Thousands of junior doctors will start voting on Monday on whether to strike over pay in the latest outbreak of industrial unrest.
About 45,000 British Medical Association (BMA) members in England are being balloted, with a result set for the end of February.
If they reach the 50% ‘yes’ threshold, junior doctors – any doctor below consultant level – will begin a 72-hour “full walkout” in March.
They will not provide emergency NHS care during the strike and trusts will need to arrange emergency cover to ensure patient safety, the BMA said.
The union has urged the government to meet doctors to negotiate a solution to avoid strikes – which would be the second time ever junior doctors have taken action, after 2016, when Chancellor Jeremy Hunt was health secretary.
It said it has not been invited to Monday’s meeting of health union leaders with Health Secretary Steve Barclay.
Junior doctors are calling for better pay after they were excluded from an NHS pay rise this year because their contract is subject to a multi-year pay deal, agreed in 2019 and ending in March, that gives them a 2% rise for 2022/2023.
More on Nhs
Related Topics:
The BMA said junior doctors in England have seen a real-term pay cut over the past 15 years, which amounts to a 26.1% decline in pay since 2008/9.
And the union says the risk to patients caused by the low pay means it has been left with no option but to ballot junior doctors for strike action.
Dr Vivek Trivedi and Dr Robert Laurenson, co-chairs of the BMA junior doctors committee, said: “When we are faced with such resolute ongoing silence, and there is no agreed settlement on the table, then we are left with no choice but to act.
“Junior doctors are not worth a quarter less than they were 15 years ago nor do they deserve to be valued so little by their own government.
“Pay erosion, exhaustion and despair are forcing junior doctors out of the NHS, pushing waiting lists even higher as patients suffer needlessly.
“The government’s refusal to address 15 years of pay erosion has given junior doctors no choice but to ballot for industrial action.
“If the government won’t fight for our health service, then we will.”
Please use Chrome browser for a more accessible video player
The ballot will open ahead of fresh ambulance worker strikes this week and later in January, and nurses’ strikes next week.
A Department of Health and Social Care spokesman said: “The health and social care secretary has been clear that supporting and retaining the NHS workforce is one of his key priorities, and that includes our hardworking junior doctors.
“Our multi-year pay deal with the British Medical Association is increasing junior doctors’ pay by a cumulative 8.2% by March 2023.
“We have also invested an additional £90m to provide the most experienced junior doctors with higher pay, increased allowances for those working the most frequently at weekends and increased rates of pay for night shifts.
“There are record numbers of staff working in the NHS and we are committed to publishing a comprehensive workforce strategy next year.”
This community in Sri Lanka’s Kandy District is a mass of mud and loss.
The narrow, filthy streets in Gampola are filled with broken furniture, sodden toys and soiled mattresses. A torrent of floodwater ripped through this neighbourhood and many people had no time to escape.
Trying to reach their now destroyed homes is like wading through treacle – the mud knee-deep.
Many locals say they were not warned about the threat Cyclone Ditwah posed here before it struck last Friday, and weren’t told to evacuate. They say they’ve received very little help since.
Resourceful neighbours were left to try to help rescue survivors. But some had to carry the bodies of the dead, too. Mohamed Fairoos was one of them.
Image: Fairoos Mohamed
“We took five bodies from here,” he says, gesturing to a house full of debris, where mattresses hang drying over the balcony.
“We took nine bodies in total and handed them over to the hospital.” He appears both shocked and exasperated at the lack of support this community received.
Image: The house where Fairoos pulled the bodies from
“When I took the bodies, the police, the navy, no one sent for us.” He tells me he even posted a video online appealing for boats, hoping it might help.
I ask him if he thinks the government has done enough. “No,” he says forcefully. “No one called for us. No one helped us. No one gave us any boats.”
Image: Kumudu Wijekon and her husband Kumar Premachandra
‘Five people were killed here’
Just a few doors down, a group of volunteers have come to clear another home filled with floodwater. “Five people were killed here,” one of them tells me.
Five of them came from one family: a mother, father, their two daughters and son. Kumudu Wijekon tells me she was friends with them and they’d fled here to a friend’s house, hoping to escape the threat.
“There was heavy rain, but they didn’t think there would be flooding. They left their own home to save themselves from landslides. If they had stayed, they would have survived.”
Image: Chamilaka Dilrukshi
‘We don’t have a single rupee’
A short drive away, Chamilaka Dilrukshi is sobbing inside the photography studio she shares with her husband Ananda. They have two children aged four and 11.
Chamilaka is clutching a bag of rice – she says it’s been donated by a friend and it’s all they have to eat.
Image: Ananda Wijebandara and his wife Chamilaka Dilrukshi
Everything in the shop is wrecked – expensive cameras and lighting equipment covered in thick layers of mud, and outside, rows of broken frames and ripped pictures.
They think they’ve lost nearly £2,500 and their home is severely damaged. She weeps as she tells us: “We don’t have a single rupee to start our business again. We spent all of our savings on trying to build our house.”
Like Mohamed, she believed they should have been warned. “We didn’t know anything. If we did, we would have taken our cameras and our computers out. We just didn’t know it was coming.”
Image: The studio was caked in mud
Anger at government’s perceived failings
Sri Lankan president Anura Kumara Dissanayake has declared a state of emergency to deal with the aftermath of the cyclone, and international aid has arrived.
But many people are angry at the government’s perceived failings. It’s been criticised for not taking the warnings from meteorologists seriously two weeks before the cyclone made landfall, as well as for not communicating enough messages in the Tamil language.
It is going to take places like Gampola a long time to rebuild, repair and restore trust. And in a country still recovering from an economic collapse, nothing is guaranteed.
Please use Chrome browser for a more accessible video player
0:22
Trump’s envoys walk around Moscow
They finally got down to business in the Kremlin more than six hours after arriving in Russia. And by that point, it was already clear that the one thing they had come to Moscow for wasn’t on offer: Russia’s agreement to their latest peace plan.
According to Vladimir Putin, it’s all Europe’s fault. While his guests were having lunch, he was busy accusing Ukraine’s allies of blocking the peace process by imposing demands that are unacceptable to Russia.
The Europeans, of course, would say it’s the other way round.
But where there was hostility to Europe, only hospitality to the Americans – part of Russia’s strategy to distance the US from its NATO allies, and bring them back to Moscow’s side.
Image: Vladimir Putin and Steve Witkoff shaking hands in August. AP file pic
Putin thinks he’s winning…
Russia wants to return to the 28-point plan that caved in to its demands. And it believes it has the right to because of what’s happening on the battlefield.
It’s no coincidence that on the eve of the US delegation’s visit to Moscow, Russia announced the apparent capture of Pokrovsk, a key strategic target in the Donetsk region.
It was a message designed to assert Russian dominance, and by extension, reinforce its demands rather than dilute them.
Please use Chrome browser for a more accessible video player
0:47
‘Everyone must be on this side of peace’
…and believes US-Russian interests are aligned
The other reason I think Vladimir Putin doesn’t feel the need to compromise is because he believes Moscow and Washington want the same thing: closer US-Russia relations, which can only come after the war is over.
It’s easy to see why. Time and again in this process, the US has defaulted to a position that favours Moscow. The way these negotiations are being conducted is merely the latest example.
With Kyiv, the Americans force the Ukrainians to come to them – first in Geneva, then Florida.
As for Moscow, it’s the other way around. Witkoff is happy to make the long overnight journey, and then endure the long wait ahead of any audience with Putin.
Captivate
This content is provided by Captivate, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Captivate cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Captivate cookies.
To view this content you can use the button below to allow Captivate cookies for this session only.
FIFA has backed away from using dynamic pricing for all 2026 World Cup tickets amid concerns about the cost of attending the tournament in North America.
The organisers insisted they always planned to ring-fence tickets at set prices to follow your own team.
But the announcement comes just days ahead of Friday’s tournament draw in Washington DC, which Donald Trump plans to attend.
Fans will have to wait until Saturday to know exactly where and when their teams will be playing in next summer’s tournament.
Image: Scotland will be one of the teams in the tournament, held in North America and Mexico
Variable pricing – fluctuating based on demand – has never been used at a World Cup before, raising concerns about affordability.
England and Scotland fans have been sharing images in recent days of ticket website images highlighting cost worries.
But world football’s governing body said in a statement to Sky News: “FIFA can confirm ringfenced allocations are being set aside for specific fan categories, as has been the case at previous FIFA World Cups. These allocations will be set at a fixed price for the duration of the next ticket sales phase.
“The ringfenced allocations include tickets reserved for supporters of the Participating Member Associations (PMAs), who will be allocated 8% of the tickets for each match in which they take part, including all conditional knockout stage matches.”
FIFA says the cheapest tickets are from $60 (£45) in the group stage. But the most expensive tickets for the final are $6,730 (£5,094).
There will also be a sales window after the draw from 11 December to 13 January when ticket applications will be based on a fixed price for those buying in the random selection draw.
It is the biggest World Cup with 104 matches after the event was expanded from 32 to 48 teams. There are also three host nations for the first time – with Canada and Mexico the junior partners.
Image: The tournament mascots as seen in Mexico in October. Pic: Reuters
“The pricing model adopted for FIFA World Cup 26 reflects the existing market practice for major entertainment and sporting events within our hosts on a daily basis, soccer included,” FIFA’s statement continued.
“This is also a reflection of the treatment of the secondary market for tickets, which has a distinct legal treatment than in many other parts of the world. We are focused on ensuring fair access to our game for existing but also prospective fans.”
The statement addressed the concerns being raised about fans being priced out of attending.
FIFA said: “Stadium category maps do not reflect the number of tickets available in a given category but rather present default seating locations.
“FIFA resale fees are aligned with North American industry trends across various sports and entertainment sectors.”
Ireland, Northern Ireland and Wales could also still qualify.