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Thousands of ambulance workers in England and Wales are going on strike today – with NHS leaders warning that they cannot guarantee the safety of patients.

Speaking to Sky News, Health Secretary Steve Barclay said the system would be “under severe pressure” due to the strike, and urged Britons to use “common sense in terms of what activities they do”.

He accused trade unions of choosing a time for the strike when the NHS is already facing winter pressures due to flu, COVID and other illnesses.

The strikes, involving around 25,000 staff, are taking place after last-ditch crisis talks between Mr Barclay and unions failed to address the issue of pay.

Ambulance workers on the picket line outside ambulance headquarters in Coventry
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Ambulance workers on the picket line in Coventry

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Unison’s strike is running from noon until midnight, while the GMB action began at 12am and will also run until midnight this evening. Unite’s strike began at midnight and will conclude at midday.

It is expected that all Category 1 calls (the most life-threatening, such as cardiac arrest) will be responded to during the strike action today, while some ambulance trusts have agreed exemptions with unions for specific incidents within Category 2 (serious conditions, such as stroke or chest pain).

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It means those who suffer trips, falls or other non-life-threatening injuries may not receive treatment.

Mr Barclay said some decisions about what will be covered during strikes by ambulance workers today will be taken on the day.

Asked why there was not a national contingency plan in place for the industrial action, he told Sky News: “The difficulty with putting contingency measures in place is given the uncertainty as to what exactly is and is not being covered, and the fact that those decisions in some cases will be taken on the day.

“But it’s also the case that even what’s referred to as Category 3 urgent calls are often very serious as well. So we’re doing all we can with NHS colleagues to put in place contingency measures.”

He accused the unions of refusing to guarantee a “national exemption” for life-threatening cases but unions have repeatedly said they have agreed on a local level that Category 1 and 2 calls will be covered and they emphasised that during a meeting on Tuesday.

About 600 members of the army, navy and the RAF have been drafted in from across the country to help during the walkouts, some of whom have never driven the vehicles before.

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‘I cannot express how bad it is’ – paramedic

Ahead of the industrial action, the unions had called on the government to make an offer on pay and suggested an agreement could be reached.

While Onay Kasab, from Unite, warned after the meeting that ambulance strikes would “escalate” unless the government agreed to negotiations.

“Our members are absolutely determined to win not just the pay battle but to win the battle to save the NHS,” he said.

Mr Barclay said: “Further pay increases would mean taking money away from frontline services at a time when we are tackling record waiting lists as a result of the pandemic.”

Writing in The Telegraph, the health secretary added: “We now know that the NHS contingency plans will not cover all 999 calls. Ambulance unions have taken a conscious choice to inflict harm on patients.”

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GMB union boss: ‘Make us an offer on pay’

But Rachel Harrison from the GMB union hit back, telling Sky News: “I actually think that’s a really insulting statement to our key NHS and ambulance workers. They’ve not made a conscious decision to put lives at risk.

“They’ve made a conscious decision to stand up for what they believe is an NHS that is crumbling beneath their feet and as they’re watching thousands of their colleagues leave the service every year because of poor pay and poor working conditions and a feeling of being unable to deliver the safe standards of patient care that they want to.

“That’s why they’re making this conscious decision and it is insulting to say that they’re doing this to put people at risk.”

Read more:
Strikes every day before Christmas – which sectors are affected and why
How A&E and other NHS services will be impacted

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NHS Confederation chief executive Matthew Taylor said: “We have reached the stage where our leaders feel it’s necessary to say they cannot guarantee patient safety, they cannot avoid risks as these strikes unfold.”

The strike action comes a day after ambulance and hospital trusts across the country declared critical incidents as a result of “sustained” and “unprecedented” pressure on services.

Meanwhile, nurses across the country went on strike for a second day yesterday.

Royal College of Nursing chief Pat Cullen has confirmed that nurses will announce post-Christmas strikes by the end of the week unless the government agrees a deal on pay.

She warned Mr Sunak that the “clock is running” for him to enter negotiations to prevent further action.

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Strikes: ‘Critical incidents’ declared

Yesterday, health minister Will Quince urged people to think again about contact sports and avoid running on icy roads during the ambulance strike.

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‘Victory for Virginia’, says family of Prince Andrew’s accuser – as royal gives up all his titles

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'Victory for Virginia', says family of Prince Andrew's accuser - as royal gives up all his titles

The family of Virginia Giuffre has said Prince Andrew’s decision to give up his titles, including the Duke of York, is “vindication for our sister and survivors everywhere”.

“This is not just a victory for her, but for every single survivor of the horrific crimes perpetrated by [Jeffrey] Epstein and his co-conspirators,” they said in a statement.

Andrew will no longer be known as the Duke of York, in a move which finally completes his banishment from royal life. However, he will remain a prince, as the son of Queen Elizabeth II.

His former wife, Sarah Ferguson, will also no longer use her title of The Duchess of York, it is understood.

In a statement, Prince Andrew said: “In discussion with The King, and my immediate and wider family, we have concluded the continued accusations about me distract from the work of His Majesty and the Royal Family.

“I have decided, as I always have, to put my duty to my family and country first. I stand by my decision five years ago to stand back from public life.

“With His Majesty’s agreement, we feel I must now go a step further. I will therefore no longer use my title or the honours which have been conferred upon me.

“As I have said previously, I vigorously deny the accusations against me.”

Read more:
Everything we know about Andrew losing titles

Prince Andrew leaves Westminster Abbey following the Coronation of the King in 2023
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Prince Andrew leaves Westminster Abbey following the Coronation of the King in 2023


Why is this happening now?

The decision comes following increased pressure on Prince Andrew after continuing reports of his relationship with paedophile financier Jeffrey Epstein, and his relationship with an alleged Chinese spy.

The posthumous memoir of Virginia Giuffre, who died in April, is due to be released on Tuesday. She had accused Andrew of sexual assault, and sued him in August 2021.

The book will go on sale a week after an email emerged showing Andrew told Epstein “we are in this together”, three months after he said he had stopped contact with the convicted sex offender.

Flight logs released by a US committee from Epstein's estate name Prince Andrew. Pic: House Committee on Oversight and Government
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Flight logs released by a US committee from Epstein’s estate name Prince Andrew. Pic: House Committee on Oversight and Government

On Friday evening, the US House Oversight Committee also released documents from Epstein’s estate showing “Prince Andrew” listed as a passenger on the financier’s private jet – the so-called Lolita Express – from Luton to Edinburgh in 2006, alongside Ghislaine Maxwell.

He was also listed on another flight to West Palm Beach, Florida, in 2000.

The flight logs have been reported on for years but the release may have added to pressure.

“The situation has become untenable and intolerable, and this week in particular, the tipping point had been reached,” said Sky News royal correspondent Laura Bundock.

What is Prince Andrew giving up?

  • Prince Andrew is giving up his Duke of York title
  • His knighthood as a Knight Grand Cross of the Royal Victorian Order (GCVO)
  • His Garter role as a Royal Knight Companion of the Most Noble Order of the Garter
  • Christmas with the Royal Family at Sandringham
  • He had already stopped using his HRH title and and was stripped of military patronages by the Queen in 2022
  • He will retain his dukedom, which can only be removed by an Act of Parliament, but will not use it
  • He will also remain a prince as he was born the son of Elizabeth II

It is understood the changes will take effect immediately, with the Giuffre family calling for the King to go further and “remove the title of Prince”.

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‘Extreme pressure’ on Prince Andrew

King ‘glad’ of the outcome

The King is glad of the outcome, it is understood, and the decision was taken in close consultation with His Majesty and other members of the Royal Family.

Read more:
Virginia Giuffre describes alleged encounters with Andrew
Trump says death of Virginia Giuffre is ‘a horrible thing’

Andrew will continue to be known as Prince Andrew and will remain living at the Windsor Estate at the Royal Lodge.

The move does not impact the position of his daughters, Princess Beatrice and Princess Eugenie.

For the second year running, he is not expected to attend the Royal Family’s annual Christmas celebrations at Sandringham.

The King (then Prince of Wales) and Prince Andrew on Christmas Day in 2017.
Image:
The King (then Prince of Wales) and Prince Andrew on Christmas Day in 2017.

‘An unwelcome distraction’

Sky News royal correspondent Rhiannon Mills said: “This is quite an extraordinary move. I think it shows that, actually, things had gone too far.

“Prince Andrew, and allegations about him and Virginia Giuffre, were continuing to be too much of a distraction for the Royal Family.”

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Pressure ‘piled on’ Prince Andrew

Jack Royston, chief royal correspondent at Newsweek, told Sky News: “This does not go far enough.”

There should be an acknowledgement from the Royal Family, he said, “irrespective of whether Prince Andrew denies the substantive allegations against him [that] it was morally wrong for him to grovel to Jeffrey Epstein”.

The Guardian’s former royal correspondent Stephen Bates also told Sky News: “He’s shown no sign of any sort of contrition. He continues to deny all the allegations against him. And he speaks of his duty to the family. Well, it’s a bit late to be thinking about that.”

What is Prince Andrew accused of?

Prince Andrew has denied allegations made by Ms Giuffre – one of Epstein’s victims – of sexual assault.

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‘Next step might be to squeeze Andrew out of royal lodge’

She had filed a civil lawsuit against him, accusing him of sexually assaulting her on three occasions after she was introduced to him by Epstein.

In a 2019 interview with BBC Newsnight, Andrew said he had no knowledge of ever meeting Ms Giuffre, claiming a well-known image of them together had been doctored.

The 2001 photo of Prince Andrew and Virginia Roberts which the royal claimed had been doctored. Pic: Shutterstock
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The 2001 photo of Prince Andrew and Virginia Roberts which the royal claimed had been doctored. Pic: Shutterstock

The case was settled outside court for a sum believed to have been around £12m.

Following Ms Giuffre’s death in April, aged 41, her family said she “lost her life to suicide” at her farm in Western Australia.

Giuffre’s family: ‘Victory for Virginia’

In a statement, the family of Ms Giuffre said they supported Andrew’s decision but repeated accusations that he had made misleading statements. Andrew has repeatedly denied any wrongdoing.

Analysis: Prince Andrew giving up titles was clearly not entirely his decision

It is extraordinary that it has come to this but the distraction had to stop.

The statement comes straight from Prince Andrew, the tone of it very personal as he says he is putting his “duty to my family and country first”.

But this was clearly not entirely his decision.

From the first sentence, where he says “in discussion with the King”, we’re left in no doubt that his brother must have said enough was enough.

Read more from Rhiannon .

“We, the family of Virginia Roberts Giuffre, believe that Prince Andrew’s decision to give up his titles is vindication for our sister and survivors everywhere.

“This decisive action is a powerful step forward in our fight to bring Jeffrey Epstein and Ghislaine Maxwell’s child sex-trafficking network to justice.

“This moment serves as victory for Virginia, who consistently maintained, ‘He knows what happened, I know what happened, and there’s only one of us telling the truth, and I know that’s me.’

“This is not just a victory for her, but for every single survivor of the horrific crimes perpetrated by Epstein and his co-conspirators.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.

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Prince Andrew giving up titles was clearly not entirely his decision

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Prince Andrew giving up titles was clearly not entirely his decision

It is extraordinary that it has come to this but the distraction had to stop.

The statement comes straight from Prince Andrew, the tone of it very personal as he says he is putting his “duty to my family and country first”.

But this was clearly not entirely his decision.

From the first sentence, where he says “in discussion with the King”, we’re left in no doubt his brother must have said enough was enough.

The fact we’re being guided that the King is glad of this outcome says it all; for the monarch and the wider family, the questions of what they were going to do about Andrew had to stop.

Andrew at Charles's coronation in 2023 Pic: PA
Image:
Andrew at Charles’s coronation in 2023 Pic: PA

After years of upset caused by his association with convicted paedophile Jeffrey Epstein, he has done the family one favour by personally announcing that he will no longer use his titles.

For the King to forcibly remove them would have taken up precious parliamentary time and weeks of column inches.

More on Prince Andrew

The King is said to be 'glad' of the decision
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The King is said to be ‘glad’ of the decision

To be clear, his titles aren’t removed, they remain extant but inactive like his HRH title.

But Andrew won’t use them any more, and that will be humiliation enough for a man who has already been stripped of his military affiliations, his charity patronages and his ability to have any kind of public profile.

Read more:
‘Victory for Virginia,’ says family of Prince Andrew’s accuser
Virginia Giuffre details accusation in posthumous book
Sarah Ferguson explains message to Epstein

This ends the questions on what more the monarch could do to show how the family felt about the accusations, the upset and the embarrassment caused.

Will it stop the stories, the allegations and the interest in Prince Andrew? That is far less certain.

But in what is his first public statement since that ill-fated Newsnight interview in 2019, it is striking that he signs it off by saying: “I vigorously deny the accusations against me.”

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Everything we know about Prince Andrew’s titles decision

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Everything we know about Prince Andrew's titles decision

Prince Andrew has announced he is giving up his royal titles, including the Duke of York.

The decision is understood to have been made in close consultation with King Charles and other members of the Royal Family.

Prince Andrew said continued accusations against him were distracting from the King’s work.

He had been accused by Virginia Giuffre, who died in April, of sexual assault. He denies this.

Which titles is he giving up?

Prince Andrew is giving up his Duke of York title. Sky News understands this will be immediate.

He will also give up his knighthood as a Knight Grand Cross of the Royal Victorian Order (GCVO) and his Garter role as a Royal Knight Companion of the Most Noble Order of the Garter.

He will retain the dukedom, which can only be removed by an Act of Parliament, but will not use it.

Prince Andrew will also remain a prince, as the son of Queen Elizabeth II.

Virginia Giuffre had accused Prince Andrew of sexually assaulting her before her death. Pic: AP
Image:
Virginia Giuffre had accused Prince Andrew of sexually assaulting her before her death. Pic: AP

Why is this happening now?

Ms Giuffre, who was one of billionaire paedophile Jeffrey Epstein’s victims, alleged Prince Andrew sexually assaulted her on three occasions when she was 17, and sued him in 2021.

In her posthumous memoir Nobody’s Girl, due to be published on Tuesday, she alleged he was “entitled” and “believed having sex with me was his birthright”.

Prince Andrew has always denied the allegations.

He has also always claimed that a well-known image of them together was doctored. Before her death, which her family said was by suicide, the case was settled outside of court for a sum believed to have been around £12m.

Ms Giuffre’s posthumous memoir goes on sale a week after an email emerged showing Andrew told Epstein “we are in this together”.

The email was reportedly sent three months after he said he had stopped contact with the convicted sex offender.

Flight logs released by a US committee from Epstein's estate name Prince Andrew. Pic: House Committee on Oversight and Government
Image:
Flight logs released by a US committee from Epstein’s estate name Prince Andrew. Pic: House Committee on Oversight and Government

On Friday evening, the US House Oversight Committee also released documents from Epstein’s estate showing “Prince Andrew” listed as a passenger on the financier’s private jet – the so-called Lolita Express – from Luton to Edinburgh in 2006, alongside Ghislaine Maxwell.

He was also listed on another flight to West Palm Beach, Florida, in 2000.

The flight logs have been reported on for years but the release may have added to pressure.

“The situation has become untenable and intolerable, and this week in particular, the tipping point had been reached,” said royal correspondent Laura Bundock.

It is understood that the changes will take effect immediately.

The Giuffre family has called for the King to go further and “remove the title of Prince”.

Prince Andrew’s decision to relinquish his titles also comes following increased pressure over his relationship with an alleged Chinese spy.

The move will not impact the Princesses, including Princess Beatrice, here.
Image:
The move will not impact the Princesses, including Princess Beatrice, here.

Will this affect his ex-wife and daughters?

Sky News understands that Andrew will continue to live at the Windsor Estate at the Royal Lodge. His ex-wife, Sarah Ferguson, will also remain living at the Royal Lodge.

But for the second year running, he will not attend the Royal Family’s annual Christmas celebrations at Sandringham, it is understood.

Andrew’s ex-wife will also no longer use her Duchess of York title.

She was dropped by numerous charities last month after it emerged that she wrote to convicted sex offender Epstein, calling him a “supreme friend”, despite publicly disowning him in the media.

The decision over Andrew’s titles will not impact on the position of his daughters, Princess Beatrice and Princess Eugenie, it is understood.

Sky News royal correspondent Rhiannon Mills says the move may not stop the influx of negative stories about him.

She said: “This ends the questions on what more the monarch could do to show how the family felt about the accusations, the upset and the embarrassment caused.

“Will it stop the stories, the allegations and the interest in Prince Andrew? That is far less certain. But in what is the prince’s first public statement since that ill-fated Newsnight interview in 2019, it is striking that he signs it off by saying, ‘I vigorously deny the accusations against me’.”

Prince Andrew made the decision to give up his titles in close consultation with King Charles, it is understood. Pic: Reuters
Image:
Prince Andrew made the decision to give up his titles in close consultation with King Charles, it is understood. Pic: Reuters

What did Prince Andrew say in his statement?

In his statement, Prince Andrew said: “In discussion with The King, and my immediate and wider family, we have concluded the continued accusations about me distract from the work of His Majesty and the Royal Family.

“I have decided, as I always have, to put my duty to my family and country first. I stand by my decision five years ago to stand back from public life.

“With His Majesty’s agreement, we feel I must now go a step further. I will therefore no longer use my title or the honours which have been conferred upon me.

“As I have said previously, I vigorously deny the accusations against me.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.

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