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Shorter medical degrees, apprenticeships, and £2.4bn in funding are among the radical plans being put forward to solve NHS England’s severe staffing crisis.

The long-awaited NHS workforce plan is due to be published in full on Friday, outlining how the service will address existing vacancies and meet the challenges of a growing and ageing population.

It has been hailed as a “once-in-a-generation opportunity” to put staffing in the service on a sustainable footing over the next 15 years.

Staffing vacancies currently stand at 112,000, with fears shortfalls could grow to 360,000 by 2037.

The additional funding will help train “record numbers of doctors, nurses, dentists, and other healthcare staff” in England, with plans to employ 300,000 extra staff in the coming years. The funding works out at approximately £21,000 per vacancy.

Other plans include consulting with the General Medical Council and medical schools on the introduction of a four-year medical degree – one year less than the five it currently takes to complete – which, alongside a medical internship, would mean students could start work six months earlier.

Student nurses will also be able to take up jobs as soon as they graduate in May, rather than waiting until September as they do at present.

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With demand for healthcare staff rising around the world, the Long Term Workforce Plan will set out a path to double medical school training places to 15,000 by 2031, with more places in the areas of greatest need.

More places will also be offered through degree apprenticeships so staff can “earn while they learn”, gaining a full degree as they work towards a full qualification. One in six (16%) of all training for clinical staff will be done this way by 2028 – including more than 850 medical students.

Officials say the plans set out, along with new retention measures, could mean the health service has at least an extra 60,000 doctors, 170,000 more nurses, and 71,000 more allied health professionals in place by 2036/37.

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NHS ‘rationing’ A&E care

Flexible working and pension reforms for staff

The NHS workforce plan comes at a time when large parts of the health service are striking over the staffing crisis, and levels of pay.

The NHS plan aims to reduce reliance on expensive agency spend, which would cut the bill for taxpayers by around £10bn between 2030 and 2037.

The plan will focus on the retention of staff, with better opportunities for career development, improved flexible working options, and government reforms to the pension scheme, which is hoped will keep 130,000 staff working in NHS settings longer.

Workers on the picket line outside Queen Elizabeth hospital in Birmingham during a strike by nurses and ambulance staff. Picture date: Monday February 6, 2023.
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Workers on the picket line outside Queen Elizabeth hospital in Birmingham during a strike in February

Amanda Pritchard, NHS chief executive, said: “As we look to adapt to new and rising demand for health services globally, this long-term blueprint is the first step in a major and much-needed expansion of our workforce to ensure we have the staff we need to deliver for patients.

“We will take practical and sustained action to retain existing talent, we will recruit and train hundreds of thousands more people and continue to accelerate the adoption of the latest technology to give our amazing workforce the very best tools to provide high-quality care to millions of people across the country each day.”

The NHS will mark its 75th anniversary on 5 July. The prime minister argued the workforce plan was a significant moment in its history.

Rishi Sunak said: “On the 75th anniversary of our health service, this government is making the largest single expansion in NHS education and training in its history. This is a plan for investment and a plan for reform.”

The chancellor, Jeremy Hunt, added: “Our plan will end the reliance on expensive agency staff, while cutting waiting lists in the coming years and building an NHS which can match up to the scale of tomorrow’s challenges.”

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Sunak: ‘I want to make NHS fit for the future’

‘They should have done this a decade ago’

Wes Streeting MP, Labour’s Shadow Health Secretary, responded to the publication of the NHS workforce plan.

He said: “The Conservatives have finally admitted they have no ideas of their own, so are adopting Labour’s plan to train the doctors and nurses the NHS needs.

“They should have done this a decade ago – then the NHS would have enough staff today.”

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Mr Streeting added: “Instead, the health service is short of 150,000 staff and this announcement will take years to have an impact.

“Patients are waiting longer than ever before for operations, in A&E, or for an ambulance.

“The Conservatives have no plan to keep the staff working in the NHS, no plan to end the crippling strikes, and no plans to reform the NHS.”

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The Godfather-style gang war gripping two major cities – with brutal attacks caught on camera

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The Godfather-style gang war gripping two major cities - with brutal attacks caught on camera

It’s like The Godfather, one reformed drug trafficker tells me.

The mythical gangster film centred on an organised crime dynasty locked in a transfer of power.

Communities in Scotland currently have a front row seat to a new war of violence, torture, and taunts as feuding drug lords and notorious families grapple for control of Glasgow and Edinburgh.

There have been more than a dozen brutal attacks over the past six weeks – ranging from fire bombings to attacks on children and gun violence.

A firebomb attack in Scotland
Image:
A firebomb attack in Scotland

Victims left for dead, businesses up in flames

Gangsters have filmed themselves setting fire to buildings and homes connected to the associates and relatives of their bitter rivals.

The main aim, they boast, is to “exterminate” the opposition.

The taunting footage, accompanied by the song Keep On Running by The Spencer Davis Group, has been plastered over social media as part of a deliberate game of goading.

A 12-year-old boy and 72-year-old woman were left for dead when teenagers wearing balaclavas burst into a home in north Glasgow.

Garages and businesses have gone up in flames. Shots were fired at an Edinburgh house.

Signals are being sent of who wants control of Scotland’s dark criminal underworld.

A firebomb attack in Scotland that saw a man through an incendiary device through a building window
Image:
A firebomb attack that saw a man throw an incendiary device through a building window

A house after it was set on fire by two individuals in Glasgow
Image:
The fire attack set to the song Keep On Running by The Spencer Davis Group

What’s caused the gang war?

The former director of the Scottish Crime and Drug Enforcement Agency, Graeme Pearson, explains how a “vacuum of leadership” is playing a part.

Last October, Glasgow-based cocaine kingpin Jamie Stevenson, known as The Iceman, was jailed after orchestrating a £100m cocaine shipment stashed in banana boxes from South America.

The mob leader was one of Britain’s most wanted, running his business like another on-screen criminal enterprise: The Sopranos.

The 59-year-old fugitive went on the run before eventually being hunted and apprehended by police while out jogging in the Netherlands.

Jamie Stevenson. Pic: Police Scotland
Image:
Jamie Stevenson. Pic: Police Scotland

Pic: Crown Office
Image:
Pic: Crown Office

‘Old scores to settle’

But paranoia was running rife about how this notorious gangster could be brought down. Was there a grass? Was it one of their own?

It further fuelled divisions and forced new alliances to be forged across Scotland’s organised criminal networks.

It wasn’t until The Iceman case came to court that it was revealed an encrypted messaging platform, known as EncroChat, had been infiltrated by law enforcement.

It ultimately led to Stevenson pleading guilty.

Ex-senior drug enforcement officer Mr Pearson told Sky News: “It is a complex picture because you have got people who are in prison who still want to have influence outside and look after what was their business.

“On the outside you’ve got wannabes who are coming forward, and they think this is an opportunity for them, and you have got others have old scores to settle that they could not settle when crime bosses were around.”

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Graham Pearson
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Graeme Pearson

Mr Pearson describes a toxic mix swirling to create outbursts of violence unfolding in Scotland.

He concluded: “All that mixes together – and the greed for the money that comes from drugs, and from the kudos that comes from being a ‘main man’, and you end up with competition, violence, and the kind of incidents we have seen over the past four to six weeks.”

New wave of violence ‘barbaric’

Glasgow man Mark Dempster is a former addict, dealer, and drug smuggler who is now an author and respected counsellor helping people quit drinking and drugs.

He describes the “jostle for power” as not a new concept among Glasgow’s high profile gangland families.

Mark Dempster is a former addict, dealer and drug smuggler who is now an author and respected counsellor
Image:
Mark Dempster

“There is always going to be someone new who wants to control the markets. It is like The Godfather. There is no difference between Scotland, Albania, or India,” he said.

Mr Dempster suggests a shift in tactics in Glasgow and Edinburgh in recent weeks, with 12-year-olds being viciously attacked in the middle of the night.

“It is barbaric. When young people, children, get pulled into the cross fire. It takes it to a different level.

“At least with the old mafiosa they had an unwritten rule that no children, no other family members. You would deal directly with the main people that were your opposition.”

Police Scotland is racing to get control of the situation, but declined to speak to Sky News about its ongoing operation.

It has been suggested 100 officers are working on this case, with “arrests imminent”.

But this is at the very sharp end of sophisticated criminal empires where the police are not feared, there are fierce vendettas and, clearly, power is up for grabs.

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Laws may need to be bolstered to crack down on exploitation of child ‘influencers’, senior MP suggests

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Laws may need to be bolstered to crack down on exploitation of child 'influencers', senior MP suggests

Laws may need to be strengthened to crack down on the exploitation of child “influencers”, a senior Labour MP has warned.

Chi Onwurah, chair of the science, technology and innovation committee, said parts of the Online Safety Act – passed in October 2023 – may already be “obsolete or inadequate”.

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Experts have raised concerns that there is a lack of provision in industry laws for children who earn money through brand collaborations on social media when compared to child actors and models.

This has led to some children advertising in their underwear on social media, one expert has claimed.

Those working in more traditional entertainment fields are safeguarded by performance laws, which strictly govern the hours a minor can work, the money they earn and who they are accompanied by.

The Child Influencer Project, which has curated the world’s first industry guidelines for the group, has warned of a “large gap in UK law” which is not sufficiently filled by new online safety legislation.

Official portrait of Chi Onwurah.
Pic: UK Parlimeant
Image:
Official portrait of Chi Onwurah.
Pic: UK Parlimeant

The group’s research found that child influencers could be exposed to as many as 20 different risks of harm, including to dignity, identity, family life, education, and their health and safety.

Ms Onwurah told Sky News there needs to be a “much clearer understanding of the nature of child influencers ‘work’ and the legal and regulatory framework around it”.

She said: “The safety and welfare of children are at the heart of the Online Safety Act and rightly so.

“However, as we know in a number of areas the act may already be obsolete or inadequate due to the lack of foresight and rigour of the last government.”

Victoria Collins, the Liberal Democrat spokesperson for science, innovation and technology, agreed that regulations “need to keep pace with the times”, with child influencers on social media “protected in the same way” as child actors or models.

“Liberal Democrats would welcome steps to strengthen the Online Safety Act on this front,” she added.

‘Something has to be done’

MPs warned in 2022 that the government should “urgently address the gap in UK child labour and performance regulation that is leaving child influencers without protection”.

They asked for new laws on working hours and conditions, a mandate for the protection of the child’s earnings, a right to erasure and to bring child labour arrangements under the oversight of local authorities.

However, Dr Francis Rees, the principal investigator for the Child Influencer Project, told Sky News that even after the implementation of the Online Safety Act, “there’s still a lot wanting”.

“Something has to be done to make brands more aware of their own duty of care towards kids in this arena,” she said.

Dr Rees added that achieving performances from children on social media “can involve extremely coercive and disruptive practices”.

“We simply have to do more to protect these children who have very little say or understanding of what is really happening. Most are left without a voice and without a choice.”

What is a child influencer – and how are they at risk?

A child influencer is a person under the age of 18 who makes money through social media, whether that is using their image alone or with their family.

Dr Francis Rees, principal investigator for the Child Influencer Project, explains this is an “escalation” from the sharing of digital images and performances of the child into “some form of commercial gain or brand endorsement”.

She said issues can emerge when young people work with brands – who do not have to comply with standard practise for a child influencer as they would with an in-house production.

Dr Rees explains how, when working with a child model or actor, an advertising agency would have to make sure a performance license is in place, and make sure “everything is in accordance with many layers of legislation and regulation around child protection”.

But, outside of a professional environment, these safeguards are not in place.

She notes that 30-second videos “can take as long as three days to practice and rehearse”.

And, Dr Rees suggests, this can have a strain on the parent-child relationship.

“It’s just not as simple as taking a child on to a set and having them perform to a camera which professionals are involved in.”

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The researcher pointed to one particular instance, in which children were advertising an underwear brand on social media.

She said: “The kids in the company’s own marketing material or their own media campaigns are either pulling up the band of the underwear underneath their clothing, or they’re holding the underwear up while they’re fully clothed.

“But whenever you look at any of the sponsored content produced by families with children – mum, dad, and child are in their underwear.”

Dr Rees said it is “night and day” in terms of how companies are behaving when they have responsibility for the material, versus “the lack of responsibility once they hand it over to parents with kids”.

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Two arrested on suspicion of murder after disappearance of woman in South Wales

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Two arrested on suspicion of murder after disappearance of woman in South Wales

Police investigating the disappearance of a woman in South Wales have arrested two people on suspicion of murder.

Paria Veisi, 37, was last seen around 3pm on Saturday 12 April when she left her workplace in the Canton area of Cardiff.

She was driving her car, a black Mercedes GLC 200, which was later found on Dorchester Avenue in the Penylan area on the evening of Tuesday 15 April.

South Wales Police said it was now treating her disappearance as a murder investigation.

A 41-year-old man and a 48-year-old woman, both known to Ms Veisi, have been arrested on suspicion of murder and remain in police custody.

Detective Chief Inspector Matt Powell said he currently had “no proof that Paria is alive”.

The senior investigating officer added: “[Ms Veisi’s] family and friends are extremely concerned that they have not heard from her, which is totally out of character.

“Paria’s family has been informed and we are keeping them updated.

“We have two people in custody, and at this stage we are not looking for anybody else in connection with this investigation.

“Our investigation remains focused on Paria’s movements after she left work in the Canton area on Saturday April 12.

“Extensive CCTV and house-to-house inquiries are being carried out by a team of officers and I am appealing for anybody who has information, no matter how insignificant it may seem, to make contact.”

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Ms Veisi is described as having long, curly black hair.

She was last seen wearing a black zip-up gym top over a red top, black trousers and trainers, and was carrying a small handbag.

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