Royal College of Nursing rejects government pay offer and announces new strike – as it happened

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Nurses in England are preparing to go on strike until Christmas after members of the country’s biggest nursing union voted against the government’s pay deal, the Guardian has learned.

The Royal College of Nursing will announce that members have rejected the government’s offer and will at the same time announce a new ballot for more aggressive strikes likely to last for the next six months.

The vote has closed and the figures are being verified. There is no result until that point. We will make an announcement later today and tell our members first.

Members of the GMB union at the company’s Coventry fulfilment centre will walk out on Sunday for three days.

Further strikes are planned from April 21 to 23.

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Why NHS in England appears destined for months of further strikes

Rejection of pay deal underlines nurses’ fury at state of health service as RCN’s handling of dispute is questioned

Friday’s announcement by the Royal College of Nursing that its members had rejected the pay offer on the table for NHS workers dashed any remaining hopes in Downing Street of drawing a neat line under months of debilitating strike action across the public sector.

As nurses kicked off the first strike action in the RCN’s history before Christmas, the union was demanding a pay rise of 19%. In January, its general secretary, Pat Cullen, urged the health secretary, Steve Barclay, to “meet me halfway here”, and conceded that 10% might be acceptable.

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New nurses’ strikes likely in England if RCN members reject pay offer

Union to announce result of vote on Friday after its leaders recommended that ministers’ offer be accepted

Nurses in England will go back on strike this month if RCN members reject ministers’ latest pay offer, with officials saying the result of the three-week ballot is too close to call.

The Royal College of Nursing will announce the results of its vote on Friday after a lengthy consultation period in which many members have opposed the recommendation of union leaders to accept the government’s proposed deal.

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Joe Biden due to address Irish parliament after saying US relationship with Ireland getting ‘stronger and stronger’ – politics live

US president praises emerging relationship with Ireland to taoiseach Leo Varadkar

Chris Philp, the policing minister, has published an article in the Telegraph today explaining the changes being introduced to the way that police record crimes in England and Wales. The changes are being introduced following recommendations from the National Police Chiefs’ Council.

Philp says:

Firstly, we are dropping the requirement for police to record some crimes twice or more, reintroducing the previous “principal offence” rule. This will remove multiple entries on the database which effectively re-record the same incident many times.

Accurate crime recording is vital, and these changes will better reflect victims’ experience. Recording crime does not equate to investigating crime and the police will continue to pursue all offences involved in the incident.

Accurate records of crime must be kept, and crimes will be recorded. These changes to the crime-recording rules will enable police to target and focus investigations and provide victims the service they deserve.

Ambulance response times for all types of emergencies have got longer, including for life-threatening illnesses and injuries, but remain below record levels.

Meanwhile around one in 10 people arriving at major A&E departments are having to wait more than 12 hours before being admitted, transferred or discharged – the first time data of this kind has been published.

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Medical crowdfunders for Britons surge amid record NHS waiting lists

Appeals to pay for private care linked to waiting lists or cost of living crisis have soared since Covid pandemic

The number of Britons crowdfunding for private medical care has soared since the Covid-19 pandemic, as NHS waiting lists continue to reach record lengths.

Figures provided to the Guardian by GoFundMe, a website that helps people raise money, show 84% more medical crowdfunders mentioning “waits” or “waiting lists” were launched this March than in January 2019, before the pandemic.

The number of medical campaigns containing the words “go private” or “privately” had also doubled.

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A&E staff in England struggling to spot abuse cases in infants, says watchdog

HSIB report identifies several barriers to child safeguarding in hospital emergency departments

Staff in hospital emergency departments in England are struggling to spot when infants are being physically abused by their parents, raising the risk of further harm, an investigation has found.

Clinicians often do not know what to do if they are concerned that a child’s injuries are not accidental because there is no guidance, according to a report from the Healthcare Safety Investigation Branch (HSIB) that identifies several barriers to child safeguarding in emergency departments.

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Junior doctors’ union asks Acas to help end strikes deadlock

Conciliation service urged to look for ways to end logjam with government over demand for 35% pay rise

The junior doctors’ union has asked the conciliation service Acas to look into ways of breaking the deadlock in their dispute with the government over their claim for a 35% pay rise.

Tens of thousands of junior doctors in England are on the second day of a four-day strike in pursuit of their campaign to achieve “full pay restoration” after a significant loss of earnings since 2008-09. It is expected that up to 350,000 appointments and operations could be cancelled as a result.

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Tory ‘neglect’ blamed for 3.6m abandoned calls to NHS 111 in England

Callers wait so long that nearly one in five hang up, finds Liberal Democrat commissioned analysis

Patients contacting NHS 111 in England are having to wait so long for medical help that they are abandoning millions of calls, with 3.6m ditched in the past 12 months, official figures reveal.

The national helpline service is supposed to make it quicker and easier for patients to get the right advice or treatment they need, either for their physical or mental health. It is billed as being open 24 hours a day, seven days a week.

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An imploding health service underpins junior doctors’ radicalisation

With real pay down 26% since 2008 and demoralised workplaces, medics are striking not out of militancy but from deep-rooted frustration

A four-day strike this week by junior doctors in England will pit angry medics keen to secure a 35% pay rise against government ministers who scorn their demands.

The walkout from Tuesday morning to Saturday morning will be the most disruptive in the 75-year history of the NHS.

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Hospitals in frantic dash to fill gaps left by doctors’ strike

Consultants who refuse to do extra work threatened with having their pay docked as NHS trusts race to empty their wards

Hospital trusts are taking desperate measures to limit the predicted loss of life from this week’s NHS strikes – including threatening consultants who refuse to do extra work, and tempting junior doctors to cross picket lines by increasing locum pay – as fears grows that many wards could be left without medical cover.

NHS leaders and senior clinicians fear the four-day walkout by junior doctors – starting at 6.59am on Tuesday and continuing until 6.59am on Saturday – will lead to the cancellation of hundreds of thousands of operations and appointments, while putting seriously ill patients at greater risk.

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Third scan could greatly reduce UK breech birth numbers, study suggests

Researcher say making scan at 36-37 weeks routine may also cut risk of severe complications for babies

Giving women a third scan at the end of their pregnancy could dramatically reduce the number of unexpected breech births and the risk of babies being born with severe health problems, research suggests.

Pregnant women in the UK have routine scans at 12 and 20 weeks only, with no further scan offered in the third trimester unless they are considered at risk of a complicated pregnancy. The researchers hope their findings could lead to a change in guidance for clinicians that will improve maternity care.

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Critically ill patients ‘will inevitably die’ due to junior doctors’ strike

Exclusive: leading heart surgeons urge BMA to exempt staff working on critical care units in England

Critically ill patients “will inevitably die” because hospitals are having to cancel surgery as a direct result of next week’s junior doctors’ strike in England, leading heart surgeons have warned.

There were bound to be fatalities among people with serious heart problems whose precarious health meant they were “a ticking timebomb” and needed surgery as soon as possible, they said.

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Government disposed of 3bn items of PPE bought in pandemic, data shows

Department of Health and Social Care in England has removed 269,500 pallets of PPE from its stock

The government has disposed of more than 3bn items of personal protective equipment (PPE) it bought during the pandemic, figures have revealed.

An estimated 3.14bn items have been shed through a mixture of recycling, energy from waste processes – including some incineration – donations and sales.

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Military sites to house asylum seekers to meet ‘essential living needs and nothing more’, says minister – as it happened

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Eagle how the pay settlement for health workers will be funded.

Hunt says, as with all pay settlements, departments fund them from the money they get in the spending review. But in exceptional circumstances they can speak to the Treasury about extra help.

But we make a commitment that there will not be a degredation of frontline services for the public.

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Mindfulness better than CBT for treating depression, study finds

Authors say supported mindfulness-based cognitive therapy also cheaper than treatment NHS usually offers

Practising mindfulness is much better than taking part in talking therapies at helping people recover from depression, a British study has found.

People who used a mindfulness self-help book for eight weeks and had six sessions with a counsellor experienced a 17.5% greater improvement in recovery from depressive symptoms than those who underwent cognitive behavioural therapy (CBT) while being supported by a mental health practitioner.

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Will Jeremy Hunt foot the bill for NHS staffing? The signs aren’t promising | Denis Campbell

Unions, regulators and NHS England all say staff shortages are affecting health of medics and patients

“There’s a gap today that no locum filled, so I am carrying both bleeps and doing the work of two people.” That recent tweet, by a children’s doctor, is one of many examples posted on social media by medics illustrating how NHS staff shortages affect them, patients, the smooth running of important services – and, sometimes, the safety of those who are receiving care.

It is a concern shared by every organisation that represents frontline staff, by regulators such as the Care Quality Commission (CQC), and by NHS England, the body that oversees the service. Just as one example, in January the CQC reported that an inspection it had undertaken of Colchester hospital in Essex found patients were missing out on meals because there were too few staff on duty to feed them. Some patients were wearing dirty dressings, and others did not have their call bells answered promptly, for the same reason.

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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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Peak of 2022 heatwave forced fifth of UK hospitals to cancel operations – research

Findings reveal level of disruption over three days in July when temperatures reached as high as 40C

Almost a fifth of hospitals in the UK were forced to cancel operations during the three days in July last year when temperatures soared highest, research suggests.

The findings, published in a letter to the British Journal of Surgery, are based on surveys of surgeons, anaesthetists and critical care doctors who were working during the peak of last year’s heatwave, from 16-19 July, when temperatures reached as high as 40C in some parts of the country.

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Novartis scraps cholesterol drug trial in blow to UK life sciences ambitions

Swiss firm’s withdrawal from Leqvio trial with NHS dents government plans to attract post-Brexit research and investment

The Swiss pharmaceutical firm Novartis has ditched plans for a large clinical trial in the UK, in a further blow to the government’s efforts to make Britain an attractive place for research and investment after Brexit.

The company decided to scrap the Orion-17 trial of its cholesterol-lowering drug Leqvio, involving 40,000 patients in partnership with NHS England.

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UK GPs have the highest stress levels, finds survey of 10 countries’ doctors

Burnout, poor work/life balance and ‘unsustainable’ pressures are causing many NHS family practitioners to consider retirement

GPs in the UK have some of the highest stress levels and lowest job satisfaction among family doctors, a 10-country survey has found.

British GPs suffer from high levels of burnout, have a worse work/life balance and spend less time with patients during appointments than their peers in many other places.

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