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Nurses will continue to strike in January if the government does not negotiate with them on pay, union leader Pat Cullen has told Sky News.

Ms Cullen, of the Royal College of Nursing (RCN), said it was “absolutely not true” that pay is a “tiny element” in the dispute as she hit out at “disparaging” remarks made by health minister Maria Caulfield.

She told The Take with Sophy Ridge: “Nurses are on the breadline, they can’t afford to pay their bills, some of them can’t even afford to travel to work for goodness sake. And yet you have a minister sitting here saying that it’s about all of the other things and not about pay. That is absolutely not true.”

Ms Caulfield, who is also a nurse, told Sophy Ridge that while pay is “obviously a concern” this was only a “tiny” reason for the strike action, which she claimed was more about working conditions.

But Ms Cullen said that while there are working conditions that need to be addressed, there are 50,000 nursing vacancies across the NHS and “pay is fundamental if we are going to try and keep the nurses we have and get more in”.

Nurses are set to strike for the first time in a century on Thursday in bid to secure above-inflation pay rises, after talks to avert the action ended in a deadlock on Monday.

Stephen Barclay, the health secretary, is refusing to negotiate with unions on pay because the government has accepted recommendations made by the NHS Pay Review Body (PRB) to give below inflation pay rises of around 4%.

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Moments before Ms Cullen came on air, the GMB union – which represents tens of thousands of health workers who are also due to strike – announced it was pulling out of the process used by the government to set NHS pay.

‘Trust lost in pay review process’

The NHS Pay Review Body is an advisory public body which takes evidence from government and unions before recommending a pay increase.

The government say it is “independent”, but the GMB disputes this and is suspending its participation until “substantial reforms are made”.

That means the union, which represents thousands of ambulance workers, paramedics, nurses and cleaners working in the NHS, will refuse to provide evidence to the board during next year’s pay negotiations.

“The credibility of the Pay Review Bodies is under greater strain than at any point in their 50-year history. Our members want to participate in a meaningful process, but the trust has been lost,” the union said.

The union said the PRB is not independent because ministers and government:

• Set the Review Bodies’ annual remits including the financial limits within which they are expected to work
• Appoint the Pay Review Body’s members – a process unions have no role in
• Provide the PRB’s secretariat

More strikes in 2023

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Sir Keir Starmer told Rishi Sunak the nurses’ strike was a ‘badge of shame’

Because of the PRB recommendations, nurses with the RCN have been offered a pay rise of at least £1,400.

But the union says this is not enough to make up for a decade of real-terms pay cuts, and they are asking for a pay rise of 5% above RPI inflation, so 19.2%.

The government has said that figure is “unaffordable” and Ms Cullen would not say what offer the RCN would accept if ministers were willing to negotiate.

“I am not going to negotiate on the airwaves and I don’t think any minister should reduce our profession to having to do that,” she told Sophy Ridge.

While nurses in England, Wales and Northern Ireland will strike tomorrow, the RCN has paused industrial action in Scotland to consider a revised pay offer of 7.5%, after First Minister Nicola Sturgeon agreed to negotiations.

Ms Cullen said more strikes were likely in January if the government sticks by its refusal to come to the table on pay.

“The ball is in their court quite frankly, there will be a second strike day on the 20 December.

“Unless we have talks and negotiate on behalf of my members – then I am afraid to say that’s a very strong possibility. We will be starting to look at when those dates will be. I am afraid they will continue into January.”

Read More:
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Nurses are working the equivalent of one day a week for nothing

Patient support divided on eve of nurses’ strike

Both sides in this dispute have had weeks to try and reach a settlement. But on the eve of the nurses strike their union the RCN and the Government have not moved any closer to resolution. The reverse in fact.

Steven Barclay, the Health Secretary says his door is always open. Pat Cullen, the RCN’s General Secretary said she walked through it and back out again when she realised there was talk about patient safety but none about a pay settlement.

Patient safety is now becoming a central theme and both sides are warning of a risk.

Steven Barclay says the industrial action could put patients at jeopardy so he is urging all patients to continue to seek emergency treatment if they feel they need it.

The nurses continue to argue patient safety is already being compromised in understaffed hospitals.

The nurses and the government know long term widespread patient support is crucial. So far, anecdotally at least, it seems to be fairly divided.

There is sympathy for the nurses but also, while so many people are struggling with the cost of living crisis, there is also an understanding of the Government’s economic case against an above inflation pay rise.

Because of the advance warnings NHS leaders have been able to manage attendance numbers by not booking in routine appointments on the strike dates. This will help hospitals on restricted staff rotas to manage patient flows.

But there will be disruption. That is the whole point of the industrial action.

Patient discharge is one of the biggest issues facing the NHS right now. There are too many patients in hospital who do not need to be there but have to stay because there is no social care prison for them.

So when the nurses who manage hospital beds, virtual wards and are in other capacity roles are absent because they are on strike that pressure will build even more.

Ambulances will keep bringing patients to hospital even on strike days. The challenge of finding beds for them all will become greater. The pressure on all sides , inside the NHS and in government will continue to build.

On the eve of the strike, Mr Barclay repeated his insistence that increasing the nurses’ pay offer would mean taking money from frontline services.

He added: “Our nurses are incredibly dedicated to their job and it is deeply regrettable some union members are going ahead with strike action.

“My number one priority is to keep patients safe – I’ve been working across government and with medics outside the public sector to ensure safe staffing levels – but I do remain concerned about the risk that strikes pose to patients.

“Nevertheless, the NHS is open and patients should continue to seek urgent medical care – and attend appointments, unless they’ve been contacted by the NHS.”

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Nine of Gazan doctor’s 10 children killed in Israeli strike on Khan Younis

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Nine of Gazan doctor's 10 children killed in Israeli strike on Khan Younis

Nine of a doctor’s 10 children have been killed in an Israeli missile strike on their home in Gaza, which also left her surviving son badly injured and her husband in a critical condition.

Warning: This article contains details of child deaths

Alaa Al Najjar, a paediatrician at Al Tahrir Clinic in the Nasser Medical Complex, was at work during the attack on her home, south of the city of Khan Younis in southern Gaza, on Friday.

Graphic footage shared by the Hamas-run Palestinian Civil Defence shows the bodies of at least seven small children being pulled from the rubble.

Rescuers can be seen battling fires and searching through a collapsed building, shouting out when they locate a body, before bringing the children out one by one and wrapping their remains in body bags.

In the footage, Dr Al Najjar’s husband, Hamdi Al Najjar, who is also a doctor, is put on to a stretcher and then carried to an ambulance.

The oldest of their children was only 12 years old, according to Dr Muneer Alboursh, the director general of Gaza’s health ministry, which is run by Hamas.

Rescuers removing the children's bodies from the rubble. Pic: Palestinian Civil Defence
Image:
Nine children were killed in the strike. Pic: Palestinian Civil Defence

“This is the reality our medical staff in Gaza endure. Words fall short in describing the pain,” he wrote in a social media post.

“In Gaza, it is not only healthcare workers who are targeted – Israel’s aggression goes further, wiping out entire families.”

Rescuers placing the children's bodies in a van. Pic: Palestinian Civil Defence
Image:
Pic: Palestinian Civil Defence

British doctors describe ‘horrific’ and ‘unimaginable’ attack

Two British doctors working at Nasser Hospital described the attack as “horrific” and “unimaginable” for Dr Al Najjar.

Speaking in a video diary on Friday night, Dr Graeme Groom said his last patient of the day was Dr Al Najjar’s 11-year-old son, who was badly injured and “seemed much younger as we lifted him on to the operating table”.

Hamdi Al Najjar, Dr Al Najjar's husband who is also a doctor, being taken into hospital. Pic: Palestinian Civil Defence
Image:
Hamdi Al Najjar, Dr Al Najjar’s husband who is also a doctor, was taken to hospital. Pic: Palestinian Civil Defence

The strike “may or may not have been aimed at his father”, Dr Groom said, adding that the man had been left “very badly injured”.

Dr Victoria Rose said the family “lived opposite a petrol station, so I don’t know whether the bomb set off some massive fire”.

Rescuers unload the children's bodies. Pic: Palestinian Civil Defence
Image:
Pic: Palestinian Civil Defence

‘No political or military connections’

Dr Groom added: “It is unimaginable for that poor woman, both of them are doctors here.

“The father was a physician at Nasser Hospital. He had no political and no military connections. He doesn’t seem to be prominent on social media, and yet his poor wife is the only uninjured one, who has the prospect of losing her husband.”

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Nineteen of Gaza’s hospitals remain operational, all of them are overwhelmed with the number of patients and a lack of supplies

He said it was “a particularly sad day”, while Dr Rose added: “That is life in Gaza. That is the way it goes in Gaza.”

Sky News has approached the Israeli Defence Forces for comment.

Read more:
Mum of emaciated baby in Gaza says ‘I don’t want to lose her’
Dad wrongly pronounced dead in Israeli bombing killed in airstrike

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Israel’s war against Hamas in Gaza began when the militant group stormed across the border into Israel on 7 October 2023, killing some 1,200 people, most of them civilians, and abducting 251 others.

Israel’s military response has flattened large areas of Gaza and killed more than 53,000 Palestinians, mostly women and children, according to Gaza’s Hamas-run health ministry, which does not differentiate between civilians and combatants in its count.

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UN’s Antonio Guterres condemns ‘teaspoon’ of aid allowed into Gaza after dozens die in airstrikes

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UN's Antonio Guterres condemns 'teaspoon' of aid allowed into Gaza after dozens die in airstrikes

The head of the UN has said Israel has only authorised for Gaza what amounts to a “teaspoon” of aid after at least 60 people died in overnight airstrikes.

UN secretary general Antonio Guterres said on Friday the supplies approved so far “amounts to a teaspoon of aid when a flood of assistance is required,” adding “the needs are massive and the obstacles are staggering”.

He warned that more people will die unless there is “rapid, reliable, safe and sustained aid access”.

A woman walks amidst rubble at the site of an Israeli strike on a house in Jabalia, in the northern Gaza Strip.
Pic: Reuters
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A woman at the site of an Israeli strike in Jabalia, northern Gaza. Pic: Reuters

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Gaza: ‘Loads of children with huge burns’

Israel says around 300 aid trucks have been allowed through since it lifted an 11-week blockade on Monday, but according to Mr Guterres, only about a third have been transported to warehouses within Gaza due to insecurity.

The IDF said 107 vehicles carrying flour, food, medical equipment and drugs were allowed through on Thursday.

Many of Gaza’s two million residents are at high risk of famine, experts have warned.

Meanwhile, at least 60 people have been killed by Israeli airstrikes across Gaza overnight.

More on Gaza

Ten people died in the southern city of Khan Younis, and deaths were also reported in the central town of Deir al-Balah and the Jabaliya refugee camp in the north, according to the Nasser, Al-Aqsa and Al-Ahli hospitals where the bodies were brought.

Palestinians carry a body at the site of an Israeli strike on a house, in Jabalia, northern Gaza .
Pic: Reuters
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A body is carried out of rubble after an Israeli strike in Jabalia, northern Gaza. Pic: Reuters

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‘Almost everyone depends on aid’ in Gaza

The latest strikes came a day after two Israeli embassy workers were killed in Washington.

The suspect, named as 31-year-old Elias Rodriguez from Chicago, Illinois, told police he “did it for Gaza”.

Israeli Prime Minister Benjamin Netanyahu accused Sir Keir Starmer, Emmanuel Macron and Mark Carney of fuelling antisemitism following the shootings.

The leaders of the UK, France and Canada are “on the wrong side of humanity and (…) history”, he said, after they threatened “concrete action” against Israel this week if it continues its “egregious” military operations in Gaza.

Mr Netanyahu also accused Sir Keir, Mr Macron and Mr Carney of siding with “mass murderers, rapists, baby killers and kidnappers”.

Palestinians search for casualties at the site of an Israeli strike on a house in Jabalia, in the northern Gaza Strip May 23, 2025. REUTERS/Mahmoud Issa
Image:
Palestinians search for casualties in Jabalia, northern Gaza. Pic: Reuters

But UK government minister Luke Pollard told Sky News on Friday morning he “doesn’t recognise” Mr Netanyahu’s accusation.

Earlier this week, Mr Netanyahu said he was recalling negotiators from the Qatari capital, Doha, after a week of ceasefire talks failed to bring results. A working team will remain.

The war in Gaza began when Hamas-led militants attacked southern Israel on 7 October 2023, killing some 1,200 people, mostly civilians, and kidnapping 251 others.

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The militants are still holding 58 captives, around a third of whom are believed to be alive, after most of the rest were returned in ceasefire agreements or other deals.

Israel’s offensive, which has destroyed large swaths of Gaza, has killed more than 53,000 Palestinians, mostly women and children, according to Gaza’s Hamas-run health ministry.

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’12 people’ injured in stabbing at Hamburg train station – as woman arrested

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'12 people' injured in stabbing at Hamburg train station - as woman arrested

A woman has been arrested after 12 people were reportedly injured in a stabbing at Hamburg’s central train station in Germany.

An attacker armed with a knife targeted people on the platform between tracks 13 and 14, according to police.

They added that the suspect was a 39-year-old woman.

Police at the scene of a stabbing at Hamburg Central Station. Pic: AP
Image:
Police at the scene. Pic: AP

Officers said they “believe she acted alone” and investigations into the stabbing are continuing.

There was no immediate information on a possible motive.

The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.

The attack happened shortly after 6pm local time (5pm UK time) on Friday in front of a waiting train, regional public broadcaster NDR reported.

More on Germany

A high-speed ICE train with its doors open could be seen at the platform after the incident.

Railway operator Deutsche Bahn said it was “deeply shocked” by what had happened.

Read more from Sky News:
Trump threatens EU with 50% tariff
Mum of emaciated Gazan baby: ‘I don’t want to lose her’

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Four tracks at the station were closed in the evening, and some long-distance trains were delayed or diverted.

Hamburg is Germany‘s second biggest city, with the train station being a hub for local, regional and long-distance trains.

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