government for “attacking the bin workers”.

Mountains of rubbish have been piling up in the city since January after workers first went on strike over changes to their pay, with all-out strike action starting in March. An agreement has still not been made.

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Rat catcher tackling Birmingham’s bins problem

Ms Rayner and the councillors had their membership suspended for “effectively firing and rehiring the workers, who are striking over pay cuts of up to £8,000”, the union added.

‘Missing in action’

General secretary Sharon Graham told Sky News on Saturday morning: “Angela Rayner, who has the power to solve this dispute, has been missing in action, has not been involved, is refusing to come to the table.”

She had earlier said: “Unite is crystal clear, it will call out bad employers regardless of the colour of their rosette.

“Angela Rayner has had every opportunity to intervene and resolve this dispute but has instead backed a rogue council that has peddled lies and smeared its workers fighting huge pay cuts.

“The disgraceful actions of the government and a so-called Labour council, is essentially fire and rehire and makes a joke of the Employment Relations Act promises.

“People up and down the country are asking whose side is the Labour government on and coming up with the answer not workers.”

SN pics from 10/04/25 Tyseley Lane, Tyseley, Birmingham showing some rubbish piling up because of bin strikes
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Piles of rubbish built up around Birmingham because of the strike over pay

Sir Keir Starmer’s spokesman said the government’s “priority is and always has been the residents of Birmingham”.

He said the decision by Unite workers to go on strike had “caused disruption” to the city.

“We’ve worked to clean up streets and remain in close contact with the council […] as we support its recovery,” he added.

A total of 800 Unite delegates voted on the motion.

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Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

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Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

Binance co-founder CZ has dismissed a Bloomberg report linking him to the Trump-backed USD1 stablecoin, threatening legal action over alleged defamation.

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