Most UK voters still back strikes by nurses and ambulance crews

Public support for industrial action by health workers remains strong in the face of government claims it is putting lives at risk

A majority of voters continue to support striking nurses and ambulance workers, despite government claims that they are putting the public at risk, according to the latest Opinium poll for the Observer.

Labour has also increased its lead over the Tories by 1 percentage point, to 16 points, after the prime minister, Rishi Sunak, and other cabinet ministers tried to make political capital by accusing Keir Starmer and his party of being in the pockets of the unions at a time of industrial unrest, the survey shows.

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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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Ambulance workers accuse government of demonising them

In letter to Rishi Sunak, GMB union members say they feel ‘utterly betrayed’ by attempts to portray them as ‘uncaring about safety’

A group of ambulance workers has sent a furious letter to the prime minister saying they feel “utterly betrayed” by the government’s attempts to paint them as “uncaring about safety standards”.

Steve Rice, the head of the GMB union’s ambulance committee, sent Rishi Sunak a letter on behalf of ambulance workers protesting against the government’s plans to introduce anti-strikes legislation.

PA Media contributed to this report

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Starmer calls on Sunak to stand up to ERG and ‘Brexit purity cult’– UK politics live

Leader of the Labour party made the comments during a speech on Brexit in Northern Ireland

The UK culture secretary, Michelle Donelan, has said she is “not ruling out” changing the online safety bill to allow regulators to prosecute social media bosses who are found not to have protected children’s safety.

Donelan told the BBC she was open to making changes that have been demanded by dozens of Conservative MPs, saying she would take a “sensible approach” to their ideas.

Obviously this is a very sensitive area and I know there were very robust debates and exchanges on it as the bill was passing in Scotland. What I’m concerned about is the impact of the bill across the United Kingdom.

There may be impacts across the UK that we need to be aware of and understand the impact of them, and that’s what we’re doing, and once the government has received final advice it will set out next steps.

This is not just a question about the GRR people’s individual views on it. This is about democracy.

The Scottish parliament has voted in favour of legislation that sits within devolved competencies, and it’s incumbent upon Westminster to ensure that legislation is passed in full.

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ADHD services ‘swamped’, say experts as more UK women seek diagnosis

Warnings of ‘great cost’ to individuals, workplaces and the economy as people struggle to access diagnosis and treatment

ADHD awareness hassoared among women in the UK in the past year, but waiting times and the dearth of clinical awareness are leaving people awaiting diagnosis in a perilous position, leading experts have warned.

Dr Max Davie, a consultant paediatrician and co-founder of ADHD UK, said that people talking openly about their diagnoses – such as the Loose Women presenter Nadia Sawalha – had led to more people seeking referrals for the condition.

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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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Ministers to unveil anti-strike laws as disputes continue to paralyse UK

Business department says bill will enforce ‘basic’ level of service from different sectors during stoppages

Ministers are to unveil controversial new legislation designed to curb the effectiveness of strike action as industrial disputes continue to paralyse services across the UK.

The Department for Business, Energy and Industrial Strategy has previously said the bill will enforce a “basic” level of service from different sectors if workers choose to strike.

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Strikes to go ahead – but ministers’ willingness to talk is a sign of progress

Some suggest political naivety played a role as No 10 admits it is taking a ‘new approach’ by discussing pay

At the end of talks over next year’s pay deal for NHS workers, which broke up without resolution on Monday, union negotiators told Steve Barclay: “You know we’re going ahead with strikes?” One of those in the room said the health secretary shrugged his shoulders in resignation. “I accept that,” he told them.

But the fact ministers sat down with unions to discuss pay at all is, in itself, a breakthrough. For weeks the government has been indicating that, while it would meet unions to avert further strikes, reopening this year’s pay deal was not an option.

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Junior doctors very likely to vote for strike, says BMA, as ministers hold meetings with health, education and rail unions – live

Medical union balloting 45,000 members from today over strike in March as ministers meet unions in effort to end disputes

Good morning. There are various meetings taking place today between ministers and union leaders representing workers in health, education and the rail industry after Rishi Sunak called last week for both sides to get around the table. This is quite a shift from the pre-Christmas position when ministers insisted it was up to management negotiators to take the lead in talks with unions. At the end of last week it was not clear whether this was mainly a presentational ploy (Sunak wants the government to be seen as “reasonable’”), or whether significant concessions might be in the pipeline, but yesterday, as my colleague Pippa Crerar reports, Sunak hinted it was the latter in his start-of-year interview with Laura Kuenssberg.

But it is quite possible that the strike crisis could get worse before it gets better. The British Medical Association is from today balloting 45,000 junior doctors in England on strike action and, if they vote in favour, a 72-hour strike is planned from March. This morning Dr Emma Runswick, the BMA’s deputy chair, told Sky News that the chances of a strike were “very high”. She explained:

[Health secretary] Steve Barclay’s planning to meet with us on Wednesday but only to discuss a very narrow set of things. He’s talking about the evidence that the government will submit to the pay review body. Unfortunately, they’ve already submitted their remit letter to the pay review body telling us and them that we only should receive 2% next year.

So, that’s another massive pay cut after we’ve had a pay cut this year, and for the previous 15 years. Again, another pay cut on top of the quarter pay cut we’ve already received, so I’m not optimistic … about the meetings, though we will go and we will negotiate if that is an available option to us.

We’re asking for the reversal of that pay cut [over the last 15 years]. So, mathematically, it might even be more and if we have another pay cut this year, it’ll be more again. So, we’re only asking for what we’ve had cut from us back.

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‘Not really relevant’: Rishi Sunak refuses to say if he uses private healthcare

PM urged to ‘come clean’ amid suggestions he is out of touch with millions who face long NHS waits

Rishi Sunak has refused to say whether he uses private healthcare amid suggestions he is out of touch with millions of ordinary people who face long waiting times to receive treatment on the NHS.

The prime minister said his own healthcare was “not really relevant” and was a “distraction” from his focus on making sure people across England receive high-quality NHS provision.

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Three reasons why politicians can’t solve our social care crisis

Political disagreement about the role of the state, the expense of reform and our unwillingness to confront ageing are at the root of the problem

A confidential No 10 memo on (not) reforming social care reads: “The prime minister agreed that this seemed the right course, but noted that careful thought needed to be given to the presentation in order to avoid charges that the government had pulled back from its original commitments on long-term care.”

That’s not a recent leak: it was from 1996, and shows how far back political failure on social care stretches. Politicians have not incurred any penalties for shirking this responsibility. In fact, the only leader who has really been burned by it is Theresa May – and that’s because she tried to do the right thing and be honest with the public about the cost in the 2017 election.

The past three decades have seen many attempts to reform social care. They all had different solutions and all collapsed in slightly different ways. But there are three things that the failures have had in common.

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Revealed: NHS trusts tell patients to go private and jump hospital queues

Observer investigation finds a ‘two-tier’ health system emerging in England, with rapid access available to those able to pay

NHS trusts with record waiting lists are promoting “quick and easy” private healthcare services at their own hospitals, offering patients the chance to jump year-long queues, the Observer can reveal.

Hospitals are offering hip replacements from £10,000, cataract surgery for £2,200 and hernia repairs for £2,500. MRI scans are offered for between £300 and £400.

East Sussex healthcare NHS trust has thousands of patients waiting for diagnostic tests but offers “fast access” to scans through its private division.

Great Western hospitals NHS trust in Wiltshire is warning patients that services are “extremely busy”, while its private division promotes self-pay treatment for those who “don’t want to wait for an NHS referral”.

James Paget university hospitals NHS trust in Norfolk is advertising private services on its NHS website, stating: “We provide highly experienced consultant-led services … without the waiting list.”

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More than 2,600 ambulance workers from Unite to join existing strike

Industrial action on 23 January in England and Wales will coincide with strike by Unison members

More than 2,600 additional ambulance workers plan to strike in late January over pay, the trade union Unite announced on Friday.

Unite’s members will join colleagues belonging to Unison in striking on 23 January, with hospital bosses calling for “serious talks” between the government and unions to avoid “even more pressure on already overstretched NHS services”.

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Quarter of ambulance patients in England wait an hour to get into A&E after arrival

Waiting times for admission to A&E in last week of year likely to be highest recorded by the service

More than a quarter of ambulance patients in England waited more than an hour to be admitted to A&E in the last week of 2022, amid “one of the most difficult” winters in NHS history.

Of all those arriving by ambulance in the week to 1 January, 26.3% waited with crews for more than 60 minutes.

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Sunak invites unions to talks on Monday as senior Tory calls on government to improve pay offer to nurses– UK politics live

PM offers no hint he will compromise on pay offers as former cabinet minister says nurses key to dealing with NHS pressures

The journalist interviewing Rishi Sunak this morning did not press Sunak on excess deaths because he needed to ask some questions about Prince Harry’s memoir. But Sunak would not go near the topic.

Asked how he felt seeing the royal family “torn apart” by these claims and revelations, Sunak replied:

As you would expect, it is not appropriate for me to comment on matters to do with the royal family.

I wouldn’t comment on matters to do with the royal family. I would just say I am enormously grateful to our armed forces for the incredible job they do in keeping us all safe. We’re all very fortunate for their service.

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NHS recruiting from ‘red list’ countries after Brexit loss of EU staff, says report

Specialisms such as dentistry have shortages and EU exit still causes issues with medicines in Northern Ireland, thinktank finds

NHS trusts in England have increased recruitment from low-income “red list” countries to make up for the post-Brexit loss of EU staff, despite a code of practice to safeguard health services in those developing countries.

A report by the Nuffield Trust thinktank also identified shortages in vital specialist areas since Brexit, including dentistry, cardiothoracic surgery and anaesthesiology.

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Sunak strives to be reassuring but is five-point plan all sleight of hand?

PM plans a ‘no tricks’ reset but with an inflation fall already expected this is more about hanging on at an election

In his first big speech since taking over at No 10, Rishi Sunak promised “no tricks, no ambiguity” as he announced his five promises to reset the government after a difficult year.

The prime minister said he would be focusing on halving inflation, growing the economy, reducing debt, cutting NHS waiting lists, and stopping small-boat crossings to the UK.

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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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Rising number of foreign objects found in patients after surgery in England

In what NHS calls ‘never events’, items including swabs, blades and drill bits left in patients 291 times in England in 2021-22

A rising number of medical foreign objects, including wire cutters, scalpel blades and drill bits, have been left inside hospital patients after surgery in England, new figures reveal.

Blunders involving a “foreign object accidentally left in body during surgical and medical care” led to 291 “finished consultant episodes” in 2021-2022, official data shows.

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