Now the MIDWIVES start voting on strikes!

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Midwives across Britain will start voting today on whether they will follow nurses in walkouts this winter.

The Royal College of Midwives (RCM) today sent out ballots to 31,000 members in England and Wales, urging them to back industrial action over the Government’s ‘insulting’ offer of a four per cent or £1,400 pay boost.

The union’s 2,500 members in Scotland have already ‘overwhelmingly’ backed industrial action. And midwives in Northern Ireland have been consulted on whether they are willing to strike, with results expected next week.  

The RCM has not revealed the pay reward it is seeking from the Government but called for an ‘inflation busting’ rise. The four-week ballot in England will close on December 12 and the results will be announced the same day.

It comes amid a winter of discontent that will see hundreds of thousands of NHS medics join picket lines. Strikes among nursing staff were confirmed this week, while junior doctors and paramedics may also join walkouts. 

Thousands of operations are expected to be cancelled, along with vital cancer and dialysis treatment. Senior officials warned the Army is on standby to respond to 999 calls if ambulance staff join the strikes. 

Any action would come when the health service is already crippled. The patient backlog, A&E services and ambulance performance are already at their worst ever levels before usual winter pressures have even begun.

However, there are growing calls among members of the Royal College of Nursing for the ‘irresponsible’ action to be called off over concerns patients lives’ will be a risk.

The Government has so far resisted calls to boost medics pay further, stating that it was ‘not negotiating’ with unions. Prime Minister Rishi Sunak yesterday said demands for increases of up to 17 per cent were ‘not affordable’.

The graph shows the current average salary of public sector workers (blue bars) and how much more their unions are asking their pay to be increased by (yellow bars). The nurses’ union is asking for a salary increase of five per cent on top of RPI inflection, which current sits at 12.6 per cent

Neomi Bennett (left), an RCN member working in London, said it was ‘irresponsible’ for the union to support strikes and urged it to reconsider. Ian Summers (right), a mental health nurse in Cornwall, said he voted against strike action over worries it would ‘put patients at risk

The RCN is just one NHS union which has or is balloting its members over pay

NHS forced to pay high rates for agency staff ‘to keep patients safe’

A lack of doctors and nurses in the NHS is forcing bosses to pay high rates for agency staff, analysis shows.

Dr Sarah Clarke, president of the Royal College of Physicians, said there is a ‘significant cost’ to paying agency workers to fill rota gaps but the move is needed to keep patients safe.

Figures from the BBC show spending on agency staff rose 20 per cent last year to hit £3billion in England.

It said that, for many shifts, bosses have been so short-staffed they have been willing to breach Government pay caps for agency workers, most of whom are doctors and nurses.

Separate data supplied by Labour shows some NHS trusts have paid as much as £2,500 to nurses to fill shifts. There are currently almost 47,000 nursing vacancies in the NHS.

Dr Clarke, a cardiologist, told BBC Breakfast: ‘Staff shortages have meant that we’ve had to dip into the public spending and pay for agency and locum staff and this of course comes at a significant cost.’

She said some staff want to work as locums as it pays more, gives more flexibility and ‘takes them away from some of the terms and conditions that are unpopular’.

The RCM has urged all midwives in England and Wales to back industrial action in the four-week ballot, saying the Government’s below-inflation pay offer was the ‘final straw for so many who already feel undervalued’.

If midwifery teams walked out, the union said ‘safe services’ will be maintained.

It comes after the RCN on Wednesday announced historic walk-outs will happen. Dozens of hospitals will be affected, with a ‘bank holiday service’ threatening to pile further misery on an already-crippled NHS.

In total, 176 NHS organisations voted in favour of strikes out of a total of 311 employers included in the ballot. Some did not meet the threshold for action of a 50 per cent turnout and majority in favour.

It sparked fears that lives will be lost with a ‘bank holiday service’ causing delays and cancellations of routine treatment and operations.

Cancer hospitals such as the Royal Marsden in London and Clatterbridge Cancer Centre in Liverpool voted to strike, putting chemotherapy appointments at risk.

Care at maternity hospitals and children’s hospitals will be disrupted, while nurses will strike at the biggest hospitals in London, including Guy’s and St Thomas’.

The fact that not all trusts will strike is expected to exacerbate a postcode lottery of care.

But Neomi Bennett, an RCN member working in London, said it was ‘irresponsible’ for the union to support strikes and urged it to reconsider.

The 49-year-old told The Telegraph: ‘Patient safety is paramount and I just do not think any nurse should put a patient’s life at risk. 

‘Your little old ladies and people who rely on the NHS, they rely on us as nurses. I almost feel like it is letting down those people who are vulnerable. I just can’t, can’t get it.’

‘I won’t be walking out on my patients because I’m there for the patients.’ 

Ian Summers, a mental health nurse in Cornwall, told the BBC: ‘I voted no because I felt we were going to put patients at risk.

‘During this nursing crisis, if we reduce the levels even further with strike action the only outcome can be patient safety.

‘There’s a crisis in the UK regarding nurses. Nursing numbers on wards are at critical levels.

‘If we strike, what’s going to happen to people going to hospitals, people in the community — it frightens me because the risk is already there.’ 

Newly appointed Health Secretary Steve Barclay yesterday had a ‘constructive meeting’ with members of the RCN, who have warned strikes will begin before Christmas and could continue sporadically until May.

But Mr Barclay, who has taken up the role for a second time, said pay remains ‘a difficult issue’ following the hour-long conversation.

Steve Barclay is said to be ‘in listening mode’ and has agreed to have another meeting with Pat Cullen, the RCN’s boss, ‘shortly’.

A senior Department of Health and Social Care source told the Daily Mail: ‘They covered a range of issues, both about pay but also on non-pay issues, especially about patient safety.

‘They agreed that they’re going to meet again shortly.

‘Pay is a difficult issue. We are taking the recommendation from the independent review body. They spoke about a range of issues on both sides and Steve explained the difficult situation we are facing at the moment.

This graph shows the Royal College of Nursing’s demands for a 5 per cent above inflation pay rise for the bands covered by its membership which includes healthcare assistants and nurses. Estimates based on NHS Employers data

Official figures show 7.1million people in England were in the queue for routine hospital treatment, such as hip and knee operations, by the end of September — the equivalent of one in eight people (red line). The figure includes more than 400,000 people who have been waiting, often in pain, for over one year (yellow bars)

Meanwhile, emergency care performance has deteriorated to fresh lows. More than 1,400 A&E attendees were forced to wait in more than 12 hours for care every day in October (yellow bars), while the lowest proportion ever recorded were seen within four hours — the NHS target (red line)

Ambulance performance statistics for October show paramedics took longer to arrive to category one, two and three call outs since records began in 2017. Ambulances took an average of 1 hour, one minute and 19 seconds to respond to category two calls (red bars), such as burns, epilepsy and strokes. This is more than three times as long as the 18 minute target

Cancer care plummeted in September. Just 60.5 per cent of patients started cancer treatment within two months of being referred for chemotherapy or radiotherapy (red line). The figure is down from 61.9 per cent one month earlier and is the lowest ever recorded in records going back to October 2009. The NHS states 85 patients should start treatment within this timeframe

Nursing strikes Q&A: Everything you need to know

What was the result of the strike?

Nurses at the majority of NHS organisations on the ballot voted to strike – 176 out of 311 NHS employers across the UK. Some did not meet the 50 per cent turnout threshold.

When will strikes last and how long will the strike last?

Strikes are expected to begin in early December and could take place over two dates, potentially a Tuesday and a Thursday. They could last until early May 2023.

What level of care can patients expect?

The RCN handbook says nursing provision during the strike period should be equal to the skeleton staffing usually seen on Christmas Day, although the NHS says it has well-tested procedures to limit disruption.

Which nurses will remain in post?

Emergency nurses in A&E and intensive care will keep working, as will district nurses who help elderly people in the community. Other exemptions will be negotiated at a local level.

Why are nurses going on strike?

The Royal College of Nursing is campaigning for a pay rise of five per cent above inflation, claiming an experienced nurse’s salary has fallen by 20 per cent since 2010.

What is the pay deal they are unhappy with?

Nurses in England and Wales received a pay increase of at least £1,400 this year, but the RCN claims this left them effectively working a day a week for free.

Have there been nursing strikes before?

Yes – some nurses from the union UNISON went on strike in 2014 and RCN nurses in Northern Ireland walked out in 2019 but this is the first time the RCN has balloted all its 300,000 members in all UK countries in its 106-year history.

Who could be next to strike?

Hundreds of thousands of junior doctors, midwives, physiotherapists, paramedics, ICT staff and porters are among NHS staff either being balloted or expected to be balloted on strike action over anger about pay rises. The next result should be from Unison, who closes its ballot on November 25 after asking 350,000 NHS workers whether they want to strike.

SCROLL DOWN FOR OUR FULL Q&A, OR READ IT HERE. 

‘Steve has said his door is always open. He values the work of nurses and wants to engage with them about the concerns they have. He is definitely in listening mode.’

The Government has warned that the RCN’s pay demand of 17.6 per cent would cost £9billion to implement — six per cent of the entire NHS budget.

Rishi Sunak’s official spokesperson warned the stark figure is ‘simply not deliverable’ in the current climate. 

In addition to nurses, around one million NHS staff, including junior doctors, midwives, ambulance workers, IT staff and porters, are either being balloted or are expected to be balloted on strikes over pay demands.

An official tasked with preparing the ailing health service for the months of chaos ahead revealed that ‘use of the Army is on the list of potential contingencies’. The move could see soldiers respond to 999 calls.

Military personnel were drafted in throughout the pandemic to support struggling ambulance trusts, with them asked to drive vehicles and provide basic life support in response to emergency calls.

The British Red Cross and St John Ambulance may also be called upon. 

After the nurses strikes were confirmed, a senior health insider told the Daily Mail: ‘Everything from routine blood tests, mammograms, smear tests, colonoscopies, skin biopsies, X-rays will come to a halt if routine treatment is cancelled. 

‘They’re all considered as non- emergency, but everything is crucial when it comes to healthcare, including preventive action.’ 

Hundreds of thousands of NHS staff are yet to confirm whether their profession will join strike action. 

The next result from unions balloting their members should be from Unison, which closes its ballot on November 25 after asking 350,000 NHS workers whether they want to strike.

The British Medical Association, which represents 160,000 doctors and medical students, is balloting junior doctors from January 9.

Unite will ballot a proportion of its 100,000 NHS members across England and Wales, with the date yet to be announced. It is already balloting almost 3,000 of its ambulance workers in England, with the ballot to close on November 30.

The Chartered Society of Physiotherapy opened its ballot to 23,000 physiotherapists in England and Wales yesterday. It will run until December 12.

GMB began balloting almost 20,000 healthcare staff, including more than 15,000 ambulance workers and almost 4,000 non-ambulance staff, on October 24. The ballot will close on November 29. 

The ballots come as NHS performance nosedived in recent months, with warnings the service is at ‘breaking point’ before winter pressures have even kicked-in.

Official figures show 7.1million people in England were in the queue for routine hospital treatment, such as hip and knee operations, by the end of September — the equivalent of one in eight people. The figure includes more than 400,000 people who have been waiting, often in pain, for over one year.

Meanwhile, A&E performance has deteriorated to fresh lows. More than 1,400 attendees waited 12-plus hours each day in October, while the lowest proportion ever recorded were seen within the NHS target of four hours. Experts warn the true figure is much higher because official data masks the actual length of waits.

Ambulances were slower than ever last month, with paramedics taking longer to respond to 999 calls of all severities. Health leaders say ‘unprecedented demand’ continues to pile strain on the struggling service. 

Cancer care also approached worst-ever levels in September, with just six in 10 newly-diagnosed patients starting treatment within two months. Top oncologists warned there is a ‘real and frightening possibility’ that Government won’t provide sufficient investment needed to catch-up and more lives will be lost.

NHS bosses today bragged they have cut the number of patients who have been queuing for hospital treatment for 18 months, while dealing with a rise in Covid and flu patients, as well as emergency care pressures.  

Where WILL the nurse strike action take place?

ENGLAND

EAST MIDLANDS 

East Midlands Ambulance Service NHS Trust

NHS Derby and Derbyshire ICB (Joined Up Care Derbyshire)

NHS Nottingham and Nottinghamshire ICB

Derbyshire Healthcare NHS Foundation Trust

Northamptonshire Healthcare NHS Foundation Trust

Derbyshire Community Health Services NHS Foundation Trust

Nottinghamshire Healthcare NHS Foundation Trust

Nottingham University Hospitals NHS Trust

Kettering General Hospital NHS Foundation Trust

EAST OF ENGLAND

Cambridgeshire and Peterborough NHS Foundation Trust

Norfolk and Norwich University Hospitals NHS Foundation Trust

Cambridge University Hospital NHS Foundation Trust

Royal Papworth Hospital NHS Foundation Trust

East Suffolk and North Essex NHS Foundation Trust

Norfolk Community Health and Care NHS Trust

Norfolk and Suffolk NHS Foundation Trust

Cambridgeshire Community Services NHS Trust

Hertfordshire Community NHS Trust

West Suffolk NHS Foundation Trust

NHS Hertfordshire and West Essex ICB

NHS Mid and South Essex ICB

NHS Norfolk and Waveney ICB

NHS Suffolk and North East Essex ICB

LONDON 

Imperial College Healthcare NHS Trust

Guys and St Thomas NHS Foundation Trust

Great Ormond Street Hospital for Children NHS Foundation Trust

Hounslow and Richmond Community Healthcare NHS Trust

St George’s University Hospitals NHS Foundation Trust

Kings College Hospital NHS Foundation Trust

Royal Marsden NHS Foundation Trust

Tavistock and Portman NHS Foundation Trust

University College London Hospitals NHS Foundation Trust

NHS North Central London ICB

NHS South West London ICB

NHS Resolution

NORTH WEST 

Mersey Care NHS Foundation Trust

Tameside and Glossop Integrated Care NHS Foundation Trust

Liverpool Heart and Chest Hospital NHS Found Trust

Lancashire Teaching Hospitals NHS Foundation Trust

The Clatterbridge Cancer Centre NHS Found Trust

The Christie NHS Foundation Trust

Wrightington Wigan and Leigh NHS Foundation Trust

Countess of Chester Hospital NHS Foundation Trust

North West Ambulance Service NHS Trust

Liverpool University Hospitals NHS Foundation Trust

Mid Cheshire Hospitals NHS Foundation Trust

Bridgewater Community Healthcare NHS Foundation Trust

Wirral Community Health and Care NHS Foundation Trust

Midlands and Lancashire CSU

Wirral University Teaching Hospital NHS Found Trust

Liverpool Women’s NHS Foundation Trust

Central Cheshire Integrated Care Partnership

St Helens and Knowsley Teaching Hospitals NHS Trust

Alder Hey Children’s NHS Foundation Trust

The Walton Centre NHS Foundation Trust

Health Education England

NHS Cheshire and Merseyside ICB

NHS Lancashire and South Cumbria ICB

Cheshire and Wirral Partnership NHS Foundation Trust  

NORTHERN

North East Ambulance Service NHS Trust

University Hospitals of Morecambe Bay NHS Foundation Trust

Northumbria Healthcare NHS Foundation Trust

County Durham and Darlington NHS Foundation Trust

Gateshead Health NHS Foundation Trust

The Newcastle Upon Tyne Hospitals NHS Foundation Trust

South Tees Hospitals NHS Foundation Trust

North of England CSU (NECS)

SOUTH EAST 

Kent Community Health NHS Foundation Trust

East Sussex Healthcare NHS Trust

University Hospitals Sussex NHS Foundation Trust

South East Coast Ambulance Service

Sussex Community NHS Foundation Trust

Sussex Partnership NHS Foundation Trust

Queen Victoria Hospital NHS Foundation Trust

NHS Kent and Medway ICB

NHS Surrey Heartlands ICB

Southern Health NHS Foundation Trust

Oxford University Hospitals NHS Foundation Trust

Portsmouth Hospitals NHS Trust

University Hospital Southampton NHS Foundation Trust

South Central Ambulance Service NHS Foundation Trust

Solent NHS Trust

Royal Berkshire NHS Foundation Trust

Oxford Health NHS Foundation Trust

SOUTH WEST

Cornwall Partnership NHS Foundation Trust

Devon Partnership NHS Trust

South Western Ambulance Service NHS Found Trust 

SOUTH WEST (CONTINUED)

Dorset Healthcare University NHS Foundation Trust

Gloucestershire Hospitals NHS Foundation Trust

North Bristol NHS Trust

Torbay and South Devon NHS Foundation Trust

University Hospitals Plymouth NHS Trust

University Hospitals Bristol and Weston NHS Foundation Trust

Dorset County Hospital NHS Foundation Trust

NHS Blood and Transplant (NHSBT)

Gloucestershire Health and Care NHS Foundation Trust

Royal Devon University Healthcare NHS Foundation Trust

Avon and Wiltshire Mental Health Partnership NHS Trust

Great Western Hospitals NHS Foundation Trust

Salisbury NHS Foundation Trust

University Hospitals Dorset NHS Foundation Trust

Somerset NHS Foundation Trust

Royal Cornwall Hospitals NHS Trust

Royal United Hospitals Bath NHS Foundation Trust

NHS Bath, North East Somerset, Swindon and Wiltshire ICB (BSW Together)

NHS Devon ICB (One Devon)

NHS Dorset ICB (Our Dorset)

NHS Gloucestershire ICB (One Gloucestershire)

WEST MIDLANDS 

Midlands Partnership NHS Foundation Trust

Herefordshire and Worcestershire Health and Care NHS Trust

The Royal Orthopaedic Hospital NHS Foundation Trust

Worcestershire Acute Hospitals NHS Trust

Shropshire Community Health NHS Trust

University Hospitals Birmingham NHS Foundation Trust

Birmingham Women’s and Children’s NHS Foundation Trust

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Dudley Integrated Health and Care NHS Trust

NHS Birmingham and Solihull ICB (BSol ICB)

NHS Black Country ICB

YORKSHIRE AND THE HUMBER

Sheffield Health and Social Care NHS Foundation Trust

Barnsley Hospital NHS Foundation Trust

York and Scarborough Teaching Hospitals NHS Foundation Trust

Leeds Community Healthcare NHS Trust

Bradford Teaching Hospitals NHS Foundation Trust

Harrogate and District NHS Foundation Trust

The Leeds Teaching Hospitals NHS Trust

NHS England

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield Children’s NHS Foundation Trust

NHS West Yorkshire ICB

WALES 

Cardiff and Vale University Health Board

Powys Teaching Local Health Board

Welsh Ambulance Services NHS Trust Headquarters

Hywel Dda University Health Board

Swansea Bay University Health Board

Cwm Taf Morgannwg University Health Board

Betsi Cadwaladr University Local Health Board

Velindre NHS Trust

Public Health Wales

Health Education and Improvement Wales Health Authority

NHS Wales Shared Services Partnership

Digital Health and Care Wales

SCOTLAND 

NHS Borders

NHS Education For Scotland

NHS Fife

NHS National Services Scotland

NHS Shetland

NHS Western Isles

NHS Dumfries and Galloway

NHS Orkney

NHS Golden Jubilee

NHS 24

The State Hospitals Board for Scotland

NHS Grampian

NHS Tayside

NHS Ayrshire and Arran

The Highland Council

Healthcare Improvement Scotland

Public Health Scotland

NHS Greater Glasgow and Clyde

Scottish Ambulance Service

NHS Lothian

NHS Lanarkshire

NHS Highland

NHS Forth Valley

NORTHERN IRELAND 

Northern Ireland Practice and Education Council

Southern Health and Social Care Trust

Western Health and Social Care Trust

Belfast Health and Social Care Trust

Business Services Organisation

Regulation & Quality Improvement Authority

Northern Ireland Blood Transfusion Service

Public Health Agency

Northern Health and Social Care Trust

South Eastern Health and Social Care Trust

Northern Ireland Ambulance Service

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