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Ambulance unions placed people’s lives at risk when they refused to introduce countrywide minimum levels of service during strikes last month, the business secretary has said.

Grant Shapps hit out at ambulance workers for only agreeing on a local level to minimum service levels after he earlier told Sky News it was a “regional or postcode lottery”.

The business secretary introduced a bill to parliament on Monday afternoon that will mean unions representing key workers will have to agree to minimum levels of safety and service when their members go on strike.

Mr Shapps praised nurses for ensuring safe levels of cover were in place on a national level during pre-Christmas strikes.

He earlier told Sky News the bill would protect people’s lives while respecting workers’ rights to stage walkouts.

The bill, if it gets made into law, will mean some trade union members would be required to continue working during a strike.

More questions over MP’ funding – live politics updates

Mr Shapps told MPs: “A lack of timely co-operation from the ambulance unions meant employers could not reach agreement nationally for minimum safety levels during recent strikes and health officials were left guessing at the likely minimum coverage, making contingency planning almost impossible and putting everyone’s constituents lives at risk.

“The ambulance strike plans for tomorrow still do not have minimum safety levels in place and this will result in patchy emergency care for the British people.

“And this cannot continue.”

Members of the RCN pictured on the picket line outside St Thomas' Hospital, central London, on 20 December
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Nurses were praised for ensuring minimum levels of service during December strikes

The GMB union, whose ambulance worker members are going on strike on Wednesday, said it was an “extraordinary attack”.

“He surely knows that across NHS trusts, GMB members who care for the public every single day, work closely with employers to provide appropriate cover on strike days and have left picket lines to help out on urgent calls,” a spokesman said.

“The public know who is to blame for the crisis in our NHS – this government. And, people will be disgusted that in a matter of months, they have gone from clapping health workers to legislating to sack them.”

Labour has said it would repeal the bill, with Deputy Leader Angela Rayner telling the Commons the proposal will lead to nurses being sacked and is an “outright attack on the fundamental freedom of British people”.

She accused the government of “playing politics with nurses’ and teachers’ lives because they can’t stomach the cooperation and negotiation that’s needed”.

Unions have said the bill is “an attack on the right to strike”.

Mr Shapps told Sky News’ Kay Burley at Breakfast: “It works in places like France and Italy and Spain, Germany.

“Other places have minimum service or in some cases with the NHS safety type levels, which mean that if you call an ambulance, for example, you know that it will turn up if it’s a heart attack or stroke.”

Conservative MP Stephen McPartland said it was “shameful, shameful, shameful to target individual workers and order them to walk past their mates on picket line or be sacked”.

Read more:
NHS strikes to go ahead after talks break down
Who is striking and when?

Business Secretary Grant Shapps MP
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Business Secretary Grant Shapps said there can be minimum service levels while respecting people’s right to strike

Minimum services law extension

The Conservative party’s 2019 election manifesto already promised a minimum service law for public transport, with a bill introduced to parliament in October.

Now, the government wants to extend that requirement to five other areas – the NHS, education, fire and rescue, border security and nuclear decommissioning.

Under the law, employers could issue a “work notice” laying out the workforce they need so employees on the list would lose their right to protection from unfair dismissal if they went on strike.

Consultations over what exactly the minimum levels would be are set to begin soon and further details are due to be published next week when MPs will get a chance to debate the bill during its second reading in parliament.

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Unite: Strikes will go on

Proposals ‘unworkable’

The Trades Union Congress (TUC), which represents all unions, said the bill is the “latest attack on the right to strike” and said it would make it harder for disputes to be resolved.

Paul Nowak, TUC general secretary, said: “That’s undemocratic, unworkable, and almost certainly illegal.”

Mr Shapps’ bill is being introduced the day before ambulance workers – who are members of the GMB and Unison unions – go on strike after talks with Health Secretary Steve Barclay broke down on Monday.

Ambulance workers from Unison and Unite are set to strike again on 23 January, while nurses with the Royal College of Nursing union have said they will strike on 18 and 19 January.

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‘They’re invisible within society’: Whistleblower says asylum seekers disappear ‘daily’ from hotels

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'They're invisible within society': Whistleblower says asylum seekers disappear 'daily' from hotels

An insider has told Sky News people are still disappearing “daily” from asylum seeker hotels.

In an exclusive interview, the contractor described the chaos he sees within the system as “terrifying” because undocumented people are persistently absconding from hotels.

He spoke to us because he is deeply concerned about the ongoing lack of monitoring at a time when the government has promised to tighten the asylum system.

The man, who we are not naming, works across multiple asylum hotels in one region of England.

“When someone gets to about a week away from the hotel, they’re processed as an absconder,” he said.

“Nothing really happens there. They get marked as ‘left the hotel’ and a notification is sent to the Home Office.

“It’s at least weekly. Most of the time it can be daily.”

More on Asylum

The government moved last month to reset its immigration policy by promising to toughen the process for asylum seekers.

The latest figures up to September this year show 36,272 asylum seekers living in hotels.

Failed asylum applicants are given a date to move out by, but they're not actually picked up by the authorities, the insider says
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Failed asylum applicants are given a date to move out by, but they’re not actually picked up by the authorities, the insider says

Overall 110,000 people claimed asylum in the UK between September 2024 and September 2025 – higher than the previous recorded peak of 103,000 in 2002.

The hotel contractor also described to Sky News what he says happens when a resident’s claim for asylum is rejected.

“They get given a date that they need to move out by,” he said.

“You would expect immigration enforcement to go to the hotel to pick these people up. You would expect them to not even be told that they failed their asylum claim.

“You would expect them to just be collected from the hotel… that doesn’t happen.”

He told us that some residents just walk out of the door with no further checks or assistance.

The whistleblower spoke to Sky News' Tom Parmenter in the exclusive interview
Image:
The whistleblower spoke to Sky News’ Tom Parmenter in the exclusive interview

“It must be terrifying for these people as well… ‘what do I do now? I don’t have an address’.

“So what do they do? How do they survive?

“Do they then get forced… to go into an underground world?

“They’re just completely invisible within society.

“For those people to freely be allowed, undetected and unchecked, on the streets of this country is terrifying.”

His account from within the system contrasts with the government’s promises to restore control over the asylum process.

Police and protesters outside the Bell Hotel, Epping, where asylum seekers have been housed. Pic: PA
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Police and protesters outside the Bell Hotel, Epping, where asylum seekers have been housed. Pic: PA

In response to the interview, a Home Office spokesperson said: “This government will end the use of hotels and have introduced major reforms to the asylum system, to scale up removals of people with no right to be here and address the factors drawing illegal migrants to the UK in the first place.

“Nearly 50,000 people with no right to be in our country have been removed and enforcement arrests to tackle illegal working are at the highest level in recent history.

“A dedicated team in the Home Office works with police, across government and commercial companies to trace absconders. Failure to return to a hotel can also lead to asylum claims and support being withdrawn.”

At a community kitchen in Greater Manchester, organisers told us they regularly see people who are living under the radar – surviving with “cash in hand” jobs.

Volunteer Shabana Yunas says the situation is 'getting worse' and 'it is dangerous'
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Volunteer Shabana Yunas says the situation is ‘getting worse’ and ‘it is dangerous’

Volunteer Shabana Yunas helps many hungry and desperate people. She also feels the tension it causes in her community.

“People don’t know who they are and I understand a lot of people are afraid… but if there’s those things in place where we can monitor who is around, then everybody can feel a lot safer.

“If people are coming into the UK and we don’t know who they are and they’re just disappearing, crime rates are going to go up, slavery is going to go higher, child exploitation is going to be more exposed.

“They are too afraid to go to the authorities because they are scared of being deported to a country where their lives could be at risk.

“It’s getting worse, it is dangerous and we do need to do something about this where we can support people.”

Kitchen volunteer Khalid, from Ethiopia, has had his application for asylum rejected four times
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Kitchen volunteer Khalid, from Ethiopia, has had his application for asylum rejected four times

Another volunteer at the kitchen is Khalid.

He arrived in the UK in 2015 having travelled from Ethiopia – he hid on a lorry to get into England.

Read more:
The visa overstayers living under the radar

Stats show rise in asylum seekers being housed in hotels
Britain’s immigration system changes explained

He has applied for asylum and been rejected four times.

He has recently submitted another application and told us political violence at home meant he could not return.

Crucially, he knows plenty of people living off-grid.

“Yeah, they don’t care about what the government thinks, because they already destroyed their life,” he told us.

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Although Khalid now has somewhere to stay, he has previously considered turning to crime to give himself the stability of life in prison.

“I was in depression. I was like, I wanna do some criminal and go jail, to stay in a prison.

“Once upon a time, I’d prefer that way.”

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The visa overstayers in ‘soft’ Britain

Khalid is now volunteering to give his life more purpose as he waits for another decision from the Home Office.

He says he doesn’t blame people who think he should be deported back to Ethiopia.

When asked if he should have been, he said: “That is up to Home Office, like up to government.”

Stopping small boats, clearing backlogs, closing hotels, enforcing the rules and restoring faith in the system are all priorities for the Home Office – solving it all is one of the defining challenges for the Starmer government.

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NHS facing ‘worst case scenario’ December amid ‘super flu’ surge

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NHS facing 'worst case scenario' December amid 'super flu' surge

NHS England has warned the health service is facing a “worst case scenario” December with a surge of “super flu”.

The warning comes as new figures revealed the number of people in hospital with flu have increased by more than half in just one week.

Catch up as it happened: NHS warns of ‘worst-case scenario’ as ‘super flu’ surges

Latest figures show:

• An average of 2,660 patients were in hospital per day with flu last week

• This is the highest ever for this time of year and up 55% on last week

• At this point last year the number stood at 1,861 patients, while in 2023 it was just 402

Health service bosses are warning the number of flu patients in hospital has already increased sharply since the week covered by this data – with no peak in sight.

Read more: Why is flu season worse this year?

Virus outbreaks coincide with doctors’ strikes

Weekly flu numbers in England peaked at 5,408 patients last winter and reached 5,441 over the winter of 2022/23, the highest level since the pandemic.

Alongside rocketing flu, the number of norovirus patients in hospital has also risen by 35%.

The NHS is now warning winter viruses are starting to “engulf hospitals”.

Demand for A&Es and ambulance services is also soaring.

New monthly figures show A&E attendances were a record for November at 2.35 million – more than 30,000 higher than November 2024.

In addition, there were 48,814 more ambulance incidents (802,525) compared with last year (753,711).

Some hospitals across the country have asked staff, patients and visitors to wear face masks to cut the spread of flu, while others have gone in and out of critical incident status due to the high number of people attending A&E.

What are the symptoms of flu?

  • Sudden high temperature
  • Achy body
  • Feeling tired or exhausted
  • Dry cough
  • Sore throat
  • Headaches
  • Difficulty sleeping
  • Loss of appetite
  • Diarrhoea
  • Feeling or being sick

The record-breaking demand on the NHS coincides with a resident doctors’ strike from 17 to 22 December over pay and jobs – sparking fears of major disruption for patients in the run up to Christmas.

People are being advised to attend any planned appointments scheduled during the strikes unless they have been contacted to reschedule.

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Will doctors accept late deal to avoid strikes?

Flu vaccinations on the up… who can get one?

The NHS is urging anyone eligible to get their flu vaccination to help prevent them getting seriously ill.

Latest figures show more than 17.4 million people have been vaccinated so far this year, more than 381,000 higher than last year.

You can get it if you:

• Are 65 or over in England, Scotland, Wales and Northern Ireland

• Are pregnant

• Live in a care home

• Are the main carer for an older or disabled person, or receive carer’s allowance

• Live with someone who has a weakened immune system

• Are a frontline health and social care worker

• Are of school age

• Have certain medical conditions (the NHS has a full list)

Wes Streeting, the health secretary, warned of a “tidal wave of flu tearing through our hospitals”.

“We are working with the NHS to make sure it is able to cope with this as best as possible,” he said.

Analysis – Why these flu figures are so troubling

NHSE press releases can be prone to hyperbole: a “tsunami of infections, worst case scenarios” and “tidal wave of flu surging through hospitals” are recent examples.

But the health service’s headline writers can be allowed this excess right now.

The latest flu numbers are bad. Really bad and could get worse. One recent projection was 8,000 patients, before this wave subsides.

But that’s where the problem lies. There is no peak in sight.

We know flu season has come early. It’s going to last longer. But there’s uncertainty over when we expect to see infections falling.

Hospitals are at capacity. Most of those receiving care are elderly or have underlying health conditions.

But younger, fitter people can’t afford to be complacent.

This is a particularly nasty strain that is highly infectious. Nobody is immune. Except those people who have protected themselves with a vaccine.

Warning ‘extremely challenging few weeks ahead’

Professor Meghana Pandit, NHS national medical director, warned the health service faces “an extremely challenging few weeks ahead” with “staff being pushed to the limit”.

She said: “With record demand for A&E and ambulances and an impending resident doctors’ strike, this unprecedented wave of super flu is leaving the NHS facing a worst-case scenario for this time of year – with staff being pushed to the limit to keep providing the best possible care for patients.

“The numbers of patients in hospital with flu is extremely high for this time of year. Even worse, it continues to rise and the peak is not in sight yet, so the NHS faces an extremely challenging few weeks ahead.”

She added: “We have prepared earlier for winter than ever before, and stress-tested services to ensure people have a range of ways to get the help they need and avoid needing to go to A&E.

“For non-life-threatening care, people should call NHS 111 or use 111 online, which can direct you to the most appropriate place, and use A&E and 999 for life threatening conditions and serious injuries.”

Read more from Sky News:
US accused of ‘piracy’
Flights diverted in Moscow

Mr Streeting has offered the British Medical Association (BMA) a last-minute deal in the hope doctors will call off the walkout, which starts next Wednesday.

The doctors’ union has agreed to put the offer to members over the coming day, and is expected to announced a decision on Monday, just two days before the planned strike.

The offer includes a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees, but does not include extra pay.

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Super flu strikes during perfect storm for NHS

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Super flu strikes during perfect storm for NHS

The spread of subclade K, the super flu, is picking up – and it’s not looking good for the NHS.

An average of just under 2,700 hospital beds a day in England were occupied by patients with flu last week.

There are fears that could jump to somewhere between 5,000 and 8,000 by the end of this week.

That’s on top of COVID and RSV.

And with the possibility of a five-day strike by resident (junior) doctors next week, it’s a perfect storm for hospitals.

An NHS hospital ward at Ealing Hospital in London. Pic: PA
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An NHS hospital ward at Ealing Hospital in London. Pic: PA

Christmas flu

Children are the super-spreaders of flu. It races around classrooms and some schools have temporarily shut because of the impact.

More on Health

The Christmas holidays aren’t far off. They are likely to put the brakes on children passing around the virus.

But it’s also a time of year when families mix with elderly relatives, who are more likely to be hit hard by the infection – perhaps even needing hospital care.

So while the holidays may temporarily slow the overall rise in infections, the impact on hospitals could get much worse.

File pic: PA
Image:
File pic: PA

Subclade K

Flu is spreading so rapidly at the moment because immunity to subclade K from previous infections and vaccinations is low.

The virus – a variant of the H3N2 flu strain – suddenly acquired seven new mutations in late summer.

Every 100 people infected with seasonal flu would typically pass the virus on to 120 others.

With subclade K, it’s 140.

And that’s why cases are rising so quickly on the charts.

At the moment, 18 in every 100,000 patients in England are consulting their GP with flu-like symptoms. That’s still well short of the peak of around 50 in every 100,000 in 2017/18, the worst flu outbreak in recent years.

File pic: PA
Image:
File pic: PA

The grim reality of flu

Flu is a really unpleasant disease, nothing like a cold. I’ve had it twice in my life and it physically hurt to get out of bed. It’s grim.

Most people get over it with a few days’ rest and paracetamol to take the edge off the fever.

But vulnerable people can become seriously ill. In the outbreak of 2017/18, around 22,000 died.

Read more:
Nurses ‘deeply concerned about what lies ahead’
NHS braced for ‘toughest winter’ after record-breaking month

That’s why the NHS is urging people in certain groups – the over 65s, those with underlying health conditions, pregnant women, carers and children – to get the jab.

The vaccine isn’t a great match for subclade K, but still reduces the chance of hospital admission by 30-40% in adults.

It’s impossible to say when the spread will peak, but the latest figures suggest the outbreak is far from over.

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