Ambulance workers will stage two further strikes in January amid a dispute over pay and staffing.
The Unison union says the industrial action will take place on 11 and 23 January.
The strike action will involve ambulance staff employed by services in London, Yorkshire, the North West, North East and South West.
It comes after 25,000 ambulance workers from Unison, Unite and the GMB unions walked out in coordinated strike action on 21 December – their biggest strike in 30 years.
Members of the GMB union at nine ambulance trusts are also preparing to strike on 28 December, while 1,000 union members in the Welsh Ambulance Service are set to announce strike dates in the new year.
Wednesday’s strikes took place after last-ditch crisis talks between Health Secretary Steve Barclay and unions failed to address the issue of pay.
The majority of ambulance trusts in England declared critical incidents this week – meaning they were on their highest level of alert where they feared they could not provide usual critical services.
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Paramedic Paul Turner explains why he and others are taking industrial action and says that the government is ‘not listening’.
Ahead of Wednesday’s industrial action, the unions had called on the government to make an offer on pay and suggested an agreement could be reached.
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Unions warn strikes will ‘escalate’
Unite’s Onay Kasab, who attended the Tuesday meeting, warned afterwards 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.”
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Steve Barclay lists a number of factors putting pressure on the NHS and suggests that the trade unions have decided to strike at precisely this time.
On Thursday morning, the stalemate between unions and the government appeared to show no signs of abating, following two days of historic action from nurses and paramedics.
On top of ambulance worker strikes, NHS members of the Royal College of Nursing went on strike 15 and 20 December calling for a rise of 5% above inflation – 19.2% – as they said they have had a real terms pay cut of 20% since 2010.
They are also calling for better working conditions as nursing vacancies are at a record high so staff are stretched and regularly working beyond their shifts without extra pay.
In a tweet on Thursday, Mr Barclay said his door “is always open to talk to trade unions about concerns around working conditions”.
But he added: “We have an independent pay review body… and we will continue to defer to that process to ensure decisions balance the needs of staff and the wider economy.”
The pay review body (PRB) has recommended pay rises of around £1,400 – about 4% – for most NHS staff, but unions say this is not enough to keep up with soaring inflation.
The government says it can’t afford to make a new offer, but has not ruled out a new deal early next year.
Workers across several other industries are also set to strike in the build-up to Christmas.
Today, NHS Providers warned two days of strikes by nurses and paramedics will have a knock-on effect on appointments with a return to “very high numbers” of emergency calls in the coming days.
‘A challenging time for the NHS’
Saffron Cordery, interim chief executive of NHS Providers, told Sky News that the next few days would be a “challenging time”.
Talking about structural issues impacting the NHS, she said: “Staff on the frontline are significantly overstretched and we need to see a real growth in the number of staff across the whole of the NHS.
“What we’ve got to see now is the government come to the table and have a serious discussion and negotiation about pay because this dispute is about pay and it’s also about working conditions and keeping patients safe.”
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The NHS is in for a
The chief executive of the NHS Confederation, Matthew Taylor, told Sky News that lack of investment in the NHS was now coming to the fore: “We know we had the 10 years of austerity. It meant we went into COVID with a hundred thousand vacancies, with a crumbling estate.
“So, what we’ve got now is a big gap between demand and capacity.”
He repeated calls to the government and trade unions to re-enter negotiations and to try to find a way of avoiding further strikes across the winter, saying: “We can’t afford to drift into further industrial action.”
While he said he understood both the concerns of the trade unions over pay, and the challenges facing the government over public spending, he warned: “We need leadership. We need imagination, because the health service cannot deal with a winter of industrial action without there being severe effects on patient wellbeing.”
‘Call 999 if you need to’
Appealing directly to anyone needing to use the NHS over the coming days, he said: “Primary care has not been affected by the industrial action… If you have concerns about your health, contact your GP. If you have an emergency, contact 999. If you’re not sure, ring 111. The services are there and do use them.”
The number of people calling 999 appeared to drop in some parts of England yesterday, and NHS Providers – the membership organisation for NHS hospital, mental health, community and ambulance services – said there had been “varying levels of disruption” across the country.
It said some demand had shifted to other services or not materialised as expected.
But the organisation said demand for care across the whole healthcare system remained high and trust leaders were reporting ongoing delays to ambulance services and overcrowding at some accident and emergency departments.
Footage of the moment 10-year-old Sara Sharif’s alleged killers were detained after police boarded their plane back to the UK has been played in court.
As they are approached by officers, Sara‘sstepmother Beinash Batool is heard saying: “I think you’re looking for us.”
Batool, 30, Sara’s father Urfan Sharif, 42, and uncle Faisal Malik, 29, are accused of carrying out a campaign of abuse against her culminating in her death at her family home in Surreyon 8 August last year.
The defendants, along with five of Sara’s siblings, aged between one and 13, flew to Pakistanthe following day.
Sara’s body was found by police in a bunkbed on 10 August after Sharif called police from Pakistan to say he had beaten her “too much” for being “naughty”.
A murder investigation was launched involving agencies including Interpol and the National Crime Agency to locate the defendants.
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They returned to the UK on a flight from Dubai to Gatwick Airport on 13 September.
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‘I beat her up too much’
The clips of officers’ body-worn video shown to the jury on Friday captured the moment police boarded the plane and detained the defendants at 7.42pm, seven minutes after touchdown.
After Batool addresses the officers, Sharif, who had been sitting next to her, is asked to follow them.
The three were then taken off the plane and arrested.
A post-mortem examination established Sara had sustained extensive and significant injuries over a sustained period prior to her death.
The jury heard on Friday how concerns were raised by Sara’s school about bruising on her body in June 2022 and March 2023.
Several items seized from Sara’s home were also reviewed by the court, including a leather belt which had full DNA samples at both ends for Sara, Sharif, and Malik.
A cricket bat was also found to have Sara’s DNA profile on it, along with the DNA samples of Sharif and Malik.
Neither item had a DNA trace of Batool.
The court also reviewed the defendants’ bank accounts – both joint and separate.
All three defendants have pleaded not guilty to murder and causing or allowing the death of a child.
Six teenagers have been arrested after a 13-year-old girl was found with multiple stab wounds on a roadside near Hull.
Police said she was found around 6.50am on the A63 in Hessle with “life-threatening injuries” including “lacerations to her neck, abdomen, chest and back”.
Four boys and two girls – aged between 14 and 17 – were quickly arrested in a nearby wooded area and are being questioned on suspicion of attempted murder.
Members of the public came to the girl’s aid before emergency services arrived, Humberside Police said.
Detective Superintendent Simon Vickers said they “believe the attackers knew the victim” and the circumstances are still being investigated.
“The girl remains in hospital in critical condition and her family are being supported by officers at this difficult time,” he added.
The boys arrested are aged 14, 15, 16 and 17, and the girls 14 and 15.
Cordons are in place around a wooded area off Ferriby High Road while investigations continue.
Police said they would have an increased presence in the area over the weekend and have asked anyone with information or video to get in touch, or contact Crimestoppers anonymously.
A former soldier has told a jury his escape from Wandsworth prison to avoid being held with sex offenders and terrorists showed his “skillset”.
Daniel Khalife, 23, who was being held accused of passing secrets to Iran said he was “never a real spy” but planned a fake defection to the state following his arrest after watching American television show Homeland.
He said he wanted to be moved to a high-security unit because he was getting unwanted attention from the sex offenders on the vulnerable prisoners wing and feared a move to Belmarsh prison because, as a British soldier, terrorists wanted to kill him.
Khalife said he first wanted to “make a show” of escaping, acting suspiciously and covering himself in soot from a food delivery lorry on 21 August last year, while he was working in the prison kitchen.
He was spotted and reported to security but was “pretty shocked” when nothing happened so decided to take the “full measure,” he told the jury.
Talking about his escape for the first time at his Woolwich Crown Court trial, Khalife told how he fashioned a makeshift sling from kitchen trousers and carabiners used by inmates to keep their possessions safe from rats.
He attached it to the Bidfood lorry on 1 September last year, to see if it would be spotted by officers at Wandsworth or other prisons on the delivery route.
“I put the two carabiners and the makeshift rope underneath the lorry,” he said.
“When I had made the decision to actually leave the prison I was going to do it properly so I tested the security not just in Wandsworth
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“Strangely, over the coming days, I could see it but it wasn’t spotted in Wandsworth or any other prison.”
Then on the morning of 6 September, Khalife said he concealed himself underneath the lorry, resting his back on the sling as the lorry was searched.
“They did normal checks around with torches but they didn’t find me. After that, a governor came to the tunnel and said, ‘Have you searched the vehicle?’
“I was facing upwards. There was action around the lorry.”
He said that when the vehicle stopped he “came out underneath the lorry and stayed in the prone position” until the lorry moved off.
Khalife, who joined the Army aged 16 and took up a post with the Royal Signals, based in Beacons barracks, Staffordshire, said he made no attempt to leave the country and had no intention to “run away” from the charges he was facing.
He was arrested three days later on the footpath of the Grand Union Canal in Northolt, west London, after a nationwide manhunt.
Asked why he had not handed himself in after his escape, Khalife said: “I was finally demonstrating what a foolish idea it was to have someone of my skillset in prison. What use was that to anyone?”
“I accept that I left the prison and didn’t have any permission to do so,” he said. “I accept absolutely that I shouldn’t have done what I did.”
Inspired by Homeland
The court has heard Khalife initiated contact with Iranian intelligence officers after he was told he could not pass developed vetting because his mother was born in Iran.
Khalife told MI5 he wanted to be a “double agent” and he said in court he thought he would be “congratulated” but described his arrest as like a “punch in the face”.
Wearing a blue checked shirt and chinos, he said police were “blinded at the prospect of a successful prosecution” but he did not think being in prison would be in “the public interest”.
“I didn’t do anything that harmed our national security. I wanted to put myself in a position where I could help my country,” he said.
“I believed I could continue my work actually located in the state – the state being Iran.”
Khalife said he took inspiration from watching Homeland, starring Claire Danes and Damian Lewis, in which Americans and terrorists go undercover, on Netflix.
“I had seen one of the characters in the programme had actually falsely defected to a particular country and utilised that position to further the national security interests of that character’s country,” he said.
“The country in question, Iran, thought it was real. She did it to further the interests of her own country.”
Khalife told jurors he is a “patriot”, adding: “I do love my country. All I wanted to do was help. I never wanted to do any harm, I never did do any harm.”
He added: “It is tragic it has come to this and I would do anything to go back to my career.”
Khalife, from Kingston, southwest London, denies a charge of committing an act prejudicial to the safety or interests of the state under the Official Secrets Act between 1 May 2019 and 6 January 2022.
He has also pleaded not guilty to a charge under the Terrorism Act of eliciting information about Armed Forces personnel on 2 August 2021, perpetrating a bomb hoax on or before 2 January 2023 and escaping from prison on 6 September last year.