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Hospital leaders have expressed serious concerns about how they will maintain patient safety as the health service enters “unchartered territory” during “unprecedented” strike action next week.

Junior doctors who are training in England will stage their longest walkout so far between 11 and 15 April.

The 96-hour strike is likely to be the most disruptive in the history of the health service due to the length of the action and the fact doctors have chosen to stage it directly after a long bank holiday weekend.

The bank holiday traditionally causes disruption to the NHS even without the prospect of strike action.

The walkout also coincides with the Easter school holidays, which means many consultant staff who provided cover during the first round of strikes will be unable to do so again due to pre-planned holidays and childcare commitments.

NHS Providers, which represents NHS trusts, said the timing of the strike and its duration present a “range of challenges over and above the disruption seen from the industrial action in recent months”.

It said that during the strike, the NHS will focus resources on emergency treatment, critical care, maternity, neonatal care and trauma.

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But even in these areas, there are “real concerns of a raised risk to safety”, NHS Providers said.

The strikes could lead to delays for some patients starting treatment – for instance, if a new cancer patient needed to start weekly rounds of chemotherapy, the start of their treatment may be delayed until after the strike action to ensure continuity.

Last month’s 72-hour walkout led to about 175,000 hospital appointments and operations being postponed.

Hospital leaders have raised concerns with NHS Providers about the impact of the strike.

“This is less about what planned routine work gets pulled down and everything about maintenance of safety in emergency departments, acute medicine and surgery,” one hospital trust chief executive said.

“Concerned doesn’t begin to describe it.”

Another said: “I am not confident this time that we can maintain patient safety as we will not be able to provide the cover.”

“Many of the consultants who stepped up to do nights last time are not available or are more reluctant this time,” a third said.

While another added: “Those with families almost certainly won’t as [they] can’t rearrange out of school holidays.”

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Sir Julian Hartley, chief executive of NHS Providers, said: “It’s clear from our extensive dialogue with trust leaders that we are in uncharted territory.

“Yet again we are seeing colleagues pull out all the stops to minimise disruption and ensure patient safety. But the challenges here are unprecedented.”

Dr Latifa Patel, workforce lead for the British Medical Association, said: “No one understands better than us, the doctors who care for them, that patients are getting a substandard experience 365 days a year from an overstretched and understaffed NHS.

“In this brutal work environment, patient care is at risk every day due to chronic staff shortages and years of underinvestment in equipment and services.

“Junior doctors have no desire to strike, they been pushed into this action by long-term government inaction and now want to bring this dispute to an end as quickly as possible.

“We hope the health secretary will come to the table immediately with a meaningful pay offer so doctors can avoid more strike action and instead return to doing what they want to be doing: caring for their patients.”

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Why are doctors quitting the NHS?

A department of health and social care spokesperson said: “Four days of strikes by junior doctors will risk patient safety and cause further disruption and postponed treatment.

“The BMA’s demand for a 35% pay rise is totally unreasonable and unaffordable.

“We urge them to come to the table with a realistic approach so we can find a way forward, as we have done with other health unions, which balances fairly rewarding junior doctors for their hard work with meeting the prime minister’s ambition to halve inflation.

“We are working with NHS England to put in place contingency plans to protect patient safety.

“The NHS will prioritise resources to protect emergency treatment, critical care, maternity and neonatal care, and trauma.”

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Budget 2025: Reeves urged to ‘make the case’ for income tax freeze – as PM hits out at defenders of ‘failed’ policy

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Budget 2025: Reeves urged to 'make the case' for income tax freeze - as PM hits out at defenders of 'failed' policy

Rachel Reeves needs to “make the case” to voters that extending the freeze on personal income thresholds was the “fairest” way to increase taxes, Baroness Harriet Harman has said.

Speaking to Sky News political editor Beth Rigby on the Electoral Dysfunction podcast, the Labour peer said the chancellor needed to explain that her decision would “protect people’s cost of living if they’re on low incomes”.

In her budget on Wednesday, Ms Reeves extended the freeze on income tax thresholds – introduced by the Conservatives in 2021 and due to expire in 2028 – by three years.

The move – described by critics as a “stealth tax” – is estimated to raise £8bn for the exchequer in 2029-2030 by dragging some 1.7 million people into a higher tax band as their pay goes up.

Rachel Reeves, pictured the day after delivering the budget. Pic: PA
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Rachel Reeves, pictured the day after delivering the budget. Pic: PA

The chancellor previously said she would not freeze thresholds as it would “hurt working people” – prompting accusations she has broken the trust of voters.

During the general election campaign, Labour promised not to increase VAT, national insurance or income tax rates.

Sir Keir Starmer has insisted there’s been no manifesto breach, but acknowledged people were being asked to “contribute” to protect public services.

He has also launched a staunch defence of the government’s decision to scrap the two-child benefit cap, with its estimated cost of around £3bn by the end of this parliament.

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Prime minister defends budget

‘A moral failure’

The prime minister condemned the Conservative policy as a “failed social experiment” and said those who defend it stand for “a moral failure and an economic disaster”.

“The record highs of child poverty in this country aren’t just numbers on a spreadsheet – they mean millions of children are going to bed hungry, falling behind at school, and growing up believing that a better future is out of reach despite their parents doing everything right,” he said.

The two-child limit restricts child tax credit and universal credit to the first two children in most households.

The government believes lifting the limit will pull 450,000 children out of poverty, which it argues will ultimately help reduce costs by preventing knock-on issues like dependency on welfare – and help people find jobs.

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Budget winners and losers

Speaking to Rigby, Baroness Harman said Ms Reeves now needed to convince “the woman on the doorstep” of why she’s raised taxes in the way that she has.

“I think Rachel really answered it very, very clearly when she said, ‘well, actually, we haven’t broken the manifesto because the manifesto was about rates’.

“And you remember there was a big kerfuffle before the budget about whether they would increase the rate of income tax or the rate of national insurance, and they backed off that because that would have been a breach of the manifesto.

“But she has had to increase the tax take, and she’s done it by increasing by freezing the thresholds, which she says she didn’t want to do. But she’s tried to do it with the fairest possible way, with counterbalancing support for people on low incomes.”

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She added: “And that is the argument that’s now got to be had with the public. The Labour members of parliament are happy about it. The markets essentially are happy about it. But she needs to make the case, and everybody in the government is going to need to make the case about it.

“This was a difficult thing to do, but it’s been done in the fairest possible way, and it’s for the good, because it will protect people’s cost of living if they’re on low incomes.”

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Twenty two stadiums and 4.5 million tickets – home nations submit bid for 2035 Women’s World Cup

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Twenty two stadiums and 4.5 million tickets - home nations submit bid for 2035 Women's World Cup

The football associations of England, Northern Ireland, Scotland and Wales have officially launched and released more details about their joint bid for the 2035 Women’s World Cup.

If the bid is successful, it would be the first football World Cup hosted in the UK since 1966, and the largest single-sport event ever staged in the country.

The bid includes 22 proposed stadiums – 16 in England, three in Wales, two in Scotland and one in Northern Ireland – across 16 host cities.

Organisers claim it would be the most accessible tournament ever, with 63 million people living within two hours of a proposed venue.

They predict the tournament would generate 4.5 million ticket sales and have a projected global TV audience of 3.5 billion.

The tournament would involve 104 matches contested by 48 teams over 39 days, with 48 team base camp training sites, 82 venue-specific training sites and 32 FIFA Fan Festival Sites proposed.

In April, FIFA president Gianni Infantino revealed that the home nations had submitted the only valid bid for tournament.

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In a joint statement, the CEOs of the various football associations, said: “We are proud of the growth that we’ve driven in recent years across the women’s and girls’ game.”

They added that: “A Women’s World Cup in the UK has the power to turbo charge the women’s and girls’ game both in the UK and globally.”

Where would the matches be played?

The bid details the host cities and stadiums as follow:

• Belfast – The Clearer Twist National Stadium at Windsor Park

• Birmingham – The Sports Quarter Stadium and Villa Park

• Brighton & Hove – The American Express Stadium

• Bristol – Ashton Gate

• Cardiff – Cardiff City Stadium and Principality Stadium

• Edinburgh – Easter Road

• Glasgow – Hampden Park

• Leeds – Elland Road

• Liverpool – The Hill Dickinson Stadium

• London – Chelsea FC Stadium, Emirates Stadium, Selhurst Park, Tottenham Hotspur Stadium and Wembley Stadium connected by EE

• Manchester – Etihad Stadium

• Trafford – Old Trafford

• Newcastle – St James’ Park

• Nottingham – The City Ground

• Sunderland – Stadium of Light

• Wrexham – STōK Racecourse

However, some of the stadiums mentioned above were merely the ones put forward in the official bid and are likely to change after the construction of new stadiums are completed.

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Have you seen this nutcracker? CCTV shows thief stealing festive statue in Edinburgh

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Have you seen this nutcracker? CCTV shows thief stealing festive statue in Edinburgh

The manager of an Edinburgh cocktail bar will speak to police today over the “catastrophic” theft of an eight-foot tall nutcracker figure from outside his venue.

In what can only be described as a total nightmare before Christmas, a person riding an e-bike guaranteed a place on the naughty list by stealing the Copper Blossom’s festive statue on Monday.

They are seen on CCTV placing the soldier across their lap and riding off into the night down George Street towards St Andrew Square.

The thief was wearing a dark hoodie
Image:
The thief was wearing a dark hoodie

Speaking to The UK Tonight on Sky News, manager Paul Paxton said it was a massive financial blow for his bar.

“The individual nutcrackers are about £900 each,” he revealed.

The stolen one is named Nolan, while his “brother” Nelson remains “safe and sound”.

They were part of the Copper Blossom’s outdoor Christmas display, and Nelson has now been moved into the foyer.

Mr Paxton said he would be speaking to police about their investigation, with sightings having been reported “around Edinburgh” later on the night of the incident.

Nolan, who the owner described as “massive”, was taken at around 10.10pm. The CCTV footage shows the thief removing the statue and dragging it on to their bike.

You can see Nolan being taken away in this shot
Image:
You can see Nolan being taken away in this shot

As if losing a £900 nutcracker wasn’t bad enough, a table costing hundreds of pounds was also broken.

“It’s pretty catastrophic,” said Mr Paxton.

The bar had originally put out an appeal that said “if you return it, we’re all good” – but he admitted he doesn’t expect Nolan’s return any time soon.

Paul Paxton is dwarfed by his nutcracker soldiers
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Paul Paxton is dwarfed by his nutcracker soldiers

And while he’d “never want someone to go into harm’s way”, he told Jayne Secker he was a little disappointed no witnesses alerted him or his staff to the theft.

“There were about 12 or 13 people who walked past,” he said.

“Even if someone had run in, that could have helped. It wasn’t a quick process – he fell off his bike.

“A heads-up would have been lovely.”

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