Ministers plan to scrap NHS England targets to ‘boost efficiency’

Labour says plan to ditch national targets equates to ‘scrapping standards altogether’ , after review by Patricia Hewitt

The government is preparing to ditch NHS national targets in an attempt to “boost efficiency”, as part of recommendations from a review led by a former Labour health secretary.

Patricia Hewitt led the government-commissioned review into the NHS in England, looking at how the new integrated care systems (ICSs) could operate efficiently. The chancellor, Jeremy Hunt, announced the assessment during the autumn budget.

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Stay at home if you’re unwell, say experts, as flu and Covid cases rise in England

‘Don’t mingle’ advice comes as UK Health Security Agency says scarlet fever and strep A infections continue to rise

Flu and Covid are on the rise in England, with experts stressing the importance of vaccination and warning that people who feel unwell should stay at home rather than mingling with others during the festive season.

The figures come as cases of scarlet fever and strep A infections continue to rise.

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UK government might block Scottish gender recognition reform bill – as it happened

Scottish secretary hints that Westminster may use rare power to block new law which removes need for diagnosis of gender dysphoria for gender recognition certificate

At the Scottish parliament Nicola Sturgeon, the first minister, is taking questions. Douglas Ross, the Scottish Conservative leader, asks about the gender recognition reform (Scotland) bill and amendments rejected by the Scottish government. He says the bill would allow a man standing trial for raping a woman to force his victim to refer to him as a woman, not a man, and he asks Sturgeon why she voted against an amendment that would have prevented this.

In response, Sturgeon says many amendments have been rejected in the past days. She says where amendments were rejected, it was often because there were alternative ways to add safeguards to the bill. These new safeguards covered sex offenders, she says.

Health and care is under huge strain in the run-up to Christmas. These figures suggest there is absolutely no slack in the system, which is dangerously close to overheating completely.

A key part of the problem is that the vast majority of hospital beds are full – around 95% – including with thousands of patients fit to be discharged. The lack of community and social care means they’ll be spending this Christmas in hospital.

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Ambulance workers in England announce further strikes in January

Unison members to take industrial action on 11 and 23 January in dispute over pay and staffing

Ambulance workers across England will stage two further strikes on 11 and 23 January in the dispute over pay and staffing, Unison has announced.

Members of the union in five ambulance services in England will take industrial action.

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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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Thousands of ambulance workers strike as unions accuse Steve Barclay of ‘blatant lie’ – as it happened

Ambulance workers and other NHS staff strike for between 12 and 24 hours in England and Wales

Speaking to BBC Radio 4’s Today programme, Barclay is doubling down on his refusal to negotiate on pay and told staff struggling now that they should “look forward” to next year’s pay process.

We’re already three quarters of the way through this year. So, what you’d be saying is, go all the way back retrospectively to April to unpick what has been an independent decision by the pay review body.

But we’re already now under way in terms of next year’s pay review process, the remit letters have gone out.

It took place in February and the world was a rather different place in February and therefore I think some of the evidence they considered was probably out of date by the time it was published. Because the process is very slow, the decision is a bit lagged.

I think [ministers] should ask the pay review body to reconsider what they did last year, and not reopen last year, because I think it’s too late to do that, but actually say I want you to do a very quick turnaround for this year’s recommendations and I want you to take account on anything you might have missed last time round.

No, it reflects the very different action we’ve seen from these trade unions – the GMB, Unite and Unison – compared to what we saw from the Royal College of Nursing (RCN), where we agreed national exemptions in terms of what would be covered by the RCN, whereas the three unions striking today have refused to work with us on a national level.

Life and limb cover will be provided. The last thing that our members want to do is put patients in harm’s way … The government has to play their part, they have to come to the table and talk to us. Our members want a resolution to this.

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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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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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Nurses in England, Wales and Northern Ireland strike for second day

Tuesday’s strike goes ahead as Royal College of Nursing highlights low pay

Nurses in England, Wales and Northern Ireland went on strike on Tuesday in an ongoing dispute with the government about pay and concerns about patient safety.

Up to 100,000 members of the Royal College of Nursing (RCN) took part after it balloted its members in October. It has said that low pay is the cause of chronic understaffing that is putting patients at risk and leaving NHS staff overworked.

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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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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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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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How will the NHS strikes affect you?

Ambulance workers and nurses are taking action in England, Wales and Northern Ireland. Here’s what to expect

Nurses pledge tougher strikes

Nurses will hold their second day of strike action on Tuesday in more than 70 trusts and health organisations in England, Wales and northern Ireland. On Wednesday, three unions, the GMB, Unison and Unite, will take strike action at ambulance trusts across the country. More than 10,000 ambulance workers in the GMB have voted to strike at nine trusts in England and Wales.

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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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Pressure on ministers to avert NHS strikes ahead of ‘very challenging’ week

NHS Providers boss says nurses’ strike had ‘significant impact’ as senior Tories urge government to negotiate

Planned strikes next week will be “very challenging” for the health service, hospital bosses have warned, after they conceded that Thursday’s nurses strikes had had a “significant impact”.

The comments from NHS Providers came amid mounting pressure on the government from senior backbenchers and usually supportive newspapers to try to resolve the dispute.

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Rishi Sunak says not to expect imminent breakthrough in talks to resolve Northern Ireland protocol issues – UK politics live

Prime minister says he is ‘committed’ to fixing issues but says there is no deadline on talks

In his latest column, Simon Jenkins argues that instead of fighting for the centre ground, Keir Starmer should look to the radical changes pushed through under Harold Wilson.

Wes Streeting has declined to say whether a Labour government would agree to a pay rise for nurses.

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Nurses strike live: Labour MPs join nurses on picket lines after second Tory MP publicly calls for government to increase pay offer

Multiple Labour MPs join picket lines after Tory MP for Central Suffolk and North Ipswich urges government to improve offer

On the picket line outside St Thomas’ hospital in Westminster, Linda Tovey, a critical care nurse, said: “It’s increasingly difficult to come to work and go home and think: ‘Actually I don’t think I can turn the heating on.’

“My wages aren’t bad for a nurse but I still have to think about what I’m doing with my money every month and that is not the position I imagined myself being in.
“People do a huge amount of extra work, in terms of studying and all that kind of stuff, and you don’t get the recognition in terms of wages.

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Scotland to spend extra £1bn on health by raising taxes on higher earners

Scottish government promises to tackle health and social care crisis to protect weakest and poorest

The Scottish government has promised to spend another £1bn on tackling the crisis in health and social care by raising taxes on higher earners and holiday homes.

John Swinney, Scotland’s acting finance secretary, said the burden of increasing NHS funding would fall heavily on everyone earning more than £43,663 in Scotland as part of a “social contract” to protect the weakest and poorest.

The abolition of a cap on council tax increases next year, alongside £550m extra for councils.

The uprating of all Scottish welfare benefits by 10%, increasing welfare spending by £433m.

£222m on school support for the poorest and extra free school meals in primaries.

£15m for a pilot project to scrap peak-time rail fares.

£336m on home energy efficiency and reducing fuel poverty.

The abolition of non-domestic rates for 100,000 smaller shops and businesses and a freeze in business rates charges, which would cost £356m.

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Hot drinks and public sympathy for nurses on the picket lines

For many striking in England, Wales and Northern Ireland, staff shortages are a bigger issue than pay

In many professions, working a 14-hour day with no break would be unthinkable, but for many nurses on freezing picket lines across the country on Thursday it is increasingly becoming the norm.

“It’s tough at the moment,” said Ella Savage, a children’s specialist nurse at Leeds General Infirmary, where about 200 nurses were gathered at one of 125 Royal College of Nursing (RCN) pickets across England, Wales and Northern Ireland.

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