The head of the UK’s nursing union wants to restart negotiations seeking a double-digit pay rise – despite previously recommending a lower offer.
Pat Cullen, the general secretary of the Royal College of Nursing (RCN), had advised members to accept an offer of 5%, but they voted to reject it.
Speaking to Sky News’ Sophy Ridge On Sunday programme, cabinet minister Grant Shapps said: “I find this a very curious story indeed because Pat Cullen just recently was encouraging her members to settle for the pay rise that was put on the table.
Image: Nurses on strike outside St Thomas’ Hospital in London in April
“I thought this was a great settlement.
“It’s frankly rather confusing having encouraged her members to accept that deal, she seems to now be coming back and saying the opposite.
“You have got to balance that with the rest of the public purse.”
But speaking on Sunday, Ms Cullen hit back, saying the decision by nurses to reject the deal in a ballot was them saying “loud and clear” that the offer – of a 9% increase consolidated over two years – was “just not enough”.
“They rejected that and they want negotiations re-opened for them and here needs to be more money added to the table,” she said.
Asked if a double-digit pay rise was achievable, she said: “There is nothing unrealistic about what nursing staff are asking for.
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“The only way that we are going to resolve this dispute is to listen to their voice and make sure this pay dispute is resolved, for patients as much as it is for the profession.”
RCN members will be balloted again for strike action on 23 May after the existing six-month mandate ran out at the start of the month.
Ms Cullen described striking as one of the “hardest decisions”, and told The Sunday Times that fresh negotiations were needed to prevent six more months of action.
“They [ministers] owe that to nursing staff not to push them to have to do another six months of industrial action right up to Christmas,” she said ahead of Sunday’s RCN congress in Brighton, telling Health Secretary Steve Barclay talks needed to “start off in double figures”.
“It’s just not right for the profession,” she said.
“It’s not right for patients. But whose responsibility is it to resolve it? It is this government.”
The nurses’ strikes: A timeline
25 November 2022 -The Royal College of Nursing announces it will hold strike action for the first time since its creation more than a century ago in a dispute over pay and working conditions.
15 December – Nurses hold their biggest nationwide strike in history with a 12-hour walkout, leading to thousands of appointments, procedures and surgeries being cancelled.
18 and 19 January – Thousands of nurses hold a further strike over two days
21 January – The head of NHS England warns repeated walkouts by health staff are making workloads ‘more challenging’.
2 February – A petition signed by 100,000 people is delivered to Downing Street demanding fair pay for nursing.
6 February – Tens of thousands of nurses and ambulance staff walkout together in the biggest strike in NHS history.
21 February – Nurses agree to pause a major 48-hour strike planned on 1 March for pay talks.
16 March – Unions, including the RCN, suspend further strikes and recommend a new pay offer involving a 5% pay rise for staff this year and a cash sum for last year.
20 March – NHS strikes in Scotland are called off after unions representing midwives and nurses voted to accept the Scottish government’s pay offer.
28 March – Up to 280,000 RCN members vote on whether to accept the government’s pay offer.
14 April – RCN members reject the deal and announce a 48-hour walkout on 30 April.
16 April – RCN leader Pat Cullen warns nurses could strike until Christmas and calls for the government to improve its pay offer.
21 April – The government takes legal action over the planned bank holiday walkout as the strike mandate runs out during the action on 1 May.
27 April – Strike action planned by the RCN on 2 May is called off after a judge ruled it would be unlawful.
29 April – The RCN agrees to supply some staff during the curtailed strike following patient safety concerns.
30 April – Nurses stage 28-hour strike.
2 May – Most health unions back the new pay deal, although both the RCN and Unite vote against it. The RCN says it will ballot members on further strikes between June and December.
9 May – It is announced nurses will vote between 23 May and 23 June on whether to stage more walkouts.
10 May – Nurses in Wales vote to strike again this summer after rejecting the Welsh government’s latest pay offer.
14 May – Ms Cullen calls for Health Secretary Steve Barclay to restart pay talks with a proposed rise in double digits – a move described as “curious and confusing” by cabinet minister Grant Shapps given she had recommended the previous offer to her members.
An RCN spokesperson said: “The negotiations covered two financial years which resulted in a consolidated NHS pay increase of 9%. When our members rejected that, it is clear they expect an offer into double figures.”
Fourteen other unions have accepted the government’s 5% offer, including Unison, the NHS’s biggest union. Others like Unite continue to seek a better offer.
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2:55
Earlier this month: Nurse strikes could go ‘right up to Christmas’
A health department source added: “It is strange how quickly the RCN leader has changed her tune from recommending this pay deal, which she now refers to as an insult to nurses.”
The comments come after Ms Cullen told The Sunday Times: “It’s not so long ago since the prime minister went on the media and very publicly said nurses are an exception,” she said when asked why nurses warrant a larger increase than other healthcare workers.
“I would totally agree with him… they should be made an exception because they are exceptional people.”
The mental health nurse, 58, from Co Tyrone, said patient safety was “at the centre of everything that we do”.
“We will do nothing that will add further risk to the patients that we look after,” she said, saying increased pay would see nurses return to the profession and ease a staffing crisis.
“The truth is that patient safety cannot be guaranteed on any day of the week. How could you guarantee patient safety when you have 47,000 nurses from your workforce every single day and night?”
She also warned Prime Minister Rishi Sunak not to take her members lightly.
“Looking back on this pay offer, I may personally have underestimated the members and their sheer determination,” she said.
“I think what I would be saying to the prime minister, Rishi Sunak, is ‘Don’t – don’t make that same mistake, don’t underestimate them’.
“Nurses believe it’s their duty and their responsibility because this government is not listening to them on how to bring it [the NHS] back from the brink and the message to the prime minister is that they are absolutely not going to blink first in these negotiations.”
The US secretary of state has hailed a “tremendous amount of progress” on peace talks after the US and Ukraine delegations met in Geneva – but said that negotiators would “need more time”.
Marco Rubio said the meetings in Switzerland on Sunday have been “the most productive and meaningful” of the peace process so far.
He said the US was making “some changes” to the peace plan, seemingly based on Ukrainian suggestions, “in the hopes of further narrowing the differences and getting closer to something that both Ukraine and obviously the United States are very comfortable with”.
Mr Rubio struck an optimistic tone talking to the media after discussions but was light on the details, saying there was still work to be done.
Image: US secretary of state Marco Rubio in Geneva after peace talks with Ukraine. Pic: Reuters
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Analysis: Rubio strikes an optimistic tone – but is light on detail
“I don’t want to declare victory or finality here. There’s still some work to be done, but we are much further ahead today at this time than we were when we began this morning and where we were a week ago for certain,” Mr Rubio said.
He also stressed: “We just need more time than what we have today. I honestly believe we’ll get there.”
Sky News’ defence analyst Michael Clarke said on the initial US-Russian 28-point peace plan that it was Donald Trump against the world, with maybe only Moscow on his side.
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9:21
Is Trump’s plan a ‘capitulation document’?
Mr Rubio praised the Ukrainian attitude towards the talks and said Mr Trump was “quite pleased” after he previously said in a social media post that Ukraine’s leaders had expressed “ZERO GRATITUDE” for US efforts.
Ukrainian President Volodymyr Zelenskyy said in his nightly address on Sunday that there are signs that “President Trump’s team hears us”.
In a news release on Sunday evening, the White House said the day “marked a significant step forward”.
“Ukrainian representatives stated that, based on the revisions and clarifications presented today, they believe the current draft reflects their national interests and provides credible and enforceable mechanisms to safeguard Ukraine’s security in both the near and long term,” it claimed.
Despite diplomatic progress in Geneva the finish line remains a long way off
We’ve witnessed a day of determined and decidedly frantic diplomacy in this well-heeled city.
Camera crews were perched on street corners and long convoys of black vehicles swept down Geneva’s throughfares as the Ukrainians worked hard to keep the Americans on side.
Secretary of state Marco Rubio did not want to go into details at a press “gaggle” held at the US Mission this evening, but he seemed to think they had made more progress in the last 96 hours than the previous 10 months combined.
The Ukrainian leader Volodymyr Zelenskyy also seemed satisfied enough, posting on Telegram that there were “signals President Trump’s team is hearing us” after a day of “numerous meetings and negotiations”.
That said, we are a long way from the finish line here – something Rubio acknowledged when he said that any proposal agreed here would have to be handed over to the Russians.
At that point, negotiations to stop the war would surely get tougher.
President Putin has shown little or no inclination to stop the conflict thus far.
This, then, is the most important reason the Ukrainians seem determined to keep the Americans on side.
European leaders have presented a counter proposal to the widely criticised US-Russian peace plan, with suggestions including a cap on Ukraine’s peacetime army and readmitting Moscow into the G8.
This will only take place if the plan is agreed to by the US, Russia and Ukraine, and the G7 signs off on the move. Russia was expelled after annexing Crimea in 2014.
The counter proposal also includes US guarantees to Ukraine that mirror NATO’s Article 5 – the idea that “an armed attack against one NATO member shall be considered an attack against them all”.
The initial peace plan was worked up by the White House and Kremlin without Ukraine’s involvement, and it acquiesces to many of Russia’s previous demands.
It covers a range of issues – from territorial concessions to reconstruction programmes, the future Ukrainian relationship with NATO and the EU, and educational reforms in both Ukraine and Russia.
Footage geolocated by Sky News showed Russian soldiers walking through the Shakhtarskyi neighbourhood on the outskirts of Pokrovsk on Thursday.
The video sheds light on the situation in this key frontline area, as Russian forces slowly encroach on Myrnohrad, the satellite town to Pokrovsk, and one of its last remaining outposts.
Videos geolocated by Sky News show fighting intensifying in recent weeks, as Russian forces attempt to gain control of the towns and their network of road and rail intersections.
Gaining control here would give Russia a base from which to access key cities further north that form part of Ukraine’s “fortress belt”.
Russian forces are advancing from all directions, according to the Institute for the Study of War (ISW), with only one small opening to the northwest of Myrnohrad remaining.
Estimated to be only 3km wide by military experts, this withdrawal corridor is patrolled by Russian drone units which monitor the area for moving vehicles and those who may attempt to leave on foot.
Russian forces have been advancing on Myrnohrad since late October.
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Video from a Ukrainian unit in Myrnohad, posted on 29 October, shows a Russian vehicle attempting to enter the town from the northeast. The tank is attacked and soldiers attempting to enter on foot are targeted.
Video posted on 3 November shows Russian forces on the ground in the south of the town.
By 8 November, Russian strikes begin to pummel the northeast of Myrnohrad, the location of many of the town’s high-rise buildings, at that time, held by Ukrainian forces.
George Barros, Russia Team & Geospatial Intelligence Team Lead at ISW, told Sky News that Russian strategy in Pokrovsk has been to erode Ukrainian logistical capacity using drones and artillery over the course of several months.
“After denying supply lines and degrading the frontline forces by essentially cutting them off from behind and starving them out in their positions, then the Russians move forward with their infantry and frontal assaults,” Barros explained.
Capture the flag
For a brief period, it looked as though Russian forces had captured Myrnohrad.
Videos posted on 13 November appeared to show a Russian flag flying over the Myrnohrad mine.
However, video posted the following day showed a Ukrainian drone shooting it down.
Both Russian and Ukrainian forces continue to fight for control of Myrnohrad, with videos posted on the 19 and 20 November showing Russian airstrikes on Ukrainian positions in the town, and Ukrainian drone strikes targeting Russian forces on foot.
While the exact numbers of Russian and Ukrainian forces in the area remains unclear, reports indicate that three key Russian units are active in Pokrovsk and Myrnohrad, and are advancing on the towns from the north and south.
A number of Ukrainian units remain inside the towns, including the 145th Assault regiment and the 32nd, 35th, 38th and 155th Brigades. Reports indicate that more Ukrainian units have been moved into surrounding areas to hold the withdrawal corridor open.
Sky News reached out to the Ukrainian brigades still in Myrnohrad, but they declined to comment, citing military regulations.
Strategic significance
Natia Seskuria, associate international security fellow at the Royal United Services Institute (RUSI), explained that the area is important for the Ukrainians to keep and the Russians to take because of its strategic position.
“Situated at a major road and rail intersection in Donetsk Oblast, Pokrovsk has functioned as a central artery for moving troops, equipment, and supplies to Ukrainian units deployed along the surrounding front.”
Russia “would gain a platform to redirect its offensive efforts toward Ukraine’s principal defensive urban centres… including Kramatorsk and Slovyansk,” Seskuria said.
Ukrainian and Russian soldiers in Pokrovsk have fought intensely and at close quarters over the last month.
In late October US-made Black Hawk helicopters containing specialist troops directed by Ukrainian military intelligence entered Pokrovsk to try to keep the town.
But as Russian troops advance, Myrnohrad is becoming the last stronghold of Ukrainian forces in the area.
Uncertain future
At least up until 12 November, there were still civilians living in Pokrovsk and Myrnohrad, despite strikes on buildings in both cities.
Image: Residents sit in an armoured vehicle as Ukrainian police officers evacuate them from Pokrovske on 11 November. Source: Reuters
A post made on that day by the Donetsk state regional administration estimated 1,200 people remain living in Pokrovsk and 900 in Myrnohrad.
Evacuation is only possible with the help of the military or police, and it is not clear how many have evacuated in the 11 days since.
Barros of ISW says gaining Pokrovsk would increase Russia’s leverage at the negotiating table.
“If the Russians can successfully convince enough international leaders that, okay, the Russians took Pokrovsk, they’re going to take the next thing, and they’re going take the thing, so now let’s negotiate, then that is a strategic victory for the Russians.”
Production by Michelle Inez Simon, Visual Investigations Producer.
The Data x Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.
Torrential rain, flooding and landslides has left more than 100 people dead or missing in Vietnam.
Rainfall has exceeded 74.8in (1.9 metres) in some parts of central Vietnam over the past week.
The region is a major coffee production belt and home to popular beaches, but it is also prone to storms and floods.
Fatalities have been reported in Dak Lak province and the neighbouring Khanh Hoa province.
Image: Parts of Quy Nhon has been under several feet of water. Pic: picture-alliance/dpa/AP
Footage has been released by local police of a dramatic rescue, involving a drone which airlifted a stranded man to safety from an island in the middle of the Serepok River, Dak Lak province.
The government estimates the flooding has cost the economy around 8.98 trillion dong (£260m).
More than 235,000 houses were flooded and nearly 80,000 hectares of crops were damaged, Vietnam’s disaster agency said.
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On Thursday, VietnamNet newspaper said that a suspension bridge on Da Nhim River in Lam Dong province had been swept away.
Video footage posted online showed the bridge being swallowed by the river in just a few seconds.
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Naval forces have been deployed to help stranded citizens in Khanh Hoa, the Vietnam News Agency reported, adding that floodwaters had reached record highs in many areas.
Photos shared in state media reports showed residents, including children, sitting on the roofs of flooded houses in Khanh Hoa, Gia Lai and Dak Lak provinces.
A seven-year-old girl was rescued late on Wednesday in Da Lat, the capital of Lam Dong province, after being buried by a landslide, the Nhan Dan newspaper reported.
The landslide, triggered by heavy rain, knocked down and buried part of the house where the girl was staying.
She was pulled out after an hour and a half and was taken to hospital with a broken leg, according to the report.