About 25,000 ambulance workers across England and Wales will strike today in a dispute with the government over pay, amid fears some patients will be forced to make their own way to hospital.
Staggered walkouts will take place over a 24-hour period and will include paramedics, call handlers, drivers and technicians from the Unison and GMB unions.
Workers will not strike for longer than 12 hours each, with call handlers expected to walk out for six-hour periods.
Image: Staff working at the LAS emergency operations centre in Newham, east London, ahead of Wednesday’s strikes
Patients can expect waits for 999 and 111 calls to be answered as well as delays for ambulances, with health leaders warning of additional stress on an NHS that’s already under pressure.
Unison has balloted some 15,000 of its members who are set to walk out in London, Yorkshire, the North West, North East and South West.
Meanwhile, more than 10,000 GMB ambulance workers are also expected to strike, meaning ambulance services will be affected in the South West, South East coast, North West, South Central area, North East, East Midlands, West Midlands, Yorkshire and Wales.
NHS England has advised patients to continue to call 999 for life-threatening emergencies but to use 111, GPs and pharmacies for non-urgent needs.
It said some people may be asked to make their own way to hospital, but urged people to seek medical advice from 111 or 999 before doing so.
If you are an NHS worker and would like to share your experiences with us anonymously, please email NHSstories@sky.uk
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2:40
Health workers daily ‘firefight’
‘Unwelcome return to unnecessary disruption’
Health and Social Care Secretary Steve Barclay said: “Today’s ambulance strike is an unwelcome return to unnecessary disruption and comes at a time when the NHS is already under huge pressure from COVID and flu.
“While we have contingency plans in place, including support from the military, community first responders and extra call handlers, to mitigate risks to patient safety, there will inevitably be some disruption for patients with fewer ambulances on the road.”
Ambulance responses are split into categories, with category one being the most life-threatening such as cardiac arrests, while category two covers conditions such as strokes and sepsis.
Unions and trusts will decide which category two calls will receive a response during the strike.
The West Midlands Ambulance Service said it had agreed on a response to all category one calls plus other life-threatening cases such as heart attacks, strokes, difficulty in breathing and maternity cases.
Ben Holdaway, director of operations at the East Midlands Ambulance Service, said teams have worked to maximise the number of staff, though he anticipated a “much slower” response than usual.
“Where possible, our 999 control rooms will carefully assess and prioritise an ambulance response for those who need it most, and this may only be where there is a threat to life,” he added.
South Central Ambulance Service said the strike will involve 200 workers and will mostly disrupt its non-emergency patient transport services.
Meanwhile, Yorkshire Ambulance Service warned all its services will be impacted – including frontline emergency ambulances and 999 call handling, non-emergency patient transport and NHS 111.
It said ambulances will still be able to respond during the strike, “but this will only be where there is an immediate risk to life”.
In London, there is an agreement in place that a maximum of 50% of the staff will be taking industrial action at any one time and staff will come off picket lines if call-answering times are too long, according to Daniel Elkeles, the service’s chief executive officer.
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4:36
Why is the NHS struggling so much?
‘Life and limb conditions’
On whether category two calls will be answered, he said: “They will. We have called it life and limb conditions because some of them are in category one, some of them are in category two, and actually, some might be in category three.”
Miriam Deakin, director of policy and strategy at NHS Providers, said trust leaders feared the NHS will be hit harder by Wednesday’s strike as more staff strike than they did in December, but said they will “pull out all the stops” to minimise the impact.
Monday’s talks between unions and the government failed to stop the planned strike, with industrial action also in the pipeline by teachers and rail staff.
Nurses are planning to strike next Wednesday and Thursday, while another ambulance strike is set to take place on 23 January.
Image: Ambulance workers on the picket line outside Soundwell Ambulance Station, Bristol, in December
On Tuesday, the government brought in new legislation for “minimum safety levels” when workers stage walkouts.
But Business Secretary Grant Shapps told the Commons that Wednesday’s ambulance strike “still does not have minimum safety levels in place and this will result in patchy emergency care for the British people”.
Ambulance workers in England and Wales are striking over demands for a pay rise above inflation, but the government says most ambulance staff have received a pay rise of at least 4%.
Health Secretary Steven Barclay will be interviewed on Sky News at 7.20am.
Hundreds of UK online safety workers at TikTok have already signed agreements to leave the company, whistleblowers have told Sky News, despite the firm stressing to MPs that the cuts were “still proposals only”.
More than 400 online safety workers have agreed to leave the social media company, with only five left in consultation, Sky News understands.
“[The workers have] signed a mutual termination agreement, a legally binding contract,” said John Chadfield, national officer for the Communication Workers’ Union.
“They’ve handed laptops in, they’ve handed passes in, they’ve been told not to come to the office. That’s no longer a proposal, that’s a foregone conclusion. That’s a plan that’s been executed.”
Image: Moderators gathered to protest the redundancies
“Everyone in Trust and Safety” was emailed, said Lucy, a moderator speaking on condition of anonymity for legal reasons.
After a mandatory 45-day consultation period, the teams were then sent “mutual termination agreements” to sign by 31 October.
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Sky News has seen correspondence from TikTok to the employees telling them to sign by that date.
“We had to sign it before the 31st if we wanted the better deal,” said Lucy, who had worked for TikTok for years.
“If we signed it afterwards, that diminished the benefits that we get.”
Image: Three former moderators at TikTok have spoken to Sky News on camera
Despite hundreds of moderators signing the termination contracts by 31 October, Ali Law, TikTok’s director of public policy and government affairs for northern Europe, said to MPs in a letter on 7 November: “It is important to stress the cuts remain proposals only.”
“We continue to engage directly with potentially affected team members,” he said in a letter to Dame Chi Onwurah, chair of the science, innovation and technology committee.
After signing the termination contracts, the employees say they were asked to hand in their laptops and had access to their work systems revoked. They were put on gardening leave until 30 December.
“We really felt like we were doing something good,” said Saskia, a moderator also speaking under anonymity.
“You felt like you had a purpose, and now, you’re the first one to get let go.”
Image: TikTok moderators and union workers protested outside the company’s London headquarters in September
A TikTok worker not affected by the job cuts confirmed to Sky News that all of the affected Trust and Safety employees “are now logged out of the system”.
“Workers and the wider public are rightly concerned about these job cuts that impact safety online,” said the TUC’s general secretary, Paul Nowak.
“But TikTok seem to be obscuring the reality of job cuts to MPs. TikTok need to come clean and clarify how many vital content moderators’ roles have gone.
“The select committee must do everything to get to the bottom of the social media giant’s claims, the wider issues of AI moderation, and ensure that other workers in the UK don’t lose their jobs to untested, unsafe and unregulated AI systems.”
Image: Moderators and union representatives outside TikTok’s offices
When asked if the cuts were in fact a plan that had already been executed, Mr Law said there was “limited amounts” he could directly comment on.
TikTok told us: “It is entirely right that we follow UK employment law, including when consultations remained ongoing for some employees and roles were still under proposal for removal.
“We have been open and transparent about the changes that were proposed, including in detailed public letters to the committee, and it is disingenuous to suggest otherwise.”
The three whistleblowers Sky News spoke to said they were concerned TikTok users would be put at risk by the cuts.
The company said it will increase the role of AI in its moderation, while maintaining some human safety workers, but one whistleblower said she didn’t think the AI was “ready”.
“People are getting new ideas and new trends are coming. AI cannot get this,” said Anna, a former moderator.
“Even now, with the things that it’s supposed to be ready to do, I don’t think it’s ready.”
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12:04
Is TikTok improving safety with AI?
Lucy also said she thought the cuts would put users at risk.
“There are a lot of nuances in the language. AI cannot understand all the nuances,” she said.
“AI cannot differentiate some ironic comment or versus a real threat or bullying or of a lot of things that have to do with user safety, mainly of children and teenagers.”
TikTok has been asked by MPs for evidence that its safety rates – which are currently some of the best in the industry – will not worsen after these cuts.
The select committee says it has not produced that evidence, although TikTok insists safety will improve.
“[In its letter to MPs] TikTok refers to evidence showing that their proposed staffing cuts and changes will improve content moderation and fact-checking – but at no point do they present any credible data on this to us,” said Dame Chi earlier this month.
“It’s alarming that they aren’t offering us transparency over this information. Without it, how can we have any confidence whether these changes will safeguard users?”
Image: Dame Chi Onwurah speaks at the House of Commons. File pic: Reuters
TikTok’s use of AI in moderation
In an exclusive interview with Sky News earlier this month, Mr Law said the new moderation model would mean TikTok can “approach moderation with a higher level of speed and consistency”.
He said: “Because, when you’re doing this from a human moderation perspective, there are trade-offs.
“If you want something to be as accurate as possible, you need to give the human moderator as much time as possible to make the right decision, and so you’re trading off speed and accuracy in a way that might prove harmful to people in terms of being able to see that content.
“You don’t have that with the deployment of AI.”
As well as increasing the role of AI in moderation, TikTok is reportedly offshoring jobs to agencies in other countries.
Sky News has spoken to multiple workers who confirmed they’d seen their jobs being advertised in other countries through third-party agencies, and has independently seen moderator job adverts in places like Lisbon.
Image: John Chadfield, national officer for technology at the Communication Workers Union
“AI is a fantastic fig leaf. It’s a fig leaf for greed,” said Mr Chadfield. “In TikTok’s case, there’s a fundamental wish to not be an employer of a significant amount of staff.
“As the platform has grown, as it has grown to hundreds of millions of users, they have realised that the overhead to maintain a professional trust and safety division means hundreds of thousands of staff employed by TikTok.
“But they don’t want that. They see themselves as, you know, ‘We want specialists in the roles employed directly by TikTok and we’ll offshore and outsource the rest’.”
Mr Law told Sky News that TikTok is always focused “on outcomes”.
He said: “Our focus is on making sure the platform is as safe as possible.
“And we will make deployments of the most advanced technology in order to achieve that, working with the many thousands of trust and safety professionals that we will have at TikTok around the world on an ongoing basis.”
Asked specifically about the safety concerns raised by the whistleblowers, TikTok said: “As we have laid out in detail, this reorganisation of our global operating model for Trust and Safety will ensure we maximize effectiveness and speed in our moderation processes.
“We will continue to use a combination of technology and human teams to keep our users safe, and today over 85% of the content removed for violating our rules is identified and taken down by automated technologies.”
*All moderator names have been changed for legal reasons.
A 3.3-magnitude earthquake has struck Lancashire – with dozens of people saying it shook their homes or woke them up.
The British Geological Society (BGS) told Sky News it was “felt across the South Lakes and Lancashire, mainly within 20km of the epicentre”, including Kendal and Ulverston in neighbouring Cumbria.
Preliminary data suggests it struck off the coast of Silverdale at 11.23pm, at a depth of 1.86 miles (3km).
Each year, between 200 and 300 earthquakes are detected and located in the UK by the BGS.
Between 20 and 30 earthquakes are felt by people each year, and a few hundred smaller ones are only recorded by sensitive instruments.
Most of these are very small and cause no damage.
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This is the second time elections are being delayed in these areas. Local elections due in May 2025 weredelayedby then communities secretary Angela Rayner for a year in order to convert them into combined authorities led by mayors.
However, it is understood that these councils need more time to complete their reorganisation.
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4:53
Will Tories and Reform unite?
The news has sparked accusations Labour are delaying the elections for political purposes.
Reform UK’s head of policy Zia Yusuf said: “This is a blatant attempt to stop big Reform wins next May.
“It’s an act of a desperate government who are clinging onto power by any means necessary.
“Labour has proven time and time again that they’re not beyond denying democracy to millions of people in order to maintain their cosy status quo.”
Image: Pic: PA
The Tories’ shadow housing secretary James Cleverly said it was a “scandalous attempt to subvert democracy by a Labour government whose credibility and popularity are already in tatters”.
“The Conservatives firmly oppose this decision to delay the mayoral elections, especially when candidates have been selected and campaigning is well under way,” he added.
“Democracy is being denied yet again after the council elections cancelled by Labour this year.
“There is no credible justification for this move. The Labour government must reverse it immediately.”
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The government wants to abolish the two-tier system of county and district councils and merge them together to create larger unitary authorities. It also wants more areas to have regional mayors, like Greater Manchester’s Andy Burnham.
Reform UK enjoyed success in the local elections in May, winning more than 600 seats and taking control of 10 councils stretching from Kent to County Durham. The party also toppled a 14,000-strong Labour majority in a parliamentary by-election.
The Liberal Democrats’ local government spokesperson Zoe Franklin called the postponed elections “a disgrace”.
“Democracy delayed is democracy denied,” she added. “We are fighting to end this blatant stitch up between Labour and the Conservatives over local elections.”