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.
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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.
A man has pleaded guilty to selling a substance online to assist with the suicide of others.
Miles Cross, 33, admitted four counts of intentionally doing an act capable of encouraging or assisting the suicide of another.
Cross provided chemicals to Shubhreet Singh on 22 August last year, Wrexham Magistrates’ Court heard during an October hearing.
Ms Singh, 26, died in West Yorkshire last year.
The three other counts relate to three victims who are alive and cannot be named due to reporting restrictions.
The incidents are said to have happened in August and September 2024.
Police are also investigating a second death in connection with the packages Cross sold online.
Image: Cross arrives at Mold Crown Court to enter his guilty plea
Cross had set up a business selling the chemical via an internet discussion forum and interacted with others on the forum under a pseudonym.
He joined the site in July 2024 and posted a QR code, which allowed people to order the chemical directly from him and pay via his bank account.
Cross received payments of £100 from four people and sent them the chemical through the post.
Cross, from Wrexham, was arrested in January following a police investigation into sales via the forum to assist with suicide. Officers found the chemical and other paraphernalia at his address.
His devices were seized, which linked Cross to the forum, social media profiles and the bank account.
“Miles Cross preyed on four people in a distressed state and knowingly provided a substance intended to end their lives,” Alison Storey, specialist prosecutor with the CPS Special Crime Division, said.
“His actions were purely for financial gain, and he made the process of ordering the chemical online easy and accessible.”
Image: Court artist drawing of Miles Cross. Pic: PA
She said the case was a “stark reminder of the dangers posed by those who aim to exploit vulnerable individuals online”, adding that the CPS hopes that Cross pleading guilty brings “some measure of justice” to the victims and their families.
North Wales Police’s Detective Superintendent Chris Bell said: “Cross took advantage and exploited his victims in their most desperate moments, profiting off their vulnerability and mental illnesses.
“I hope today’s admission provides the victims and their families with some peace of mind and relief that they are now spared the ordeal of a trial. My thoughts, and those of the whole investigation team, remain with them today.”
He added: “This has been a highly complex and sensitive investigation over the past 10 months, and I want to acknowledge the courage of the witnesses who played an integral part in the investigation during such difficult circumstances.”
Cross will be sentenced at Mold Crown Court on 7 January.
If you’ve been affected by this story and want to talk to someone, you can call Samaritans free on 116 123 anytime day or night. You can also email jo@samaritans.org or visit www.samaritans.org to find support online.
The Princess of Wales has delivered a rare speech calling on businesses to value “time and tenderness just as much as productivity and success”, as part of her push to make society put the needs of children first.
During her first speech since she was diagnosed with cancer at the start of 2024, Kate reflected on the importance of love, telling 80 business leaders, “the love we feel in our earliest years fundamentally shapes who we become and how we thrive as adults”.
But in a call to action for businesses, she added: “Every one of you interacts with your own environment; a home, a family, a business, a workforce, a community. These are the ecosystems that you yourselves help to weave.
“Imagine a world where each of these environments were built on valuing time and tenderness just as much as productivity and success.
“As business leaders, you will face the daily challenge of finding the balance between profitability and having a positive impact. But the two are not, and should not be incompatible.”
Image: Princess of Wales talks with business leaders and attendees at the Future Workforce Summit. Pic: Reuters
Image: The Princess of Wales leaves after attending the Future Workforce Summit at Salesforce Tower in London.
Pic: PA
At the Future Workforce Summit, hosted by her Royal Foundation Business Taskforce, Kate thanked her team at the Centre of Early Childhood “for holding the fort, particularly over the last couple of years”.
She was also joined by former England manager Sir Gareth Southgate as she called on business leaders to invest more in the early years development of children.
The event came as The Royal Foundation released a new report called “The Human Advantage”, exploring how, as AI increasingly handles technical tasks, competitive advantage will rely on human skills that technology cannot replicate.
But while the survey found that 81% of business leaders believe there will be an increased need for human skills in the next five to 10 years, very few business leaders identified the unique importance of early childhood in the development of these skills.
Image: Gareth Southgate attends the Future Workforce Summit. Pic: Reuters
In summer 2024, the Royal Foundation Business Taskforce for Early Childhood produced a report recommending a range of interventions from creating a culture inside and outside firms that prioritises childhood to supporting parents with greater resources and flexibility in the workplace.
Involving the chief executives of Ikea, NatWest Group and Deloitte, the report highlighted how the nation could benefit from an estimated £45.5bn.
The report followed the launch of Kate’s long-term campaign, Shaping Us, in January 2023, described as the princess’ “life’s work”, and aimed at highlighting the crucial first five years of a child’s life.
A man who inflicted “life-changing” injuries on a neighbour in a savage knife attack amid a row over a parking space has been jailed for more than seven years.
Stephen McAulay, 35, stabbed James Duncan “multiple times” to the head and body during the incident outside their homes in the Carntyne area of Glasgow on 13 May 2024.
It came after bus driver McAulay sustained a minor facial injury during an earlier confrontation over a parking space on their road, with the attacker later returning armed with a blade.
Judge Lord Young told McAulay: “Whatever the rights and wrongs of that dispute, you would not let the matter rest.”
Crane operator Mr Duncan required emergency surgery to a chest wound, while injuries to his head resulted in “significant” loss of vision to one eye.
The judge described the injuries as “life-changing”, adding: “This appears to be an attack caused more by intoxication and loss of face than anything else.”
McAulay last month pleaded guilty to attempted murder at the High Court in Glasgow.
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He was sentenced to seven-and-a-half years in prison at the High Court in Edinburgh on Tuesday.
Lord Young dismissed McAulay’s claim that he had taken the knife with him in “self-defence”.
The judge said: “You went looking for your victim to continue the argument, and you took a knife with you that you were prepared to use.”
Lord Young highlighted Mr Duncan’s victim impact statement, noting: “He will struggle to return to work. These were truly life-changing injuries that you have inflicted.”
Earlier, defence solicitor Ross Yuill described his client’s decision to “arm himself with a knife” and confront his neighbour as “inexplicable”.
The lawyer said McAulay has now had his first experience of custody which he found challenging.
He added: “The consequence for him will be a period of custody but also he will miss the birth of his child.”
Mr Yuill said McAulay was “sorry” for the incident and he “wishes again to offer his apologies to the complainer having had significant time to reflect on his actions”.