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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.

Staff working at the LAS emergency operations centre in Newham, east London
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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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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.

Read more
Ambulance unions ‘put people’s lives at risk’ – Shapps
NHS strikes to go ahead after talks break down
Who is striking and when?

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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.

Ambulance workers on the picket line outside Soundwell Ambulance Station, Bristol
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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.

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Trump tells PM how to stop small boats and makes Putin admission – but saves harshest words for Sadiq Khan

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Trump tells PM how to stop small boats and makes Putin admission - but saves harshest words for Sadiq Khan

Donald Trump has told Sir Keir Starmer he should use the military to stop migrants crossing the Channel.

The US president made the suggestion while stood alongside the prime minister for a typically wide-ranging news conference on Thursday afternoon, bringing his state visit to Britain to an end.

Catch up on updates from Trump’s state visit

Speaking at Chequers, Sir Keir‘s country retreat, Mr Trump warned illegal migration is “going to destroy […] countries from within” and said “it doesn’t matter if you call out the military” to deal with small boats.

He talked up his own record of stopping people crossing the US-Mexico border.

Sir Keir instead pointed to his government’s migrant return deal with France, with the first deportation of a man who arrived via small boat taking place on Thursday morning.

Further flights are scheduled to take place this week and next, starting Friday, while exchange arrivals to Britain via the legal route agreed with the French are due in the coming days.

More on Donald Trump

Mr Trump also used the news conference to admit Vladimir Putin “has really let me down”, having stepped up his attacks against Ukraine since the two men held a peace summit in Alaska last month.

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Trump: ‘Putin has let me down’

But asked by Sky News’ political editor Beth Rigby if it was a mistake to invite Mr Putin and if he regrets it, the president replied: “No.”

It’s the “biggest disappointment” of his presidency that he hasn’t managed to end the war, Mr Trump admitted.

He said he thought it would be the “easiest” to solve because of his relationship with Mr Putin.

Sir Keir said the Russian president has “shown his true face”, and more “pressure” is required to make him stop.

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Rigby to Trump: Was Putin’s Alaska invite a mistake?

Trump reignites war of words with Khan

While disappointed with Mr Putin, Mr Trump spared his harshest rhetoric for Sir Keir’s friend Sadiq Khan.

Speaking on Air Force One on his way back to the US, where he touched down in the early hours of Friday, he said he asked for the London mayor to be banned from attending the state banquet at Windsor Castle on Wednesday.

“I didn’t want him there,” the president said. “I asked that he not be there.”

He claimed Sir Sadiq had wanted to be at the event, adding: “I think the mayor of London Khan is among the worst mayors in the world, and we have some bad ones.”

Sky News understands the mayor didn’t seek or expect an invitation. A source close to Sir Sadiq said the capital is a “global success story” and “record numbers of Americans are choosing to make London their home”.

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Will both sides be happy with Trump’s state visit?

The Trump-Starmer news conference also covered the war in Gaza, the sacking of Lord Mandelson as Britain’s US ambassador, energy policy, and a newly signed UK-US tech deal.

Speaking about the situation in Gaza, Mr Trump said: “Simply I want all hostages to be released now.”

He said he disagreed with the UK’s plan to recognise a Palestinian state at the UN within days, should Israel not improve the humanitarian situation in Gaza.

Trump claims not to know Mandelson

Also asked by Beth Rigby if he has sympathy with Lord Mandelson, who was sacked by Sir Keir over past links to paedophile financier Jeffrey Epstein, the president simply said: “I don’t know him.”

That’s despite the president being pictured shaking hands with the Labour peer in the Oval Office after announcing a trade deal with the UK back in May.

There had been concerns that the Epstein issue could cast a shadow on the president’s second state visit to the UK, not least because Mr Trump was also close to Epstein, although they fell out before his conviction in 2009.

Read more:
Trump historic state visit – second day in pictures
Eight things you might have missed from state visit

Lord Mandelson pictured with President Trump in the Oval Office in May. Pic: Reuters
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Lord Mandelson pictured with President Trump in the Oval Office in May. Pic: Reuters

Pic: AP
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Pic: AP

Energy policy

Mr Trump urged Sir Keir to exploit the UK’s North Sea oil and gas resources, dismissing wind power as a “very expensive joke”.

The UK government has ruled out new oil and gas licences in the North Sea, focusing on renewables and building nuclear power stations.

Despite their differences, Mr Trump said the bond between the US and Britain is like no other, and he described the prime minister as a “tough negotiator”.

The pair signed a technology prosperity deal, offering major investment by US tech firms in the UK, that will help to develop artificial intelligence (AI) capabilities.

Sir Keir also hailed the prospect of £150bn flowing into the UK from big US companies such as Palantir and Blackstone, part of a wider £250bn package that officials say will benefit both sides.

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Kimmel was ‘fired for bad ratings’, says US president

Jimmy Kimmel controversy

Meanwhile, Mr Trump also commented on US late-night chat show host Jimmy Kimmel, whose programme has been pulled from schedules after his remarks about the fatal shooting of conservative activist Charlie Kirk.

The president claimed the show, Jimmy Kimmel Live!, was suspended because he “is not a talented person” and had “very bad ratings”.

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Trade unions gear up to nominate candidate in contest for Labour deputy

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Trade unions gear up to nominate candidate in contest for Labour deputy

Two of the most important Labour-affiliated unions are set to nominate their choice for who should replace Angela Rayner as the party’s deputy leader.

Unison and GMB will pick their candidate on 25 September – two days ahead of the deadline for nominations for Labour affiliates and local party branches.

Bridget Phillipson, the education secretary, is seen as the government’s choice of candidate in the race, which has effectively turned into a de facto confidence vote on Sir Keir Starmer’s leadership.

She is up against Lucy Powell, who was sacked as Commons leader in the recent reshuffle and has become the candidate for MPs who are unhappy with the party’s direction after a difficult first year in government.

Ms Phillipson has already secured the backing of the two unions – Community and the Union of Shop, Distributive and Allied Workers.

Will unions want to say ‘sod you’ to PM?

There are question marks over who Unison, GMB and Unite will back in the race, triggered by Ms Rayner quitting as deputy leader, deputy prime minister and housing secretary over underpaid stamp duty on a second home.

While Ms Phillipson may be boosted by having the backing of Number 10, the level of discontent in the Labour Party and wider union movement is at such a level that Ms Powell’s “outsider” status may benefit her.

One union source told Sky News that while they felt Ms Phillipson was the “better candidate”, “the temptation to vote Lucy to give a ‘sod you’ to government is a lot”.

They added: “Number 10 need to start fearing the party. They’ve had it too easy.”

Read more:
Why sacking Lucy Powell might come back to haunt Starmer
How can a UK prime minister be ousted?

Another union insider said there was a “sense among union leaders that they wish this wasn’t happening”.

They questioned how important a role the unions would play in this contest due to the tight timetable, making it harder for them to mobilise behind a candidate.

“Most unions feel this is not a hugely impactful moment either way,” they said.

“Many of their members will be feeling quite grumpy at how things are going with the government, but at the same time, union leaders won’t want to get on the wrong side of Number 10 over something that is not going to make a meaningful difference in the long term.”

There are questions over the extent of Unite’s involvement and interest in the race.

Although the union is Labour’s biggest supporter, Sharon Graham, its general secretary, has sought to turn its focus away from internal party politics and on to industrial disputes.

On the first day of the Trades Union Congress in Brighton, she told Sky News she’d be “looking very much at their track record – have they backed workers? That’s what I’ll be looking for”.

Sharon Graham said she'll be looking at which candidate has backed workers
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Sharon Graham said she’ll be looking at which candidate has backed workers

How will the race play out?

In order to proceed to the next stage of the contest, the two candidates must each secure nominations from at least 5% of constituency Labour parties, or at least three organisations affiliated that to the party. At least two of these must be trade unions which make up 5% of fully paid-up affiliated party members.

The deadline to secure the necessary support is Saturday 27 September.

The Labour Party’s annual conference begins the next day, where the candidates who have secured the required backing will be able to make their pitches directly to members in a final hustings.

Ms Phillipson has pitched herself as the candidate who can “unite” the party after a difficult first year in power, which has seen Labour sink to just 20% in the polls, behind Nigel Farage’s Reform, which is leading on 28%.

Ms Phillipson, who has spoken of growing up in a working class area of Sunderland before going on to high office, said she was the person to take on Reform and secure a second term for Labour.

Speaking at a hustings event last week, she told members: “You can use this contest to look backward, to pass judgment on what has happened in the last year, or you can use it to shape positively what happens in the run-up to the next election.”

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Bridget Phillipson to stand for Labour deputy leader

‘Unforced errors’ cost government

Her message comes in contrast to that of Ms Powell, who has pitched herself as the “shop steward” of the parliamentary party willing to deliver criticism to the prime minister if necessary.

She said Labour’s mistakes in office over welfare and winter fuel payments had given the impression that it is “not on the side of ordinary people”.

In an interview with the BBC, Ms Powell praised the government’s “many achievements”, but added: “Some of the mistakes that we’ve made, or some of the unforced errors, have given a sense that we’re not on the side of ordinary people.”

Although Ms Powell secured fewer nominations from MPs than Ms Phillipson, recent polling by Survation suggests she is ahead with members on 47%, compared with 30% for her rival.

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Norman Foster on ‘incredible’ masterplan for new Manchester United ground

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Norman Foster on 'incredible' masterplan for new Manchester United ground

Football and the royals are two subjects which have always attracted very outspoken fans. Now, aged 90, Lord Norman Foster is attempting to please both.

One of the one of the world’s most important living architects, he is known for being the vision behind some of the world’s most iconic designs – including London’s “Gherkin” building, the Millennium Bridge and the British Museum’s spectacular Great Court.

Arguably, however, two of his most talked about designs are yet to be built.

In June, his firm Foster + Partners was announced as having won the commission to build a national memorial in honour of the late Queen Elizabeth II.

Before that, in March, his firm’s vision for a new 100,000-seater stadium at Old Trafford was revealed, which he describes as “the project of a lifetime”.

A conceptual image of what the new Manchester United stadium could look like. Pic: Foster + Partners/PA
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A conceptual image of what the new Manchester United stadium could look like. Pic: Foster + Partners/PA

Pic: Foster + Partners/PA
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Pic: Foster + Partners/PA

‘A galvanising project’

“The fan base is incredible,” Lord Foster said of his excitement at being commissioned to work on the new ground.

For the renowned architect it is a homecoming of sorts, given Lord Foster’s working-class roots, having grown-up in Manchester.

Was he excited to be involved?

“You bet,” he exclaims.

“It’s a galvanising project… and so many things can naturally ride on the back of that sporting, emblematic kind of team.”

Set to cost around £2bn – with its three tall masts acting as a vast umbrella over Old Trafford – the design is part of a larger regeneration project which Lord Foster claims could be completed in five years.

The stadium design is part of a larger regeneration project.
Pic: Foster + Partners/PA
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The stadium design is part of a larger regeneration project.
Pic: Foster + Partners/PA

It is described as a “master plan that will create streets, squares, neighbourhoods and connect with the heart of Manchester.”

Asked whether it will feel unlike any other British stadium, he said: “Manchester United is different and therefore its stadium’s going to be different… and better, of course.”

And what of the QEII memorial?

He says his design to remember the late monarch in London’s St James’ Park will be “more of all the good things”.

His plans include a statue of Queen Elizabeth II standing next to her husband Prince Philip, and a semi-glass bridge which is a nod to her wedding tiara.

The royal gardens design. Pic: Foster+Partners and Malcolm Reading Consultants/PA
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The royal gardens design. Pic: Foster+Partners and Malcolm Reading Consultants/PA

As for those who’ve questioned whether maintaining its sparkle might prove to be problematic, Lord Foster insists it’ll be “less maintenance, more joy”.

He says his hope is “to address the many millions who traverse that [park], the daily commuters and many tourists, and to make that more human, to make it a better experience and a reminder of the legacy of the most extraordinary long-serving monarch”.

After collecting the London Design Festival’s prestigious lifetime achievement medal earlier this week, with six decades of experience under his belt, Lord Foster says he finds Britain’s inability to invest in infrastructure frustrating.

Lord Foster speaks at the awards ceremony
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Lord Foster speaks at the awards ceremony

“I lamented, like so many, the cancellation of HS2,” he says. The long-delayed rail route’s northern leg to Manchester was scrapped by Rishi Sunak in 2023.

“That was about levelling-up. It wasn’t about getting from one place in lightning speed, it was taking the burden off the regional network so it would serve local communities better.”

He says “connectivity is the answer to many of the social issues that we talk about”.

The tendency of politicians, he says, to prioritise short-term issues doesn’t help when it comes to seeing the bigger picture.

“There is not the awareness of the importance of design and planning… you do need a political awareness,” he says.

“The city is not static, it’s dynamic. It’s always changing, evolving, adapting to change, and it can do that well, or it can do it badly. But it needs planning, it needs anticipation.”

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