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The longest strike in NHS history, during which junior doctors walked out for six days, led to more than 113,000 patient operations, appointments and procedures being postponed, new figures show.

The industrial action started last Wednesday and continued until yesterday, with 25,446 staff absent from work at the peak, which was the day the strike started, 3 January.

According to NHS data, 113,779 inpatient and outpatient appointments had to be rescheduled, taking the total number since the health service strikes started in December 2022 to 1,333,221.

It means patients are “bearing the brunt” of the action, according to Louise Ansari, chief executive of Healthwatch England.

She said: “The cumulative effect of various strikes now hitting the NHS for more than a year also means people are experiencing multiple cancellations, affecting their confidence in health services, often leaving them in pain, feeling stressed and anxious.”

NHS leaders have warned the impact caused by the strike could last for “months”.

Professor Sir Stephen Powis, the national medical director for NHS England, said frontline staff were “very concerned” about the next few weeks as the “cold weather bites” and more people may need to be treated in hospital.

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“This puts an incredible strain on staff who have been covering striking colleagues as we continue to navigate one of the most difficult times of year,” he said.

Professor Sir Stephen Powis, England's national medical director, warned the situation in the NHS will "become more challenging each day this strike progresses".
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Professor Sir Stephen Powis, the national medical director for NHS England

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Hospitals plea for junior doctors to return to work
Several NHS trusts declare critical incident on first day of strike

The number of cancellations could be double those reported as hospitals pre-emptively did not book in pre-planned operations during strikes, according to experts.

Matthew Taylor, chief executive of the NHS Confederation, said: “The national figure for the cancelled appointments over the last year of industrial action, in our view, significantly underestimates it because actually a lot of trusts pre-emptively didn’t make appointments in the first place.

“So you have to more or less double that figure in order to get the actual number of appointments and procedures that were cancelled.”

What do junior doctors want?

The British Medical Association (BMA), which represents junior doctors, has called for a 35% pay rise for them but the government has stated the demand is “not affordable, even over several years”.

The union claims junior doctors in England were subjected to a 26.1% real terms pay cut between 2008 and 2022.

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.

The BMA said it rejected the 3% offer because it does not make up for a real-term pay cut of nearly a quarter of their salary for junior doctors since 2008.

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NHS consultants took strike action in September and October and agreed to an extra 4.95% pay rise for senior doctors on top of the annual 6% increase already offered to them by the government.

This will be voted on by members of their union this month.

A Department of Health and Social Care spokesperson said: “Despite the significant pressure, the healthcare system has coped well thanks to the hard work of consultants, nurses and other healthcare staff who worked during industrial action.

“The strikes may have ended but their repercussions will be felt for weeks and months to come.

“We want to put an end to damaging strikes once and for all, and if the BMA junior doctors’ committee can demonstrate they have reasonable expectations, we will still sit down with them.”

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Nigel Farage and Rupert Lowe escalate feud with new war of words

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Nigel Farage and Rupert Lowe escalate feud with new war of words

The bitter war of words between Nigel Farage and Reform MP Rupert Lowe has dramatically escalated with the pair launching fierce new personal attacks on each other.

Mr Farage revealed accusations of bullying by Mr Lowe and accused him of falling out with all his fellow Reform UK MPs, with too many “outbursts” using “inappropriate language”.

And he took the highly unusual step of quoting a Labour minister, Mike Kane, who said after a confrontation with Mr Lowe in the Commons that his anger “showed a man not in charge of his own faculties”.

On Friday, party chairman and Farage lieutenant Zia Yusuf and chief whip Lee Anderson MP disclosed accusations that two female workers had complained of “serious bullying” in Mr Lowe’s offices, and said he had been reported to police over allegations he threatened Mr Yusuf with physical violence.

Mr Lowe, who has been suspended by the parliamentary party, denied the claims.

The worsening of the feud between the Reform UK leader and the millionaire MP for Great Yarmouth came in articles in The Sunday Telegraph in which they both furiously attacked each other.

Lowe alleges ‘witch hunt’

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Mr Lowe stepped up his verbal onslaught on Mr Farage by claiming that a “witch hunt” against him risked destroying Reform’s attempts at removing Labour from power.

And he claimed that at a time when Reform UK’s poll ratings were rising the attacks on him by the party would be a turn-off to voters, declaring: “Infighting failed the Tories – and it’s failing Reform.”

Mr Farage also began his Telegraph article by claiming: “If the last general election taught us anything, it is that the public does not like political parties that engage in constant infighting.”

But he claimed that thanks to Mr Lowe “unloading a barrage of criticisms against our operations and its main actors”, Reform’s unity has been dented.

Rupert Lowe MP. Pic: PA
Image:
Rupert Lowe MP. Pic: PA

‘Containment strategies invariably fail’

Mr Farage said Mr Lowe had “managed to fall out with all his parliamentary colleagues in one way or another”, adding: “We did our best to keep a lid on things but, in the end, containment strategies invariably fail.”

He then referred to a Commons clash with Mr Kane just before Christmas, after Mr Lowe staged a debate about a damaged ship containing toxic cargo docked in his Great Yarmouth constituency.

“Mr Lowe was unhappy with the answer that he received from Mr Kane and, at the end of the debate, he crossed the floor to make his feelings known,” Mr Farage wrote.

“A confrontation ensued. Heated language was heard. The minister’s shoulder was pushed. In the end, the Serjeant at Arms had to step in to calm things down between the two parliamentarians.

“Commenting on Mr Lowe’s conduct later, Mr Kane (said) ‘the anger displayed towards me clearly showed a man not in charge of his own faculties’. Nobody in Reform UK said anything publicly about what had happened. Instead, we carried on.

“Yet the fact is that, sadly, there have been too many similar outbursts from Mr Lowe, often involving the use of inappropriate language, to the despair of our chief whip, Lee Anderson.

“I have been surprised and saddened at this behaviour. Certainly, I never saw anything like it in the European Parliament in 2019 when I was the leader of the Brexit Party and Mr Lowe was an MEP colleague.”

Read more:
Lowe invites Farage to dinner
Farage gives up sole control of Reform
Party passes 200,000 members

(L-R) Nigel Farage and party chairman Zia Yusuf. Pic: PA
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(L-R) Nigel Farage and party chairman Zia Yusuf. Pic: PA

On bullying allegations, Mr Farage wrote: “Last week, the chairman of Reform UK, Zia Yusuf, showed me two letters sent by female members of staff to our party headquarters. Each letter contained an accusation of workplace bullying involving Mr Lowe.

“One of the incidents in question is alleged to have taken place within the parliamentary estate. Both women’s letters stated that these allegations had been reported to the parliamentary authorities.

“As a responsible political party, Reform UK has a duty of care to every single member of staff, whether they are employed by us directly or indirectly.

“With that in mind, I believe that our chairman was entirely right for Reform to appoint a KC to conduct an independent inquiry. It is inconceivable that we could simply ignore such allegations.”

Rupert Lowe. File pic: PA
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Pic: PA

‘I will not tolerate these falsehoods’

In his Telegraph article, Mr Lowe repeated his claim that there is no credible evidence against him and he was removed from the party before any investigation had started.

“I will not tolerate these falsehoods, and discussions have already taken place with my legal team,” he wrote. “Is it a surprise that these allegations were made public the day after I made reasonable criticisms of Nigel Farage and the Reform leadership?

“It is a witch hunt, plain for all to see. I have been entirely frozen out of the Reform machine over the last few months, in a deliberate and calculated way.”

Without naming Mr Farage, deputy leader Richard Tice or Mr Yusuf, he said the Reform UK leadership was unable even to accept the most mild constructive criticism.

Turning on Mr Yusuf, he wrote: “The allegations against me from the chairman relate to an incident in December, but he only reported them to the police the day after my reasonable questioning was published.

“Take from that what you will. I don’t feel sorry for myself. I feel sorry for the millions of decent British men and women who put their faith in Reform. They deserve better than this vicious charade.”

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And warning of the damage the feuding was causing, Mr Lowe said: “Everything has been put at risk. Everything. The future of the Right in Britain is now in peril. How can Reform claim to be a party awaiting government when they can’t even follow basic process?

“Reform has been rising in the polls for months. But this spectre of infighting will leave the party looking unserious and turn voters off. Infighting failed the Tories – and it’s failing Reform.”

But Mr Lowe concluded with an olive branch. “On multiple occasions, I have invited Nigel Farage for dinner over the last few months,” he revealed. “Every single one has been refused or ignored.

“Again, I offer a public invitation to Nigel. Let’s have dinner and resolve this in the matter that our members, supporters and country would expect. Any time, any place.”

He added: “I want Reform to be professional, to be fair, to be serious. We must offer a credible alternative to the uniparty that has so failed so spectacularly.

“The leadership’s behaviour this week has undermined that cause, not only in the eyes of the electorate, but also in those of serious individuals across business and industry that any party of government needs to win over.”

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Negotiators appeal to man to come down from Big Ben clock tower

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Negotiators appeal to man to come down from Big Ben clock tower

Negotiators at Westminster have been trying to persuade a man to come down after he scaled the clock tower which houses Big Ben.

The barefoot man has been spoken to by emergency crews and negotiators a number of times during the day but he remains several metres up the Elizabeth Tower on a ledge where he is holding a Palestinian flag in an apparent protest.

The Metropolitan Police said they were called to the scene in central London at 7.24am on Saturday.

Photographs have shown the man sat on the ledge with the flag and a keffiyeh, a headdress worn by men in the Middle East, wrapped around the decorative stonework on the tower.

A large red stain which appears to be blood can be seen on the side of the tower around the climber’s feet.

The bare-footed protester is holding a Palestinian flag. Pic: PA
Image:
The barefoot man is holding a Palestinian flag. Pic: PA

Following the security breach at Parliament, a fire engine later raised an aerial ladder platform to the same height as the man’s position.

Three people standing on the platform have been talking to the man, who is several feet away.

Climber shares videos on social media

The climber has been sharing videos on Instagram from his viewpoint on the tower.

He tells negotiators he will come down “on his own terms”.

In the footage, negotiators appear to raise concerns about an injury to his foot, saying there is “quite a lot of blood” and that his clothes are not warm enough as temperatures drop after sunset.

But the man insists he is safe and says: “I will come down on my own terms, I have said this. But right now I am saying I am safe.

“If you come towards me you are putting me in danger and I will climb higher.”

Also in a video, a woman in plain clothes says: “At some point you have to come down. How long do you think you are going to be there? How long do you think you are able to be there?”

Her voice is then barely audible as she appears to say “your message was to say ‘Free Palestine'” before she encourages him to come down.

In one of the other videos, the man seems to suggest he plans to stay on the ledge for three and a half days.

X
Image:
People in a cherry picker talk to the man

The whole of Westminster Bridge was closed later in the morning as emergency services responded to the incident.

And parliamentary tours on Saturday were cancelled.

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‘Unbelievable he’s up there’

A Metropolitan Police spokesperson said: “Officers are at the scene working to bring the incident to a safe conclusion. They are being assisted by the London Fire Brigade and the London Ambulance Service.”

Bridge Street, which is at the north end of Westminster Bridge, has been closed to allow emergency services to deal with the incident.

Pic: AP
Image:
Pic: AP

The man who has climbed up Big Ben this morning
Image:
The man before the cherry picker was raised

Pic: PA
Image:
Pic: PA

At least nine emergency service vehicles have lined the street in central London as crowds look on from beyond a police cordon.

A parliamentary spokesperson said: “We are aware of an incident on the Parliamentary Estate this morning, which is being handled by the Metropolitan Police, assisted by the London Fire Brigade and the London Ambulance Service.

“Parliament takes security extremely seriously, however we do not comment on the specifics of our security measures or mitigations. As a result of this incident, tours of the Parliamentary Estate today have unfortunately had to be cancelled.”

It comes as dozens of people gathered for a pro-Palestinian protest in London.

The crowd assembled on the corner of Parliament Square and appeared to be showing support for the man who climbed up Big Ben.

Trump’s Turnberry golf course vandalised

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‘Gaza not for sale’ on Trump golf course

The protest in Westminster comes as the Palestine Action group said it had sprayed “Gaza is not for sale” on Donald Trump’s Turnberry golf course in Scotland.

Sharing an image of the vandalism on Saturday morning, the group wrote on X: “Whilst Trump attempts to treat Gaza as his own property, he should know his own property is within reach.”

The Turnberry protest comes after the American president claimed the US will “take over the Gaza Strip and we will do a job with it too”.

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Politics

Senior civil servants to have pay linked to performance under new government plans

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Senior civil servants to have pay linked to performance under new government plans

Under-performing civil servants could be encouraged to leave their jobs and senior officials will have their pay linked to performance, in a new government bid to “fundamentally reshape” the civil service.

Cabinet Office minister Pat McFadden, who is appearing on Sunday Morning with Trevor Phillips, said “the state is not match-fit to rise to the moment our country faces”.

The plans have been criticised by a union, however, who described them as a “retreading of failed narratives”.

The general secretary of the FDA, a union for civil servants, accused the government of delivering a “soundbite, not a credible plan for change”.

“If the Chancellor of the Duchy of Lancaster wants civil servants to focus on delivery, while at the same time government departments are cutting resources, then ministers need to set realistic priorities,ā€ said Dave Penman.

“Government should get on with the difficult job of setting those priorities rather than announcing a new performance management process for civil servants every other month.”

Next week, Mr McFadden will promise a new “mutually agreed exits” process, in which civil servants who cannot perform at the level required of them are incentivised to leave their jobs.

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The system will give bosses more tools to address bad performance.

Alongside the exit processes, senior civil servants who are not meeting standards will be put on development plans.

If thereā€™s no improvement within six months, they will be sacked.

Most senior officials will also now have their pay linked to performance outcomes.

Mr McFadden will also pledge to increase the government’s digital capabilities, with more staff to be employed in relevant roles, and more public services to be digitised.

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