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NHS nurses are striking today in a dispute with the government over pay and patient safety.

Members of the Royal College of Nursing (RCN) will take industrial action on 15 December and 20 December across England, Wales and Northern Ireland for the first time in the union’s 106-year history.

Strikes by ambulance staff and some NHS workers in Scotland were called off after members of two unions voted to accept the Scottish government’s most recent pay deal.

Share your NHS experience – how are the strikes affecting you?

What services will still be provided?

The RCN has provided a list of areas which will be “exempt from the strike action”.

These are chemotherapy, dialysis, paediatric A&E, critical care units such as intensive care and high dependency, and neonatal and paediatric intensive care.

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Other services outside of these “may be reduced” to a Christmas Day or night-duty level.

Following concerns by chief nurses about patient safety, the RCN has confirmed cancer patients will get emergency and clinically urgent surgery on strike days.

Emergency cancer services will be protected – including for those with specific needs due to chemotherapy.

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Protections have also been agreed for mental health and learning disability and autism services as part of an emergency response.

NHS community teams will provide palliative care and clinically urgent interventions, such as insulin – while in-patient areas will see night-duty staffing.

The head of the NHS Confederation said trade unions are committed to maintaining emergency and critical care services, and he was “reasonably confident that we won’t see severe patient harm”.

Matthew Taylor, who speaks for healthcare systems in England, Wales and Northern Ireland, added patients can expect a bank holiday-level of service in hospitals during the industrial action.

What if you need to go to A&E?

“Front-door” urgent care assessment and admission units – including A&E – will see Christmas Day-level staffing.

The NHS says emergency care will continue to be available across the country, and it is “really important” people come forward as normal in an “emergency or in life-threatening cases”.

Paediatric A&E is exempt from the strikes.

Read more:
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Nurses ‘working equivalent of one day a week for nothing’

Strikes in the UK – which sectors are affected?

Anyone needing urgent care should use NHS111 online or dial 111 to be assessed, the NHS says.

But if someone is seriously ill or injured and their life is at risk, emergency care should be sought in the normal way by calling 999 or attending A&E.

What if you have a hospital appointment scheduled?

Patients are being advised to attend as planned – unless the NHS provider has contacted them to reschedule.

Even if the hospital trust is affected by strikes, people should attend appointments unless instructed otherwise.

Patients will have been contacted by letter or phone call and offered a new date if their appointment needs to be rescheduled.

Will GP services be available?

Yes – GP services will be running as normal. People should attend their scheduled appointments.

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Govt ‘turns back on nurses’

What services will be directly hit?

There is expected to be widespread disruption to planned care, such as non-emergency operations and outpatient appointments.

Thousands of appointments and operations will need to be rescheduled as they are unlikely to be carried out on the day of action.

Up to 100,000 nurses are estimated to be joining the strike action, which will last for 12 hours on each day.

What other issues have been raised over patient care?

Dame Ruth May, chief nursing officer for England, and her counterparts in Scotland, Wales and Northern Ireland, have written to the RCN general secretary Pat Cullen regarding a series of concerns about safety.

They said chemotherapy is being rescheduled from the strike days at some hospitals – despite the union agreeing it would be exempt nationally.

But an RCN spokesperson said there will be derogation for emergency cancer services, adding: “Cancer patients will get emergency and clinically urgent surgery, it is not in doubt.”

Where will the strikes take place?

Not every hospital in the country will be affected by the strike action – but here is a list of those where strikes are scheduled:

England

East Midlands:
• Kettering General Hospital NHS Foundation Trust
• NHS Nottingham and Nottinghamshire ICB
• Northamptonshire Healthcare NHS Foundation Trust
• Nottingham University Hospitals NHS Trust
• Nottinghamshire Healthcare NHS Foundation Trust

Eastern:
• Cambridge University Hospital NHS Foundation Trust
• Cambridgeshire and Peterborough NHS Foundation Trust
• Cambridgeshire Community Services NHS Trust
• Hertfordshire Community NHS Trust
• NHS Hertfordshire and West Essex ICB
• Royal Papworth Hospital NHS Foundation Trust

London:
• Great Ormond Street Hospital for Children NHS Foundation Trust
• Guys and St Thomas NHS Foundation Trust
• Imperial College Healthcare NHS Trust
• NHS North Central London ICB
• Royal Marsden NHS Foundation Trust

North West:
• Alder Hey Children’s NHS Foundation Trust
• Health Education England
• Liverpool Heart and Chest Hospital NHS Found Trust
• Liverpool University Hospitals NHS Foundation Trust
• Liverpool Women’s NHS Foundation Trust
• Mersey Care NHS Foundation Trust
• The Clatterbridge Cancer Centre NHS Found Trust
• The Walton Centre NHS Foundation Trust

Northern:
• Gateshead Health NHS Foundation Trust
• Northumbria Healthcare NHS Foundation Trust
• The Newcastle Upon Tyne Hospitals NHS Foundation Trust

South East:
• Oxford Health NHS Foundation Trust
• Oxford University Hospitals NHS Foundation Trust
• Royal Berkshire NHS Foundation Trust

South West:
• Devon Partnership NHS Trust
• Gloucestershire Health and Care NHS Foundation Trust
• Gloucestershire Hospitals NHS Foundation Trust
• Great Western Hospitals NHS Foundation Trust
• NHS Bath, North East Somerset, Swindon and Wiltshire ICB (BSW Together)
• NHS Devon ICB (One Devon)
• NHS Gloucestershire ICB (One Gloucestershire)
• North Bristol NHS Trust
• Royal Devon University Healthcare NHS Foundation Trust
• Royal United Hospitals Bath NHS Foundation Trust
• Torbay and South Devon NHS Foundation Trust
• University Hospitals Bristol and Weston NHS Foundation Trust
• University Hospitals Plymouth NHS Trust

West Midlands:
• Birmingham Women’s and Children’s NHS Foundation Trust
• Herefordshire and Worcestershire Health and Care NHS Trust
• NHS Birmingham and Solihull ICB (BSol ICB)
• The Royal Orthopaedic Hospital NHS Foundation Trust
• University Hospitals Birmingham NHS Foundation Trust
• Worcestershire Acute Hospitals NHS Trust

Yorkshire and the Humber:
• Bradford Teaching Hospitals NHS Foundation Trust
• Leeds Community Healthcare NHS Trust
• Yorkshire & Humber NHS England
• The Leeds Teaching Hospitals NHS Trust

Wales

• Cardiff and Vale University Health Board
• Powys Teaching Local Health Board
• Welsh Ambulance Services NHS Trust Headquarters
• Hywel Dda University Health Board
• Swansea Bay University Health Board
• Cwm Taf Morgannwg University Health Board
• Betsi Cadwaladr University Local Health Board
• Velindre NHS Trust
• Public Health Wales
• Health Education and Improvement Wales Health Authority
• NHS Wales Shared Services Partnership
• Digital Health and Care Wales

Northern Ireland

• Northern Ireland Practice and Education Council
• Southern Health and Social Care Trust
• Western Health and Social Care Trust
• Belfast Health and Social Care Trust
• Business Services Organisation
• Regulation & Quality Improvement Authority
• Northern Ireland Blood Transfusion Service
• Public Health Agency
• Northern Health and Social Care Trust
• South Eastern Health and Social Care Trust
• Northern Ireland Ambulance Service

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‘Where am I going to go with the kids?’ Mum-of-three left homeless after reporting threats to police

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'Where am I going to go with the kids?' Mum-of-three left homeless after reporting threats to police

As mother-of-three Danielle pushes two prams down the street in south London, her only thought is where will they all sleep tonight?

The 21-year-old, whose children are all under the age of five, had a council house in Southwark but had to move out because she faced threats of violence.

“I didn’t know that going to the police would end up with me being homeless,” she says.

Heartbroken and panicking, with nowhere else to go, Danielle is in a park with her three children – two daughters, aged one and four, and her two-year-old son.

“I’m so sorry, I wish this could all be better,” she tells them. Her eldest clutches a plastic toy and asks when they are going home.

“We don’t have a home anymore,” Danielle replies. She can’t hide the truth from her any longer.

Treated image for Farrell homeless piece

Danielle, who has long dark hair and is wearing a puffer jacket, is pacing, her mobile phone pressed to her ear, making a series of desperate phone calls, pleading for help.

“Where am I going to go with the kids,” she asks a housing officer. “I have nowhere to go.”

At this point it’s around 3pm and council offices will soon be closing. As her phone dies, Danielle, now sitting on a bench, her eldest daughter comforting her siblings in their buggies, breaks down in tears.

Her story exemplifies a national housing crisis where currently more than 150,000 children in England are living in temporary accommodation.

It is hard to imagine someone more vulnerable; a 21-year-old, at risk of violence, a care leaver herself, mother-of-three. If she’s fallen through the net, then who is it catching?

Treated image for Farrell homeless piece

Initially, Southwark council paid for her to have temporary accommodation elsewhere.

But things changed when police informed them it was too dangerous for her to come back to the borough.

“To sit there and tell a four-year-old little girl we can’t go home because we don’t have a home, that’s very upsetting as a mum because I brought her into this world to love her, protect her, to give her a home, and me being a mum telling her I can’t do that right now, it breaks my heart, but I know it’s not my fault,” she tells Sky News.

“Last Tuesday, I got a call to say they could no longer fund my accommodation because the police said it’s no longer safe to return back to Southwark, so they don’t owe me a duty of care.”

The council emailed her a letter which implied she was being made homeless for her own protection. The letter instructed her to present herself to another “local authority homeless person unit to seek rehousing outside of Southwark,” it said. “This is on the grounds of personal protection for you and your children.”

Treated image for Farrell homeless piece

The letter, dated 30 September, explained her current accommodation would terminate on 9 October.

But, when Danielle approached another council, they wanted more details from Southwark. In the meantime, her landlord said Southwark had stopped paying, so he evicted her and changed the locks.

“We are just going around in a loop and in the meantime me and my children are homeless, and nobody seems to care,” she told us when we found her on 10 October.

“They are not protecting me or my children, they’ve put us at an even more high risk, but they don’t seem to acknowledge that.”

As we sit on the park bench together, a Southwark housing officer calls confirming that, despite her being on the streets, they would not extend the temporary accommodation. The person on the phone says it was a management decision.

Treated image for Farrell homeless piece

At this point, we call Southwark’s press office and get a very different tone and a sense that the situation isn’t acceptable.

After an anxious wait, by late afternoon Danielle is told she can return to her temporary accommodation.

But while Danielle was on the streets, she took her child for a routine vaccination and was flagged with children’s social services, which adds to her worries.

“I know I am a good mum,” she says. “A doctor might have thought my nails were dirty or I didn’t look like a normal person, but she has to understand, I had nowhere to go that day.

“I had no keys, nowhere to live. I was living out of a black bag in my grandad’s shed. So, what do you expect?”

Treated image for Farrell homeless piece

In a statement, councillor Sarah King from Southwark told us: “This has been a very distressing situation for Danielle and her children, and I hope that she is at least relieved to be in safe accommodation now. We will be working to resolve her housing situation permanently and continue to support her until that happens.”

The council she was applying to told us they believed the issue was now being dealt with by Southwark.

Read more:
Number of children in temporary accommodation hits record high
Temporary housing spending for homeless people soars in London

Housing lawyer Simeon Wilmore told Sky he’s come across this kind of thing “many times” and believes both councils have behaved badly.

“Southwark should have been in contact with the receiving party or receiving local authority and it should be more managed and structured, and she should be at the centre of the decision making,” he said.

“If they have reason to believe she may be eligible for priority needs then the duty of care kicks in. They must accommodate.”

Danielle

The problem is councils have run out of homes. In Southwark alone 17,700 people are on the borough’s waiting list, nearly treble the figure over five years ago.

On average councils spend 1% of their budget on temporary accommodation, but research by Sky News has found 30 councils spend 10% or more, with several spending over 20% of their overall budgets on homelessness. This is council money going to private landlords.

Adam Hugg, head of housing at the Local Government Association, says the numbers of people needing support “are going through the roof” and the lack of available homes “creates a real challenge”.

He says there is a need for long-term investment to build more council houses as well as reform to housing benefit to make sure more people can be kept in their homes.

Danielle has few home comforts in her temporary flat, which has plain white walls and a TV on the floor. Her wish is for a place she can make her own and paint her daughter’s bedroom walls pink.

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She has Halloween decorations on a shelf, while in a corner of the living room there is a long box containing a Christmas tree. On top, there is a child’s yet-to-be-filled-out wish list for Father Christmas, while a pack of red and white baubles and a can of snow spray sit nearby.

“These are all my little Christmas bits I’m going to do with the kids when we eventually have a home,” Danielle says, but she still has no idea when that might be.

“They have told me I’m not going to be here for Christmas,” she says. “So, I don’t know where I’ll be. I just hope it’s not on the street.”

It seems the housing crisis has reached a point where even extreme vulnerability is no guarantee of help.

Councils want more secure longer-term government funding so they can build more homes, but with more children than ever living in temporary accommodation, this is a chronic national problem that will take more than one Christmas to solve.

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Sara Sharif: 10-year-old’s stepmother said girl’s father beat her up ‘like crazy’, according to WhatsApp messages read in court

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Sara Sharif: 10-year-old's stepmother said girl's father beat her up 'like crazy', according to WhatsApp messages read in court

Sara Sharif’s stepmother sent her sister some pictures of the 10-year-old looking bruised and miserable – and told her to “delete” them, a court has heard.

“Look what he’s doing,” Beinash Batool told Qandeela Saboohi, referring to the beatings Sara was allegedly getting from her father, Urfan Sharif.

“Delete the pictures.”

A series of WhatsApp messages exchanged between 2020 and 2023, in which Batool told her sister about the physical attacks Sharif was allegedly inflicting on his daughter, were read out to a jury at the Old Bailey.

Sara Sharif
Image:
Sara Sharif

Batool repeatedly told her sister that Sharif was hitting Sara for being “naughty”, “rude and rebellious”, and because she had cut up his clothes, hidden keys and torn up documents.

Batool, 30, Urfan Sharif, 42, and Sara’s uncle, 29-year-old Faisal Malik, are accused of carrying out a campaign of abuse culminating in Sara’s murder on 8 August last year.

As early as February 2020, Batool described Sharif as going on a “rampage” after spilling hot tea, saying he was “possessed”.

Writing about 10 photographs of Sara, she wrote: “This is how bad he is beating her… I feel really sorry for her. He beat the crap out of her.”

On another occasion, Batool said Sharif “went ballistic” and “beat Sara up like crazy”. She expressed fears he could break an arm or leg.

In May 2021, Batool told Ms Saboohi: “Not great in our house, it’s all a bit manic. Urfan beat the crap out of Sara and my mind is all in bits. I really want to report him.

“Why the hell doesn’t Urfan learn – she’s covered in bruises, literally beaten black.”

Afterwards, Sharif sat “on his fat bum” and played the board game Ludo, she said.

She went on: “Why the hell I’m even letting him in the house. I’m sorry for Sara, poor girl cannot walk. She literally fainted in the kitchen in the morning. He made her do sit-ups all night.”

Asked what Sara had done, Batool said: “Because she hid the keys.”

By 2022, Batool said she was planning to get some “legal advice” but was advised by her sister to give it time and not to rush.

Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police
Image:
Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police

In an update later that year, Batool said she was thinking about taking Sara out of school, saying: “I don’t want to but kinda don’t have a choice.

“I’m just fed up of her behaviour and Urfan’s. Sara’s body is literally bruised because Urfan beat her up. I cannot even cover it up.

“He beat Sara up yesterday and I can’t send her to school on Monday looking like that.

“She ripped Urfan’s documents in front of him and was being rude and rebellious.”

Referring to an image of Sara in a hijab, Batool wrote: “You haven’t even seen her body, it’s a whole lot worse.”

Days later, she said Sara’s school was worried about her and Sharif was “stressed” about it.

In an apparent reference to Sara’s injuries, she wrote: “Urfan told me to cover it up with makeup and she’s going to wear sunglasses.”

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Two months before Sara died, Batool referred to “Sara’s antics”, telling her sister: “Urfan beat the crap out of Sara… Yeah, he beat her up like crazy.

“Her oxygen level dropped really low, she’s finding it hard to stay awake.”

Asked if Sharif had hit her on the head, Batool said: “Nah, but she’s breathing really rapidly.”

The day before Sara died, Ms Saboohi tried to make contact but Batool told her she was “not in the mood to speak”.

Two days later, the defendants were captured on CCTV as they prepared to board a flight to Pakistan from Heathrow Airport.

That CCTV has now been shown to the jury.

On 10 August last year, police found Sara’s body in a bunkbed after Sharif called from Pakistan to say he had beaten her up “too much” for “being naughty”.

William Emlyn Jones KC, the prosecutor, has previously told jurors it was disputed whether messages Batool sent to two of her sisters were accurate or gave a full picture.

All three defendants, formerly of Hammond Road in Woking in Berkshire, have denied murder and causing or allowing the death of a child between 16 December 2022 and 9 August 2023.

The trial continues.

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Budget: Hostile market response as chancellor suffers Halloween nightmare

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Budget: Hostile market response as chancellor suffers Halloween nightmare

First things first: don’t panic.

What you need to know is this. The budget has not gone down well in financial markets. Indeed, it’s gone down about as badly as any budget in recent years, save for Liz Truss’s mini-budget.

The pound is weaker. Government bond yields (essentially, the interest rate the exchequer pays on its debt) have gone up.

That’s precisely the opposite market reaction to the one chancellors like to see after they commend their fiscal statements to the house.

In hindsight, perhaps we shouldn’t be surprised.

After all, the new government just committed itself to considerably more borrowing than its predecessors – about £140bn more borrowing in the coming years. And that money has to be borrowed from someone – namely, financial markets.

But those financial markets are now reassessing how keen they are to lend to the UK.

More on Budget 2024

The upshot is that the pound has fallen quite sharply (the biggest two-day fall in trade-weighted sterling in 18 months) and gilt yields – the interest rate paid by the government – have risen quite sharply.

This was all beginning to crystallise shortly after the budget speech, with yields beginning to rise and the pound beginning to weaken, the moment investors and economists got their hands on the budget documentation.

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Chancellor challenged over gilt yield spike

But the falls in the pound and the rises in the bond yields accelerated today.

This is not, to be absolutely clear, the kind of response any chancellor wants to see after a budget – let alone their first budget in office.

Indeed, I can’t remember another budget which saw as hostile a market response as this one in many years – save for one.

That exception is, of course, the Liz Truss/Kwasi Kwarteng mini-budget of 2022. And here is where you’ll find the silver lining for Keir Starmer and Rachel Reeves.

The rises in gilt yields and falls in sterling in recent hours and days are still far shy of what took place in the run up and aftermath of the mini-budget. This does not yet feel like a crisis moment for UK markets.

But nor is it anything like good news for the government. In fact, it’s pretty awful. Because higher borrowing rates for UK debt mean it (well, us) will end up paying considerably more to service our debt in the coming years.

Rachel Reeves and Chief Secretary to the Treasury Darren Jones prepare to leave 11 Downing Street
Image:
Rachel Reeves leaving 11 Downing Street before the budget. Pic: PA

And that debt is about to balloon dramatically because of the plans laid down by the chancellor this week.

And this is where things get particularly sticky for Ms Reeves.

In that budget documentation, the Office for Budget Responsibility said the chancellor could afford to see those gilt yields rise by about 1.3 percentage points, but then when they exceeded this level, the so-called “headroom” she had against her fiscal rules would evaporate.

Read more:
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Hefty tax and spending plans a huge gamble – analysis

In other words, she’d break those rules – which, recall, are considerably less strict than the ones she inherited from Jeremy Hunt.

Which raises the question: where are those gilt yields right now? How close are they to the danger zone where the chancellor ends up breaking her rules?

Short answer: worryingly close. Because, right now, the yield on five-year government debt (which is the maturity the OBR focuses on most) is more than halfway towards that danger zone – only 56 basis points away from hitting the point where debt interest costs eat up any leeway the chancellor has to avoid breaking her rules.

Now, we are not in crisis territory yet. Nor can every move in currencies and bonds be attributed to this budget.

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Markets are volatile right now. There’s lots going on: a US election next week and a Bank of England decision on interest rates next week.

The chancellor could get lucky. Gilt yields could settle in the coming days. But, right now, the UK, with its high level of public and private debt, with its new government which has just pledged to borrow many billions more in the coming years, is being closely scrutinised by the “bond vigilantes”.

A Halloween nightmare for any chancellor.

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