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NHS nurses are to strike for two days in December in a dispute over pay and patient safety.

Members of the Royal College of Nursing (RCN) will take industrial action on 15 and 20 December across England, Wales, and Northern Ireland.

In Scotland, industrial action is being paused while pay negotiations continue.

The strike ballot among more than 300,000 members of the RCN was the biggest in the union’s 106-year history.

The union has demanded its members receive a pay rise of at least 17%, adding that years of low pay is “pushing nursing staff out of the profession and putting patient care at risk”.

Nurses had given the government a deadline to open “detailed negotiations” and threatened to announce strike dates for December.

RCN general secretary Pat Cullen said: “My offer of formal negotiations was declined and instead ministers have chosen strike action.

“Nursing staff have had enough of being taken for granted, enough of low pay and unsafe staffing levels, enough of not being able to give our patients the care they deserve.”

Read more:
Is your area among the worst affected by nurses’ strike?
Which industries are striking this winter and why

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‘Enough is enough’ – Nursing union

Pay demand ‘not affordable’

The health secretary praised the hard work and dedication of nurses, and expressed his deep regret that some will be taking industrial action.

Steve Barclay said: “These are challenging times for everyone and the economic circumstances mean the RCN’s demands, which on current figures are a 19.2% pay rise, costing £10bn a year, are not affordable.”

The RCN’s demanding an increase based on the RPI inflation rate (which was 14.2% in October) plus 5%.

In England and Wales, NHS staff have seen an average rise of 4.75% this year, in Scotland the offer was a flat rate of just over £2,200, while in Northern Ireland no pay award can be approved without an Executive in place.

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UK strikes: What does the data show?

Chancellor Jeremy Hunt – who previously held the post of health secretary – said he has a “great deal of sympathy” for nurses struggling with the cost of living, but insists the best way to help them is to bring inflation down.

Data from the London School of Economics found salaries of experienced nurses have declined by 20% in real terms over the last 10 years. This means nurses are effectively working one day a week for free.

That mirrors recent research by the health charity Nuffield Trust, which said NHS staff pay remained lower in real terms in 2021/22 than it was in 2010/11.

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‘Great deal of sympathy for nurses’

‘Something needs to change’

RCN director Patricia Marquis told Sky News nursing pay has fallen behind during the last decade and the action was nurses telling ministers “something needs to change”.

“Our members are sending a very loud message to the government that things need to change for nurses in their NHS,” she said.

“We got a pay award this year of £1,400 which may sound a lot to people, but actually nursing pay has fallen behind over the last 10 years by around the rate of inflation plus 5% – so our members are hugely disappointed that they didn’t get anywhere near what they needed to take their salaries back to the level they were 10 years ago.

“What is really worrying them is the impact that’s having on patient care. There aren’t enough nurses and nursing staff to deliver the care that’s needed. So patients are waiting too long for their operations, they are waiting for ambulances and they are waiting for beds, and it just is not safe for patients any longer, and nurses are saying ‘we have had enough, we can’t continue, something needs to change’.”

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NHS vacancies at record high

Nursing vacancies hit a record 47,000 in England between April and June, a rise of a fifth on the year before.

The RCN says 25,000 nursing staff in the UK left the Nursing and Midwifery Council register in the last year.

This summer, MPs from the cross-party Health and Social Care Committee described the staffing issues as “the greatest workforce crisis” in the history of the NHS.

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Rishi Sunak says 19% pay rise ‘obviously unaffordable’.

The union blames not just pay, but also heavy workloads.

The RCN is not the only health union threatening strike action.

A ballot among Unison members closes on Friday, and among Unite’s NHS members next week.

Midwives and physiotherapists are also voting on taking action, and junior doctors will be balloted in the new year.

Meanwhile, ambulance staff in Scotland are due to walk out on Monday.

DAMAGING AND DIVISIVE STRIKES ARE IN NOBODY’S INTERESTS

The government says the nurses’ pay demands are unreasonable. The nurses say they cannot afford to work like this any longer.

And right in the middle of the two are the patients who are finding out if the dates announced for strike action will mean their long awaited NHS appointment is going to be delayed. Again.

Both sides say emergency services will not be affected. And minimal staffing will remain on wards in hospitals that have backed industrial action to ensure patients are not at any risk.

The government is putting out reassurance messages to allay patient fears – but nothing to say what will happen about missed appointments, scans, operations and other procedures.

That’s because as the nurses union, the RCN, points out, industrial action must have some sort of impact otherwise there is no point in striking.

So elective lists will be paused temporarily, and the seven million number is bound to grow. That will put more pressure on the nurses and other healthcare workers trying to cut through that backlog.

The nurses argue that only better pay will help recruitment and retention. There are thousands of vacancies – and nurses continue to leave the profession. Their colleagues say they are being asked to step in to fill those gaps by working longer and harder.

The nurses might be joined by other hospital staff as unions ballot their members. That could see paramedics, call handlers and nonmedical hospital staff like porters joining the picket lines.

Hospitals will not be able to function normally. And every missed appointment needs to be rescheduled. That takes time and staff and resources, just as the NHS is buckling under immense pressure.

Morale among nurses has been low for a long time, and many are still trying to process what they have been through. But things are about to get worse.

I have spoken to nurses from both sides – the ones who want to strike and those who don’t. The divisions are already there and set to intensify. That will be really damaging.

It is nobody’s interest: patients, nurses or NHS managers, for this dispute to drag on.

Labour blames Tory ‘negligence

Shadow health secretary Wes Streeting blamed the government for failing to negotiate with the RCN.

He said: “Patients already can’t get treated on time, strike action is the last thing they need, yet the government is letting this happen. Patients will never forgive the Conservatives for this negligence.”

What about the safety of patients?

Unlike strikes in other sectors, some nurses will be exempt from taking part in strike action – called “derogations” – to maintain safe staffing levels and ensure patients are not harmed.

An RCN spokesperson said: “We are committed to ensuring life-preserving service is in place and will be confirming derogations with individual employers in due course.”

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Nurses could follow the example set in Northern Ireland in 2019, when staff went on strike.

The RCN has described on its website how staffing was managed on three levels:

• complete derogation, with an entire service being staffed like intensive care units
• limited to a Sunday service or Christmas Day service
• limited to a night duty model

Could agency workers replace striking nurses?

The RCN advice is clear: “If you’re an agency worker allocated to work at an NHS organisation on a day of strike action, we at the RCN expect that you do not cover that shift.

“You could ask your agency to find you alternative work at an organisation that is not taking strike action, for example a private hospital or care home.”

That doesn’t mean agency staff have to follow the advice, though – and some shifts can be lucrative.

A recent freedom of information request by Labour showed one in three NHS trusts have paid an agency more than £1,000 for a single shift last year, and one in six trusts paid more than £2,000.

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UK plans to ramp up weapons production for Ukraine and Western defence as Lord Cameron reveals envoy will oversee ‘national priority’

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UK plans to ramp up weapons production for Ukraine and Western defence as Lord Cameron reveals envoy will oversee 'national priority'

The UK will appoint a new envoy to oversee a plan to ramp up the production of weapons and ammunition, which is now a “national priority”, the foreign secretary has revealed.

Lord Cameron, speaking on a visit to Ukraine, also underlined the importance of supporting the Ukrainian war effort against Russia, warning that the world was at an “absolutely critical tipping point” and Kyiv must prevail or else Europe faced a “very dangerous future”.

However, he cautioned against an idea from French President Emmanuel Macron to consider sending NATO troops to Ukraine to join the fight if Russia’s Vladimir Putin achieves a breakthrough, saying that such a move would be a “dangerous escalation”.

“I don’t think it is right to have NATO soldiers killing Russian soldiers,” the foreign secretary said in an interview in the western city of Lviv on Friday, having met President Volodymyr Zelenskyy and other top ministers in Kyiv on Thursday.

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Moscow rages over Cameron remarks

In this photo provided by the Ukrainian Presidential Press Office, Ukrainian President Volodymyr Zelenskyy, left, shakes hands with Britain's Foreign Secretary David Cameron in Kyiv, Ukraine, Thursday, May 2, 2024. (Ukrainian Presidential Press Office via AP)
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Ukrainian President Volodymyr Zelenskyy, left, shakes hands with Lord Cameron this week. Pic: Ukrainian Presidential Press Office/AP

Lord Cameron made the two-day trip to reaffirm the UK’s commitment to Ukraine, which most recently includes a promise to transfer more of the British military’s own stockpiles of weapons, including precision-guided bombs and air defence missiles.

The UK has also promised at least £3bn worth of military assistance annually.

But Western nations are failing to deliver munitions to Ukraine’s frontline as quickly as Russia is rearming its military, with Russian troops gaining ground in the east in recent months.

President Putin put his economy on a war footing when he launched his full-scale invasion of Ukraine in February 2022 – something NATO allies are only slowly starting to move towards.

Rishi Sunak said last week he would increase UK defence spending to 2.5% of national income by 2030 – claiming this equated to an additional £75bn in investment.

He also said he was putting the UK defence industry on a “war footing” and added £10bn of new funding would be dedicated to domestic munitions production over the next decade.

Read more:
UK cities ‘increasingly vulnerable’ to attacks from the air
Is the UK preparing properly amid rising risk of war?

Lord Cameron met Lviv's mayor during his visit to Ukraine
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Lord Cameron met Lviv’s mayor during his visit to Ukraine

‘We need to build up our own stocks’

Asked how Britain could force defence companies like BAE Systems, Thales and Babcock – that have to answer to their shareholders, not the government – to increase production lines at the required rate and scale without some kind of legislation to force them to act, Lord Cameron revealed the plan for a new envoy for defence production.

“There is a specific munitions strategy of £10bn which will do exactly what you are talking about – the ramping up of production,” he said.

“But crucially I think we can go further than that in terms of a specific defence envoy with the ability from the prime minister to go out and make sure we are doing those muti-year deals with the defence suppliers because we need not only to provide more weapons to Ukraine, we need to build up our own stocks.

“So this is very important, it is a national priority.

“The prime minister is giving the lead and I think the industry will respond.”

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Pushed on whether the new envoy – whose identity has not yet been revealed – would be the modern-day equivalent of someone like Lord Beaverbrook, who was tasked with expanding aircraft production during the Second World War, Lord Cameron said: “It is the 21st century so there won’t be a Lord Beaverbrook.”

But he signalled that the envoy’s ability to approach industry with a commitment to fund multi-year contracts for munitions would be key – and could also drive down cost.

“It is possible to go to the defence contractors and say to them: ‘You are not going to get the price you might have hoped for year after year after year because we are going to make a contract with you over the coming years to make sure we replenish our ammunition, our artillery, our long rage fires, our missiles’ – those crucial things vital for Ukraine but also vital for our own defence.”

As for why the government needed to appoint a specific envoy to this role, Lord Cameron said: “You need I think to have that direct line to the prime minister to make sure we are making this the national priority it clearly is.”

Cameron warns of ‘dangerous future’

Turning to the war in Ukraine, the foreign secretary said Europe faced “two futures” – one in which Ukrainian forces, backed by Western weapons, are able to push out the Russian invaders and secure what he called a “just peace”.

“That is a footing on which you can see great security and prosperity for us and for Europe,” he said.

But he warned: “A future in which Putin is successful and Ukraine is pushed back is I think a very dangerous future.”

Nations such as Moldova and even the NATO states of the Baltics would be worried that President Putin might turn his attention towards them next, Lord Cameron said.

In addition, the authoritarian regimes in Iran and China would be watching closely.

“I think we are at an absolutely crucial tipping point in global affairs,” Lord Cameron added.

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Starmer says time for Sunak to face nation as Tories hammered in by-election and council races

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Starmer says time for Sunak to face nation as Tories hammered in by-election and council races

Labour leader Sir Keir Starmer has renewed his demand for Rishi Sunak to go to the polls after the prime minister suffered a by-election drubbing and bruising council losses across England.

But while Mr Sunak said the the grim early results were “disappointing” for the Conservatives, he insisted he was “focused completely on the job at hand” and is certain to seize on the party holding the Tees Valley mayoralty.

Sky News elections analyst Professor Michael Thrasher has warned the Conservatives could be on course for one of their worst-ever performances.

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The results as they come in

Keir Starmer looks at his watch as he celebrates  at Blackpool Cricket Club .
Pic: PA
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Pic: PA

Buoyed by council gains in key battleground areas like Hartlepool, Rushmoor in Hampshire, Redditch in the West Midlands and Thurrock in Essex, Sir Keir declared the “seismic win” for Labour in the Blackpool South by-election “a direct message to the prime minister”.

Highlighting the swing of 26.33% from the Tories in the Lancashire seat, the opposition leader told Sky News: “There’s no denying the mood of the country now is for change. And I think it’s for the prime minister to allow the country to express that change now in a general election.”

Sky’s election coverage plan – how to follow

Friday: From 10am lead politics presenter Sophy Ridge and chief presenter Mark Austin is joined by political editor Beth Rigby and Sam Coates throughout the day, as well as economics and data editor Ed Conway and Professor Michael Thrasher.

Friday night: From 7pm until 9pm, Sophy Ridge will host a special edition of the Politics Hub, offering a full analysis and breakdown of the local elections.

The weekend: Sophy Ridge will host another special edition of the Politics Hub on Saturday from 7pm until 9pm. And Sunday Morning with Trevor Phillips will take a look back over what’s happened from 8.30am until 10am.

How do I watch?: Freeview 233, Sky 501, Virgin 603, BT 313, YouTube and the Sky News website and app. You can also watch Sky News live here, and on YouTube.

And the Electoral Dysfunction podcast with Beth Rigby, Jess Phillips and Ruth Davidson will go out on Friday, and Politics at Jack and Sam’s will navigate the big question of where the results leave us ahead of a general election on Sunday.

You can also follow the latest on our politics page

But speaking at a military base in North Yorkshire, Mr Sunak said: “Obviously it’s disappointing to lose good, hard-working Conservative councillors and I’m grateful to them for all their service in local government, keeping council tax low and delivering services for local people.”

He also stressed there were “lots of results to come”.

One of those was the Tees Valley mayoral contest, which saw Tory incumbent Ben Houchen re-elected in the face of a concerted Labour challenge.

The Conservative peer held the role with the a majority of 18,789 votes.

Speaking to Sky News earlier, Conservative Party chairman Richard Holden said it had been a “tough night”, but insisted that “when we’re facing those tough challenges we’ve got the right man for the job”.

Read more:
The winners and losers
Charts tell story of Conservative collapse
Who is Labour’s new MP in Blackpool South?

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Votes for Reform UK ‘helping Labour’

On the potential threat of Conservative MPs choosing to oust Mr Sunak, Mr Holden added: “Parliamentary colleagues need to look at this and see… and wait through the weekend as well.”

Mr Holden sought to highlight local issues at play, insisting the Blackpool South by-election took place in “particularly difficult” circumstances following the resignation of former Tory MP Scott Benton after a lobbying scandal.

Key results include:

  • Labour won Rushmoor in Hampshire for the first time
  • The party also claimed the council in general election bellwether Redditch
  • Labour won Hartlepool council, regaining ground after a Westminster by-election disaster there in 2021
  • Labour also won Thurrock, one of its top targets
  • The Tories clung on by a single seat in Harlow, Essex – a council targeted by Sir Keir on the eve of polling
  • Conservatives lost control of North East Lincolnshire
  • Labour replace the Tories as the largest party on Peterborough Council
  • Labour lost control in Oldham, which has a large Muslim population, amid anger over Labour’s stance on Gaza
  • In Cumbria, a Labour police and crime commissioner was elected, at the expense of the Tories
  • Labour also beat the Conservatives in the police and crime commissioner race in Avon and Somerset

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Local elections 2024: Labour pulling off strong wins with ‘truly historic’ shock in Tory stronghold – as results show Brexit shift

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Local elections 2024: Labour pulling off strong wins with 'truly historic' shock in Tory stronghold - as results show Brexit shift

Labour has won control of a string of Leave-voting councils as results roll in from the local elections across England and Wales.

The party was also buoyed by victory in the Blackpool South by-election, with a 26.33% swing from the Tories.

Among the key council gains, Labour took Rushmoor in Hampshire, which the Conservatives had run for the last 24 years.

It also seized Redditch in the West Midlands, turning a Conservative majority of five into a Labour majority of 15.

Read more:
Winners and losers
Follow the results as they come in

And Labour has retaken Hartlepool Council – the scene of a major by-election loss back in 2021, which led Sir Keir Starmer to consider quitting as leader – and Thurrock in Essex, from no overall control, saying it was “exactly the kind of place we need to be winning to gain a majority in a general election”.

And the party replaced the Tories as the largest party on Peterborough Council which, while remaining under no overall control, saw the Conservatives lose 13 of the 16 seats they were defending.

Meanwhile, the Conservatives lost control of North East Lincolnshire after Labour won five of the seats up for grabs – with neither party now holding a majority on the council.

All six areas overwhelmingly voted Leave in the 2016 Brexit referendum, with Thurrock supporting it by 72.3%, North East Lincolnshire by 69.9%, Hartlepool by 69.6%, Redditch by 62.3%, Peterborough by 60.9% and Rushmoor by 58.2%.

However, Labour lost control in its traditional heartland of Oldham, which has a large Muslim population, with many blaming the party’s stance on the conflict in Gaza.

And while keeping its grip on Newcastle, it saw a number of seats fall to the Greens.

The Tories also clung on by a single seat in Harlow, a council targeted by Sir Keir on the eve of polling day.

Key results at a glance

Redditch – Labour gain from the Tories

HartlepoolLabour gain from no overall control

RushmoorLabour grabbed from the Conservatives

Thurrock a Labour gain from no overall control

North East Lincolnshire – lost by the Tories to no overall control

Harlow – the Tories managed to just about hang on against a challenge from Labour

Pic Getty
Image:
Pic: Getty

In other important developments:

• Labour held on to Sunderland Council
• It also kept control of South Tyneside and Chorley
• The Tories held on to other councils in Hertfordshire, Hampshire and Essex

More than 2,600 council seats across 107 councils were up for grabs in England, alongside 11 mayoral elections, a parliamentary seat and police and crime commissioners throughout England and Wales – with many of the results still coming in.

But early signs show Labour is winning back seats in areas it lost over the Brexit debate, as well as making gains in traditionally Tory voting councils.

Read more:
Labour gains new MP with Blackpool by-election win

Sky’s election coverage plan – how to follow

Friday: From 10am lead politics presenter Sophy Ridge and chief presenter Mark Austin is joined by political editor Beth Rigby and Sam Coates throughout the day, as well as economics and data editor Ed Conway and Professor Michael Thrasher.

Friday night: From 7pm until 9pm, Sophy Ridge will host a special edition of the Politics Hub, offering a full analysis and breakdown of the local elections.

The weekend: Sophy Ridge will host another special edition of the Politics Hub on Saturday from 7pm until 9pm. And Sunday Morning with Trevor Phillips will take a look back over what’s happened from 8.30am until 10am.

How do I watch?: Freeview 233, Sky 501, Virgin 603, BT 313, YouTube and the Sky News website and app. You can also watch Sky News live here, and on YouTube.

And the Electoral Dysfunction podcast with Beth Rigby, Jess Phillips and Ruth Davidson will go out on Friday, and Politics at Jack and Sam’s will navigate the big question of where the results leave us ahead of a general election on Sunday.

We’ll also have the latest on the politics page of our website.

‘People crying out for change’ – Labour

Tory party chairman Richard Holden told Sky News it had been a “tough night” for the Conservatives, but argued it was coming off a “very high watermark set of elections in 2021” and “typical for a government in midterm”.

But he said: “I do feel sorry for a lot of my Conservative colleagues who have been out campaigning with across the country over the last few weeks and months who haven’t managed to hold their seats.”

However, he argued voters had not suggested they want to see “more change” within the Conservative Party, when pressed over Rishi Sunak’s position as leader and insisted the party “will be ready” whenever the election was called.

Analysis: Not all going Starmer’s way with Reform posing real threat

By Professor Michael Thrasher, Sky News elections analyst

Election results declared overnight have clearly demonstrated that the Conservatives are in serious trouble.

A by-election defeat in Blackpool South at the hands of Labour, the seventh this parliament.

In the local council elections the Conservatives are losing seats in numbers that suggest this could be one of the party’s worst ever performances.

But Conservative council seat losses have not been Labour’s gain with Sir Keir Starmer’s party more or less static in terms of vote share compared with its results from last year’s May elections.

The picture of net seat gains and losses is intriguing.

Labour leads the way but it is having to share the headlines with seat gains made at the Conservatives’ expense by the Liberal Democrats, Greens and a range of local independents.

Close comparisons of change in vote share demonstrated that support for Reform is real and will hurt the Conservatives if played out at the next general election.

Read more from Sky News elections analyst Professor Michael Thrasher here

Labour’s shadow environment secretary Steve Reed told Sky News that while it was “early days”, the results so far were showing positive signs for Labour come the next general election.

“These are not polls,” he said. “These are people getting off their backsides, going out of their homes, into a polling station, putting a cross on a party that they want to govern their local area.

“People are crying out for change. I know that from speaking to people on the doorsteps and tonight, it looks like people around the country are voting for change.”

But while Tory MP James Daly said he “fully accepts” the loss of these councils, he insisted to Sky News his party could “still win in parts of the country where historically Labour have dominated” – including in Teeside, where Conservative Lord Houchen is defending his mayoralty.

Analysis:
Story of the night in charts
Blackpool is a big step to No 10 for Starmer
Tories in real trouble but Reform threat not all good for Labour

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‘A good night for Labour’

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Tories better some predictions but Lib Dems ‘buoyed’

The Conservatives bucked predictions in Harlow in Essex where it managed to keep control of the council – although its majority fell from 11 to one, and Labour gained five seats.

The party also held on to Broxbourne Council in Hertfordshire – an authority it has run for its entire 52-year history – and Fareham in Hampshire, though in the latter the Liberal Democrats picked up four seats.

A Lib Dem source said they were “buoyed” by their results overnight, claiming it set them up to take seats off the Tories at the next election.

“This is just a taster of what is to come throughout Friday in the Blue Wall,” they added.

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‘We’re surging, they’re sinking’

Reform UK is performing well, racking up an average vote share of between 14% and 15%, and pushing the Conservatives into third place in some areas, including Sunderland.

However, it isn’t fielding candidates everywhere – instead targeting Leave seats where its predecessors, the Brexit Party and UKIP, performed well – and has yet to win a seat or council for itself.

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