Nurses set to reject pay offer as further strike action looms
The Royal College of Nursing (RCN) will warn ministers that they must come back to the table over the summer to avoid a formal strike ballot in the autumn and additional unrest that will further set back NHS recovery.
However, public support for doctors' strikes appears to be waning, as ministers accuse them of holding the country to ransom and hospitals report fewer staff joining picket lines.
Resident doctors, formerly known junior doctors, are in a five-day walkout after rejecting a 5.4 per cent pay rise, which came after a 22 per cent increase last year.
Polling for The Times found that 55 per cent of voters oppose the strike, up from 49 per cent earlier this month, while 32 per cent support it, down four points from the second week of July before the walkouts began.
Tom Dolphin, the head of the British Medical Association (BMA), insisted that doctors 'don't want to be on strike', but said the walkouts were necessary because doctors were 'undervalued' and were 'leaving the NHS in large numbers'. He said that pay had to be 'enough to recruit and retain the best doctors'.
Ministers have refused to reopen pay talks and negotiations on working conditions collapsed in acrimony last week as ministers accused the BMA of acting in bad faith, while the union said the government had failed to make any concrete offers.
• NHS patients told to brace for strikes until Christmas and beyond
The BMA is holding out for a full return to 2008 levels of pay and Dolphin said salaries 'reflect the responsibility of these doctors' who were making 'life and death decisions'. He said: 'Even nurses who've had a pretty bad time [are] not as badly off as doctors in terms of lost pay.'
Nurses, however, are furious that their 3.6 per cent pay rise this year was lower than doctors' increases for the second year in a row. The RCN is holding an indicative vote on the pay award, which closed on Sunday.
The vote is understood to show 'overwhelming' rejection of a deal, with turnout likely to be well over the 50 per cent threshold that would be needed for industrial action.
The union is due to announce final results later this week with a call for ministers to return to the table. While the BMA is adamant that headline pay must rise, nurses are thought to be more open to talks on wider pay structures.
The RCN has repeatedly complained that nurses can remain on the lowest rung of the NHS pay scale for decades and is expected to press ministers for reforms that would allow them to move up the scale as they gain experience. If no progress is made, a formal strike ballot is likely to be launched in the autumn.
A spokesman for the union said: 'The results will be announced to our members later this week. As the largest part of the NHS workforce, nursing staff do not feel valued and the government must urgently begin to turn that around.'
It came after ambulance and other hospital staff in the GMB Union voted to reject the 3.6 per cent offer last week, with strike action now being considered.
The BMA consultants' committee is also holding an indicative vote over a 4 per cent pay deal it described an 'insult' to senior doctors. Dolphin said the vote was 'a testing of the waters to see where people are', but warned: 'We're certainly very aware already, even before we've done this ballot, the consultants are also very much down on their pay [compared with 2008].'
He told Sky News he did not recognise reports that doctors were being paid £6,000 a shift to cover for strikes, but said overtime rates were 'whatever they can manage to negotiate with their employer'.
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Sky News
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- Sky News
'It destroyed my life': The drug addiction leaving users in chronic pain
Nicole will always remember the first time she took ketamine. It was the start of a night out and she didn't want to drink. So instead, she picked up the bag of white powder she found in her friend's car. It was a decision that had life-altering consequences. "I tried it and remember having it and just thinking, this is it," she recalls. "This is my saviour. This is my drug." Instead of rescuing her from her mental health struggles like she hoped it would, ketamine sent her into a spiral. Less than four years on, the 31-year-old mother of one from Southport is now living in a detox centre, separated from her son and living in chronic pain. 9:33 Nicole's journey from recreational use to a deep addiction that caused her severe bladder and kidney problems may be just one extreme case, but ketamine use is now at record levels. Experts believe this could cause a tidal wave of issues the country is not prepared for, placing severe pressure on the NHS, as well as addiction and mental health services. Currently a Class B drug, ketamine is used in clinical settings as an anaesthetic for people and animals. It is usually taken recreationally as a crushed powder, but also sometimes injected or swallowed - making people feel detached and dreamlike. Referred to as "ket" and "special k", it's easily available and costs around £30 a gram. Between 2023 and 2024, the number of children and young people who reported having a problem with the drug surpassed cocaine for the first time. The number of ketamine deaths in England and Wales also increased from seven in 2015 to 53 in 2023. 'I don't remember the last three years' I met Nicole at Birchwood, a residential drug and alcohol detox facility on the Wirral. In the week before I arrived, 14 out of 25 beds were taken by ketamine users. As we walk through the corridors, Birchwood manager Jo Moore tells me that in more than two decades of working in healthcare, she's never dealt with a challenge as big as the wave of people she's seeing addicted to ketamine, arriving with extreme and complex health issues. "They're all presenting with urinary incontinence, some can't even walk, they've lost their muscle tone, some are in wheelchairs, and the crippling pain they're going through is significant," she says. As well as running Birchwood, Jo speaks about the drug at conferences and holds a weekly video call, offering support for a growing group of parents whose children are addicted. I also met Callum, who describes himself simply as "just a lad from Cheshire ways". While speaking, he often pauses for thought, struck by how quickly his life has taken a turn since his addiction began three years ago. When his dad died following a struggle with alcoholism, Callum, who had been his carer, turned to ketamine. Until then, the 24-year-old had only taken the drug at festivals, but it quickly took over his life. "I was so out of it constantly," he says. "I don't remember the last three years properly because of just, you know, you've taken it the whole time." Daily use nearly cost Callum his life. He had multiple organ issues and weighed just six stone by the time Jo, who knew his family, told his mother that he needed to come to rehab. Callum's experience is a reminder of how hard it can be to break a dependency on ketamine. As an anaesthetic, it creates a vicious cycle. Users need it to help ease the pain it causes them. "It's only once you get off the ketamine you realise the pain that you've got and the problems that you've got," Callum tells me. "When you're on it, you know you've sort of got pains, but you don't think they're that bad. "People I know drank for 30, 40 years and my liver is worse than theirs, just from ketamine alone." 'Ketamine destroyed my life' Nicole also turned to ketamine because it felt like a way out. She'd had a difficult childhood, been in an abusive relationship as an adult and struggled with mental health issues her whole life. In a moment of blunt honesty, she tells me she does not regret taking ketamine. "If I didn't take ketamine in that period of time, I wouldn't be here," she says. "It was a coping mechanism for a while, before it destroyed my life." As her bladder and kidneys deteriorated, Nicole was taken to hospital several times, often treated by medics who could not understand the problems caused by heavy ketamine use. On one occasion, she was sent home with chlamydia tablets. On another, she had an invasive kidney procedure with no anaesthetic, because doctors were concerned about giving her pain relief due to her ketamine use. 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She is still waiting to find out whether her bladder will be removed. Nicole has made it her mission to raise awareness, posting regularly on TikTok about her appointments and her day-to-day life. Her ultimate hope is to one day join Jo in delivering talks across the country about the drug and its dangers. Life-changing injuries within a year Away from Birchwood, the struggles of people like Callum and Nicole are also being felt in the NHS. Alison Downey is a consultant urologist at Pinderfields Hospital in West Yorkshire, where "ketamine bladder" has become an increasingly common phrase to describe the severe damage the drug can do. "We've seen an explosion in numbers over the past, particularly two to three years," she says. "Maybe about four or five years ago we would have one or two cases a month, we're now seeing eight or nine a month." 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That can result in needing to go to the toilet every 15 to 20 minutes throughout the day or night." Framing the issues being seen on the frontline are the ongoing discussions around reclassification. Earlier this year, the government announced it would look into the possibility of making ketamine a Class A drug, which would carry greater penalties for making and selling it. Dr Caroline Copeland is a senior lecturer in pharmacology and toxicology at King's College London and also the director of the National Programme on Substance Use Mortality. For her, this debate is nuanced and needs to go beyond criminalisation. "I think that instead of necessarily focusing on the punitive measures, which is what comes with the reclassification, we need to be thinking more about how we can actually spend that time and money towards helping the people who are using ketamine and education programmes to stop people starting to use ketamine in the first place," she said. 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"I've looked after heroin addicts and after 20 years of them using heroin, they don't have anything related to the harm that we've got now for the ketamine users, only after a very short time. "And I think that's what's been so shocking about seeing these ketamine users come through. They can use ketamine for 10 months, two years, and have life-changing injuries. "That's why we're fighting for this. I think that we have all been very slow to react as a nation to these health concerns." Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@ in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.
BBC News
2 hours ago
- BBC News
Nurses union to reject pay deal as strike vote looms
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The Guardian
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