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Nurses have rejected the government’s offer of a 5.5% pay rise, the Royal College of Nursing (RCN) has said.

Two-thirds of RCN members in England voted against the current year’s pay award, with a record high 145,000 members of the union casting a vote.

In a letter to Health Secretary Wes Streeting, RCN general secretary Professor Nicola Ranger said: “We are witnessing a fundamental shift in the determination of nursing staff to stand up for themselves, their patients and the NHS they believe in.

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“Many will support the new government’s health and care agenda as set out in recent weeks and fully recognise the diagnosis of a failing NHS. Working closely with all other professionals, nursing staff are the lifeblood of the service. The government will find our continued support for the reforms key to their success.”

Professor Ranger added: “To raise standards and reform the NHS, you need safe numbers and they need to feel valued. Nursing staff were asked to consider if, after more than a decade of neglect, they thought the pay award was a fair start.

“This outcome shows their expectations of government are far higher.”

Nurses are worried, she said, about “understaffed shifts, poor patient care, and nursing careers trapped at the lowest pay grades”.

Responding to the announcement, Mr Streeting said in a statement Labour understood what nurses have been through in recent years “and how hard it is” at the moment.

“For the first time in a long time, nurses have got a government on their side,” he said, promising to work with them “to take the NHS from the worst crisis in its history” and “get it back on its feet”.

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Culture Secretary Lisa Nandy told Sky News Labour have given public sector workers “a real-terms pay rise for the first time in a long time”.

She said they deserve it and it’s good for the economy, as “every pound you put into the pockets of working people goes back onto our high streets and helps local economies to thrive”.

The pay award was announced by Chancellor Rachel Reeves at the end of July, shortly after Labour won the general election.

The RCN said the high turnout surpassed the level seen in two statutory ballots for industrial action held by the union in 2022 and 2023, the first of which permitted six months of strike action by nursing staff.

Last week, junior doctors voted to accept a multi-year pay rise to end their long-running dispute.

Members of other health unions have accepted the 5.5% pay deal, which is for 2024/25.

Sky’s health correspondent Ashish Joshi said patients will be relieved to know “it doesn’t mean another nurses strike”.

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He called it “a warning shot” from the RCN, which wants the government to know nurses “aren’t happy with the current pay deal”, itself finalised after a bitter long-running dispute.

“There is no talk of a ballot for strike action yet”, he said, but “nurses are saying ‘come and talk to us because we want a better deal'”.

He said nurses’ leaders were keen to stress that it wasn’t designed to embarrass ministers, despite being announced during the chancellor’s conference speech.

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Vietnam legalizes crypto under new digital technology law

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Vietnam legalizes crypto under new digital technology law

Vietnam legalizes crypto under new digital technology law

Vietnam has passed a sweeping digital technology law that legalizes crypto assets and outlines incentives for AI, semiconductors, and infrastructure.

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Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

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Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

Brazil scraps crypto tax exemption for small traders, enforces flat 17.5% rate across all gains, including self-custody and offshore holdings.

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A scrambled G7 agenda as world leaders scramble to de-escalate the Israel-Iran conflict

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A scrambled G7 agenda as world leaders scramble to de-escalate the Israel-Iran conflict

The return on Donald Trump to the G7 was always going to be unpredictable. That it is happening against the backdrop of an escalating conflict in the Middle East makes it even more so.

Expectations had already been low, with the Canadian hosts cautioning against the normal joint communique at the end of the summit, mindful that this group of leaders would struggle to find consensus.

Canadian Prime Minister Mark Carney carefully laid down an agenda that was uncontroversial in a bid to avoid any blow-ups between President Trump and allies, who of late have been divided like never before – be it over tariffs and trade, Russia and Ukraine, or, more recently Israel’s conduct in Gaza.

But discussions around critical minerals and global supply chains will undoubtedly drop down the agenda as leaders convene at a precarious moment. Keir Starmer, on his way over to Canada for a bi-lateral meeting in Ottawa with PM Carney before travelling onto the G7 summit in Kananaskis, underscored the gravity of the situation as he again spoke of de-escalation, while also confirmed that the UK was deploying more British fighter jets to the region amid threats from Tehran that it will attack UK bases if London helps defend Israel against airstrikes.

Canadian Prime Minister Mark Carney is greeted by President Donald Trump as he arrives at the West Wing of the White House, Tuesday, May 6, 2025, in Washington. (AP Photo/Mark Schiefelbein)
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Canadian PM Mark Carney is greeted by President Donald Trump at the White House in May. Pic: AP

Really this is a G7 agenda scrambled as world leaders scramble to de-escalate the worst fighting between Tel Aviv and Tehran in decades. President Trump has for months been urging Israel not to strike Iran as he worked towards a diplomatic deal to halt uranium enrichment. Further talks had been due on Sunday – but are now not expected to go ahead.

All eyes will be on Trump in the coming days, to see if the US – Israel’s closest ally – will call on Israel to rein in its assault. The US has so far not participated in any joint attacks with Tel Aviv, but is moving warships and other military assets to the Middle East.

Sir Keir, who has managed to strike the first trade deal with Trump, will want to leverage his “good relationship” with the US leader at the G7 to press for de-escalation in the Middle East, while he also hopes to use the summit to further discuss the further the interests of Ukraine with Trump and raise again the prospects of Russian sanctions.

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“We’ve got President Zelenskyy coming so that provides a good opportunity for us to discuss again as a group,” the PM told me on the flight over to Canada. “My long-standing view is, we need to get Russia to the table for an unconditional ceasefire. That’s not been really straightforward. But we do need to be clear about what we need to get to the table and that if that doesn’t happen, sanctions will undoubtedly be part of the discussion at the G7.”

Prime Minister Sir Keir Starmer (right) is greeted by Prime Minister of Canada Mark Carney as he arrives at Rideau Cottage in Ottawa
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Prime Minister Sir Keir Starmer (R) is greeted by Mark Carney as he arrives in Ottawa ahead of the G7

But that the leaders are not planning for a joint communique – a document outlining what the leaders have agreed – tells you a lot. When they last gathered with Trump in Canada for the G7 back in 2018, the US president rather spectacularly fell out with Justin Trudeau when the former Canadian president threatened to retaliate against US tariffs and refused to sign the G7 agreement.

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Since then, Trump has spoken of his desire to turn Canada into the 51st state of the US, a suggestion that helped catapult the Liberal Party beyond their Conservative rivals and back into power in the recent Canadian elections, as Mark Carney stood on a ticket of confronting Trump’s aggression.

With so much disagreement between the US and allies, it is hard to see where progress might be made over the next couple of days. But what these leaders will agree on is the need to take down the temperature in the Middle East and for all the unpredictability around these relationships, what is certain is a sense of urgency around Iran and Israel that could find these increasingly disparate allies on common ground.

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