Thousands of nurses will go on strike today as a bitter pay dispute with the government continues.
Nursing staff from more than 55 NHS trusts will take part in industrial action on Wednesday and Thursday following two days of action in December.
The Royal College of Nursing (RCN) has announced that two further, bigger strikes will be held next month, while the GMB union is expected to announce further ambulance worker strike dates this afternoon. Junior doctors are also preparing to walk out.
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‘I work 30 hours overtime to top up pay’
Thousands of operations and appointments are expected to be cancelled during the two consecutive days of strike action. Almost 30,000 needed to be rescheduled following December’s nurse strikes.
Patients have been told to attend all their usual appointments unless they have been contacted.
NHS England said patients should use services “wisely” by going to NHS 111 online but continuing to call 999 in a life-threatening emergency.
The RCN has agreed to staff chemotherapy, emergency cancer services, dialysis, critical care units, neonatal and paediatric intensive care.
Some areas of mental health and learning disability and autism services are also exempt from the strike, while trusts will be told they can request staffing for specific clinical needs.
When it comes to adult A&E and urgent care, nurses will work Christmas Day-style rotas.
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RCN chief executive Pat Cullen said: “Today’s strike action by nursing staff is a modest escalation before a sharp increase in under three weeks from now… People aren’t dying because nurses are striking. Nurses are striking because people are dying.”
The RCN has been calling for a pay rise at 5% above inflation, though it has said it will accept a lower offer.
Health and Social Care Secretary Steve Barclay said while he recognises the cost of living pressures on NHS staff, “unaffordable pay rises” will stoke inflation.
Writing in The Independent, he said: “If we provide unaffordable pay rises to NHS staff, we will take billions of pounds away from where we need it most. Unaffordable pay hikes will mean cutting patient care and stoking the inflation that would make us all poorer.”
Separately, Mr Barclay has signalled that pay negotiations will look ahead to next year rather than reflecting on the 2022/23 pay award, which unions have said must be reviewed.
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What does the anti-strike bill propose?
NHS trying to break ‘vicious cycle’
The strike action comes as Matthew Taylor, chief executive of the NHS Confederation, urged ministers to renew pay talks with unions in a bid to halt further industrial action.
He suggested waiting lists are likely to remain stubbornly high unless the government gives the “NHS a fighting chance”.
Mr Taylor also said continued strike action and winter pressures are jeopardising the ability of the NHS to break out of a “vicious cycle”.
He added: “We’ve been saying for weeks that the strike action couldn’t have come at a more difficult time for the NHS, but we hoped a compromise would be reached by now to bring an end to the impasse.
“All the while this continues, the NHS won’t be able to break out of the vicious cycle it’s in.”
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Have previous strikes been successful?
Majority of public think government is more to blame in pay row
Meanwhile, nearly three in five Britons think the government is more to blame for the ongoing pay row with nurses lasting so long, according to a new poll.
Some 57% of people said the government is more at fault for the length of the industrial dispute with nurses, compared with just 9% who said nurses are more at fault.
The Ipsos poll of 1,080 British adults, carried out earlier this month, also found that a quarter of people felt both sides are at fault.
Nurse says ‘we want to provide care’
Matt Tacey, a 32-year-old nurse who lives in the East Midlands, has said he doesn’t want to go strike today – but he, as well as fellow colleagues, have been “forced” into the position because “the government just won’t enter any meaningful negotiations with us as a union”.
“You won’t find one single nurse that wants to be outside hospitals or places of work,” he added.
“We are disappointed to be striking because it goes against the fundamental aspect of being a nurse – providing care – and we want to be able to provide care, we want to improve lives.
“To stand outside hospitals and not provide care goes against every grain in our DNA and it’s going to be around three to four degrees tomorrow, so the government has literally left us out in the cold.”
Mr Tacey said patient safety needs to improved, and warned: “The NHS isn’t at breaking point, the NHS is broken.”
He went on to warn that some of his colleagues now need to pick up extra shifts “just to get by”, adding: “My wife and I often have to borrow money from parents just to see us through to the end of the month because current salaries are not covering the basic bills.
“We live in one of the richest countries in the world and yet people can’t afford heating, they can’t afford to put food on the table … it’s a national disgrace.”
Sewage plant attendants and Thames Barrier staff to strike
Meanwhile, thousands of Environment Agency staff across England will walk out today as they strike over pay for the first time.
Members of Unison including river inspectors, flood forecasting officers, coastal risk management officers, sewage plant attendants and staff at the Thames Barrier are among those escalating their industrial action after refusing to do voluntary overtime in the run up to and during the festive period.
Unison says there are severe staffing shortages across the whole of the Environment Agency, fuelled by pay issues.
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‘I’m disappointed’ in striking union
‘Schools may have to close’
It comes as Downing Street has warned that widespread strikes planned by teachers, train drivers and civil servants on 1 February could likely cause “significant disruption” to the public.
Paul Whiteman, general secretary of the National Association of Head Teachers (NAHT), has said school leaders may have “no choice” but to close their doors to pupils during strikes.
The National Education Union (NEU) announced plans to hold seven days of walkouts in February and March in a dispute over pay.
Nine out of 10 teacher members of the NEU who voted in the ballot backed strike action, and the union passed the 50% ballot turnout required by law.
Union leaders are due to meet the education secretary for talks later today.
The Queen is unwell with a chest infection and has withdrawn from her engagements this week, Buckingham Palace has announced.
A palace spokesperson said Camilla’s doctors “have advised a short period of rest” and added that “with great regret, Her Majesty has therefore had to withdraw from her engagements for this week”.
They added the Queen “very much hopes to be recovered in time to attend this weekend’s Remembrance events as normal”.
“She apologises to all those who may be inconvenienced or disappointed as a result,” they said.
It is understood the Queen is currently resting at home and is under doctor’s supervision.
Birgitte, the Duchess of Gloucester, has stepped in on Camilla’s behalf to attend the annual opening of the Field of Remembrance at Westminster Abbey on Thursday.
The Queen has also withdrawn from a Buckingham Palace reception for Olympic and Paralympic athletes hosted by the King on the same evening.
A proposed ban on vaping and smoking in pub gardens will not go ahead, the health secretary has confirmed.
Wes Streeting said the Labour government would not press ahead with the idea after it was floated over the summer and caused an outcry within the hospitality industry.
The ban would have covered smoking in outdoor restaurants and outside sports venues, hospitals, nightclubs, and in some small parks.
But speaking to Sky News this morning, Mr Streeting confirmed the U-turn and said: “We’re not going ahead or not proposing to go ahead with a [smoking] ban on outdoor hospitality.”
He said the policy idea was a “leak of government discussion” over the summer and promoted a “really good debate about whether or not it would be proportionate” when taking into account the public health benefits, but also the potential downsides.
“I think people know the UK hospitality sector has taken a battering in recent years,” he added.
“And we don’t want to add to their pressure – so we’re not proposing to go ahead with an outdoor hospitality ban at this time.”
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However, Mr Streeting did say that the smoking ban would be extended to some outdoor spaces, including schools, hospitals and children’s playgrounds.
It comes as the government today introduces a “groundbreaking” bill that aims to create the “first-ever smoke-free generation”.
The Tobacco and Vapes bill, which was first introduced by Rishi Sunak but was dropped due to the general election, will prevent anyone who was born on or after 1 January 2009 from buying tobacco.
The policy to create a “smoke-free generation” was seen as a defining one of Mr Sunak‘s premiership and caused controversy within Tory ranks, particularly the more libertarian wing of the party.
The bill will also create limits on the sale and marketing of vapes to children, while separate environmental legislation will be introduced to ban the sale and supply of single-use vapes by next summer.
The health secretary said “clamping down on the scourge of youth vaping” with licensing, tougher enforcement and a ban on the marketing of vapes to children and young people was “happily, an area of broad cross-party consensus”.
“I first proposed the generational ban for children, when I was the shadow health secretary,” he said.
“To my delight and surprise, Rishi Sunak took it up as prime minister and Conservative leader.
“I hope that cross-party support will sustain a new leader of the Conservative Party, but we’ll find out in the coming weeks.”
A safety system was “blocked” during a fatal train crash in Powys, an initial investigation has found.
The Rail Accident Investigation Branch (RAIB) has published its initial findings into last month’s collision, in which one person died.
David Tudor Evans, 66, was described as a “lovely guy, full of life and enjoyment”.
A further 15 people were taken to hospital for treatment after the crash near Talerddig, police said.
The collision – at around 7.26pm on 21 October – involved the 6.31pm Transport for Wales service from Shrewsbury to Aberystwyth and the 7.09pm Transport for Wales service from Machynlleth to Shrewsbury.
The RAIB said the units were fitted with wheel slide protection systems – described as being similar to anti-lock braking systems in cars – and an automatic sanding system.
Sand is discharged automatically via hoses when a wheel slide is detected during braking – creating more friction at the wheel-rail interface.
The on-train data recorder shows the wheel slide started during braking and was also present after the driver made an emergency brake demand.
An inspection of the sanding system fitted to Aberystwyth-bound train 1J25 showed the leading vehicle’s sanding hoses were blocked.
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The RAIB says they were apparently unable to discharge sand.
The ongoing investigation is also looking at the speed at which the trains were travelling when they collided.
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Initial enquiries suggest the westbound train was travelling at a speed of between 15mph and 24mph, while the eastbound train was travelling at a speed of 6mph.
The RAIB says its investigation will look at the sequence of events which led to the crash.
As part of the probe, the agency will look at factors including the actions of those involved, the level of wheel-rail adhesion, and the behaviour of both trains during and after the crash.
In a joint statement, Transport for Wales and Network Rail said they have “fully cooperated” with the British Transport Police, the Office of Rail and Road and the Rail Accident Investigation Branch.
“As investigations are currently still ongoing, we’ll continue to work together with investigators to understand what happened and await the full conclusion and recommendations of the investigation,” a spokesperson said.
The spokesperson said safety was the “main priority” for both companies and they had “carried out enhanced checks to the trains and the railway line”.
“At this early stage of the investigation, it’s fundamental that we await the findings of the full report and show sensitivity towards our customers, colleagues, the local community and the families of those affected by the incident,” they added.