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Consultants and junior doctors are set to strike for several more days this week and early next month, bringing more chaos to the NHS after several months of walkouts and delayed appointments.

Senior doctors are walking out on 19 and 20 September, as well as 2, 3 and 4 October. Meanwhile junior doctors, who have staged 19 days of strike action since March, will also strike on 20, 21 and 22 September and 2, 3 and 4 October.

A health chief said the NHS is in “uncharted territory” due to the strikes, with thousands of patient appointments expected to be cancelled.

Saffron Cordery, deputy chief executive of NHS Providers, said this week’s strike action “can’t become the status quo”.

When are the strikes?

Consultants are walking out on 19 and 20 September, as well as the 2, 3, and 4 October.

Junior doctors will strike on 20, 21 and 22 September and the 2, 3 and 4 October.

This means that Wednesday’s strike this week, plus the three days next month, will see both consultants and junior doctors absent from work on the same days.

Why are junior doctors striking?

The strikes are primarily over pay.

The government has implemented a 6% pay rise for consultants and 6% plus a lump sum of £1,250 for junior doctors and has said there will be no further offers.

The British Medical Association (BMA), meanwhile, is calling for “full pay restoration” back to 2008/09 levels, saying pay has been eroded over several years.

The BMA said the wage for junior doctors has fallen 26% in between 2008 and 2022, with newly qualified medics making less than a barista in a coffee shop.

It has demanded a 35% pay rise for junior doctors to bring salaries back to 2008-2009 levels, calling this “pay restoration”.

“The lack of investment in wages by the government has made it harder to recruit and retain junior doctors,” the BMA has previously said.

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Dr Tal Ellenbogen tells Sky News ‘we are being set up to fail’

“If junior doctors are forced out of the NHS because of poor pay and conditions, the services we all rely on to look after our loved ones will suffer.”

On the picket lines of the March strike, junior doctors told Sky News why they were striking and described having to borrow money off family for medical exams, watching colleagues leave for better paid jobs abroad and how they were struggling to pay rent.

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Junior doctors demand 35% pay rise

What impact is this going to have on the NHS?

Thousands of NHS appointments and operations could be delayed.

The service is expected to see a Christmas Day level of staffing when both consultants and junior doctors are off, with emergency care taking priority.

Ms Cordery said “it’s all hands on deck in trusts across the country”.

“This ‘double whammy’ of the first ever joint strikes by senior and junior doctors is the toughest test yet for trust leaders, ramping up pressure on already stretched services,” she said.

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“Ten months of industrial action have seen almost one million routine appointments and procedures delayed.”

Earlier this week, NHS Providers said it had heard from one trust that it was having to reschedule care for more seriously ill patients who previously may have been protected from strike disruption.

Another trust is rescheduling appointments for patients already hit by strike action, while a third said it would deploy volunteers to support patients with meals and drinks as well as providing company in A&E departments during the strikes.

NHS Providers said the strikes are estimated to have cost the health service at least £1bn so far and trust leaders are worried that senior doctors are increasingly unwilling to cover shifts when junior doctors are striking.

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Hundreds of operations cancelled

Why will this strike be particularly bad?

Wednesday marks the first time both consultants and junior doctors will walk out at the same time, leading to unprecedented pressure on the NHS.

Both junior and senior doctors will also be absent from work on the same days next month.

“Even when consultants go back to work on Thursday, junior doctors will be on strike until Friday with more strikes by both groups and radiographers planned for early October,” Ms Cordery said.

The October strike dates also coincide with the Conservative Party annual conference in Manchester.

Read more:
Emergency care to be prioritised
‘Huge concern’ over worst NHS strike yet

Share how this week’s strike action is impacting you with Sky News

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Junior doctors set for four days of strike action

Is this the first time doctors have gone on strike?

No – junior doctors who are members of the BMA have held a total of 19 strike days since March.

They first walked out for 72 hours from 13-15 March. During that strike, about 175,000 appointments and operations were postponed.

This week’s strike will be their sixth walk out.

Meanwhile, consultants previously walked out for 48 hours in July.

What does ‘junior doctor’ mean?

A junior doctor is a qualified doctor who has graduated from medical school and is on a training pathway to become a specialist or a GP, according to the BMA.

Full-time training can take between five and 11 years – more if it is done part-time.

Junior doctors make up around 45% of the NHS’s medical workforce and two-thirds of them are members of the BMA.

What has the government said about the strikes?

The prime minister’s official spokesman said on Monday: “These co-ordinated strikes will pose a huge challenge for the NHS and for patients, who will see their care significantly disrupted.”

Meanwhile, Health Secretary Steve Barclay was open to discussions about the “non-pay elements” of the BMA’s concerns but there were no plans to “revisit” the pay deal, the spokesman said.

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Prisoner let out under early release system describes chaos amid chronic overcrowding

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Prisoner let out under early release system describes chaos amid chronic overcrowding

Chris* had spent more than two years in prison, serving a sentence for grievous bodily harm (GBH.)

To his surprise, he was released just weeks ago – a month early – under a controversial scheme to ease overcrowding in prisons across England and Wales. But he paints a picture of chaos.

Describing it as a “rollercoaster”, he says there was a “mix-up” and “the staff didn’t really know what was going on”.

It started when he was on the phone to his family from inside prison. “They said, ‘we’re going to see you today, you’re getting released’.

“And I said: ‘No I’m not’.”

His family had been given the wrong date. His release wouldn’t happen for another week. And yet the chaos, according to Chris, only continued.

He was selected for early release and told he was a “low risk” to the public, but the early release prisoner scheme comes under continued scrutiny.

The Prison Governors Association today warned the scheme would not have sufficient impact to ease overcrowding, and suggested the prison service could find itself unable to accept prisoners from courts “within weeks” because jails are so full.

Meanwhile, leading domestic abuse charities have shared with Sky News a letter, sent to justice secretary Alex Chalk, raising serious concerns about the scheme.

The end of the custody supervised licence scheme (ECSL) means eligible prisoners can now be released up to 70 days before the end of their sentences.

It allows offenders serving sentences of less than four years to leave prison ahead of time.

The government first launched the measure in October 2023, initially allowing prisoners to be released 18 days early.

Anyone convicted of a sexual, terrorist or serious violent offence is excluded.

But probation staff have consistently raised fears about the extent and pace at which the measure is being expanded, saying the release of prisoners is being sped up without the time for sufficient checks.

A probation worker told Sky News: “Just because they’re not doing a long sentence, that doesn’t mean people are not deemed to be a high risk in the public domain. And we wouldn’t have time to put in place safeguards, or do any checks.”

‘I was very angry and upset’

On the morning Chris was freed, he says there was a knock on his cell door and he was told to head down to reception. Once there, he says he saw other prisoners being released, their discharge grants being handed out.

But when it was his turn, he says he was told his name wasn’t on the list.

“At that point, I was very angry and upset,” he said.

“A week before, they’d told me I was getting released and now they were doing the same thing again.”

Frustrated, he sat in the prison reception for hours, while his family waited outside.

After about three hours, he says a prison worker appeared and apologetically explained that since it was an early release, there was a “mix-up with the systems”.

His case hadn’t been transferred from one computer system to the other.

This is just one man’s story, but it shows the issues with an emergency measure that has been regularly extended with little notice for those handling and processing offenders – finding them accommodation, or providing the necessary support on leaving prison.

The letter sent to the justice secretary from leading women’s charities, including Refuge and Women’s Aid, calls for perpetrators of domestic abuse and stalking to be exempt from the scheme.

“There is a significant disconnect between government rhetoric on VAWG [Violence Against Women And Girls] and announcements such as the expansion of the early release scheme, that will place survivors, and women and girls more broadly, at risk from dangerous offenders of VAWG,” it reads.

“We are prioritising solving a problem about prison overcrowding over the safety of victims,” the domestic abuse commissioner for England and Wales, Nicole Jacobs, told Sky News.

Domestic Abuse Commissioner for England and Wales, Nicole Jacobs, says she has 'genuine fear for victims'
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Nicole Jacobs, the domestic abuse commissioner for England and Wales, says she has ‘genuine fear for victims’

“I have genuine fears for victims,” she said.

These calls follow the publication of a report into HMP Lewes by the Chief Inspector of Prisons.

An inspection found “safe risk management” being undermined by the early release scheme. It cited one example of a prisoner who had their release date brought forward despite deeming him a “risk to children”, with a “history of stalking, domestic abuse, and being subject to a restraining order”.

Chief inspector of prisons Charlie Taylor said the eligibility net for this scheme was “cast fairly wide”.

The chief inspector of prisons Charlie Taylor says the eligibility net for the scheme is 'cast fairly wide'
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Chief inspector of prisons Charlie Taylor

“Inevitably, if you have an early release scheme and the parameters are simply that if you serve less than four years, you’re not a sex offender, a terrorist or a life sentence prisoner… there are some people within that net who will be designated as high risk of harm.”

The overcrowding crisis in prisons extends beyond the early release scheme.

In recent weeks, a number of measures have been triggered by the government to help ease capacity.

Operation Early Dawn, invoked earlier this month, will see defendants in police custody remain there, rather than being transferred to magistrates’ courts for bail hearings, in case there is no space in jail cells to accommodate them.

Police are also being told to consider pausing “non-priority” arrests until there is enough capacity in prisons across England and Wales.

Figures published on Friday showed 87,089 people are currently behind bars in England and Wales.

The number of people that can be held in “safe and decent accommodation” in prison, known as the “certified normal accommodation” or “uncrowded capacity”, is considered by the Ministry of Justice to be 79,615.

Read more
Emergency measure triggered to deal with prison overcrowding in England
Prisoners could be freed more than two months early to ease overcrowding

That means the current overall system is at 109% capacity, or overcrowded.

Chris’s story is symptomatic of a prison system that is overpopulated and under pressure.

He believes it is right that offenders are let out early to relieve capacity, but says he appreciates concerns the public might have.

‘Everyone deserves a second chance’

“I learned a lot,” he said.

“At the end of the day, people learn and obviously people change. Everyone deserves a second chance.”

The government has previously said that the ECSL scheme is about protecting the public, designed to ensure there is enough space to keep putting the most ‘serious’ offenders behind bars.

It maintains there are ‘strict eligibility criteria’ for releasing people, and says the Prison Service retains discretion to prevent the release of any offender where early release presents a higher risk than if they were released at their automatic release date.

Ministers have previously said that any released offender remains subject to probation supervision and stringent licence conditions.

*Chris is a pseudonym we are using to protect his identity.

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Labour extends lead over Tories in exclusive poll for Sky News

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Labour extends lead over Tories in exclusive poll for Sky News

The Labour Party has extended its lead over the Conservatives, according to the first exclusive YouGov poll of the campaign for Sky News.

One week into the race for Number 10, Labour is 27 points ahead of the Tories – erasing a small drop in the lead recorded at the end of last week.

The Great Britain poll – conducted on Monday and Tuesday this week – puts Labour on 47%, the Tories on 20%, Reform on 12%, the Liberal Democrats on 9% and Greens on 7%.

*EMBARGOED UNTIL 5AM ON WED 28th MAY*

This suggests that the Tories have not yet had a bounce from Rishi Sunak’s surprise decision to go to the country on 4 July, rather than waiting until the autumn.

The party is also still struggling to bring back together the voter coalition Boris Johnson won round in 2019.

Read more about the Sky News poll tracker here

Of the Tory voters from that year, only 36% say they would vote Tory now, 19% would vote Reform UK, 19% don’t know and 14% would switch to Labour.

This is the key group identified by Conservative headquarters, and the national service announcement on Sunday was aimed at bringing this group back to the fold.

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Meanwhile, Labour leads the Tories in all parts of Great Britain and among men and women.

The only groups that have the Tories ahead are the over 65s – albeit by a far smaller margin than in 2019 – and among people who voted to leave the EU.

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A Monster energy drink and bowling: On the general election campaign trail with Rishi Sunak

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A Monster energy drink and bowling: On the general election campaign trail with Rishi Sunak

After a bumpy start to the Tory election campaign, day six has been somewhat smoother for Rishi Sunak.

That’s not to say the Conservative election machine isn’t on the lookout for potential missteps though.

During a TV interview in the changing room of a bowls club in Leicestershire, a hat was strategically placed to cover a name tag adorned with the blush-worthy surname “Glasscock”.

Prime Minister Rishi Sunak plays a game of bowls during a visit to Market Bosworth Bowling Club on Tuesday.
Pic: PA
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Rishi Sunak plays a game of bowls during a visit to Market Bosworth in Leicestershire. Pic: PA

Rishi Sunak visits a ceramic manufacturing plant. Pic: Reuters
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Mr Sunak visits a homeware plant in Staffordshire. Pic: Reuters

While at a homeware factory in Staffordshire, a Tory aide spotted and swiftly removed a can of Monster energy drink from a worktop where the prime minister was about to inspect some ceramics.

General election latest: Starmer gives blunt response on potentially rejoining EU

Amid a slanging match over leaders taking ‘duvet days’ early in the campaign, a photo of the Tory leader next to a giant caffeine-stuffed beverage is probably not the message the party wants to send out.

A Q&A session with staff at the factory caused little controversy.

More on General Election 2024

Mr Sunak’s plan for a revamped national service came in for praise with one woman saying her two older sons would benefit from it, before adding in a brutally frank fashion “but they are more brawn than brains”.

A man who proclaimed himself the “number one forklift truck driver” asked if there could be an extra Bank Holiday for St George’s Day.

A question deftly dodged by the visiting politician.

After being drenched while announcing the election, the rain even cleared just in time for the prime minister to play a game of bowls with some pensioners in Market Bosworth.

Read more:
General Election poll tracker: Will Labour or the Conservatives win?
What was Labour’s deputy leader accused of?

Pic: PA
Image:
Pic: PA

With a backdrop of bunting and portraits of the late Queen, this should be safe Tory territory – especially for a leader promising tax cuts for retirees.

And to be fair, he was met with a cheer when he entered the clubhouse.

But speaking to members after – a familiar sense of inevitability started to emerge.

Rishi Sunak at a bowls club. Pic: Reuters
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Pic: Reuters

One man said Mr Sunak seemed a decent enough man before adding “but the country wants change… the Labour Party have got things together just as the Tories have fallen apart”.

Back on the bowling green, things started looking up for the prime minister.

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After a couple of ropey throws of his specially selected blue bowls, Mr Sunak eventually turned things around and ended up clinching victory.

Insert your political parallels here.

But it’s worth saying that only happened after the local Tory MP knocked club president Brenda’s bowl out of play.

A backbencher coming to the prime minister’s rescue. There’s something you don’t see much of nowadays.

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