People have been urged to “drink responsibly” by NHS England’s medical director to avoid ending up in A&E as ambulance workers prepare to strike.
Professor Sir Stephen Powis issued the warning ahead of the planned action on Wednesday, when the health service is likely to be hit by major disruption as ambulance workers, including paramedics, control room workers and technicians, walk out in England and Wales.
Health secretary Steve Barclay has said the British public’s “common sense” should be trusted on what is safe during the industrial action.
But issuing the latest NHS guidance, Sir Stephen said: “There is no doubt that the NHS is facing extreme pressure and industrial action will add to the already record demand we are seeing on urgent and emergency care, and so it is really important that the public play their part by using services wisely.
“People can also help by taking sensible steps to keep themselves and others safe during this period and not ending up in A&E – whether that is drinking responsibly or checking up on a family member of neighbour who may be particularly vulnerable to make sure they are okay.”
Ministers and NHS leaders have said people can still call 999 for emergencies – but should take extra steps to keep themselves and others safe while there is so much pressure on health services.
More on Nhs
Related Topics:
Asked if people should be more cautious during strikes this week, Mr Barclay said: “We should trust the common sense of the British public.
“They can see that there will be pressures, particularly on ambulances.”
Advertisement
Nurses with the Royal College of Nursing (RCN) union are striking today and ambulance workers are walking out on Wednesday over a dispute on pay and working conditions.
On Tuesday morning, health minister Will Quince said the public should avoid “risky activity” during the ambulance strike as he urged people to alter their plans to minimise the danger of injuring themselves.
Please use Chrome browser for a more accessible video player
0:24
‘Door is open’ to unions, says health minister
Unions have said ambulance workers will still attend Category 1 (most life-threatening such as cardiac arrest) and Category 2 (serious conditions, such as stroke or chest pain) calls during the strike.
However, ministers said there were still questions over whether ambulance workers at every NHS trust striking were going to do that.
Mr Barclay added: “They’ve said that they will provide life-threatening cover, that they will provide emergency cover.
“It’s essential that they do so to protect patients, because if there’s delays in ambulances, obviously that impacts very seriously on patient safety.
“But of course, the British public will make sensible decisions in terms of their behaviour based on what they can see in terms of the pressures on the health system.”
He added that if it was “extremely icy, you might not go for a run”.
The prime minister’s spokesman said he was “not going to get into a list” of what “risky activities” people should avoid during the ambulance strike.
By lunchtime on Tuesday, several ambulance and hospital trusts across the country had declared critical incidents due to “sustained” and “unprecedented” pressure on services, including high 999 call volumes and hospital handover delays.
Unions were meeting the health secretary this afternoon ahead of Wednesday’s ambulance worker strikes but union heads did not expect a pay offer to be made.
Rachel Harrison, GMB national secretary, said: “We’ve been given half an hour to meet with the secretary of state to discuss an emergency cover for tomorrow, which considering our strike starts at midnight, is a bit late in the day.
“But those agreements have already been reached at local level. So unless the secretary of state is willing to talk to us about pay today, those strikes are set to go ahead.”
Earlier, Mr Quince told Sky News the meeting would be about which cases ambulance workers would have to go to during the strike – and not pay.
Emergency responders are searching for bodies inside stranded cars and buildings following deadly flash floods in Spain that have killed at least 158 people.
Scenes of destruction have been left in the wake of the powerful floodwaters which hit the east of the country late on Tuesday and early Wednesday, marking Spain‘s worst natural disaster this century.
Cars have been piled high on top of each other, homes and businesses have been swept away, trees have been uprooted, and roads and bridges have been left unrecognisable.
At least 92 people have died in the worst-hit region of Valencia, while deaths were also reported in Castilla La Mancha and southern Andalusia.
An unknown number of people remain missing.
“Unfortunately, there are dead people inside some vehicles,” Spain’s transport minister Oscar Puente said.
In the Valencian district of La Torre, nine dead bodies were discovered inside a garage – with a local police officer among the victims.
Please use Chrome browser for a more accessible video player
1:09
Man pulled from deadly floods
Luis Sanchez, a welder, said he saved several people from floodwaters rushing through the V-31 motorway south of Valencia city.
Advertisement
“I saw bodies floating past. I called out but nothing,” Mr Sanchez said.
“The firefighters took the elderly first, when they could get in. I am from nearby so I tried to help and rescue people. People were crying all over, they were trapped.”
Satellite images from NASA show how severe flooding has impacted Valencia and its surrounding towns.
The images, captured on 30 October, show large areas to the south of the city covered in floodwater.
The Turia river, which runs through the city, can be seen at a much higher level.
The Pobles del Sud, a large lake nearby, overflowed. Much of the area surrounding the lake was covered in floodwater.
The worst of the destruction was concentrated in Paiporta, a municipality next to Valencia city, where 62 people have been reported dead.
Please use Chrome browser for a more accessible video player
0:53
Spanish town ‘worst-hit’ by floods
Mayor Maribel Albalat told national broadcaster RTVE: “We found a lot of elderly people in the town centre. There were also a lot of people who came to get their cars out of their garages… it was a real trap.”
What has caused the devastation?
The flooding events in Spain have been hard to witness. But the rainfall there could never have been anything but devastating.
Chiva, located just to the west of Valencia, received 491mm of rain in an eight-hour window.
Some 100-200mm fell in surrounding areas with the accumulation of running water producing apocalyptic scenes.
In addition there have been over 20,000 lightning strikes.
Whilst the rainfall totals are astounding in themselves, this part of the world is simply not accustomed to huge quantities of water falling from the sky.
In an average year, Spain would expect somewhere between 50 and 100 mm of rain throughout the entire month of October but Valencia and Andalusia would expect far less – just 60–70mm.
So how did this happen? It’s attributable to a DANA, a “depresion aislada en niveles altos” or a “cut-off low”.
This is a low pressure system which becomes slow moving or stationary, blocked by high pressure elsewhere, which can only keep shedding its rain over the same area for long periods of time.
These systems are not that unusual. They occur when cool air from the north is drawn across the Mediterranean in late summer and autumn when the waters are war. The temperature differential enhances storms and rainfall totals.
But whilst not uncommon, this one was certainly extreme.
And it hasn’t gone yet. This same system has continued to bring further heavy rain and thunderstorms today, but it has now moved a little further north and east, heading toward the French border and currently remaining to the west of Barcelona.
The rain and thunderstorms are likely to continue for a few days yet with the Tarragona and Castellon regions still under an amber warning while a yellow warning remains in force for both eastern and western Spain.
Spanish Prime Minister Pedro Sanchez said on Thursday morning that Valencia had been declared a disaster zone and that the priority was to find victims and missing people.
He also urged those affected to stay at home as more torrential rain was forecast.
Follow Sky News on WhatsApp
Keep up with all the latest news from the UK and around the world by following Sky News
“The most important thing is that I know Spanish people are aware that this phenomenon has not finished,” he said.
Sky News’ Europe correspondent Adam Parsons, reporting from Valencia, said the devastation suffered in the region is “enormous”.
“What we’re witnessing now are the locals here who are waking up and seeing what’s happened to their town and what has happened is something almost apocalyptic,” he said.
A nearby shop was left “absolutely wrecked” and looked like a “bomb has gone off in there”, he added.
Three days of mourning has been declared in Spain, beginning on Thursday.
Spain’s Mediterranean coast is used to autumn storms that can cause flooding, but this was the most powerful flash flood event in recent memory, and scientists have linked its strength to climate change.
“When the alert came the water was already two metres high,” Carolina shouts from her balcony. “There were no police, firefighters or the mayor. No one came to rescue us.”
The distress is echoed street after street.
Carmen puts her head in her hands and weeps.
“They have lost everything,” she says, pointing at her neighbours’ houses.
Every home is in ruins and their owners are heartbroken.
Dolores shows us inside her house. She says the flood was up to the ceiling but because no help came, they have had to hammer holes in the walls to clear the water.
“I feel awful. I’m terrified and very afraid. My husband is sick – we need more help,” she says.
The level of destruction is immense.
On the street, we meet Noel with his children. The youngest toddler barefoot in the mud.
Yesterday, Noel and his wife had nothing to eat. He feels helpless.
“Right now, there are people who are trapped. The mud is up to their waists, so they can’t open their doors,” he says.
“I live on a high floor so I didn’t have problems with the flooding in my home, but I don’t have water, light, or food.”
There’s a growing feeling of desperation in this suburb.
At one point, someone shouts “food!” and people rush to grab what they can from a nearby shop.
It’s not clear if they have been let in by the owner or are looting.
The devastation is so great and at a time when people are at their most in need, they feel frustrated and alone.
In a nearby shelter we meet people from Algemesi who have been made homeless by the flood.
Carol says she has never felt so hopeless.
“There was a tree trunk that came into the front of my house. There are no walls, no ceiling. I don’t have anything. There’s nothing left,” she explains, beginning to cry.
For many, the initial trauma of this natural disaster has been compounded in the aftermath by a feeling of loss and loneliness.
Thousands of North Korean soldiers are now positioned near Ukraine’s border and likely to enter combat in the coming days, the US says.
Russian troops have been training them in artillery, drones and “basic infantry operations, including trench clearing”, said US secretary of state Antony Blinken.
He said it strongly indicated they would be used on the front line and would therefore become legitimate targets for Ukraine.
Some 10,000 North Korean troops are in Russia, including up to 8,000 in the Kursk border region, Mr Blinken said.
The troops are wearing Russian uniforms and carrying Russian gear, according to US defence secretary Lloyd Austin.
“We’ve not yet seen these troops deploy into combat against Ukrainian forces, but we would expect that to happen in the coming days,” Mr Blinken said on Thursday.
More on Antony Blinken
Related Topics:
America’s top diplomat said the recruitment of troops from North Korea to Russia’s “meat grinder” was a “clear sign of weakness”.
Mr Blinken made the assessment after he and Mr Austin met their South Korean counterparts in Washington DC.
Advertisement
Foreign minister Cho Tae-yul called for the immediate withdrawal of North Korean soldiers from Russia and condemned it “in the strongest possible terms”.
They also all agreed China should do more to rein in North Korea, Mr Blinken said, adding that he’d had a “robust conversation” with Beijing this week.
Mr Austin also announced that – with the US election just days away – America would soon be announcing new security assistance for Ukraine.
The deployment of troops to Russia is down to the close relationship between President Putin and North Korea’s Kim Jong Un.
A mutual defence pact was agreed during their summit, meaning the countries will help each other if they are attacked.
The US says North Korea has also given munitions to Russia as it continues its grinding effort to take more territory in Ukraine’s east.
The White House published images earlier this month which it said showed 1,000 containers of equipment being sent to Russia by rail.
There are concerns about what military aid Russia will now provide in exchange.
North Korea test-fired an an intercontinental ballistic missile for the first time in almost a year on Thursday and there is speculation Russia may have provided technological help.
In a statement, the US, Japan and South Korea condemned the launch as a “flagrant violation” of UN resolutions.
“We strongly urge (North Korea) to immediately cease its series of provocative and destabilising actions that threaten peace and security on the Korean Peninsula and beyond,” they said.