Timetable of trouble: the wave of strikes set to hit the Tories this winter

Rampant inflation and government policy has brought matters to a head: so where is disruption going to hit and what are the unions asking for?

Strikes are not something most managers think about. The oft-mentioned “winter of discontent” and year-long miners’ strike were features of the late 1970s and mid-1980s. Since then, industrial action in the private and public sectors has fallen to a level so low that academics have given up studying it.

When pay talks began a year ago for the current financial year, inflation was rising, but the Bank of England was reasonably certain it would be temporary. Union leaders prepared for a post-pandemic battle over pay, but not one that would probably end in strike action.

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Emergency care issues in England contributed to 200 deaths last week, says medical chief

Head of Royal College of Emergency Medicine says lengthy waits forcing ambulances to be ‘wards on wheels’

More than 200 people who died last week in England are estimated to have been affected by problems with urgent and emergency care, according to the president of the Royal College of Emergency Medicine.

Dr Adrian Boyle, who is also a consultant in emergency medicine, told BBC Radio 4’s Today programme that a failure to address problems discharging patients to social care was a “massive own goal”.

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Ambulance waiting times in England three times longer in some rural areas

Disparity between rural and urban areas uncovered by Lib Dem FoI requests to 10 ambulance trusts

Patients in some rural areas wait almost three times longer for emergency ambulances than those in towns and cities, while people with potential heart attacks or strokes now face a one hour 40-minute average wait in one area, statistics have shown.

The disparities were uncovered by freedom of information requests by the Liberal Democrats to England’s 10 ambulance trusts, which in turn covered waiting times for 227 areas across the country.

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NHS England ad campaign hopes to change behaviours and relieve service

Exclusive: The Help Us Help You campaign by M&C Saatchi, worth up to £28.6m, encourages people to cut down on in-person GP visits

Plans have been drawn up to avoid the NHS being overwhelmed this winter by encouraging patients to “behave in ways they’ve not experienced before” and cut down on in-person GP visits, the Guardian can reveal.

An advertising campaign devised by M&C Saatchi, awarded a contract by NHS England worth up to £28.6m, suggested ways people could be encouraged to settle for a virtual appointment or visit a pharmacist instead.

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Ambulance workers across England to strike before Christmas

Thousands of staff including 999 call handlers and paramedics to take strike action over pay and staffing levels

Ambulance workers across England intend to strike before Christmas after voting in favour of industrial action over pay and staffing levels.

Unison said thousands of 999 call handlers, ambulance technicians, paramedics and their colleagues working for ambulance services in the north-east, north-west, London, Yorkshire and the south-west are to take strike action.

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Brexit has worsened shortage of NHS doctors, analysis shows

Exclusive: More than 4,000 European medics have chosen not to work in NHS since Britain left EU, data reveals

Brexit has worsened the UK’s acute shortage of doctors in key areas of care and led to more than 4,000 European doctors choosing not to work in the NHS, research reveals.

The disclosure comes as growing numbers of medics quit in disillusionment at their relentlessly busy working lives in the increasingly overstretched health service. Official figures show the NHS in England alone has vacancies for 10,582 physicians.

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Rotherham: inquiry after family says boy, 5, died after hospital turned him away

Yusuf Ahmed died after a tonsil infection spread to his lungs and caused multiple organ failure

A hospital trust in South Yorkshire has opened an investigation after the family of a five-year-old said he died after being turned away by doctors because there were no available beds.

Yusuf Ahmed died on Monday after a tonsil infection had spread to his lungs and caused multiple organ failure. The boy had been taken to Rotherham general hospital by his uncle Zaheer Ahmed on 14 November with complaints of a sore throat. He had been prescribed antibiotics the previous day by his GP, but his condition had not improved.

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Minister becomes eighth Tory MP to announce they are stepping down at next election – UK politics live

Dehenna Davison, seen as one of the rising stars of the Conservative party, has announced she is standing down at the next election

Downing Street has confirmed that the inquiry into bullying allegations about Dominic Raab, the justice secretary and deputy prime minister, is being expanded to cover claims relating to his period as Brexit secretary, my colleague Pippa Crerar reports.

The inquiry was originally set up to consider two complaints, relating to his time as justice secretary and foreign secretary. But at the Downing Street lobby briefing a No 10 spokesperson said:

I can confirm that the prime minister has now asked the investigator to add a further formal complaint relating to conduct at the Department for Exiting the European Union and to establish the facts in line with the existing terms of reference.

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Nurses to strike for two days as December disruption deepens

Royal College of Nursing announces unprecedented action, likely to to be first in a series of strikes by NHS staff over winter

The Royal College of Nursing (RCN) has announced its members will stage national strikes – the first in its 106-year history – on 15 and 20 December, with action expected to last for 12 hours on both days.

The unprecedented industrial action will seriously disrupt care and is likely to be the first in a series of strikes over the winter and into the spring by NHS staff, including junior doctors and ambulance workers.

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Severely ill refusing sicknotes as they cannot afford time off, says GPs’ head

Exclusive: Doctors suffering ‘moral distress’ at their powerlessness to help most vulnerable, says head of the Royal College of GPs

Ill patients are refusing sicknotes from their GP because they cannot afford time off work, while physicians suffer “moral distress” at their powerlessness to do more to help the most vulnerable, the new leader of Britain’s family doctors has revealed.

More patients are experiencing asthma attacks or other serious breathing problems because they cannot afford to heat their homes, said Dr Kamila Hawthorne, the chair of the Royal College of GPs, while many have reported deteriorating mental health due to financial stress.

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Menopausal women in NHS England workforce to be offered flexible working

New national guidance includes measures to support and retain staff and ‘break the stigma’ of menopause

Menopausal women working in NHS England will be able to work flexibly should they need to under new guidance.

Launching the first-ever national NHS guidance on menopause, the NHS England chief executive, Amanda Pritchard, has called on other employers to follow suit to help “break the stigma”.

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Rishi Sunak is registered with private GP practice offering £250 consultations

Campaigners say poorest people will suffer most as NHS is ‘neglected and private practice becomes the norm’

Rishi Sunak is registered with a private GP practice that guarantees that all patients with urgent concerns about their health will be seen “on the day”.

The west London clinic used by the prime minister charges £250 for a half-hour consultation and, unlike most NHS GPs across the country, offers appointments in the evenings and at weekends, as well as consultations by email or phone that cost up to £150.

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Budget for 40 new NHS hospitals faces real-terms cut of £700m, say Lib Dems

Capital budget of £12bn a year to shrink to £11.7bn, putting Tories’ claim 40 hospitals in England will be built or renovated in doubt

Plans by the government to construct and renovate 40 hospitals in England could be delayed because of new analysis suggesting the health and social care department’s capital spending budget faces a real-terms cut of £700m next year, according to the Liberal Democrats.

With some hospitals said to be in dire need of repair, the health secretary twice refused to say on Sunday that the NHS was functioning properly and instead admitted it was under “severe pressure”.

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Plan to cut NHS England elective care backlog at serious risk, watchdog says

National Audit Office says efforts to reduce record waiting lists under threat amid rising inflation and workforce shortages

Millions of patients could face years of long waits for treatment on the NHS, as a watchdog warned that the plan to reduce extensive waits for elective and cancer care services by 2025 is at serious risk.

NHS England published a three-year plan in February aimed at tackling the backlog in services, after the Covid-19 pandemic saw already long waiting lists grow to record levels. The Department of Health and Social Care is responsible for funding the recovery plan.

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UK has second highest maternal death rate in eight-country European study

Women in UK three times more likely to die around the time of pregnancy than those in Norway

Mothers in the UK are three times more likely to die around the time of pregnancy compared with those in Norway, according to an international analysis of data.

Although maternal mortality is at historic lows in high-income countries, it remains an important indicator of quality of care, health system performance and, more specifically, maternal care. The comparison of maternal mortality rates in eight European countries was published in the BMJ.

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GPs in England to send suspected cancer patients directly for tests

Scheme starting this month is aimed at improving Britain’s poor record on early diagnosis

All GPs in England will be able to refer suspected cancer patients for tests without them first having to see a specialist under an NHS initiative designed to speed up diagnosis.

The scheme, which starts this month, will let family doctors send patients with potential symptoms straight to have a scan, X-ray or other diagnostic test.

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Sunak omits target of 6,000 more GPs from brief for health secretary

Exclusive: Steve Barclay not tasked with manifesto commitment, raising fears that shortage of doctors in England will continue

Rishi Sunak has fuelled concerns that the government will miss its target of recruiting 6,000 more GPs in England, which was promised in the 2019 Conservative manifesto.

The prime minister omitted the pledge from his appointment letter to the health secretary, Steve Barclay, laying out expectations for what should be delivered by March 2024.

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Hunt dismisses Kwarteng’s claim that mini-budget not to blame for state of UK finances – UK politics live

Latest updates: chancellor says ‘we’ve learned that you can’t fund spending or borrowing without showing how you are going to pay for it’

Sadiq Khan, the Labour mayor of London, has released polling suggesting that half of Londoners are either “financially struggling” (18%) or “just about managing” financially (32%).

According to the polling, 49% of Londoners are also using less water, energy or fuel.

This shocking new polling highlights the realities of the worst cost of living crisis in generations.

With spiralling inflation and soaring interest rates meaning many Londoners are struggling to make ends meet – a situation made worse by the government’s failed mini-budget – the chancellor has a duty to take decisive action on Thursday to support vulnerable Londoners.

In total, the NHS paid more than £3bn to agencies who provide doctors and nurses on short notice. The figure represents a 20% rise on last year, when the health service spent £2.4bn. Trusts spent a further £6bn on bank staff, when NHS staff are paid to do temporary shifts, taking the total spent on additional staff to around £9.2bn.

One in three NHS trusts paid an agency more than £1,000 for a single shift last year, while one in every six trusts paid more than £2,000, results from freedom of information requests reveal.

Taxpayers are picking up the bill for the Conservatives’ failure to train enough doctors and nurses over the past 12 years. This is infuriating amounts of money paid to agencies, when patients are waiting longer than ever for treatment.

Labour will tackle this problem at its root. We will train the doctors and nurses the NHS needs, paid for by abolishing the non-dom tax status.

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Nurses across UK vote to go on strike for first time in dispute over pay

NHS braces for prolonged period of industrial action by health workers over the winter and into next year

Nurses have voted to stage strikes across the UK for the first time in their history in pursuit of a better pay deal, in a move that will seriously disrupt NHS care.

The Royal College of Nursing (RCN) announced on Wednesday that nurses at many, but not all, hospitals and other places of NHS care would take industrial action before Christmas and could continue striking until next May.

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Plans in place to deal with strike action by UK’s nurses, government says

Oliver Dowden says Department of Health has ‘well-oiled contingencies’ to manage impact of action

The government has said it has contingency plans for dealing with a strike by nurses amid the growing threat of industrial action in the NHS.

The Observer revealed on Sunday that the biggest nursing strike in NHS history could take place before Christmas after “large swathes of the country” voted for nationwide industrial action. The Royal College of Nursing (RCN) is due to announce the results of its ballot in the next few days.

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