Hospital leaders fear for patient safety ahead of ‘unprecedented’ strike by junior doctors
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.
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.”
UK
Lionesses parade: The route and key timings as thousands of England fans to descend on central London
The Lionesses will celebrate with thousands of England fans in central London today as the players take part in an open-top bus procession.
The bus will carry the team through central London, allowing supporters to celebrate the team’s defence of their Women’s Euros title alongside the likes of Leah Williamson and Chloe Kelly and catch a glimpse of the silverware.
Here is all you need to know.
Where will the parade go and when?
The team’s open-top bus will travel along The Mall from 12.10pm.
It will end with a staged ceremony at the Queen Victoria Memorial in front of Buckingham Palace, which is expected to start at roughly 12.30pm and end at 1pm, the Football Association (FA) announced.
The Royal Marines Portsmouth band and the Central Band of the Royal Air Force will perform on the stage and highlights from the tournament will be shown on big screens.
England manager Sarina Wiegman will then lead her triumphant team out on stage to lift the trophy.
The event will be hosted by former Lioness and football pundit Alex Scott.
Fans will be able to attend the event for free, but the FA have warned that the capital is going to be “very busy”.
“People should plan their visits carefully, both coming into central London and travelling home,” the association said.
England players celebrate with the trophy after winning the UEFA Women’s Euro 2025. Pic: Reuters
How to watch
You can watch coverage of the entire event live on Sky News from 10am and follow all the action with our live blog.
Fans can also follow coverage of the event on the BBC, ITV and across England’s social media channels.
Celebrations with the deputy PM
The Lionesses landed back in the UK from Basel, Switzerland, on Monday, where celebrations continued with a reception at Downing Street.
Deputy Prime Minister Angela Rayner and sports minister Stephanie Peacock hosted the team ahead of today’s bus parade.
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‘It’s very, very special’
Sir Keir Starmer said: “The Lionesses have once again captured the hearts of the nation.
“Their victory is not only a remarkable sporting achievement, but an inspiration for young people across the country.”
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Chloe Kelly saves England again
An extra bank holiday?
As the team have become the first senior England side to win a major tournament on foreign soil, some have called for an extra bank holiday to mark the occasion.
Liberal Democrats leader Ed Davey was one of those who asked the prime minister if it was “time for that bank holiday”.
He was referring to comments made by Sir Keir in 2023. When, as leader of the opposition, he wrote on X that there “should be a celebratory bank holiday if the Lionesses bring it home”.
But with estimates suggesting an extra bank holiday would cost the economy £2.4bn, it’s understood such a move isn’t being planned by Downing Street.
‘There is no stopping them now’
The impact of the Lionesses second consecutive Euros title is already being felt across the UK.
At Bearsted Football Club in Maidstone, Kent, a mural of Alessia Russo, who levelled Sunday’s final with a goal in the 56th minute, has been unveiled.
Alessia Russo scoring the levelling goal. Pic: Reuters
The club is where Russo first started playing, and chairman Jamie Houston told Sky News the Lionesses have helped transform the women’s game.
“Five years ago we never had a girl’s football team,” he told Sky correspondent Mollie Malone. “Now we have five separate teams for girls, and boys are accepting of more girls in the game.
“There is no stopping them now.”
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What’s next for the Lionesses?
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Lynda Hale, who played in the England squad in the first ever international women’s match against Scotland in 1972, reiterated that women’s football has changed drastically since she played.
“When I first started playing there was hardly anyone that would watch,” she told Sky News Breakfast.
“To put on the England shirt and think what we started has grown to this magnitude, and it is still going to grow, is absolutely fantastic. I think the sky’s the limit in women’s football.”
Asked what advice she would have for the current England squad after their win, Ms Hale said: “The girls need to make as many memories as they can and take everything in their stride.”
The suspect in the fatal shooting of a mother and her two children in Northern Ireland has died.
Ian Rutledge, a 43-year-old agricultural worker, had himself suffered a gunshot wound during the attack in the village of Maguiresbridge in County Fermanagh on Wednesday morning.
He was taken to hospital where he remained in a serious condition until the Police Service of Northern Ireland (PSNI) announced he had died on Monday evening.
It is understood he was the only suspect in the murder investigation.
Vanessa Whyte, 45, a vet originally from County Clare, her son James, 14, and daughter Sara, 13, were all shot dead at a property on Drummeer Road during the attack.
The PSNI said last week that all four people who were shot were members of the same household.
Police have been investigating whether the attack was a triple murder and attempted suicide.
A prayer service took place for Ms Whyte and the two children in Barefield, County Clare on Sunday, following a community vigil in Maguiresbridge last Friday.
A funeral service is expected to take place in County Clare later this week.
Following Mr Rutledge’s death, the PSNI said detectives have “reiterated their appeal for anyone with information, no matter how insignificant it may seem, to come forward”.
It comes after the PSNI issued an appeal on Saturday for information involving the movements of a vehicle.
They have asked anyone who saw a silver Mercedes saloon car being driven in the Clones Road area of Newtownbutler, or between Maguiresbridge and Newtownbutler, on the evening of Tuesday 22 July to call detectives on 101.
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A police cordon was in place close to the scene last week. Pic: PA
Tributes paid to ‘lovely-natured’ children
A local Gaelic football club said last week that Ms White and her children were all “active and beloved” members of their club.
Sara and James Rutledge also used to be part of a local cricket club, which said in a statement that it was “extremely saddened by the tragic events”.
“Both of them turned out to be talented young cricketers and two absolutely lovely-natured children,” the statement read.
Flowers, teddy bears and an Arsenal football top with written notes were laid close to scene of the incident in Drummeer Road in the days after the shooting.
Donald Trump has reignited his row with London mayor Sir Sadiq Khan after calling him a “nasty person” who has done “a terrible job”.
During an hour-long news conference with Sir Keir Starmer in Scotland, the US president hit out at the Labour mayor, who has responded with his own snipey remarks.
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Asked if he would visit London during his state visit in September, Mr Trump said: “I will, I’m not a fan of your mayor, I think he’s done a terrible job.
“A nasty person, I think.”
The prime minister then interrupted and said: “He’s a friend of mine.”
But the president added: “I think he’s done a terrible job but I will certainly visit London, I hope so.”
Sir Sadiq’s spokesperson then released a statement saying: “Sadiq is delighted that President Trump wants to come to the greatest city in the world.
“He’d see how our diversity makes us stronger not weaker; richer, not poorer.
“Perhaps these are the reasons why a record number of Americans have applied for British citizenship under his presidency.”
Sir Sadiq Khan was knighted in June. Pic: PA
They noted that Sir Sadiq has won three mayoral elections, including when Mr Trump lost the US election in 2020.
This is not the first time Mr Trump and Sir Sadiq have locked horns.
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The PM told Mr Trump that Sir Sadiq is a friend of his – seen here laying wreaths for the anniversary of the 7/7 bombings. Pic: PA
During his first presidential term, Mr Trump called the London mayor a “stone cold loser who should focus on crime in London”.
Sir Sadiq then described Mr Trump as a “poster boy for racists”.
And in November 2024, after Mr Trump won his second term, Sir Sadiq said many Londoners would be “fearful” about what it would “mean for democracy”.
However, as Sir Keir tried to show diplomacy with Mr Trump after becoming PM, Sir Sadiq said he “wanted to work closely with the American president” ahead of his inauguration in January.
The London mayor said as somebody “who believes in democracy, and voting and elections, we should recognise the fact that Donald Trump is the elected president of the United States”.
But he added: “Let’s keep our fingers crossed that this president is different from the last time he was president.”
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