Resident doctors have “squandered the considerable goodwill” they had with the government by going on strike, Health Secretary Wes Streeting has told them.
The medics – formerly known as junior doctors – finished a five-day strike over pay on Wednesday morning. The group were awarded a close to 30% raise last year but say they want more in an attempt to bring their pay back in line with what they had in 2008.
Mr Streeting previously said he would not negotiate further on pay but would consider taking steps on working conditions.
He has reiterated that stance – and continued to put pressure on negotiations to start again on the government’s terms.
The British Medical Association Resident Doctors Committee, which represents the doctors, have not ruled out further action.
In a letter sent today to the co-chairs of the committee, Mr Streeting thanked them for an invitation to “get back to the negotiating table” – but added the barb that it was “ironic because I never left”.
“I am ready to continue the conversation from where you left it,” he added.
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He went on to say the strikes were “deeply disappointing and entirely unnecessary” – adding that there were “seemingly promising discussions” about improving doctors’ working lives.
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3:13
‘No doctor wants to go out on strike’
‘We cannot move on pay’
Mr Streeting criticised the committee, saying they “rushed to strike”.
His letter added: “The consequences of your strike action have been a detrimental impact on patients, your members, your colleagues and the NHS, which might have been worse were it not for the considerable efforts of NHS leaders and front-line staff who stepped up.
“Your action has also been self-defeating, because you have squandered the considerable goodwill you had with me and this government. I cannot in good conscience let patients, or other NHS staff, pay the price for the costs of your decision.”
The health secretary said he wanted to “reset the relationship” between the government and young doctors following the previous industrial action.
Mr Streeting went on to say he is “serious about improving working conditions” but has been clear “we cannot move on pay”.
“This government is prepared to negotiate on areas related to your conditions at work, career progression and tangible measures which would put money in your members’ pockets,” he added.
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Mr Streeting concluded: “I was critical of my predecessors when they closed the door to the Junior Doctors Committee.
“My door remains open to the hope that we can still build the partnership with resident doctors I aspired to when I came in a year ago and, in that spirit, I am happy to meet with you early next week.”
A BMA spokesperson said: “The resident doctors committee has received the letter from Mr Streeting and is considering its response.”
Rachel Reeves has been warned that firms face a “make-or-break moment” at next month’s budget.
The British Chamber of Commerce (BCC) urged the chancellor, who is widely expected to announce tax hikes in November’s budget to fill a gap in the public finances, to steer clear of increasing levies on businesses.
Ms Reeves raised taxes by £40bn last year and the BCC said business confidence had not recovered since.
“Last year’s budget took the wind from their sails, and they have been struggling to find momentum ever since,” BCC director-general Shevaun Haviland said.
She said firms felt “drained” and could not plan ahead as they expected “further tax demands to be laid at their feet” when the budget is delivered on 26 November.
“The chancellor must seize this moment and use her budget to deliver a pro-growth agenda that can restore optimism and belief amongst business leaders,” Ms Haviland added.
“This year’s budget will be a make-or-break moment for many firms.”
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The BCC also called for a reform of business rates and the removal of the windfall tax on gas and oil introduced by the last government.
In its submission, the industry body outlined more than 60 recommendations, including the proposal of further infrastructure investment, cuts to customs barriers and action on skill shortages.
Earlier this year, Prime Minister Sir Keir Starmer announced Labour would aim to approve 150 major infrastructure projects by the next election, with Labour already pledging to support expansions of both Heathrow and Gatwick airports – another of the BCC’s requests.
While the Treasury would not comment on budget speculation, a spokesperson insisted Ms Reeves would “strike the right balance” between ensuring funding for public services and securing economic growth.
She has vowed to stick to Labour’s manifesto pledges not to raise taxes on “working people”.
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Household spending on the wane
The BCC’s plea to halt further tax rises on businesses comes as retail sales growth slowed in September.
“With the budget looming large, and households facing higher bills, retail spending rose more slowly than in recent months,” Helen Dickinson, chief executive of the British Retail Consortium (BRC), said.
“Rising inflation and a potentially taxing budget is weighing on the minds of many households planning their Christmas spending.”
Total retail sales in the UK increased by 2.3% year-on-year in September, against growth of 2% in September 2024 and above the 12-month average growth of 2.1%, according to BRC and KPMG data.
While food sales were up by 4.3% year-on-year, this was largely driven by inflation rather than volume growth.
Non-food sales growth slowed to 0.7% against the growth of 1.7% last September, making it below the 12-month average growth of 0.9%.
Image: Total retail sales in the UK increased in September compared to the year before. File pic: PA
Online non-food sales only increased by 1% against last September’s growth of 3.4%, which was below the 12-month average growth of 1.8%.
“The future of many large anchor stores and thousands of jobs remains in jeopardy while the Treasury keeps the risk of a new business rates surtax on the table,” Ms Dickinson said.
“By exempting these shops when the budget announcements are made, the chancellor can reduce the inflationary pressures hammering businesses and households alike.”
I’ve been around a while and seen a lot of the insides of international summits over the years, but this one was truly extraordinary.
Over 20 leaders flew to Sharm el-Sheikh in Egypt from all over the world – Indonesia, Pakistan, Norway, Canada – to witness the signing of Donald Trump’s peace plan.
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6:05
‘We have peace in Middle East’
This historic day was pure theatre for Trump from start to finish. Flying in from Israel, where he had met hostage families and then addressed the Israeli parliament, he arrived a whopping three hours late, keeping a gaggle of world leaders waiting.
We stood around in corridors watching them move from one room to another to hold meetings with each other, presumably to talk about phase two of Trump’s peace deal.
Testimony to the power of Trump
At one point, Sir Keir Starmer’s meeting with his Turkish counterpart included France’s Emmanuel Macro. That then somehow morphed into a summit which also brought in the Germans, Italy’s Prime Minister Giorgia Meloni, and the leaders of Egypt and Qatar. More chairs kept coming into the room until there was the equivalent of a cabinet table of leaders and advisors sitting in a long line facing each other.
What they were talking about was how each country could help in phase two of the peace effort. Now Trump had, alongside fellow signatories of this deal – Egypt, Qatar, and Turkey – ended the war, could they maintain the peace?
As Starmer put it: “We can’t treat today as historic and let it drop tomorrow.”
But these mini summits in the margins happened by fault rather than design. This day really was designed to bear witness – and offer acknowledgement – to Trump. All of these leaders turned up pretty much in the dark as to what the day held, with his peace summit convened 48 hours earlier.
That they dropped plans to make their way to Egypt is testimony to the power Trump wields.
Image: World leaders at the Gaza peace summit
He was utterly omnipotent. First, there was the greeting ceremony, in which each leader filed in individually for a photo and handshake with him before all returning to the stage for the family photo.
Then, at the signing ceremony, Trump sat with his three fellow signatories as the world leaders stood behind him.
“This took 3,000 years to get to this point. Can you believe it?” Trump said as he signed that deal. “And it’s going to hold up, too. It’s going to hold up.”
Finally, in another giant hall, Trump gave a speech in which he ran through all the leaders who had turned up – praising them or fondly poking a bit of fun at them accordingly, as (most) of them stood behind him.
He teased Macron for sitting in the front row rather than joining the others on the stage, joking it wasn’t like him to be low-key. He described Meloni as a “beautiful young woman”.
“I’m not allowed to say it because usually it’s the end of your political career if you say it – she’s a beautiful young woman,” said Trump mid-speech. “You don’t mind being called beautiful, right? Because you are,” he turned to say to her – her reaction obscured from view.
Now for the ‘easy part’?
Soon after, the prime minister of Pakistan, invited to say a few remarks by Trump, renewed his call for the US president to be awarded the Nobel Peace Prize.
Having brokered the deal, Trump took the moment and made it into his summit on his terms, as fellow leaders fell into line, literally standing behind him. And in his characteristic bullishness, he told his audience in this final speech that the hard part – the ceasefire – had been done, and rebuilding Gaza was the easy part.
Image: U.S. President Donald Trump talks to Prime Minister Sir Keir Starmer
That isn’t really what the rest of them believe: 92% of Gazans have been displaced, the Gaza Strip is a wasteland. Organising a peacekeeping force, getting Hamas to disarm and Israel to withdraw from the strip, putting together a technocratic team and peace board to oversee the running of Gaza still needs to be done.
This was a largely celebratory day, but there are concerns whether this deal will hold up. Trump says Hamas needs to disarm and disband, and yet one of their most senior leaders told Sky News a few days ago, it won’t.
Meanwhile, there is a growing humanitarian crisis in Gaza. The UK has in short order sent in £20m of aid to try to help with sanitation.
On the British side, the prime minister said he had offered to help demilitarise the strip, saying the UK can take a role in “monitoring the ceasefire but also decommissioning the capability of Hamas and their weaponry, drawing on our experience in Northern Ireland”.
“It’s really important we keep that focus. We mustn’t have any missteps now,” he said.
Image: Drone footage of Gaa
Trump’s peace board is still in its infancy – Starmer told me he isn’t going to sit on it, with the make-up still being discussed, while Tony Blair’s participation is controversial.
Trump said on the way over to Egypt that he was going to canvass opinion to make sure everyone is happy with the former prime minister’s presence. It comes after Bassem Naim of Hamas told Sky News that Blair was not welcome in Gaza after his role in the invasion of Iraq.
When I asked Starmer if he thought Trump should be awarded the Nobel Peace Prize he said “there’ll be plenty of people, I’m sure, nominating him” – as he paid tribute to him for getting “leaders to this position”.
Now the task for them all is to implement what Trump has set in train. If his plan works, he would be sitting on an achievement that has eluded successive US presidents for decades.
Trump should rightly be lauded for ending the war, now he must bring the peace.