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NHS leaders are making contingency plans as the biggest walkout in the health service’s history looms.

Ambulance staff and nurses are both set to go on strike on 6 February – taking industrial action on the same day for the first time ever.

Saffron Cordery, the interim chief executive of NHS Providers, has said the proposed walkouts are a “huge concern”.

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‘What do we want? Fair pay!’

She said: “Trusts have been warning for months that coordinated strikes were a possibility if the government and unions failed to reach an early agreement on this year’s pay award.”

Ms Cordery urged ministers to “get round the table with the unions urgently to deal with the key issue of pay for this financial year, otherwise there is no light at the end of the tunnel”.

The Royal College of Nursing has confirmed that further strikes will take place on 6 and 7 February in a long-running dispute over pay.

But yesterday, the GMB union also announced that more than 10,000 ambulance workers – including paramedics and call handlers – are also staging a walkout on 6 February.

“It could be the biggest day of industrial action the NHS has ever seen,” Ms Cordery warned.

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‘I work 30 hours overtime to top up pay’

‘A significant challenge’

Today, thousands of nurses are on strike at more than 55 NHS trusts in England in their second and final day of industrial action this week.

But Matthew Taylor, chief executive of the NHS Confederation, says February’s dual walkouts will have a far bigger impact.

He added: “This escalation takes us deeper into the situation NHS leaders have been warning against – a war of attrition between the government and unions spanning several months at a time when NHS services are seeing unprecedented pressures.

“Health leaders will now be intensifying plans and preparations for the combined strike of nurses and ambulance workers next month, which will pose a more significant challenge than the industrial action we have seen to date.”

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10% pay rise for nurses ‘not affordable’

Rishi Sunak has said his government is “very keen to have a constructive dialogue” with unions across the public sector – and stressed talks are ongoing to find a way of bringing strikes to an end.

The prime minister added: “But we do also need to make sure that those conversations are based on what’s reasonable, what’s responsible for the country as we tackle inflation, which is good for everybody if we can get that down as quickly as possible.”

Also yesterday, Health Secretary Steve Barclay ruled out a 10% pay rise for nurses – insisting it was “not affordable”.

He warned this would amount to an additional £3.6bn a year that would take money away from patient services.

Protesters outside Downing Street, London, during the nurses strike, against the Bill on minimum service levels during strikes. Picture date: Wednesday January 18, 2023.

‘Totally heartbroken’

The Royal College of Nursing’s chief executive and general secretary, Pat Cullen, says nurses feel “totally heartbroken” at going on strike, but have no choice.

She said: “No nurse should be ashamed to say that, actually, they’re really struggling to live on the meagre salaries that this government’s paying them. It’s their right to be paid a decent wage.”

In a statement, Ms Cullen said patients had also joined picket lines on Wednesday – indicating “this is a battle for the soul of the NHS as much as it’s about pay rises”.

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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Queen Camilla withdraws from engagements after becoming unwell with chest infection

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Queen Camilla withdraws from engagements after becoming unwell with chest infection

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.

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Camilla recently returned from an overseas tour of Australia and Samoa. No further details regarding her illness or treatment have been released.

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Labour confirms U-turn on proposed ban on smoking and vaping in pub gardens

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Labour confirms U-turn on proposed ban on smoking and vaping in pub gardens

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.

Back in August, Sir Keir Starmer said his government was considering a ban on outdoor smoking in a bid to bring down the 80,000 preventable deaths caused by smoking in the UK each year.

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.”

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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.”

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 ban will effectively raise the legal age for buying cigarettes in England by one year every year, until it applies to the whole population.

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.

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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.”

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Powys crash: Safety system ‘blocked’ before fatal train collision

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Powys crash: Safety system 'blocked' before fatal train collision

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.

Powys train crash
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A map showing the location of the crash near Llanbrynmair and Talerddig in Powys

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.

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.

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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.

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