In its long and venerable history dating back 192 years, the British Medical Association used to shy away from being called a “trades union”.
Collective bargaining was for “trades people”; the doctors were independent professionals. Their association was there to campaign for best practice and to offer advice to the politicians regulating health treatment.
That was when the reflex of most medical practitioners was to subscribe to the Hippocratic principle often paraphrased as “first do no harm”.
Much has changed. Today the BMA has no qualms about being described as the “doctors’ union”.
It has freely employed strong-arm negotiating tactics, familiar from industrial disputes, in pursuit of better pay for its members – including strikes, walkouts, deadlines and work to rules.
There can be no doubt that the strikes are doing harm to patient care.
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NHS England has just reported that 89,000 “appointments and procedures” had to be put off because of the three-day strike in December.
Since the industrial action started last March, 1.2 million appointments have been cancelled and rescheduled.
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The BMA rejected requests from the NHS to keep working in critical areas including fast-progressing cancers, corneal transplants and emergency caesareans.
Heated recriminations broke out as the BMA accused hospital managers of “weaponising” so-called “derogation requests” permitting them to recall staff to work if patient safety is “in jeopardy”.
Meanwhile, some A&E departments declared “critical” incidents with waiting times for treatment stretching as long as 16 hours.
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1:22
Patient backs NHS despite cancellations
PM failing to fix waiting list backlog
“Cutting NHS waiting lists” was one of the prime minister’s five pledges and this aim is seriously off track. Opinion polls taken during the dispute suggest that just over half of the public back the strikes (53%).
In a survey four months ago, people were more inclined to blame the government for the dispute (45%) than the BMA (21%), although 25% said they were both responsible.
Yet 11 months into the confrontation, the junior doctors, who lose pay on strike days, must be wondering what they are getting out of it. Their demand for a massive 35.3% pay rise still seems out of reach.
Having walked out of negotiations in December, Dr Vivek Trivedi, co-chair of the BMA junior doctors’ committee, now says he might be prepared to engage in more talks, saying “all we want is a credible offer that we can put to our members and we don’t need to strike again”.
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Although discontent over pay is widespread throughout the NHS workforce, most sectors other than junior doctors in England have accepted deals or, at the least, suspended their action.
NHS consultants accepted salary rises of up to 12.8% along with some pay reforms.
The Royal College of Nursing ballot for further strike action failed and a pay rise of 5.5% was imposed.
Health management is devolved. Junior doctors in Scotland accepted a 12.4% pay rise, on top of 4.5% in 2022/23. Junior doctors in Northern Ireland are balloting on a similar offer. In Wales, there is the prospect of a three-day strike from 15-18 January.
When negotiations broke down before Christmas, the government was offering a 3.3% increase on top of the 8.8% already imposed, taking the total for the English juniors above 12%.
Image: Junior doctors in Scotland have accepted a 12.4% pay rise
Image: The level of doctors’ real-terms pay cut is disputed
Are the strikes really ‘saving the NHS’?
By the standards of the other disputes, a reasonable settlement should be within touching distance were it not for the sense of grievance, embodied in the claim that pay has been cut in real terms by more than a third since 2008.
Few independent analysts accept the BMA’s calculation, which relies heavily on RPI inflation fluctuations. In line with recent trends for national statistics, the independent Institute for Government says the CPIH, the consumer price index, would be a more appropriate indicator, meaning a cut of 11-16%.
This was in the post-credit crunch, austerity period when wages across the public and private sectors stagnated.
The public is sympathetic to junior doctors who help to keep them well, but should they be an exception?
Over time, pay structures change. The youngest and lowest paid of those now on strike were at primary school in 2008; is it rational to restore their pay levels to what they were then?
“Junior doctors” is an unsatisfactory catch-all term for a wide range of hospital doctors. “Doctors in training” – which some Conservative politicians attempted to popularise – hardly does them justice either.
The term covers all hospital doctors who are not consultants, ranging from those just qualified and still effectively indentured, to senior registrars.
First-year junior doctors earn £32,398, rising to £37,303 in the second year and £43,923 in the third. Registrars’ basic pay goes up to £58,000. Full-time NHS consultants earn up to £120,000.
On the picket lines, strikers often argue their action is not about their own pay but to save the NHS because, they say, many of their peers are leaving for better terms in Australia, New Zealand and Canada.
Conversely, as recent special grade immigration figures show, there are many qualified people abroad with conflicting aspirations who are anxious to come here to work in the NHS.
Much to ponder on how the NHS should work
The additional crisis brought on by the strikes has inevitably prompted some rethinking about how the NHS is working.
Speaking to Sarah-Jane Mee on the Sky News Daily’s How To Fix The NHS mini-podcast series, Dr Adrian Boyle, president of the Royal College of Emergency Medicine, observed “that everything flowed better” in A&E departments because senior doctors providing cover had more direct contact with patients and “there were fewer people coming into hospital for elective work and this meant more beds”.
Those statements about organisation in the NHS should provide consultants, junior doctors and potential patients with a lot to ponder.
The same goes for politicians, who the public holds primarily responsible for delivering their healthcare.
Steve Barclay took an abrasively inactive approach to the various NHS disputes when he was health secretary. In November he was moved to make way for the more emollient Victoria Atkins.
She says she wants “a fair and reasonable settlement” to end the strikes and is open to further negotiations provided the threat of more strikes is withdrawn.
Image: Health Secretary Victoria Atkins
Image: Shadow health secretary Wes Streeting
Is the NHS broken – and would Labour do any better?
Atkins’ position is not much different from Wes Streeting, her Labour opposite number.
He has said for months that the disputes should be sorted out by negotiations with ministers and that a Labour government would not meet the 35% pay claim.
Streeting is of the view that reform, likely to discomfort some of the NHS’s vested interests, is more needed than extra cash.
Whatever view they take of the doctors’ actions, public pessimism about the NHS is on the rise.
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6:18
Labour won’t match doctors’ demands
Much as they love the NHS, growing numbers of the public say it is “broken” or “not fit for purpose”. There is also a live debate about whether doctors should lose the right to strike, just like the police and members of the armed services.
The pollsters regularly ask the question “should doctors be allowed to strike?”
Last summer, at the height of the consultants’ dispute, 50% said yes, 42% no. By November, support for doctors’ right to strike had dropped to 47% yes, 46% no.
The asking of that question alone would have astonished the founders of the BMA’s precursor, the Provincial Medical and Surgical Association, back in 1832.
Oasis have reunited on stage for the first time in almost 16 years – with brothers Liam and Noel Gallagher sharing a high five and the briefest of hugs as they closed a performance that for fans was more than worth the wait.
After the split in 2009, for many years Noel said he would never go back – and for a long time, as the brothers exchanged insults through separate interviews (and on social media, for Liam), it seemed pretty unlikely to ever happen.
But now, here they are. As they walked out on stage at Cardiff’s Principality Stadium, all eyes were on the Gallaghers for a sense of their relationship – dare we say it, friendship? – now after all these years.
There was no reference to their fall-out or making up, but the gestures were there – lifting hands together as they walked out for the first time.
Image: The headline “OASIS REUNITED” was shown on stage at the gig. Pic: PA
Image: Fans at the Oasis gig. Pic: PA
Headlines and tweets of speculation and then confirmation of the reunion filled the screens as the show started. “This is happening,” said one, repeatedly.
In the end, it was all about the music.
Liam has received criticism in the past for his voice not being what it once was during his solo or Beady Eye performances, but back on stage with his brother tonight he delivered exactly what fans would have hoped for – a raw, steely-eyed performance, snarling vocals, and the swagger that makes him arguably the greatest frontman of his day.
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This was Oasis sounding almost as good as they ever have.
Image: Fans sang along and held up their phones to film as Oasis performed. Pic: PA
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2:56
Oasis: ‘It’s good to be back’
They opened with Hello, because of course, “it’s good to be back”. And then Acquiesce, and those lyrics: “Because we need each other/ We believe in one another.”
The song is said to be about friendship in the wider sense, rather than their brotherly bond and sibling rivalry, but you can’t help but feel like it means something here.
Over two hours, they played favourite after favourite – including Morning Glory, Some Might Say, Cigarettes & Alcohol, Supersonic and Roll With It.
Image: Liam Gallagher as Oasis takes to the stage in Cardiff. Pic: PA
In the mid-section, Liam takes his break for Noel to sing Talk Tonight, Half The World Away and Little By Little; the tempo slows but there is by no means a lull, with the fans singing all his words back to him.
Liam returns for hits including Stand By Me, Slide Away, Whatever and Live Forever, before sending the crowd wild (or even wilder) with Rock And Roll Star.
Image: Noel Gallagher performing on stage. Pic: PA
Image: An Oasis fan is pointing at the stage during the gig. Pic: PA
When the reunion announcement was made last summer, it quickly became overshadowed by the controversy of dynamic pricing causing prices to rocket. As he has done on X before, Liam addressed the issue on stage with a joke.
“Was it worth the £4,000 you paid for the ticket?” he shouted at one point. “Yeah,” the crowd shouts back; seemingly all is forgiven.
After Rock And Roll Star, the dream that very quickly became a reality for this band, Noel introduced the rest of the group, calling Bonehead a “legend”.
Image: Paul ‘Bonehead’ Arthurs of Oasis. Pic: PA
Image: Liam Gallagher carried a tambourine in his mouth during the concert. Pic: PA
Then he acknowledges all their young fans, some who maybe weren’t even born when they split. “This one is for all the people in their 20s who’ve never seen us before, who’ve kept this shit going,” he says before the encore starts with The Masterplan.
Noel follows with Don’t Look Back In Anger, and the screens fill with Manchester bees in reference to the arena bombing and how the song became the sound of hope and defiance for the city afterwards.
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1:31
‘I’d have paid £10,000 to see them’
Image: Two fans sat on their friends’ shoulders as Oasis performed. Pic: PA
During Wonderwall, there’s a nice touch as Liam sings to the crowd: “There are many things I would like to say to you, but I don’t speak Welsh.”
It is at the end of Champagne Supernova, which closes the set, that it happens; Noel puts down his guitar, and they come together for a high-five and a back-slap, a blink-and-you’d miss it hug.
“Right then, beautiful people, this is it,” Liam had told the crowd as he introduced the song just a few minutes earlier. “Nice one for putting up with us over the years.”
From the roar of the audience, it’s safe to say most people here would agree it’s been worth it.
Former Arsenal midfielder Thomas Partey has been charged with five counts of rape.
The 32-year-old has also been charged with one count of sexual assault.
Two of the counts of rape relate to one woman, three counts relate to a second woman, and the one count of sexual assault relates to a third woman.
The incidents are alleged to have taken place between 2021 and 2022.
Metropolitan Police said he is due to appear at Westminster Magistrates’ Court on Tuesday 5 August.
“The charges follow an investigation by detectives, which commenced in February 2022 after police first received a report of rape,” the force said.
Partey has just left Arsenal after his contract expired and was said to be attracting interest from clubs including Juventus, Barcelona and Fenerbahce.
The Ghanaian player was at the Emirates for five years after signing from Atletico Madrid and has also played dozens of times for his country.
His time with Arsenal was marked by recurring injuries but he played 130 times for the club in the Premier League, including 35 times last season when he scored four goals.
Detective Superintendent Andy Furphy said: “Our priority remains providing support to the women who have come forward.”
Anyone who has information about the case, or has been impacted by it, is being asked to contact the Met Police.
More than 1,000 criminals, including a paedophile found with a six-year-old girl, have been arrested by the Metropolitan Police using live facial recognition (LFR) cameras.
David Cheneler, 73, was among 93 registered sex offenders held by Met officers using the controversial technology since the start of last year.
He was discovered with the girl after he was identified by a camera on a police van in Camberwell, south London, in January.
Cheneler, from Lewisham, was jailed for two years in May after admitting breaching his sexual harm prevention order by being with a child under the age of 14.
The Met said a total of 1,035 arrests have been made using live facial recognition technology – where live footage is recorded of people as they walk past, capturing their faces, which are then compared against a database of wanted offenders.
If a match is determined, the system creates an alert which is assessed by an officer, who may decide to speak to the person.
They include more than 100 people alleged to have been involved in serious violence against women and girls (VAWG) offences such as strangulation, stalking, domestic abuse, and rape.
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Image: Adenola Akindutire admitted charges including robbery. Pic: Met Police
Adenola Akindutire was stopped during an operation in Stratford and arrested over the machete robbery of a Rolex watch, which left the victim with life-changing injuries after the attack in Hayes, west London.
Police said the 22-year-old, who was linked to a similar incident and had been released on bail, was in possession of a false passport and could have evaded arrest if it wasn’t for the technology.
Akindutire, of no fixed address, admitted charges including robbery, attempted robbery, grievous bodily harm, possession of a false identity document and two counts of possession of a bladed article and faces sentencing at Isleworth Crown Court.
Image: Darren Dubarry was stopped on his bike. Pic: Met Police
Image: Dubarry was caught with stolen designer clothes. Pic: Met Police
Darren Dubarry, 50, was already wanted for theft when he was caught with stolen designer clothing in Dalston, east London, after riding past an LFR camera on his bike.
The 50-year-old, from Stratford, east London, was fined after pleading guilty to handling stolen goods.
Lindsey Chiswick, the Met’s LFR lead, hailed the 1,000 arrest milestone as “a demonstration of how cutting-edge technology can make London safer by removing dangerous offenders from our streets”.
“Live Facial Recognition is a powerful tool, which is helping us deliver justice for victims, including those who have been subjected to horrendous offences, such as rape and serious assault,” she said.
“It is not only saving our officers’ valuable time but delivering faster, more accurate results to catch criminals – helping us be more efficient than ever before.”
The Met say “robust safeguards” are in place, which ensure no biometric data is retained from anyone who walks past an LFR camera who isn’t wanted by police.
Almost 2 million faces scanned
But human rights group Liberty is calling for new laws to be introduced to govern how police forces use the technology after Liberty Investigates found almost 1.9 million faces were scanned by the Met between January 2022 and March this year.
Charlie Whelton, Liberty policy and campaigns officer, said: “We all want to feel safe in our communities, but technology is advancing quickly, and we need to make sure that our laws keep up.
“Any tech which has the potential to infringe on our rights in the way scanning and identifying millions of people does needs to have robust safeguards around its use to protect us all from abuse of power as we go about our daily lives.
“There is currently no overarching law governing police use of facial recognition in the UK, and we shouldn’t leave police forces to come up with these frameworks on their own.
“Almost two million faces have been scanned in London before Parliament has even decided what the laws should be.
“We need to catch up with other countries, and the law needs to catch up with the use. Parliament must legislate now and ensure that safeguards are in place to protect people’s rights where the police use this technology.”