Another winter. Another strike. Except this time the industrial action by junior doctors will be longer than any other in NHS history.
In total, three days starting this morning. Then back out again for six consecutive days from 3-9 January.
In all, there will only be four weekdays unaffected by strike action or holidays over the next three weeks.
The action is already having a serious impact.
Gloucestershire Hospitals NHS Trust has announced that Cheltenham A&E has temporarily closed until 8am on 23 December and will do so again from 8pm on 1 January until 8am on 9 January.
Professor Phil Banfield, chair of the British Medical Association (BMA) Council, told Sky News the strikes were called to protect the long-term future of the NHSwhich could not afford to keep losing trained doctors.
He said: “The aim is not to collapse the NHS, the aim is to save the NHS.
“We must have doctors, you cannot fly an aeroplane without pilots and we represent the skills and the expertise that patients need, and of course doctors are leaving because of a lack of valuing them in the workplace.”
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The strike mandate for junior doctors expires in February. That is why they have chosen to strike in December and January.
Sky News understands junior doctors’ leaders ruled out extended industrial action right through Christmas to give the NHS some recovery time between the strikes.
Sunak condemns ‘disappointing’ strikes
Rishi Sunak told parliament the junior doctors’ actions was “disappointing”.
He said: “We have now reached a resolution with every other part of the public sector and every other part of the NHS.
“And I’d also say that it was the junior doctors who received the biggest increase in their pay through the independent public standing pay review process of around a 10% increase for a typical junior doctor.”
But BMA leaders have challenged the prime minister by saying the government’s proposal of an extra 3% pay rise for junior doctors on top of 8.8% already given would amount to a pay cut for many of its members after years of below-inflation pay rises.
And they also stress that both consultants and specialists have yet to vote in favour of the pay offers they received in January.
More than a million procedures and appointments have had to be rescheduled since industrial action began by health workers last December.
The record waiting list that stands at over 6.4 million patients needing more than 7.7 million appointments and procedures looks set to grow.
Health leaders warn that this strike action could be the most damaging yet.
Julian Hartley, chief executive of NHS Providers, said trust leaders are worried.
“It does mean that there will be a huge amount of concern around managing patient safety and quality during this period because urgent care will be the priority, but a lot of planned care will have to be rescheduled for later in the new year,” he said.
It is too late to call off the strikes that begin today.
But there is hope – albeit very slim – that both sides will still try to find a way to stop January’s industrial action from going ahead.
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.
Image: 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.”
Image: 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.