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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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Adam Boulton: NHS pessimism creeping up
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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Chancellor’s Mansion House speech vows to rip up red tape – saying post-financial crash rules went ‘too far’

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Chancellor's Mansion House speech vows to rip up red tape - saying post-financial crash rules went 'too far'

Chancellor Rachel Reeves has criticised post-financial crash regulation, saying it has “gone too far” – setting a course for cutting red tape in her first speech to Britain’s most important gathering of financiers and business leaders.

Increased rules on lenders that followed the 2008 crisis have had “unintended consequences”, Ms Reeves will say in her Mansion House address to industry and the City of London’s lord mayor.

“The UK has been regulating for risk, but not regulating for growth,” she will say.

It cannot be taken for granted that the UK will remain a global financial centre, she is expected to add.

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It’s anticipated Ms Reeves will on Thursday announce “growth-focused remits” for financial regulators and next year publish the first strategy for financial services growth and competitiveness.

Rachel Reeves
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Rachel Reeves


Bank governor to point out ‘consequences’ of Brexit

Also at the Mansion House dinner the governor of the Bank of England Andrew Bailey will say the UK economy is bigger than we think because we’re not measuring it properly.

A new measure to be used by the Office for National Statistics (ONS) – which will include the value of data – will probably be “worth a per cent or two on GDP”. GDP is a key way of tracking economic growth and counts the value of everything produced.

Brexit has reduced the level of goods coming into the UK, Mr Bailey will also say, and the government must be alert to and welcome opportunities to rebuild relations.

Mr Bailey will caveat he takes no position on “Brexit per se” but does have to point out its consequences.

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Bailey: Inflation expected to rise

In what appears to be a reference to the debate around UK immigration policy, Mr Bailey will also say the UK’s ageing population means there are fewer workers, which should be included in the discussion.

The greying labour force “makes the productivity and investment issue all the more important”.

“I will also say this: when we think about broad policy on labour supply, the economic arguments must feature in the debate,” he’s due to add.

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The exact numbers of people at work are unknown in part due to fewer people answering the phone when the ONS call.

Mr Bailey described this as “a substantial problem”.

He will say: “I do struggle to explain when my fellow [central bank] governors ask me why the British are particularly bad at this. The Bank, alongside other users, including the Treasury, continue to engage with the ONS on efforts to tackle these problems and improve the quality of UK labour market data.”

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Politics

18 US states file lawsuit against SEC and Gary Gensler

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18 US states file lawsuit against SEC and Gary Gensler

President-elect Trump has vowed to fire SEC Chairman Gary Gensler and replace him with a more crypto-friendly SEC head. 

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Pennsylvania lawmaker introduces bill for ‘strategic Bitcoin reserve’

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Pennsylvania lawmaker introduces bill for ‘strategic Bitcoin reserve’

The proposed legislation would allow the State of Pennsylvania’s Treasurer to invest up to 10% of its funds in Bitcoin, suggesting a multibillion-dollar investment.

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