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Metropolitan Police to stop attending 999 calls linked to mental health incidents | UK News

The Metropolitan Police will no longer attend 999 calls linked to mental health incidents from September.

Commissioner Sir Mark Rowley has told health and social care services that officers won’t be sent unless there’s a threat to life.

The move was first reported in the Guardian and confirmed to Sky News by a government source.

It’s intended to allow police to focus on crime and its victims rather than dealing with people who need expert medical help.

“Where there is an immediate threat to life, officers will continue to respond,” the Met Police told The Guardian.

“In the interests of patients and the public, we urgently need to redress the imbalance of responsibility, where police officers are left delivering health responsibilities.

“Health services must take primacy for caring for the mentally ill, allowing officers to focus on their core responsibilities to prevent and detect crime, and keep communities safe and support victims.”

However, Mind, a mental health charity, expressed concern at the move, with its chief Sarah Hughes telling the BBC’s Today programme: “I am not persuaded we have got enough in the system to tolerate a shift to this new approach. I think we’ve got a huge way to go before the system is working together on behalf of very distressed individuals.

“We’re not in a position to say it’s either the police or somebody else. It’s often a complicated question that has a raft of answers. We are not ready, we are not in a fit for purpose state, to go straight to this policy.

A Met spokesperson told the BBC that officers spent an average of 10 hours with a patient when they are sectioned under the Mental Health Act.

“In London alone, between 500-600 times a month, officers are waiting for this length of time to hand over to patients, and it cannot continue,” said a statement.

“Police are compassionate and highly skilled but they are not trained to deliver mental health care.”

A Metropolitan Police officer

Humberside brought in a similar policy – known as Right Care, Right Person (RCRP) – in 2020 that involves staff from the charity Mind dealing with calls in the police control room.

It saved 1,100 police hours per month and people received “more timely care from the most appropriate care provider”, according to a November report by His Majesty’s Inspectorate of Constabulary, Fire and Rescue Services.

Read more:
’80 robberies a day’ last year had no suspect identified before cases closed
Retired Met officers admit sharing child sex abuse images with dead inspector

‘We are failing patients’

RCRP is designed to be implemented nationally, but the Met commissioner is believed to have lost patience.

In his letter to health and social care services, seen by The Guardian, he writes: “I have asked my team that the Met introduce RCRP this summer and withdraw from health-related calls by no later than August 31.

“It is important to stress the urgency of implementing RCRP in London.

“Every day that we permit the status quo to remain, we are collectively failing patients and are not setting up officers to succeed.”

He continued: “We are failing Londoners twice.

“We are failing them first by sending police officers, not medical professionals, to those in mental health crisis, and expecting them to do their best in circumstances where they are not the right people to be dealing with the patient.

“We are failing Londoners a second time by taking large amounts of officer time away from preventing and solving crime, as well as dealing properly with victims, in order to fill gaps for others.

“The extent to which we are collectively failing Londoners and inappropriately placing demand on policing is very stark.”

He added the Met had received a record number of 999 calls on 28-29 April but only 30% were “crime related”.

Nurses’ strike: Health Secretary Steve Barclay says he is ‘left with no choice but to proceed with legal action’ | Politics News

The government will take a nursing union to court in an attempt to stop its latest strike action.

Members of the Royal College of Nursing (RCN) are due to walk out for 48 hours from 8pm on Sunday night until 8pm on Tuesday 2 May after rejecting the latest pay offer from the government.

But Steve Barclay, the health secretary, has written to RCN boss Pat Cullen, saying the union’s current six-month strike mandate runs out at midnight on 1 May.

Politics live:
Sunak faces new investigation into possible code of conduct breach

After talks to solve the issue last week failed, Mr Barclay said: “I therefore regretfully provided notice of my intent to pursue legal action with a view to protecting patients, NHS workers and RCN members whilst continuing to seek a way to resolve this through official channels.”

Ms Cullen said the RCN had told the government such action was “wrong and indefensible” but “the threat sadly became a reality”.

In an email to members, she added: “The only way to deal with bullies is to stand up to them – including in court.

“It’s so wrong for the government to use taxpayers’ money to drag our profession through the courts.

“We’re determined to show that the nursing profession is strong and determined and defend our members’ right to strike.”

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Thousands of nurses are due to strike for the May bank holiday

In a statement released after the news broke, Mr Barclay said he had been “left with no choice but to proceed with legal action”.

He added: “I firmly support the right to take industrial action within the law – but the government cannot stand by and let a plainly unlawful strike action go ahead nor ignore the request of NHS Employers.

“We must also protect nurses by ensuring they are not asked to take part in an unlawful strike.”

Ms Cullen confirmed members would not be asked to walk out if the court ruled against them, saying: “If the government succeeds in silencing members like you and convinces the court to stop part of our strike, then we’ll have no choice but to cut it short.”

She added: “Our strike action has always been safe and legal. We would never ask our members to do anything unsafe or against your professional code.”

Health Secretary Steve Barclay to pursue legal action to stop nurses’ strike action | UK News

Health Secretary Steve Barclay has said he plans to “pursue legal action” over the Royal College of Nursing’s upcoming strike action.

Members of the Royal College of Nursing (RCN) working in the NHS in England are preparing to take industrial action for 48 hours over the May Bank Holiday.

They are set to walk out from 8pm, or the start of a night shift on 30 April, until 8pm or the start of the night shift on 2 May.

The action will see nurses in emergency departments, intensive care and cancer wards down tools for the first time.

NHS bosses wrote to Health Secretary Steve Barclay asking him to check the legality of the strike action, before the mandate expires in May.

In a statement, Mr Barclay said: “Following a request from NHS Employers, I have regretfully provided notice of my intent to pursue legal action to ask the courts to declare the Royal College of Nursing’s upcoming strike action planned for 30 April to 2 May to be unlawful.

“The government firmly believes in the right to strike, but it is vital that any industrial action is lawful and I have no choice but to take action.

“Strike action with no national exemptions agreed, including for emergency and cancer care, will also put patient safety at risk.”

Mr Barclay warned nurses that taking part in the action could put their careers in jeopardy.

“This legal action also seeks to protect nurses who could otherwise be asked to take part in unlawful activity that could, in turn, put their professional registration at risk and would breach the requirements set out in the nursing code of conduct.”

But RCN general secretary and chief executive, Pat Cullen, branded the move “nakedly political”.

“Nurses will not be gagged in this way by a bullying government,” a statement said.

Royal College of Nursing (RCN) general secretary Pat Cullen joins members on the picket line outside the Royal United Hospital in Bath, as nurses take industrial action over pay. Picture date: Tuesday February 7, 2023.
Image:
RCN general secretary Pat Cullen joins members on the picket line outside the Royal United Hospital in Bath in February

“We are clear that court arguments should only relate to 2 May and not 30 April and 1 May.

“The government is now desperate to silence nurses rather than address this properly. We want to be in the negotiating room, not the courtroom.”

A statement from the RCN added: “Bullying nurses and dragging us through the highest courts would not be a good look for the government.

“It would show utter contempt for nursing staff.”

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Intensive care nurses to strike

Steve Barclay MP
Image:
Health Secretary Steve Barclay

Mr Barclay revealed his intent to launch legal action after nurses in England rejected an offer of a 5% pay rise last week.

The offer was rejected despite a recommendation by union leaders to accept the deal.

An NHS leader warned that an escalation of action would “endanger patients safety”.

But one union representative refused to rule out the possibility of the RCN and junior doctors coordinating strike action.

Dr Arjan Singh, a member of the British Medical Association’s junior doctors committee, said: “We have a very close relationship with the RCN and every option is to be considered.”

Mr Barclay told junior doctors striking last week that he was “willing to engage” but insisted their demand for a 35% pay increase is “unreasonable”.

Health of European banks in focus as stocks plunge again over Credit Suisse and rate rise worries | Business News

Banking stocks are enduring fresh, steep losses on Wednesday as concern over the health of US banks crosses the Atlantic.

Credit Suisse shares plunged to new record lows following comments by its largest investor that it could not provide the Swiss bank with more financial assistance.

Switzerland’s second-largest bank, no stranger to crisis over the past few years, has seen concerns for its financial health come into sharper focus since the collapse of Silicon Valley Bank last week.

The attention of investors has mostly been on the ability of lenders to absorb the aggressive tightening of interest rates since last year, which has soured their bond holdings.

Adding to the selling mood was speculation that the European Central Bank (ECB) planned to raise its core deposit rate by 0.5 percentage points this Thursday.

A source close to the ECB Governing Council, the Reuters news agency reported, had said that the ECB was unlikely to ditch plans for a big rate move this week because that would damage its credibility.

Analysts backed that assessment.

Investors took to the hills, with the European banking index down by almost 6%, leaving it on course for €120bn of losses since the crisis of confidence began last week.

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Markets react to SVB collapse

Read more:
How Silicon Valley Bank chaos has had a bearing on us all – and why we’re in for a bumpy few months

Credit Suisse shares were more than 20% lower.

In London, the FTSE 100 was trading 2.5% down by late morning, blow the level it had started 2023.

Financial stocks were again enduring the worst of the pain.

US equity futures were sharply lower.

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Silicon Valley Bank – what happened?

Attention, however, was firmly focused on Credit Suisse.

Its largest shareholder, Saudi National Bank (SNB), said it would not buy more shares on regulatory grounds as it would take its stake above 10%.

A string of scandals have undermined the confidence of its investors and clients, with Credit Suisse customer outflows in the fourth quarter rising to more than 110 billion Swiss francs (£100bn)

SNB said it was happy with Credit Suisse’s turnaround plan and did not think it would need more money.

That was despite its annual report for 2022, released earlier this week, admitting that “material weaknesses” in controls over financial reporting had been identified and customer outflows had not yet been stemmed.

Hancock took mistress to private dinners with US health sec – then tried to remove suggestion he invited her, leaked messages show | Politics News

Matt Hancock took his mistress to private dinners with the US health secretary then altered a ministerial response to remove suggestions he invited her, leaked messages have revealed.

The latest revelation from more than 100,000 WhatsApp messages leaked to the Telegraph shows a conversation between Mr Hancock’s former political adviser, Allan Nixon, and the former health secretary.

Gina Coladangelo, who Mr Hancock was having an affair with, attended two dinners with him at a G7 summit of health ministers held in Oxford about a month after their relationship started.

She was appointed a non-executive director of the Department of Health and Social care (DHSC) in September 2020, eight months before the pair started seeing each other in early May 2021.

Journalist Isabel Oakeshott said she leaked the messages in the interests of “public interest” after Mr Hancock handed them to her as she helped him write his Pandemic Diaries book.

The latest messages, revealed on Sunday, show Ms Coladangelo was invited to the dinners as Mr Hancock’s guest with Xavier Becerra, US health secretary, on 3 and 4 June at Mansfield College, Oxford University.

After Mr Hancock was forced to resign over the affair in late June 2021 when CCTV footage was published of them kissing in his office, Labour MP Ben Bradshaw asked what role Ms Coladangelo played at the G7 meeting and what expenses she claimed.

Allan Nixon, Mr Hancock’s former political adviser who had stayed on at DHSC to help Sajid Javid take over, had a WhatsApp conversation with Mr Hancock suggesting how he should answer the question.

Read more: How have Hancock’s WhatsApps been leaked – and what is an NDA?

In the first exchange, Mr Nixon appeared to have scribbled out a printed answer and suggested another in biro.

The original suggested reply said: “Gina Coladangelo attended the G7 Health Ministers’ Meeting at the request of the previous Secretary of State, for the Department of Health and Social Care.”

But Mr Nixon wrote this should be changed to: “Gina Coladangelo played an advisory role to the Secretary of State at the G7 meeting.”

Mr Hancock then suggested a further version that erased any link to him: “Gina Coladangelo attended the G7 in her role as a non-executive director of DHSC.”

The final response, published on 28 October 2021, removed any reference to Mr Hancock or the DHSC by name.

“Gina Coladangelo attended the G7 health ministers’ meeting as a part of the UK delegation,” it read.

Read more:
Hancock told aides he wanted to ‘frighten the pants off everyone’ on COVID

Leaked messages show Hancock’s reaction to filmed ‘snog’ with aide

In response to the question about expenses, Mr Hancock had wanted it to say “zero” but Mr Nixon said this was overruled by Sir Chris Wormald, DHSC’s permanent secretary.

Mr Hancock said it was true she incurred no expenses and warned: “This will be another s*** show if it goes wrong.”

The final answer read: “All travel and subsistence costs were covered as part of the Department’s overall booking. Ms Coladangelo did not claim any additional expenses.”

Sky News understands Matt Hancock believes it is normal for parliamentary questions to be amended, with ministers doing so frequently.

Sources close to him said it is outrageous to suggest he did anything wrong and the response was reasonable and accurate.

Matt Hancock and his girlfriend Gina Coladangelo
Image:
Mr Hancock was met by his girlfriend in the jungle after appearing on I’m a Celebrity…Get Me Out of Here!

Also released on Sunday were WhatsApp messages from head of the civil service Simon Case, who was the cabinet secretary under Mr Johnson.

He said to Mr Hancock the public needed to be told to isolate by “trusted local figures, not nationally distrusted figures like the PM” in October 2020, as the government was expanding testing, the Telegraph reported.

Earlier this week, the Telegraph released messages showing Mr Hancock and others discussing how to use the Kent COVID variant to scare the public so they would obey the rules in December 2020.

Mr Hancock told aides he wanted to “frighten the pants off everyone” to ensure restriction compliance.

Another set of messages was revealed this week showing Mr Hancock’s former aide called Boris Johnson’s senior adviser Dominic Cummings a “f***ing piece of s***”.

Jamie Njoku-Goodwin made the remark in March 2021 after Mr Cummings described the DHSC as having been reduced to a “smoking ruin” by the pandemic during a parliamentary committee hearing.

He also called him a “psychotherapist” before quickly correcting the typo to: “Psychopath.”

Put your questions to SNP leadership candidates

Sky News has announced a live TV debate with the three candidates in the race to be the next Scottish National Party leader and First Minister of Scotland.

Kate Forbes MSP, Humza Yousaf MSP and Ash Regan MSP will face questions from Sky News’ Political Editor Beth Rigby. The one-hour show will be aired on Monday March 13th at 8pm live from Edinburgh.

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People on mental health waiting lists cautioned not to turn to chatbots | Science & Tech News

People waiting months for mental health treatment have been cautioned against turning to chatbots as a quick alternative.

One in four patients are now waiting more than 90 days between their first and second appointments for NHS talking therapy treatment, according to analysis by charity Future Care Capital (FCC).

The free sessions, delivered by fully trained and accredited practitioners, are meant to support those who suffer from conditions like anxiety and depression.

But thousands of people are facing long delays, with demand for treatment having risen since the pandemic.

A recent survey by the FCC found 87% of people struggling with their mental health were now using apps to get help, with 31% leaning on such tools because they did not want to wait for face-to-face support.

Dr Lauren Evans, director of research and innovation at FCC, said such resources had a role to play but cautioned against the use of increasingly popular chatbots, which have been tipped as an alternative to search engines.

“Although chatbots have been used for a while to direct telephone enquiries or provide basic information, it is an entirely different endeavour to gauge not only what somebody is saying, but the way they are saying it and what that might entail,” she told Sky News.

Digital tools ‘must be tested to high standards’

Since the pandemic, Google has reported an increase in the number of searches related to mental health, notably depression and anxiety.

People are also turning to social media to find support. Research by Luna, an app designed to help teenagers with mental health struggles, suggests more than eight in 10 young people are using TikTok to diagnose their troubles.

According to the FCC’s survey, people are now more than twice as likely to find a digital mental health tool on social media than through their GP.

Chatbots specifically released to be digital therapists have also grown in popularity in recent years – examples include Woebot and Wysa, which are both highly rated on Apple and Google’s app stores.

But new language models like the successful ChatGPT from OpenAI are not designed for this purpose. Despite this, asking questions about mental health will still see it confidently deliver an answer – even if it’s wrong.

Dr Evans warned: “Any such technology needs to be subjected to rigorous testing with high standards – and it could prove to be revolutionary.

“But it should not be implemented in place of face-to-face treatment with a medical professional.”

Read more:
Google launches new AI chatbot
Microsoft upgrades Bing with ChatGPT features

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Will this chatbot replace humans?

‘People want the human touch’

UK charity Samaritans, which operates a free 24/7 helpline for people who are struggling, has also stressed the importance of human interaction when seeking mental health support.

Kay, a volunteer who signed up after receiving help during her own struggle with anxiety, told Sky News: “I don’t think chatbots would be entirely helpful, because you just don’t know what call you’re going to take.

“When people talk, they want the human touch, to feel they’re talking to a real person who can empathise.”

Read more:
10,000 calls a day – but they all start the same

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Patients of mental health units tell their story

Guide to digital mental health resources

In a bid to ensure those who do seek help online find an appropriate resource, the FCC has launched a new comprehensive guide that directs people towards trusted apps and platforms.

The digital mental health tools guide allows users to filter resource based on conditions like addiction, anxiety, stress, body dysmorphia, eating disorders, and self-esteem.

“Digital tools are not a substitute for in-person mental health treatment,” Dr Evans stressed, “but can be used in conjunction with professional support and may help people waiting between treatment sessions.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

Two serious offenders escape from mental health facility in Northamptonshire | UK News

Police are searching for two men who have escaped from a mental health facility in Northampton.

Nicholas Courtney is a 43-year-old convicted sex offender who is serving a hospital order.

He left the grounds of St Andrew’s Healthcare in Billing Road at about 6pm on Saturday 31 December while on an escorted walk with members of staff.

He is white, 5ft 8, slim, with a bald shaven head and distinctive tattoos on his neck.

When he was last seen, he was wearing black trainers, blue jeans, a black jacket with a red stripe across the chest and a waterproof jacket on top.

The other escapee is Johnny Brady, a 19-year-old who is also serving a hospital order but for a serious assault in Derby.

He escaped the hospital at about 3.30pm on Saturday 31 December, although his escape is not thought to have been related to Courtney’s.

Brady is white, 5ft 9 and slim. He was last seen wearing black Adidas tracksuit bottoms, a black hoodie, and black trainers.

A Northamptonshire Police spokesperson said: “We would like to appeal directly to Johnny to reassure him that he is not in trouble but to please return to St Andrew’s or make yourself known to the police.

“We need to make sure you are safe and receive the care that you need.”

Northamptonshire Police said members of the public should not approach the men under any circumstances but should instead phone police to report sightings.

The force control room can be contacted on 999, and people can quote incident number 359 of 31/12/22 for a sighting of Courtney and 275 of 31/12/22 for Brady.

Warning of knock-on effect after health workers’ strike – plus the strikes planned for today | UK News

Two days of strikes by nurses and paramedics will have a knock-on effect on appointments with a return to “very high numbers” of emergency calls in the coming days, NHS Providers has warned.

Historic strike action saw thousands of nurses picket on Tuesday and ambulance staff stage their biggest strike in 30 years yesterday.

The number of people calling 999 appeared to drop in some parts of England yesterday and the membership organisation for NHS hospital, mental health, community and ambulance services said there had been “varying levels of disruption” across the country.

It said some demand had shifted to other services or not materialised as expected.

But the organisation said demand for care across the whole healthcare system remained high and trust leaders were reporting ongoing delays to ambulance services and overcrowding at some accident and emergency departments.

Nurses, ambulance staff, railway and postal workers have now returned to work, however, there are more strikes taking place today – with highway workers and driving test examiners among those downing-tools.

The military steps in

NHS England said at least 11,509 staff were absent from work across England during strikes by the Royal College of Nursing (RCN) on Tuesday and 13,797 appointments and procedures had to be rescheduled.

Members of the military stepped in to take the place of ambulance workers yesterday, with trusts telling patients to only call 999 in the case of a life-threatening injury.

he next ambulance strike is due to take place on 28 December.

Read more:
Strikes every day before Christmas – which sectors are affected and why

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Armed forces cover for ambulance staff

Government could fast-track NHS pay rise

Meanwhile, reports said the government could fast-track an NHS pay rise next year.

The Daily Telegraph reported that Health Secretary Steve Barclay is poised to offer an expedited pay deal after unions and ministers remained mired in a stalemate over pay conditions.

The paper said a source close to Mr Barclay, who has been criticised by unions for suggesting striking health workers had “made a conscious choice to inflict harm on patients”, revealed he is keen to “speed up the process” of giving NHS staff a pay rise early next year.

Unions have said they expect NHS workers to be offered a 2% increase next year based on a letter Mr Barclay sent last month to the NHS Pay Review Body.

Ambulance workers on the picket line outside Waterloo ambulance station in London

Wales strike action ‘upsetting to all’

Doctors in Wales are considering taking strike action for the first time, the British Medical Association Cymru has said.

Almost two-thirds of hospital doctors surveyed by the union said they would be willing to take some form of industrial action over pay and conditions.

Iona Collins, the BMA’s Welsh Council chairwoman, called the survey “upsetting to all” and said it is “gut-wrenching for doctors to consider walking away from work”.

She added: “Without action now, patients will continue to suffer as a direct consequence of an under-funded NHS with insufficient direct clinical care.”

In October, the BMA announced that a ballot for industrial action by junior doctors in England will open on 9 January.

Just under 1,000 doctors in Wales responded to the survey seeking views on a 4.5% pay award from the Welsh government – with 78% of those who answered saying they want a pay rise matching or exceeding inflation.

Dr Collins said: “Doctors have been quietly quitting the NHS for years, by reducing their contracted hours or leaving altogether. The financial incentive to remain in the NHS has eroded over the last decade.”

Who’s striking today?

National Highways workers will begin a walkout in London and the south east of England, which will last until Christmas Day.

This will affect officers who work in the aftermath of accidents as well as call centre staff. National Highways have said no roads will be closed as a result of the strike.

Workers for the Driver and Vehicle Standards Agency (DVSA) in the north west of England, Yorkshire and Humber and North Wales will stop work.

Driving test examiners will also be striking, affecting driving test centres in north west England and Yorkshire and the Humber. Theory tests will not be affected.

Unite members working for Highlands and Islands Airports will stage another strike.

Rural Payments Agency (RPA) staff will continue their walkout and Unison workers at the Environment Agency will refuse to provide on-call cover for unexpected incidents.

Unite members working for Highlands and Islands Airports will also be striking.

‘NHS staff are worked to the bone’: Health secretary Steve Barclay challenged by mother during hospital visit | Politics News

A mother has challenged health secretary Steve Barclay during a hospital visit, telling him that NHS staff are being “worked to the bone”.

Sarah Pinnington-Auld said her three-year-old daughter Lucy, who has cystic fibrosis, was pushed off the “absolutely horrific” waiting list at King’s College Hospital in Denmark Hill, London, because of “the obscene number of people who came through and the lack of resources”.

“That’s what is really upsetting actually because we have a daughter with a life-limiting, life-shortening condition,” she told Mr Barclay.

“We have brilliant experts that are being worked to the bone and the level of care… they’re not being able to provide it in the way they want to provide it.

“The staff are amazing, the NHS staff are incredible, and they are particularly even more incredible because they are working under such rough conditions.”

Politics live: Health secretary says he is keen to talk to unions

She cited the pressures facing King’s College Hospital and added that “it’s not fair to blame it on the pandemic anymore is it, because actually we have problems in the NHS before we went into the pandemic”.

She added: “We were short of doctors, we were short of beds going into the pandemic so I think it is really wrong to blame it on the pandemic.”

And on bed shortages, she told the health secretary: “We have people who can’t get into health and social care and are taking up beds.

“So until you as a government prioritise health and social care, we are not going to free up the already limited number of beds.”

The mother-of-two said Mr Barclay responded to her concerns by saying the government was investing more money into the health service

Ms Pinnington-Auld has previously posted on social media about her support for the Labour Party.

Mr Barclay is understood to be writing to the unions to request fresh talks over strike action – but sources say he still won’t discuss increasing their wages.

Both nurses and ambulance workers are set to stage walkouts this week amid ongoing anger over pay and working conditions.

Nursing strikes to go ahead after health secretary ‘refuses to negotiate on pay’ | Politics News

Talks to avert the nursing strike on Thursday have failed after the union leader behind the action accused the health secretary of refusing to discuss pay.

Pat Cullen, general secretary of the Royal College of Nursing, said on Monday night: “I needed to come out of this meeting with something serious to show nurses why they should not strike this week. Regrettably, they are not getting an extra penny.”

Earlier, No 10 had indicated Steve Barclay, the health secretary, would not be willing to negotiate a new pay offer for nurses, but it was thought other aspects of the nurses’ employment could be up for discussion.

Rail strikes will go ahead this week – politics latest

However, the union had made it clear that pay would have to be on the table if the government wanted to avert the strike action on Thursday.

Ms Cullen told Sky News she went into the meeting with “hopes” but the government “was true to its word – they would not talk to me about pay”.

She said Mr Barclay “showed total belligerence this afternoon, he closed his books and walked away”.

“I did most of the talking, there was very little talking coming from the other side of the table, except to keep repeating to me that he has accepted the independent pay review body recommendation,” she said.

The union is demanding a pay rise of 5% above the RPI rate of inflation, which was 14.2% in October, but Ms Cullen has hinted that she could compromise if the government negotiates on pay.

Ministers have repeatedly insisted they can’t afford to give inflation-busting pay rises and say they have accepted the independent pay review body’s recommendation of a £1,400 rise.

Read more:
Strikes every day before Christmas – which sectors are affected and why
Public sector pay rises – who decides and how?

Nurses ‘left out in the cold’

Ms Cullen said nurses’ pay has dropped by 20% in the past decade, so what they are looking for is “pay restoration”.

“They are not asking for their pockets to be lined with gold, they never have and they never will,” she said.

She said nurses are living “beneath the breadline” and “can no longer afford to be in the profession”.

“We have been left out in the cold by our secretary of state,” she said.

During the meeting, Mr Barclay told Ms Cullen that pay increases for nurses would take money from frontline services, a spokesperson from the Department of Health and Social Care said.

“Mr Barclay said he would continue to engage with the RCN as we move into the pay review process for next year and on non-pay related issues,” the spokesperson added.

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Public sector pay review is fair, says chancellor

Mr Barclay was under increasing pressure to settle a deal after strikes by ambulance staff and some NHS workers in Scotland were called off today, as members of two unions voted to accept the Scottish government’s recent pay offer.

Unite and Unison members cancelled the planned industrial action following negotiations with Scottish Health Secretary Humza Yousaf and the intervention of First Minister Nicola Sturgeon.

The new deal means NHS workers in Scotland would remain the best-paid in the UK, with workers getting pay rises ranging from £2,205 to £2,751.

For the lowest paid it would be a rise of 11.3%, with an average rise of 7.5%.

However, nursing strikes will still go ahead in Wales after last-minute talks to resolve the dispute over pay also collapsed on Monday.

The first nurses’ strike will take place on 15 December and, should no resolution be found afterwards, a second strike day will take place on 20 December.

Ms Cullen said she expected further strikes to go ahead next year unless the government is willing to discuss pay.

Nurses are among hundreds of thousands of workers striking this winter across many sectors.

Earlier, the RMT union voted to reject an offer from Network Rail aimed at averting a series of rail strikes in the coming weeks.

Labour’s shadow health secretary, Wes Streeting, accused Mr Barclay of “spoiling for a fight”.

He said: “They want to blame nurses, blame paramedics, blame NHS staff for challenges in the National Health Service which are the direct fault and responsibility of 12 years of Conservative mismanagement – frankly, I think it’s disgusting.”