NHS braced for surge of patients after ambulance workers’ strike

Doctors warn of a backlog of patients and ‘deteriorating health’, with calls to 999 down 25% during paramedics’ 24-hour stoppage

The NHS is bracing itself for an influx of patients between now and Christmas after thousands of people deferred seeking treatment during the ambulance workers’ strike on Wednesday.

Senior doctors are warning that the decision by many people in England and Wales not to request help while paramedics were staging a 24-hour stoppage will leave the NHS struggling to cope at a time when hospitals would traditionally be scaling back their services for the festive break.

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Three-quarters of UK firms say Brexit deal has not boosted business

British Chamber of Commerce present government with urgent recommendations as members report struggling to sell into EU

More than three-quarters of firms say the government’s post-Brexit trade deal with the EU has not helped them to expand their business in the last two years despite promises that it was an “oven-ready” deal.

A survey by the British Chambers of Commerce (BCC) has prompted the business lobby group to present the government with five urgent recommendations for enhancing the agreement, which has left many exporters struggling to sell into the EU under the current terms.

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Scotland’s gender recognition bill became a lightning rod for wider issues

The SNP’s proposals including making it easier to get a gender recognition certificate polarised national politics and provoked angry debates over rights

When Scotland’s first minister, Nicola Sturgeon, pledged to reform gender recognition laws at a LGBTQ+ leaders’ hustings before the 2016 Holyrood elections, she could not have envisaged the escalating toxicity and political polarisation that would ultimately surround her plans, nor the personal toll it would exact.

The proposals to bring in a system of self-declaration for individuals wishing to change their legal gender has led to multiple protests outside the Holyrood parliament, booing the avowedly feminist first minister as a “destroyer of women’s rights”. It has prompted the SNP’s biggest ever backbench rebellion and brought Sturgeon head to head with another of Scotland’s best-known women, the Harry Potter author JK Rowling, who on the eve of the final vote described the gender recognition reform bill as “the single biggest rollback of women’s rights in our lifetimes”.

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UN human rights chief says UK should rethink plans to deport asylum seekers to Rwanda

Exclusive: Volker Türk critical of scheme he considers ethically problematic and believes government must look again at how to deal with people-smuggling gangs and the treatment of refugees

The new UN human rights chief has urged the British government to reconsider its plans to deport asylum seekers to Rwanda, warning that in the past similar “offshoring” schemes had led to “deeply inhuman” treatment of refugees.

In his first public comments on the controversy since taking office two months ago, Volker Türk rejected prime minister Rishi Sunak’s description of the £140m deal as “common sense”, saying that as well as being legally and ethically problematic it was also “very costly” and unlikely to work.

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Ambulance strike: NHS leaders urge public to avoid risky activity

Bodies representing NHS care in England also call for Rishi Sunak intervention but PM refuses to budge on pay

NHS leaders have urged the public to avoid risky activity on Wednesday for fear they may be left helpless and unable to reach A&E during the ambulance strike.

The industrial action by staff across England and Wales comes as the ongoing pay dispute between ministers and NHS workers looks poised to descend into an increasingly bitter and disruptive war of attrition that could go on for months.

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Scottish transgender reform looks imminent after marathon Holyrood debate

Crunch vote looms after debate prolonged by disruptions, attempted delays and uncertainty over possible amendments

Transgender 16- and 17-year-olds in Scotland are set to be able to apply to change the sex on their birth certificate for the first time as MSPs debated long into the night the Scottish government’s controversial gender recognition reforms.

The marathon session took place amid chaotic scenes at Holyrood, including disruption from the public galley, uncertainty over whether certain amendments opened the bill to legal challenge, and attempts to delay proceedings into the new year.

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Russia plans to boost military links with Iran, says UK defence secretary

Ben Wallace says Putin regime will supply military technology in return for drones used to attack Ukraine

Russia plans to deepen its military cooperation with Iran in return for Shahed drones that have been used to bomb Ukraine’s cities and energy network since September, according to Britain’s defence secretary, Ben Wallace.

The west must hold Russia’s “enablers to account”, he said, in a Christmas update in which he was also forced to admit the UK had not completed a Ukraine “action plan” by the end of the year as promised.

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Met to investigate Tory MP Bob Stewart over alleged racial abuse

Scotland Yard to look into footage in which Beckenham MP tells activist Sayed Alwadaei ‘go back to Bahrain’

Police are to investigate an allegation of racial abuse after the Guardian revealed a confrontation in which the Tory MP Bob Stewart told an activist to “go back to Bahrain”.

Scotland Yard has said it will investigate video footage after a complaint from Sayed Alwadaei, the director of the Bahrain Institute for Rights and Democracy (Bird), who had an angry exchange with Stewart outside a reception hosted by the Bahraini embassy.

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Rishi Sunak warns NHS strikes could go on for months as he rules out reopening pay offers – live

Prime minister issues warning as nurses take action again today, with ambulance staff striking on Wednesday

In his interviews this morning Will Quince, the health minister, said that the military personnel who are helping out when ambulance staff are on strike tomorrow will not be allowed to turn on blue lights when driving ambulances, or drive them through red lights. “They will be there to drive ambulances in a support capacity for individual trusts,” he said.

At the health committee hearing Dr John Martin, president of the College of Paramedics, told MPs that ambulance staff are now having to deal with “a sicker population who are calling us more often” than they were in the past. But, despite that, ambulance staff were seeing fewer patients per shift, he said, because of the delays getting people into hospital because of delayed discharges.

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Ambulance strike in England and Wales will bring ‘huge risk of harm’

Patients with serious conditions and injuries will have to get themselves to A&E, NHS chiefs say

Thousands of patients who have had strokes, heart attacks or broken bones will have to get themselves to A&E on Wednesday when ambulance staff strike over pay, NHS bosses have warned.

The disruption is expected to last for up to three days, with crews not reaching some patients who called 999 on Wednesday until Thursday or Friday.

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Sunak’s review of aid for Ukraine suggests cracks appearing in UK policy

The PM seems undecided about delivering the big uplift in military help Kyiv needs to get ready for a possible Russian offensive

Boris Johnson’s Ukraine policy may not have always been sophisticated – “Dobryi den, everybody!” – but his enthusiasm was welcomed in Kyiv. Six months of Conservative party chaos later, his successor but one, Rishi Sunak, is yet to demonstrate he is as supportive at a time when Ukraine needs the west to dig in.

A leak at the start of the weekend said that Sunak had ordered an internal assessment of the significance of British military aid to Ukraine. Revelation of the Whitehall exercise was accompanied by a pointed briefing to the BBC, accusing the prime minister of resorting to a “Goldman Sachs dashboard” approach.

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Union leaders dismiss chances of last-minute talks being able to avert ambulance strike – UK politics live

Leaders say ‘there’s no trust left’ between unions and the government as they play down prospect of meaningful talks

Good morning. We’re in the final week before Christmas, and the strikes affecting public services are set to get even more serious. Last week’s strike by the Royal College of Nursing was unprecedented, because the RCN had never called a strike before, but ministers fear that a strike by ambulance staff in England and Wales on Wednesday could be even more serious because of the impact it will have on patients needing emergency care.

As Jessica Elgot and Andrew Gregory report in their overnight story, Steve Barclay, the health secretary, has signalled that he is open to further talks in the hope of averting this week’s strike.

Look at Scotland. The government there came back to the negotiating table, made a new offer and the strikes were cancelled. Yet in England they refuse to negotiate a new deal with the unions or go back to the pay review body.

It’s Steve Barclay who is holding the country to ransom. He will have to carry the can if patients suffer because he thinks this is his Thatcher moment.

The government has been completely intransigent here. We’ve been calling on them for weeks and weeks to talk to us about this, to actually sit down and have a proper discussion before we try and resolve this dispute, and they have adamantly refused to do that.

I don’t know how much stronger myself, or Pat Cullen [the RCN general secretary] or Gary Smith of the GMB [need to be] – all of us are saying the same thing, we are prepared to talk to you, but they will not talk to us about the elephant in the room, which is pay.

It has be a very firm commitment. There is no trust left between us and the government. They would have to come up with something more that was more than just ‘Let’s talk about this’ for us to call off the strike on Wednesday.

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Ambulance staff need firm promise on pay to call off strike, says union

Mere commitment to discuss pay, so far refused by health secretary, would now be insufficient

Ambulance staff would require a definite commitment from ministers on pay rather than just a promise of talks to call off their planned strike on Wednesday, according to a union leader who said trust had largely broken down with the government.

Christina McAnea, the general secretary of Unison, one of three unions involved in the strike by ambulance crews in England, Wales and Northern Ireland, said even a commitment to discuss pay, thus far refused by the health secretary, Steve Barclay, would now be insufficient.

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£2 cap for many bus fares in England expected to save 2m car journeys

Campaigners welcome DfT’s temporary £60m subsidy to cut emissions and congestion, but say it should go further

Bus fares in many places across England will be capped at £2 for the winter under a government-backed campaign to encourage people back on to public transport.

Single fares on most major operators’ services will be limited from January until March under the scheme.

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Rishi Sunak to meet UK troops in Estonia and attend Baltic summit

UK prime minister joins Nordic and Baltic leaders at summit on countering Russian aggression

Rishi Sunak will meet UK troops in Estonia and Nordic and Baltic leaders at a summit on countering Russian aggression, where he will say leaders must sustain or exceed their lethal aid support to Ukraine and their political backing.

Monday’s meeting will come after the UK prime minister was reported to have unnerved some in Whitehall by asking for a “Goldman Sachs dashboard” on the progress of the war and how UK military supplies are used, according to the BBC.

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‘I am very scared’: refugees await judgment on UK’s Rwanda policy

Law courts will deliver their verdict on Monday on whether plans to export asylum seekers are lawful

It has been more than three months since two of the UK’s most senior judges sifted through thousands of pages of evidence and heard opposing arguments from some of the country’s lawyers about whether or not the government’s controversial plans to send asylum seekers to Rwanda are lawful. On Monday at 10.30am, at the Royal Courts of Justice, they will deliver their judgment.

The government’s plan to export asylum seekers from one of the world’s richest countries to one of the world’s poorer nations, 4,000 miles away, is so radical that no other country has attempted anything like it.

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Military not ‘sufficiently trained’ to cover NHS strikes, unions say

Government accused of prioritising contingency planning ahead of securing a deal with workers

Unions have lashed out at plans for the armed forces to cover for striking public sector workers in the run-up to Christmas, claiming the military are not “sufficiently trained” to plug staffing gaps on the frontline.

The government is deploying 1,200 troops from the army, navy and RAF to fill in for ambulance drivers and border staff during widespread strikes over the festive period, with more than 1,000 civil servants also drafted in to help.

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Suella Braverman feeding Farage politics, says outgoing government adviser

Nimco Ali says Rishi Sunak should sack the home secretary, or risk losing the next election

An outgoing government adviser has criticised Suella Braverman for allegedly encouraging an increase in racism in Britain and “normalising” the politics of Nigel Farage.

Nimco Ali, who is stepping down from her role as the government’s adviser on tackling violence against women, added that Rishi Sunak should sack Braverman, warning that keeping her on as home secretary will see him lose the next election.

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Nurses pledge tougher new strikes as NHS crisis deepens

Nursing union gives ministers until Thursday to open pay talks as first signs emerge of bid to end dispute and prevent NHS collapse

How will NHS strikes affect you?

Union leaders threatened on Saturday night to order a fresh wave of more severe strikes in the new year in which nurses would offer “less generous” support inside hospitals, in a dramatic escalation of their pay dispute with the government.

The Royal College of Nursing (RCN), in a marked hardening of its line, said there would be “more hospitals and more nurses taking part than at present” in strikes throughout January, unless ministers backed down by Thursday.

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Tories ‘at risk from rightwing insurgency’ warns donor Lord Cruddas

Peer says Conservatives no longer party of centre right and are threatened by Reform UK, Brexit party successor, if Nigel Farage takes leadership

The Conservative party is under threat from a rightwing insurgency after a “drag to the left” under Rishi Sunak, one of its biggest recent donors has warned, amid growing tensions on the Tory right.

Peter Cruddas, the peer who has given the party more than £3.5m, said the Conservatives were “no longer a centre-right party” under Sunak, adding that he refused to back it financially until it changed course.

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