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Emergency care will be prioritised by the NHS next week when strike action by junior doctors will see the biggest disruption of services to date, with thousands of routine appointments postponed.

The industrial action is set to begin on Monday at all trusts in England for 72 hours.

It is the longest continuous period of walkouts to hit the health service in recent months, following strikes by nurses, paramedics and physiotherapists.

However, with around 61,000 junior doctors making up half of the medical workforce and no national derogations having been agreed, the NHS is warning the latest action is expected to see some of the most severe disruption to date, impacting on efforts to cut the record-high waiting list.

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As a result, emergency, critical and maternity care will be prioritised, as well as patients who have waited the longest for elective care and cancer surgery where possible.

Professor Sir Stephen Powis, the medical director of the NHS, said: “The NHS has been working incredibly hard to mitigate the impact of this strike.

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“While we are doing what we can to avoid having to reschedule appointments, there’s no doubt that disruption will be much more severe than before and patients who have been waiting for some time will face postponements across many treatment areas.

“Where there are postponements, we’ll be trying to re-book as quickly as possible. However, it is vital to attend planned appointments unless told otherwise.

“We have no option but to prioritise emergency and critical care as a matter of patient safety, and we’re asking the public to help us and use 111 online as well as local services like general practice and pharmacies as first points of call, but people should of course always use 999 in a life-threatening emergency.”

The NHS stressed that the measures were needed to make sure safe care continues to be available for those in life-threatening situations.

It said routine appointments and procedures will only be cancelled where unavoidable and patients will be offered an alternative date as soon as possible.

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The warning comes after senior leaders reportedly told the Health Service Journal that ministers have not sufficiently sounded the alarm about the risk to patient harm posed by the strikes.

More than 98% of junior doctors from the British Medical Association (BMA) voted to take industrial action in the dispute over pay and conditions.

Talks between the BMA and Health Secretary Steve Barclay at the start of March did not improve matters, with the union saying the cabinet minister “refused to come forth with any improved offer”.

The BMA says that while workload and waiting lists are at record highs, pay for junior doctors has been cut “by more than a quarter since 2008”.

But the government says pay has increased by a cumulative 8.2% since 2019/20 and further wage increases aren’t affordable at a time of record-high inflation.

Health leaders ‘preparing for absolute worst’

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NHS Crisis: ‘Past breaking point’

The NHS Confederation, which represents trusts across the country, urged both sides to “show willingness to compromise and bring these strikes to an end without delay”.

It said health leaders are “preparing for the absolute worst” with some taking down 50% of their planned theatre activity and others are opting for 100%.

Elsewhere one large hospital is having to rearrange more than 2,000 outpatient appointments and over 200 non-urgent surgeries next week.

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Matthew Taylor, chief executive of the NHS Confederation, said: “We are disappointed the government and BMA have failed to put a stop to the forthcoming junior doctors strikes, especially after the positive steps that have been made with the other trade unions.”

He added: “… no national exceptions have been agreed to these walkouts, and many trusts will find themselves in a difficult position trying to navigate payment of the BMA’s recommended rate card for consultants when covering the work of junior doctors.

“This means it is likely that disruption to patient services will be like nothing the NHS has seen since industrial action started last December. Thousands of procedures and appointments are likely to be cancelled.”

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Liverpool fan says his baby was flung 15ft in his pram and his partner run over during trophy parade

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Liverpool fan says his baby was flung 15ft in his pram and his partner run over during trophy parade

A father has told Sky News how his partner was driven over, and his baby son was flung 15ft in his pram, after they were hit by a vehicle during the Liverpool parade collision.

Daniel Everson, 36, had been with Sheree Aldridge and their five-month-old baby, Teddy, at Liverpool FC’s victory parade on Monday.

“The best day of my life turned into worst”, said Daniel, a lifelong fan of ‘The Reds’.

Daniel described the moment the car came towards him and his family.

“I tried to hold on to the front of the car and try and stop it, push it, do whatever I could [to stop it] from hitting my partner and my baby.

'The best day of my life turned into worst', Daniel Everson told Sky News.
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Daniel Everson was in the crowd for the Liverpool trophy parade when the incident took place

“Me and my partner were flat on the roof, on the bonnet… we were just both trying to hold on for dear life with Ted next to us.

“And my partner went under the wheels of the car, of the front of the car, and it rolled over her leg, and I just bounced off to the side, but my boy and his pram got bounced totally in the opposite direction – about 15ft down the road.

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“As soon as that happened, I just started screaming for my partner, and I found her and I asked where Teddy was, and she didn’t know… and I found him and he was okay, thank God.

“He was in the road, in his pram, on his back, and I grabbed him. I chucked the pushchair to the side and I ran up to some paramedics with him.”

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The suspect is being held on suspicion of attempted murder, dangerous driving and drug driving.

Daniel, from Telford, said he felt like he was in “hell” as he rushed back to find Sheree.

“I had to carry her up the road with four police officers holding her while she was screaming and crying. At that point, I didn’t know what was wrong with her, but I could see the injuries to her leg,” he explained.

Sheree, 36, is recovering at Aintree University Hospital after suffering muscle tissue damage. Daniel has been allowed to return home with Teddy after he was assessed at Alder Hey Children’s Hospital.

“I feel a lot of emotions right now. Upset, angry, traumatised. A lot of unanswered questions that need to be answered.

To me, it just wasn’t handled properly – the situation with the car getting that far into the crowd, in my opinion, he should not have got anywhere near us.”

Merseyside Police have now been given more time to question a 53-year-old arrested after a car struck a crowd at Liverpool FC’s victory parade on Monday.

The suspect, who police have described as a white British man from the local area, is being held on suspicion of attempted murder, dangerous driving, and drug driving.

Police have said the extra time they have been given to question the suspect runs into Thursday.

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Andrew Tate and his brother Tristan charged with rape in the UK

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Andrew Tate and his brother Tristan charged with rape in the UK

Andrew Tate and his brother Tristan Tate have been charged with rape and other offences in the UK.

Andrew Tate, 38, faces 10 charges, including rape, actual bodily harm, human trafficking and controlling prostitution for gain, relating to three women.

His brother Tristan Tate, 36, faces 11 charges relating to one woman – including rape, actual bodily harm and human trafficking.

The charges were authorised in January 2024, but full details have only been released now.

Bedfordshire Police issued an international arrest warrant for the brothers over allegations, which they “unequivocally deny”, said to have occurred between 2012 and 2015.

The Tate brothers are facing separate allegations of trafficking minors, sexual intercourse with a minor and money laundering in Romania.

They are also accused of human trafficking and forming a criminal gang to sexually exploit women in a different case, which has been sent back to prosecutors.

They are due to be extradited to the UK following the conclusion of proceedings in Romania.

Andrew Tate and his brother Tristan outside a Bucharest court last month. File pic: Inquam Photos/Octav Ganea via Reuters
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Andrew Tate and his brother Tristan outside a Bucharest court in January. File pic: Inquam Photos/Octav Ganea via Reuters

A Crown Prosecution Service (CPS) spokesperson said: “We can confirm that we have authorised charges against Andrew and Tristan Tate for offences including rape, human trafficking, controlling prostitution and actual bodily harm against three women.

“These charging decisions followed receipt of a file of evidence from Bedfordshire Police.

“A European Arrest Warrant was issued in England in 2024, and as a result the Romanian courts ordered the extradition to the UK of Andrew and Tristan Tate.”

The spokesperson added: “However, the domestic criminal matters in Romania must be settled first.

“The Crown Prosecution Service reminds everyone that criminal proceedings are active, and the defendants have the right to a fair trial.

“It is extremely important that there be no reporting, commentary or sharing of information online which could in any way prejudice these proceedings.”

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Representatives for Andrew Tate have been contacted by Sky News for comment.

Lawyer Matt Jury, of McCue Jury & Partners, representing several alleged British victims of Andrew Tate, said: “We welcome the clarity from the Crown Prosecution Service that our authorities are working to ensure the Tates face justice here in the UK – they cannot be allowed to escape extradition.

“At the same time, we ask once more that CPS admit its mistake in failing to prosecute Tate when he lived in the UK and finally charge him for the rape and assault of the other three women, our clients, who originally filed criminal complaints against him as long ago as 2014 but were failed by the system.

“They deserve justice, too.”

The allegations were subject to a police investigation, which was closed in 2019.

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Police given more time to question Liverpool parade collision suspect

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Police given more time to question Liverpool parade collision suspect

Merseyside Police has been given more time to question a 53-year-old man arrested over the Liverpool parade collision.

The suspect is being held on suspicion of attempted murder, dangerous driving and drug driving after a car was driven into a crowd at Liverpool FC’s victory parade on Monday.

Police have said the extra time they have been given to question the suspect runs into Thursday.

The force believes the vehicle which struck pedestrians on Water Street had followed an ambulance crew that was attending to someone suffering a heart attack, after a road block was temporarily lifted.

Earlier, new footage emerged showing a car being driven into the crowd as panicked fans watched in horror and tried to avoid being hit.

The CCTV footage showed supporters attempting to move out of the way as the vehicle ploughed into supporters.

Cries could be heard from the crowd – before police and members of the public chased after the car.

In an update on Wednesday, Merseyside Police said it was in contact with 79 people who were injured in the crash – an increase on the 65 people who were confirmed injured in the force’s previous update.

Seven people remain in hospital in a stable condition following the collision, the force added.

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Moment car drives into crowds in Liverpool

Detective Superintendent Rachel Wilson said: “I’m pleased to say that the number of people in hospital is reducing as they continue to recover from the awful incident.

“We continue to support those still receiving treatment and as part of our ongoing enquiries we are identifying more people who were injured.

“I want to reassure the public of Merseyside that detectives are making significant progress as we seek to establish the full circumstances that led to what happened.”

A view of Water Street after being reopened.
Pic: Reuters
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Water Street where the collision happened has reopened. Pic: Reuters

Pic: Reuters
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Pic: Reuters

DS Wilson said that “extensive CCTV enquiries” were being carried out across Liverpool to “establish the movements of the car, a Ford Galaxy, before the incident took place”.

She added: “We have already had an incredible response from many of those who were there on the day, and I thank them for their co-operation with our investigation.

“I would encourage anyone who has not yet contacted police who may have information on this incident to do so.

“An extensive investigation into the precise circumstances of the incident is ongoing, and we continue to ask people not to speculate on the circumstances surrounding the incident and refrain from sharing distressing content online.”

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Soccer Football - Premier League - Liverpool Victory Parade - Liverpool, Britain - May 26, 2025 Emergency services at the scene after multiple people were hit by a car during the Victory parade REUTERS/Phil Noble
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Emergency service on Water Street after the collision. Pic: Reuters

It comes after Water Street was reopened to vehicles and pedestrians on Wednesday after the police cordon was lifted.

Street cleaning teams worked overnight to clear the road, which had been littered with bottles, cans and football scarves and flags.

One remaining Liverpool flag was removed from the top of a set of traffic lights by a worker wearing hi-vis.

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On Tuesday night, Liverpool manager Arne Slot decided not to attend the League Managers Association’s annual awards ceremony “in solidarity with those affected by the incident on Monday”.

Meanwhile, speaking at an awards ceremony on Tuesday, former Liverpool boss Jurgen Klopp said the collision on Water Street “showed the two faces of life”.

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Klopp sends ‘thoughts and prayers’ to victims

He said: “The most beautiful face for a long, long time: the parade was incredible, the mood was incredible and from one second to another everything changed and we learned again there are more serious things in the world than football.

“Thoughts and prayers go to the injured people and their families as well.

“It should have been one of the greatest days in the history of the city, after a long, long time, because we didn’t have the opportunity to do it last time. I don’t know how and why it happened but we know what happened and that’s very bad.”

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