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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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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

An MP has told Sky News she was attacked online by the Tate brothers after she participated in a debate in the House of Commons about violence against women.

The controversial duo, Andrew and Tristan Tate, are facing charges of rape and human trafficking in the UK – all of which they deny.

But they are still very active online, and according to Sorcha Eastwood, the MP for Lagan Valley, are targeting her.

In a document seen by Sky News, Tristan Tate has highlighted one of the MP’s tweets and writes in private correspondence: “MP, nice target, can we sue her?”

Sorcha Eastwood says at first she thought the replies were from parody accounts and not the Tate brothers.

Her original tweet was about Elon Musk, not the Tate brothers. The MP said Musk’s tweets should be looked at through a counter-extremism lens.

“I was really concerned, I was concerned because to me that is a direct attack for want of a better phrase on me serving my constituents.

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“I couldn’t believe that they decided to pick this random Northern Irish MP. The fact that it wasn’t even about them. This is something I didn’t go looking for.

“I think from my perspective, it’s a very, very sinister attempt to shut down important voices in public life, political discourse.”

It was only when she started noticing an uptick in abuse from other accounts she realised she had encountered some of the brothers’ followers.

“I had rape threats. I had death threats. I had people saying I should be hung from a lamppost. I had people saying I should be chopped into liver. I also had people then who were like we’ll waste 15 minutes raping Sorcha Eastwood.”

Andrew and Tristan Tate
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A representative for the Tate brothers told Sky News that there was no targeted campaign against Sorcha Eastwood

A representative for the Tate brothers told Sky News that there was no targeted campaign against her.

They said: “Ms Eastwood has a distorted view regarding social media if she believes one is required to ‘invite or ask’ people to interact.

“Tristan Tate is entitled to his view in relation to her tweet regarding Elon Musk.”

The self-styled “misogynist influencer” Andrew Tate and his brother Tristan have both been charged with human trafficking, face allegations of trafficking minors, sexual intercourse with a minor and money laundering in Romania.

There is also a European arrest warrant for them as they are facing separate, unrelated charges of rape and human trafficking in the UK. They deny all charges.

Ms Eastwood now worries for others who don’t have a platform like her and who may not feel like they can speak out.

“If this is what has happened to me I have absolutely no doubt that this has happened to others where they have been attempted to be silenced.”

Keir Starmer has previously commented on the Tate brothers’ case in the Commons saying it is “a live issue”, but adding that “the principle is absolutely clear” in relation to whether the brothers should face justice.

Sorcha Eastwood says she wants to see the government do much more to protect against abuse online.

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Tate brothers deny wrongdoing

“I think ultimately the government has taken the wrong course on this. They need to step up.

“This should be an issue of national security as far as the radicalisation of young people online. It should be an issue in terms of the levels of misinformation, disinformation and the lack of trust that is had in our politics right across the UK and Europe.

“I want the government to help me, help every other person to crack down on this and get serious about it. And the only way they’ll be able to do that, is by hitting these tech companies in the only language which they understand, which is money and via robust legislation.”

A government spokesperson said: “Violence against women and girls is a scourge on our society which is why we have set out an unprecedented mission to halve these crimes within a decade.

“Tackling illegal abuse both online and offline is central to supporting victims and preventing harm in our communities and we will not hesitate to strengthen laws to deliver this mission.

“Last month, parts of the Online Safety Act came into force meaning companies must take action to protect users from illegal material including extreme sexual violence.

“Further protections from this summer will require platforms to protect children from harmful, misogynistic, and violent content.”

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‘It’s just nasty’: Birmingham residents ‘overwhelmed’ by foul stench and massive rats as bins strike rumbles on

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'It's just nasty': Birmingham residents 'overwhelmed' by foul stench and massive rats as bins strike rumbles on

In parts of Birmingham, the stench is overwhelming – enough to make you heave.

At a block of flats in Highgate, in Birmingham city centre, we find a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.

Mickel comes out to speak to us, while all around bin liners lie open, with the contents for all to see, including used nappies and rotting food.

Birmingham
strike bin workers
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Mickel says they’ve had ‘foxes and rats, literally the size of cats’

Outside Mickel's flat in Highgate, bin liners lie open, spewing out rubbish, including used nappies and rotting food
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Outside Mickel’s flat in Highgate, bin liners lie open, spewing out rubbish

We both find it hard to keep talking amid the awful smell.

“We’ve had foxes and rats, literally the size of cats, flies, it’s just nasty, something needs to be done,” he says.

Birmingham
Birmingham
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Chris says the situation is ‘overwhelming’ as she’s ‘terrified of rats’

Around the corner, I meet Chris, in her dressing gown, popping the bins into her bin store beneath her flat before work.

She unlocks it, and although it isn’t bursting out on to the street yet, it is getting full.

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She says the situation is “overwhelming” as she’s “terrified of rats”. But, even so, she has sympathy for the striking bin workers.

“It’s not an easy job; they must have a heart of gold to do that job,” she says.

“Pay them whatever they need, they deserve it.”

Striking bin workers in Birmingham
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Striking bin workers at Lifford Lane tip, south of the city centre

a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.
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There’s an awful smell coming from a mountain of bin liners outside Mickel’s flat in Highgate

At Lifford Lane tip, south of the city centre, Brigette has pulled up alongside picketing workers. The back seat of her car is full of rubbish.

She apologises for the terrible waft, mixed with air freshener.

Read more:
Pest controllers ‘feel like an emergency service’
Bin workers strike explained

“It’s very pungent, isn’t it? Not nice,” she admits.

“It’s unfortunate, I have some sympathies for all the parties, but, equally, we have a duty of care to stay clean and tidy.”

She says she has her rubbish and that of her elderly aunt and plans to make weekly trips to the tip until a resolution in this pay dispute between the council and the Unite union is found.

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‘US is our closest ally’, Jonathan Reynolds says in reaction to Trump tariffs – but ‘nothing off the table’

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'US is our closest ally', Jonathan Reynolds says in reaction to Trump tariffs - but 'nothing off the table'

The US is “our closest ally” but “nothing is off the table” in response to Donald Trump’s 10% tariffs on imports from the UK, the business secretary has said.

In a statement following the US president’s nearly hour-long address to the world, Business and Trade Secretary Jonathan Reynolds said: “We will always act in the best interests of UK businesses and consumers.

“That’s why, throughout the last few weeks, the government has been fully focused on negotiating an economic deal with the United States that strengthens our existing fair and balanced trading relationship.”

Follow the latest following Trump’s tariffs announcement

Mr Reynolds reiterated the statements from the prime minister and his cabinet over the past few days, saying the US is “our closest ally”, and the government’s approach is to “remain calm and committed to doing this deal, which we hope will mitigate the impact of what has been announced today”.

Business Secretary Jonathan Reynolds arrives in Downing Street, London, for a Cabinet meeting. Picture date: Tuesday January 28, 2025.
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Business Secretary Jonathan Reynolds says “nothing is off the table” following the tariffs announcement. Pic: PA

But he continued: “We have a range of tools at our disposal, and we will not hesitate to act. We will continue to engage with UK businesses, including on their assessment of the impact of any further steps we take.

“Nobody wants a trade war, and our intention remains to secure a deal. But nothing is off the table, and the government will do everything necessary to defend the UK’s national interest.”

More on Donald Trump

‘Get back round the negotiating table’, say Tories

The Conservative Party’s shadow business and trade secretary described the US president’s announcement as “disappointing news which will worry working families across the country”.

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Sky’s Ed Conway examines how economies across the world are impacted by tariffs

Andrew Griffith hit out at the government for having “failed to negotiate with President Trump’s team for too many months after the election, failed to keep our experienced top trade negotiator, and failed to get a deal to avoid the imposition of these tariffs by our closest trading partner”.

“The chancellor’s emergency budget of just a week ago with its inadequate headroom is now at risk, casting uncertainty about more taxes or spending cuts,” he continued. “Sadly, it is British businesses and workers who will pay the price for Labour’s failure.”

He called on ministers to “swallow their pride” and “get back round the negotiating table to agree a fair deal to protect jobs and consumers in both the UK and the US alike”.

Relief in Westminster – but concessions to Trump to come

It has been quite a rollercoaster for the government, where they went from the hope that they could avoid tariffs, that they could get that economic deal, to the realisation that was not going to happen, and then the anticipation of how hard would the UK be hit.

In Westminster tonight, there is actual relief because the UK is going to have a 10% baseline tariff – but that is the least onerous of all the tariffs we saw President Trump announce.

He held up a chart of the worst offenders, and the UK was well at the bottom of that list.

No 10 sources were telling me as President Trump was in the Rose Garden that while no tariffs are good, and it’s not what they want, the fact the UK has tariffs that are lower than others vindicates their approach.

They say it’s important because the difference between a 20% tariff and a 10% tariff is thousands of jobs.

Where to next? No 10 says it will “keep negotiating, keep cool and calm”, and reiterated Sir Keir Starmer’s desire to “negotiate a sustainable trade deal”.

“Of course want to get tariffs lowered. Tomorrow we will continue with that work,” a source added.

Another source said the 10% tariff shows that “the UK is in the friendlies club, as much as that is worth anything”.

Overnight, people will be number-crunching, trying to work out what it means for the UK. There is a 25% tariff on cars which could hit billions in UK exports, in addition to the blanket 10% tariff.

But despite this being lower than many other countries, GDP will take a hit, with forecasts being downgraded probably as we speak.

I think the government’s approach will be to not retaliate and try to speed up that economic deal in the hope that they can lower the tariffs even further.

There will be concessions. For example, the UK could lower the Digital Services Tax, which is imposed on the UK profits of tech giants. Will they loosen regulation on social media companies or agricultural products?

But for now, there is relief the UK has not been hit as hard as many others.

Liberal Democrat leader Sir Ed Davey has reacted furiously to Mr Trump’s announcement of a “destructive trade war”, and called on the government to stand up against “Trump’s attempts to divide and rule”.

“The prime minister should bring our Commonwealth and European partners together in a coalition of the willing against Trump’s tariffs, using retaliatory tariffs where necessary and signing new trade deals with each other where possible.”

Speaking on Wednesday evening at a White House event entitled ‘Make America Wealthy Again’, the US president unleashed sweeping tariffs across the globe.

Mr Trump held up a chart detailing the worst offenders – which also showed the new tariffs the US would be imposing.

The UK’s rate of 10% was perhaps a shot across the bow over the 20% VAT rate, though the president’s suggested a 10% tariff imbalance between the two nations. Nonetheless, tariffs of 10% could directly reduce UK GDP by between 0.01% and 0.06%, according to Capital Economics.

A 25% duty on all car imports from around the world is also being imposed from midnight in the US – 5am on Thursday, UK time.

Read more:

World reacts to Trump’s tariff announcement
Tariffs will have consequences for globalisation, the US economy and geopolitics
Trump’s tariffs explained

The UK government had been hoping to negotiate an economic deal with the US in a bid to avoid the tariffs, but to no avail. The government says negotiations will continue.

The Confederation of British Industry said “negotiating stronger trading relationships with all like-minded partners will be foundational to any success”.

The business secretary is expected to make a statement in the House of Commons on Thursday, and we are also expecting to hear from the prime minister.

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