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NHS patients face major disruption over the next 48 hours as senior doctors in England begin their first major strike in nearly 50 years.

Consultant doctors along with hospital-based dentists will strike over pay from 7am on Thursday until 7am on Saturday.

It follows the longest period of industrial action in the history of the NHS by junior doctors across five days from last Thursday to Tuesday.

The NHS medical director warned the latest action would be one of the toughest strikes in the history of the service, with “routine care virtually at a standstill”.

Professor Sir Stephen Powis warned of the mass disruption expected across the NHS with consultants providing just emergency cover.

Apart from a brief dispute over pensions in 2012, senior consultants last took major long-term action in 1975 over their contracts.

Consultants are senior doctors who see patients but are also responsible for the supervision of junior doctors and other staff.

How much do consultants earn?

The British Medical Association rejected a 6% pay rise for consultants – calling it “insulting” and a “savage real-terms pay cut”.

It called for a 35% pay increase as it claims that it is the figure take-home pay has declined by over the last 15 years.

However, the BMA is using an outdated measure of inflation. While using the consumer price index, as the ONS recommends, the real-terms decrease in pay since 2010 is 15%

The BMA says current basic pay scales see consultants earning £88,364 as a starting salary, with tiered increases up to £119,133 for consultants with 19 years’ experience

The Department of Health and Social care says that on average, consultants earn £127,228 a year

This included basic pay of £97,406 supplemented by £29,882 in pay for working beyond contracted hours, being on call, and for medical awards such as the clinical excellence award

Patients have been warned a “significant amount” of planned care involving junior doctors will be affected because other clinicians cannot provide cover or carry out supervisory roles.

The British Medical Association said consultants will provide “Christmas Day cover” – meaning only an emergency care level of service.

NHS England said: “We are now entering the eighth month of industrial action across the NHS and staff continue to work hard to provide patients with the best possible care under the circumstances.

“Industrial action has impacted approximately 600,000 hospital appointments across the NHS with over 365,000 staff absences due to industrial action during this time.”

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How strike action impacts the NHS

What if you need urgent medical care?

The NHS states people should use NHS111 online to be assessed and directed to the right care.

If you do not have internet access, then the 111 helpline is available.

When someone is seriously ill or injured and their life is at risk, you should seek emergency care in the normal way by calling 999.

The NHS website states: “Regardless of any strike action taking place, it is really important that patients who need urgent medical care continue to come forward as normal, especially in emergency and life-threatening cases.

“Patients should take advice from 111/999 call-handlers on whether there are circumstances where it is suitable for them to make their own way to hospital.

“During strike days, it is likely 999 and 111 call handlers will be very busy, this may mean longer call response times.”

GP services and pharmacies will be running as normal.

Great-grandmother’s case highlights NHS dilemma

Carol Haworth is lying in a bed in Preston Hospital’s Emergency Department after breaking her left hip in a fall.

Dr Amogh Patel patiently explains that the 68-year-old great-grandmother will need immediate surgery to repair her shattered joint.

The surgery will fall on the first day of the nationwide NHS consultants strike

Carol’s case encapsulates the problems facing the NHS. She will have the emergency operation to repair her left hip, but has already waited nine months for surgery on her right hip.

And that wait will go on.

It is exactly the sort of life changing operation that will be cancelled in the thousands over the next 48 hours because of the consultants’ strike.

Carol remains philosophical: “We’ve had a lot of knock backs with COVID and this is only setting it back even further. So what can you do? It’s no good just squabbling about it, is it? You’ve just got to take it as it goes.”

‘My door is always open’

On the strikes by senior doctors, Health Secretary Steve Barclay said: “I hugely value the work of NHS consultants which is why we have accepted the independent pay review body recommendations in full, giving them a 6% pay rise this year, on top of last year’s 4.5% increase.

“My door is always open to discuss non-pay issues, but this pay award is final so I urge the BMA to end their strikes immediately.”

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Retired vicar involved in ‘Eunuch Maker’ extreme body modification ring jailed for three years

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Retired vicar involved in 'Eunuch Maker' extreme body modification ring jailed for three years

A retired Church of England vicar who was part of an extreme body modification ring run by man who called himself the Eunuch Maker has been jailed for three years.

Warning: The following article contains graphic details of extreme physical mutilation

Reverend Geoffrey Baulcomb, 79, pleaded guilty to causing grievous bodily harm with intent after a nine-second video of him using nail scissors to perform a procedure on a man’s penis in January 2020 was found on his mobile phone.

He also admitted seven other charges, including possessing extreme pornography and making and distributing images of children on or before 14 December 2022.

Prosecutors said some of the material included moving images which had been on the eunuch maker website, run by 47-year-old Norwegian national Marius Gustavson.

Marius Gustavson
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Marius Gustavson

Gustavson was jailed for life with a minimum term of 22 years last year after a court heard he made almost £300,000 through his website, where thousands of users paid to watch procedures, including castrations.

Baulcomb was said to have been an “acquaintance” of Gustavson, and the pair exchanged more than 10,000 messages with each other over a four-year period.

He was formerly a vicar at St Mary the Virgin Church in Eastbourne but retired from full-time ministry in the Church of England in 2003.

The diocese of Chichester said he applied for “permission to officiate”, which allows clergy to officiate at church services in retirement, when he moved to Sussex the following year.

But Baulcomb was banned for life from exercising his Holy Orders following a tribunal last year, which heard he was issued with a caution after police found crystal meth and ketamine at his home in December 2022.

He had claimed experimenting with drugs or allowing his home in Eastbourne to be used for drug taking would “better enable him to relate and minister to people with difficulties as part of his pastoral care”.

The diocese said the Bishop of Chichester immediately removed his permission to officiate after being contacted by police, and bail conditions prevented him from attending church or entering Church of England premises.

‘Nullos’ subculture

The Old Bailey heard last year that extreme body modification is linked to a subculture where men become “nullos”, short for genital nullification, by having their penis and testicles removed.

Gustavson and nine other men have previously admitted their involvement in the eunuch maker ring, which one victim said had a “cult-like” atmosphere.

The life-changing surgeries, described as “little short of human butchery” by the sentencing judge, were carried out by people with no medical qualifications, who he had recruited.

Prosecutors said there was “clear evidence of cannibalism” as Gustavson – who had his own penis and nipple removed and leg frozen so it needed to be amputated – cooked testicles to eat in a salad.

Gustavson, who was said to have been involved in almost 30 procedures, pleaded guilty to charges including conspiracy to commit grievous bodily harm between 2016 and 2022.

This breaking news story is being updated and more details will be published shortly.

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Labour plans to ‘overhaul broken asylum system’

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Labour plans to 'overhaul broken asylum system'

After a summer dominated by criticism over the small boats crisis and asylum hotels, Labour says it’s planning to overhaul the “broken” asylum system.

As MPs return to Westminster today, Home Secretary Yvette Cooper will speak about the government’s success in tackling people smugglers and plans for border security reform.

August saw the lowest number of Channel crossings since 2019 - but the last year has the most on record. Pic: Reuters
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August saw the lowest number of Channel crossings since 2019 – but the last year has the most on record. Pic: Reuters

Labour hopes that the raft of changes being proposed will contribute to ending the use of asylum hotels, an issue which has led to widespread protests over the summer.

Ms Cooper will set out planned changes to the refugee family reunion process to give “greater fairness and balance”, and speak to the government’s promise to “smash the gangs” behind English Channel crossings.

National Crime Agency (NCA) figures show record levels of disruption of immigration crime networks in 2024/25. Officials believe this contributed to the lowest number of boats crossing the Channel in August since 2019.

But, despite the 3,567 arrivals in August being the lowest since 2021, when looking across the whole of 2025, the figure of 29,003 is the highest on record for this point in a year.

Read more:
The deep divides in town which has become a flashpoint in UK’s asylum crisis
PM vows small boat migrants will be ‘detained and sent back’
Where are the UK’s asylum seekers from?

More on Keir Starmer

Labour says actions to strengthen border security, increase returns and overhaul the asylum system, will result in “putting much stronger foundations in place so we can fix the chaos we inherited and end costly asylum hotels”.

In a message to Reform UK, which has promised mass deportations, and the Tories, who want to revive the Rwanda scheme, Ms Cooper will say: “These are complex challenges, and they require sustainable and workable solutions, not fantasy promises which can’t be delivered.”

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The town at boiling point over migration

While the home secretary will look back at the UK’s “proud record of giving sanctuary to those fleeing persecution”, she will argue the system “needs to be properly controlled and managed, so the rules are respected and enforced, and so governments, not criminal gangs, decide who comes to the UK”.

She will also give further details around measures announced over the summer, including the UK’s landmark returns deal with France, and update MPs on reforms to the asylum appeals process.

Shadow home secretary Chris Philp dismissed Ms Cooper’s intervention as a “desperate distraction tactic”, reiterating record levels of illegal Channel crossings, the rise in the use of asylum hotels and the highest number of asylum claims in history in Labour’s first year.

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Richard Tice reveals how navy would deal with small boats

Sir Keir Starmer too, says he intends to “deliver change,” using a column in Monday’s Mirror to criticise the Tories and Reform UK for whipping up migrant hatred.

And the prime minister isn’t the only one to hit out at Reform UK’s flagship immigration plan, with the Archbishop of York accusing it of being an “isolationist, short-term kneejerk” approach, with no “long-term solutions”.

In response, Richard Tice, Reform’s deputy leader, told Sunday Morning With Trevor Phillips the archbishop was “wrong” in his criticism.

Anti-asylum demonstrators in Epping, Essex. Pic: PA
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Anti-asylum demonstrators in Epping, Essex. Pic: PA

Mr Tice, who is the MP for Boston and Skegness, said he was a Christian who “enjoys” the church – but that the “role of the archbishop is not actually to interfere with international migration policies”.

Meanwhile, the Court of Appeal will hand down its full written judgment in the Bell Hotel case today, which saw Epping Forest District Council fail in an attempt to stop asylum seekers from being put up there.

Protests continued in Epping on Sunday night, with police arresting three people.

An anti-asylum demonstration also took place in Canary Wharf on Sunday, which saw a police officer punched in the face and in a separate incident, a child potentially affected by synthetic pepper spray.

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Murder investigation launched after man fatally stabbed in Luton

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Murder investigation launched after man fatally stabbed in Luton

A murder investigation has been launched after a man was fatally stabbed in Luton, Bedfordshire, on Sunday.

Police said officers were called to Humberstone Road just after 6pm after reports of an altercation involving two men and a woman.

A man in his 20s was taken to hospital with serious injuries but was pronounced dead shortly after.

Police are appealing for any further information, including doorbell, CCTV, or dashcam footage from the area around the time of the incident.

Superintendent Rachael Glendenning, from Bedfordshire Police, said: “This is an isolated incident, and we would ask the public not to speculate at this time.”

She said officers will be at the scene for a significant period while the investigation continues.

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