Covid inquiry under fire for giving Wales and Northern Ireland three weeks each

Scheduling makes Wales hearing look like ‘poorer relative’, say unions, while NI families say at least six weeks is needed

Bereaved families have strongly criticised proposals by the UK Covid-19 inquiry to set aside only three weeks each for its public hearings on the responses to the pandemic in Wales and Northern Ireland.

Members of the Covid-19 Bereaved Families for Justice Cymru argued that the Labour-led Welsh government would escape proper scrutiny unless more time was allocated. Trade union leaders suggested there was a risk Wales could be seen as the “poorer relative” in the inquiry.

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NHS staff shortages in England could exceed 570,000 by 2036, leaked document warns

Exclusive: workplace plan sent to ministers says deficit will rise rapidly from current 154,000 if current trends continue

The NHS in England needs a massive injection of homegrown doctors, nurses, GPs and dentists to avert a recruitment crisis that could leave it short of 571,000 staff, according to an internal document seen by the Guardian.

A long-awaited workforce plan produced by NHS England says the health service is already operating with 154,000 fewer full-time staff than it needs, and that number could balloon to 571,000 staff by 2036 on current trends.

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NHS union members step up campaign to reject ‘paltry’ pay deal

Cross-union group sends out leaflets and hold online calls to persuade staff to vote against package agreed by leaders

Members of Britain’s biggest health unions are organising a campaign to reject the pay agreement being recommended by union leaders, in a move that threatens to destroy the tentative truce between the government and NHS staff.

A cross-union group called NHS Workers Say No has sent out thousands of leaflets, held online calls and started WhatsApp networks in an effort to persuade members to vote against the 5% increase hammered out during months of talks.

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Health unions hail victory after government’s new pay offer for NHS staff in England

Offer includes two one-off payments – 2% bonus and 4% Covid payment – plus pay rise of about 5%

Health unions hailed a historic victory on Thursday, after Steve Barclay made a significant new pay offer aimed at ending NHS strikes in England, in a climbdown that could embolden other unions at loggerheads with the government.

After months of rolling strikes involving thousands of NHS workers including nurses, ambulance staff and physiotherapists, the government ditched its claim that this year’s pay deal could not be reopened and offered a one-off bonus worth up to 8.2%.

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NHS strikes: Steve Barclay expected to announce formal pay offer

Offer to unions involved in strikes in England expected to include one-off payment of up to 6% for this year

The health secretary, Steve Barclay, is expected to announce a formal pay offer to key unions involved in NHS strikes in England, including a one-off payment of up to 6% for this year, in an effort to end months of industrial action.

Last-minute talks between the Department of Health and Social Care (DHSC) and the unions were understood to be continuing on Thursday morning, but an offer was expected to be made public later in the day.

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Matt Hancock’s leaked messages being ‘used to rewrite history’, say civil servants

Some advisers and civil servants speaking to the Guardian say an ‘anti-lockdown filter’ has been placed on events

The mass leaking of thousands of Matt Hancock’s WhatsApp messages have laid bare in the starkest terms the extent of the divisions inside the cabinet and among advisers and civil servants handling the deadliest pandemic in modern times.

But some who worked in Number 10 and across Whitehall, as well as bereaved families, have been angered by what they see as a rewriting of history by some cabinet ministers and by the framing of some of Hancock’s texts.

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Medical students urged to fill gaps when junior doctors strike in England

Exclusive: Several NHS organisations have asked unqualified medics to provide support during strikes later this month

Unqualified medical students are being urged to provide clinical support in English hospitals when tens of thousands of junior doctors go on strike this month, the Guardian can reveal.

The NHS faces the prospect of unprecedented disruption to services from 13 March when junior doctors strike for 72 hours in an increasingly bitter row over pay, morale and safe staffing levels.

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Ambulance call handlers in England tell of anguish over death risk to patients

Dispatchers tell investigation it is common to worry: ‘How many people are we going to kill today?’

Ambulance call handlers suffer anxiety about how many people will die before they can get help to them each day, researchers looking into the welfare of NHS staff have found.

Officials from the Healthcare Safety Investigation Branch (HSIB) in England asked staff working in urgent and emergency care, including in A&E, NHS 111 call handling centres and ambulance services, for their experiences as part of wider research into NHS care.

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Junior doctors in England to strike for 72 hours in March

Ten of thousands to take part in industrial action in escalation of row between NHS staff and government

Hundreds of thousands of operations and medical appointments will be cancelled in England next month and progress in tackling the huge care backlog will be derailed as the NHS prepares to face the most widespread industrial action in its history.

Junior doctors are poised to join nurses and ambulance workers in mass continuous walkouts in March after members of the British Medical Association (BMA) voted overwhelmingly to take industrial action.

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Union leader calls Rishi Sunak deluded as NHS pay row escalates

GMB’s Rachel Harrison says staff will not be ‘fobbed off’ by PM ‘kicking the can’ into next year’s pay round

A health union leader has described Rishi Sunak as deluded for suggesting NHS staff should abandon their campaign to secure a bigger pay rise this year.

The GMB’s national secretary, Rachel Harrison, made the remark in response to Downing Street’s insistence that it would not talk about improving the £1,400 pay award for frontline personnel for 2022/23 even though it has triggered the wave of NHS strikes.

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‘It’s soul destroying’: why so many NHS staff are off sick with burnout

Doctors, paramedics and nurses explain the stress and anxiety of working in a system that has reached breaking point

“Frustration with the system was why I went off in the end,” said Conor Calby, 26, a paramedic and Unison rep in southwest England, who was recently off work for a month with burnout. “I felt like I couldn’t do my job and was letting patients down. After a difficult few years it was challenging.”

While he usually manages to keep a distinct divide between work and home life, burnout eroded that line. He also lost his sleep pattern and appetite.

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Revealed: cabinet split over NHS pay disputes piles pressure on Sunak

Health secretary Steve Barclay urges unions to lobby PM over improved pay offer for striking nurses and ambulance workers

The health and social care secretary Steve Barclay has privately urged trade unions to help him make the case to the Treasury and No 10 for extra money for nurses, ambulance workers and other NHS staff in an extraordinary twist to the escalating crisis over health service strikes, the Observer can reveal.

A serious cabinet split has opened up, with Barclay now wanting more money for all NHS staff except doctors – while Rishi Sunak and Jeremy Hunt, the chancellor, are refusing to budge from their insistence that no more can be offered.

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Steve Barclay privately concedes he will have to increase pay offer to NHS staff

The U-turn may help to end wave of strikes, though funding it could require cuts to key services

Steve Barclay has privately conceded he will have to increase his pay offer to NHS staff, in a U-turn that may help to end the growing wave of strikes.

However, the Treasury has made clear he will have to find any new cash from within the existing health budget, raising the prospect of cuts to key services.

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Health unions refuse to give evidence to ‘rigged’ NHS pay review system

Officials from 14 health unions want to hold direct talks with ministers to agree pay rises for NHS staff

The system for setting NHS staff pay is under threat after health unions refused to submit evidence to the two bodies that advise ministers on how big annual increases should be.

The role and credibility of both the NHS pay review body (NHSPRB) and the review body on doctors’ and dentists’ remuneration (DDRB) have been brought into question by the move.

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MPs and peers should declare links to firms they back for contracts, says NAO

Exclusive: After the Michelle Mone scandal and PPE questions, National Audit Office says monitoring conflicts of interest is ‘crucial’

Peers and MPs should have to declare any links to firms they recommend for contracts even in an emergency such as the Covid pandemic, the head of the National Audit Office (NAO) has said, in the wake of the PPE controversies including the Michelle Mone scandal.

Gareth Davies, the auditor and comptroller general at the NAO, said keeping on top of conflicts of interest was a “crucial part of public stewardship” that was not always followed during the VIP fast lane process.

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PPE Medpro: Michelle Mone-linked firm referred to UK health watchdog

DHSC accused PPE Medpro of presenting false document when tendering for PPE contracts

A company linked to the Conservative peer Michelle Mone was referred to the UK’s health products watchdog for an investigation after it allegedly presented a false document to the government when tendering for PPE contracts.

The referral of the company, PPE Medpro, was described in a high court document made public this week, setting out the legal claim against the company by the Department of Health and Social Care. The DHSC is seeking the return of £122m in public money it paid for the supply of sterile surgical gowns, plus £11.6m for storing and disposing of them.

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PPE Medpro: UK government alleges firm supplied defective gowns to NHS

Exclusive: DHSC alleges gowns were not sterile, could not be used within NHS ‘for any purpose’, and technical labelling was ‘invalid’

The UK government has accused a company linked to the Conservative peer Michelle Mone of supplying defective gowns that could have compromised the safety of patients had it been used in the NHS.

The Department of Health and Social Care (DHSC) paid the company, PPE Medpro, £122m for 25m sterile surgical gowns under a contract awarded in June 2020 after Mone first approached ministers offering to supply PPE. However, the DHSC has alleged the gowns were rejected because they were not sterile, their technical labelling was “invalid” and “improper”, and they “cannot be used within the NHS for any purpose”.

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People turning to DIY health treatment amid shortage of GP appointments

Lib Dems say face-to-face GP bookings ‘almost extinct’ in some areas as their survey shows a rise in self-prescribing

Almost one in four people have bought medicine online or at a pharmacy to treat their illness after failing to see a GP face to face, according to a UK survey underlining the rise of do-it-yourself treatment.

Nearly one in five (19%) have gone to A&E seeking urgent medical treatment for the same reason, the research commissioned by the Liberal Democrats shows.

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UK ministers under pressure to screen China arrivals for Covid

Politicians and experts call for border testing to be introduced, but others question usefulness of move

Ministers are coming under pressure to screen arrivals from China as the number of Covid-19 cases there continues to surge after Beijing’s abrupt decision to end most of its strict pandemic restrictions.

The US became the latest country to impose controls on travellers entering the country from China on Wednesday, demanding that all such arrivals show proof of a negative Covid test.

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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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