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.
If you are an NHS worker and would like to share your experiences with us anonymously, please email NHSstories@sky.uk
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.
More on Nhs
Related Topics:
“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.
Advertisement
“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.
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’
Please use Chrome browser for a more accessible video player
3:06
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.
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.”
Prince Harry and six other household names are suing the publishers of the Daily Mail newspaper over alleged unlawful information gathering dating back 30 years.
The case has been ongoing since 2022 and is just one of several Harry has filed against media organisations since 2019 over alleged breaches of privacy, unlawful practices and false stories.
Associated Newspapers (ANL) – which also publishes The Mail on Sunday and MailOnline – strongly denies any wrongdoing.
A full trial is not expected to start at London’s High Court until January, but a pre-trial hearing, which helps manage the case and resolve any outstanding issues, is set to take place today.
Here is everything you need to know about the case.
What’s alleged?
The alleged unlawful acts are said to have taken place from 1993 to 2011, including the publisher hiring private investigators to secretly place listening devices inside cars and homes and paying police officials for inside information.
When bringing the lawsuit in 2022, lawyers for the claimants said they had become aware of “highly distressing” evidence revealing they had been victims of “abhorrent criminal activity” and “gross breaches of privacy” by Associated Newspapers.
Associated Newspapers denies the allegations, describing them as “preposterous smears”, and claims the legal action is “a fishing expedition by [the] claimants and their lawyers”.
The accusations include:
• The hiring of private investigators to secretly place listening devices inside people’s cars and homes;
• The commissioning of individuals to surreptitiously listen into and record people’s live, private telephone calls while they were taking place;
• The payment of police officials, with corrupt links to private investigators, for inside, sensitive information;
• The impersonation of individuals to obtain medical information from private hospitals, clinics, and treatment centres by deception;
• The accessing of bank accounts, credit histories and financial transactions through illicit means and manipulation.
Image: Pic: iStock
Who else is involved?
While Prince Harry is one of the key players, as a group litigation, he is not the only claimant.
The others include:
• Actress Elizabeth Hurley • Actress Sadie Frost • Sir Elton John and his husband, filmmaker David Furnish • Baroness Doreen Lawrence, mother of Stephen Lawrence • Former Liberal Democrat politician Sir Simon Hughes
Image: Sadie Frost. Pic: PA
Image: Baroness Doreen Lawrence. Pic: AP
They all allege they have been victims of “abhorrent criminal activity” and “gross breaches of privacy” by ANL.
David Sherborne is the lawyer representing all the claimants.
Image: Sir Elton John and his husband David Furnish (below). Pic: AP
Image: Pic: AP
What happened in 2023?
During a preliminary hearing in March 2023, Judge Matthew Nicklin was tasked with ruling whether the case can proceed to trial.
ANL had asked for the case to be struck out entirely, arguing the legal challenges against it were brought “far too late”, but David Sherborne called for the publisher’s application to be dismissed.
Lawyers for the publishers said the claims fell outside the statute of limitations – a law indicating that privacy claims should be brought with six years – and the claimants should have known, or could have found out, they had a potential case before October 2016.
Image: Prince Harry at the High Court in 2023
They also argued some aspects of the cases should be thrown out as they breach orders made by Lord Justice Leveson as part of his 2011 inquiry into media standards.
During the hearing, a number of the claimants attended the High Court, including Prince Harry, to the surprise of the British media.
Witness statements from all seven claimants were also released. The duke’s statement said he is bringing the claim “because I love my country” and remains “deeply concerned” by the “unchecked power, influence and criminality” of the publisher.
“If the most influential newspaper company can successfully evade justice, then in my opinion the whole country is doomed,” he said.
On 10 November 2023, Mr Justice Nicklin gave the go-ahead for the case to go to trial, saying ANL had “not been able to deliver a ‘knockout blow’ to the claims of any of these claimants”.
What’s happened since?
Earlier this year, lawyers for the claimants sought to amend their case to add a swathe of new allegations for the trial.
They argued that they should be allowed to rely on evidence that they said showed the Mail was involved in targeting Kate, the Princess of Wales.
However, Mr Justice Nicklin ruled this allegation was brought too late before trial.
In a further development in November, the High Court heard that a key witness in the case, private investigator Gavin Burrows, claimed his signature on a statement confirming alleged hacking had taken place, was forged.
Image: Lawyer David Sherborne is representing all the claimants
In the statement from 2021, Mr Burrows allegedly claimed to have hacked voicemails, tapped landlines, and accessed financial and medical information at the request of a journalist at the Mail On Sunday.
The statement was important, as five of the seven claimants involved in the case told the court they embarked on legal action against ANL based on evidence apparently obtained by Mr Burrows.
Mr Burrows previously retracted his statement in 2023, but the court heard he reiterated the denial to ANL’s lawyers in September this year.
It is now up to the claimant’s lawyer Mr Sherborne to decide if he still wants to call Mr Burrows as a witness for the trial.
Mr Justice Nicklin previously said if Mr Burrows gave evidence that was inconsistent with the evidence they had obtained, then he could apply to treat him as “hostile”.
Could the case end before going to trial?
In short, yes.
During pre-trial reviews, cases can either be settled or dismissed from court in both civil and criminal cases, meaning no trial will take place.
This happened in Harry’s case against News Group Newspapers (NGN), which publishes The Sun. The duke made similar accusations about NGN, which involved unlawful information gathering by journalists and private investigators.
Before an up-to 10-week trial began earlier this year, it was announced both sides had “reached an agreement” and that NGN had offered an apology to Harry and would pay “substantial damages”.
The settlement was reported to be worth more than £10m, mostly in legal fees.
Another of Harry’s legal cases, this time against Mirror Group Newspapers (MGN) over accusations of historical phone hacking, did go to trial.
The trial saw Harry take to the witness box, making him the first senior royal to give evidence in a courtroom since the 19th century.
In December 2023, the Honourable Mr Justice Fancourt concluded that the duke’s phone had been hacked “to a modest extent” between 2003 and 2009, and 15 of 33 articles he complained about were the product of unlawful techniques.
Bereaved families of black, minorities and migrant women who died after suffering violence and abuse have called on the prime minister to help end femicide.
At a Downing Street vigil on International Day for the Elimination of Violence Against Women, the group said urgent reforms to policing and sentencing are needed “to address systemic failures”.
Yasmin Javed, whose daughter Fawziyah Javed was killed after being pushed by her husband from Arthur’s Seat in Edinburgh, said authorities had ignored Fawziyah’s reports of abuse.
Image: Fawziyah Javed died after being pushed by her husband from Arthur’s Seat in Edinburgh
“It fell on deaf ears,” she told Sky News, explaining that Fawziyah, 31, who was pregnant when she died, had made complaints about her husband but had been murdered days before she was set to leave him.
“We’ve had our hearts ripped into millions of pieces. It’s not getting any easier, it’s getting more and more difficult.”
Tuesday’s vigil highlighted key legislative amendments the families, led by campaign group Southall Black Sisters, are championing.
The amendments include Banaz’s Law, named after 20-year-old Banaz Mahmod, who was subjected to an horrific assault, strangled and stuffed in a suitcase by family members on the orders of her father.
Image: The Downing Street vigil took place on International Day for the Elimination of Violence Against Women
The amendment seeks to explicitly recognise “honour-based” abuse as an aggravating factor in sentencing for relevant offences.
The families also want courts to impose sentences equivalent to murder for self-harm and suicides driven by domestic and “honour”-based abuse, and say the government must ensure all women have equal access to safety and support, regardless of immigration status.
Banaz Mahmod’s sister Bekhal, who testified against her relatives to help secure their conviction, said nearly two decades after the murder, efforts to protect women had not progressed.
Image: Banaz Mahmod was killed on the orders of her father
Speaking from an undisclosed location in the witness protection scheme, she said the murder “happened in 2006, and we’re almost in 2026 – that’s 20 years later. Not much has changed and it’s very, very disappointing.
“What happened to Banaz has happened, but what we could do is prevent it from happening to other people. I don’t understand why much more hasn’t been done to better the situation for others.”
A man charged with the murder of two women within five months of each other, and the rape of a third, has appeared in court.
Appearing at the Old Bailey via videolink on Wednesday, Simon Levy only spoke to confirm his name and was not asked to enter a plea to any of the charges.
Levy, 40, of Beaufoy Road, Tottenham, was charged in September with the murder of 39-year-old Sheryl Wilkins in Tottenham, north London, on 24 August.
While in custody, he was also charged with the murder of Carmenza Valencia-Trujillo, from Colombia, who died on the Aylesbury Estate, southeast London, in March.
Image: Levy is alleged to have murdered Carmenza Valencia-Trujillo in March. Pic: Met Police
Prosecutor Tom Little KC told the court that Ms Valencia-Trujillo was found in a block of flats that is “very largely disused” with few residents or passers-by except security guards.
He said: “The body of the deceased was found in the early evening of 17 March 2025 in a block of flats very largely disused, so it does not contain many residents nor many people passing by apart from the odd security officer who patrol the area for safety.”
It is alleged that he travelled to the area the day before and that he killed her during the course of a sexual encounter.
Image: Levy was also charged with the murder of Sheryl Wilkins. Pic: Met Police
Levy was also accused of grievous bodily harm with intent, non-fatal strangulation and two counts of rape against a third woman, who cannot be named for legal reasons, in Haringey, north London, on 21 January, police said.
The Met Police said on Monday that all three cases are now being treated as part of a single, joined investigation and a trial date has been set for June 2026 at the Old Bailey.