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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.

Nurses launch second day of strikes – live politics updates

Ambulances wait outside St Thomas' Hospital in London
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Ambulances wait outside St Thomas’ Hospital in London

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.

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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.”

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.

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‘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”.

Read more:

NHS workers had to have salary top-up to avoid legal breach
Who is striking this Christmas and why?

How and who decides public sector pay?

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.

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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.

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‘My family is finished’: Afghan man in UK military data breach says he feels betrayed

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'My family is finished': Afghan man in UK military data breach says he feels betrayed

An Afghan man who worked for the British military has told Sky News he feels betrayed and has “completely lost (his) mind” after his identity was part of a massive data breach.

He told The World with Yalda Hakim about the moment he discovered he was among thousands of Afghans whose personal details were revealed, putting him at risk of reprisals from the Taliban.

The man, who spoke anonymously to Sky News from Afghanistan, says he worked with British forces for more than 10 years.

But now, he regrets working alongside those troops, who were first deployed to Afghanistan in 2001.

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Afghans being relocated after data breach

“I have done everything for the British forces … I regret that – why (did) I put my family in danger because of that? Is this is justice?

“We work for them, for [the] British, we help them. So now we are left behind, right now. And from today, I don’t know about my future.”

He described receiving an email warning him that his details had been revealed.

He said: “When I saw this one story… I completely lost my mind. I just thought… about my future… my family’s.

“I’ve got two kids. All my family are… in danger. Right now… I’m just completely lost.”

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The mistake by the Ministry of Defence in early 2022 ranks among the worst security breaches in modern British history because of the cost and risk posed to the lives of thousands of Afghans.

On Tuesday, a court order – preventing the media reporting details of a secret relocation programme – was lifted.

Read more from Sky News:
Minister defends handling of breach
The struggle for equality in Afghanistan
Afghan women throw babies to troops

British soldiers wait to be transported to a base in the provincial capital Lashkar Gar in Camp Bastion, Helmand, February 5, 2010. REUTERS/Baris Atayman (AFGHANISTAN - Tags: MILITARY POLITICS CONFLICT)
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Reuters file pic

Defence Secretary John Healey said about 6,900 Afghans and their family members have been relocated or were on their way to the UK under the previously secret scheme.

He said no one else from Afghanistan would be offered asylum, after a government review found little evidence of intent from the Taliban to seek retribution.

But the anonymous Afghan man who spoke to Sky News disputed this. He claimed the Taliban, who returned to power in 2021, were actively seeking people who worked with British forces.

“My family is finished,” he said. “I request… kindly request from the British government… the King… please evacuate us.

“Maybe tomorrow we will not be anymore. Please, please help us.”

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Why Trump changed his mind on Ukraine

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Why Trump changed his mind on Ukraine

👉Listen to The World with Richard Engel and Yalda Hakim on your podcast app👈

This week, Yalda and Richard discuss Donald Trump’s big decision to send weapons to Ukraine through NATO. Why has he changed his mind?

Yalda gives her take on the situation and why she thinks Trump is following a similar position to presidents before him when it comes to Russian leader Vladimir Putin.

The two also discuss the UK’s secret Afghan immigration scheme after a massive data leak and gagged media. But how serious is this for those people still stuck in Afghanistan trying to flee the Taliban?

To get in touch or to share questions, email theworld@sky.uk

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Ross Edgley: The British ‘Thor’ swimming 1,000 miles around Iceland – and what happened when he met killer whales

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Ross Edgley: The British 'Thor' swimming 1,000 miles around Iceland - and what happened when he met killer whales

Towering waves, freezing temperatures and even some inquisitive killer whales. Iceland is doing its best to defeat Ross Edgley. 

Inspired by “Thor”, the British extreme athlete is in the middle of a challenge worthy of the Norse god – spending four months swimming 1,000 miles around the whole of Iceland in the name of science.

And while it comes with its challenges – a video of parts of his tongue falling off because of the salty sea water went viral – there have also been moments of beauty in the rugged Viking landscape.

“We’re on the northern coast right now,” Ross tells Sky News as he prepares to get back in the water.

“There’s nothing to stop the wind coming from the Arctic, and it’s just smashing into the north of Iceland. We’re miles out, just like a bobbing cork getting absolutely battered.”

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Ross is making his way around Iceland clockwise after setting off from Reykjavik

Ross, from Cheshire, is no stranger to endurance events like this. In 2018, he swam nearly 1,800 miles around the coast of Great Britain and earned a Guinness World Record for swimming 317 miles along the Yukon River in Canada.

But the punishing cold as 39-year-old Ross swims 30km (18 miles) a day around Iceland is something else.

More on Iceland

“The body just takes a consistent battering,” he says, characteristically cheery and enthusiastic despite everything.

“You just do your best to keep it in some sort of shape, controlling the inevitable breakdown of your body, hoping that you get back into Reykjavik.”

Ross Edgley Iceland swim
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Some of the injuries Ross has picked up so far, and the salt water hinders healing

He’s eating between 10,000 and 15,000 calories a day – with pasta and his new favourite Icelandic liquorice as menu staples – just to keep going.

“You’re basically running through all of that food – I’m constantly saying it’s basically just an eating competition with a bit of swimming thrown in,” he chuckles. “But that’s genuinely what it is.”

His average day – storms permitting – sees Ross getting up and swimming for six hours, resting for six hours, and then getting back in the water to swim another six hours.

“You just do that on repeat. It’s really simple in theory, but brutal in reality.”

Ross Edgley Iceland swim
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Ross is covering about 18 miles (30km) a day

To get ready for the cool Icelandic waters, Ross took inspiration from animals that have made it their home for thousands of years: whales and seals.

“I ended up putting on about 10-15 kilos of just pure fat. A bit of muscle as well but a lot of fat.

“When you look at what sort of animals survive in Iceland, there’s that idea of sea blubber. You want insulation, you want body fat.”

Perhaps unlike a seal however, Ross takes great care to defend the reputation of the killer whales that hunt in Icelandic seas.

“We’ve seen a lot, pods of them have come by and checked me out, wondering what the strange Englishman was doing in Icelandic waters, and then we went our separate ways.

“I want to combat some of the bad PR that orcas might have because there’s never been a verified case of an orca attacking a human in the wild. It just doesn’t exist.

“They’re amazing animals that deserve our respect and shouldn’t be feared.”

Ross Edgley Iceland swim
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Ross back on board his support boat after swimming

There’s also a big scientific focus for Ross’s challenge as well.

“If we achieve this, it will achieve so much in terms of sports science – the first person to swim around Iceland. But that wasn’t a big enough reason to do it.”

Ross spoke to scientists who said that if he was “crazy enough” to want to do the swim, he would be able to collect daily samples of environmental DNA in the water, as well as levels of microplastics.

“By the end we’re just going to have this map of biodiversity around the whole coast of Iceland in a level of detail we’ve never really seen before. It’s going to be so comprehensive.

“So I think as the legacy of this swim, records and everything will be nice, but I actually think the science and the research that we contribute and give back will be unbelievable and actually make the chafing and losing parts of my tongue worth it.”

The swim is being paid for by a mix of sponsorships and self-funding.

Ross Edgley Iceland swim. Pic: James Appleton/BMW
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Ross Edgley is swimming 1,000 miles around Iceland. Pic: James Appleton/BMW

Ross says he was inspired to take on the challenge in part by actor Chris Hemsworth and his role as the Norse god Thor, joking that the feat would be the closest thing to swimming around Asgard, the realm of the deities from ancient Scandinavia.

As he makes his way around the island, he gets to meet a local community where stories of Nordic gods are still an important part of life.

“It’s amazing, we’re just hearing these stories of Nordic folklore, sagas written about every single fjord we go around. It’s unbelievable.”

Ross Edgley Iceland swim
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Ross and his team rest on land between swims

Fresh off one marathon swimming session, Ross and his team jumped into action to help the local community rescue 30 stranded whales.

“The team were absolutely exhausted… but having rescued the whales was the most rewarding moment as well.”

Ross Edgley Iceland swim
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A moment of downtime on the boat. Pic: Ross Edgley/YouTube

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Ross set off on his swimming quest on 17 May, and it’s likely going to be a couple more months before he arrives back in Reykjavik.

He suggested that September is the goal, but added: “But you make plans and Iceland laughs at them.”

Picture credits: Ross Edgley/YouTube

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