NHS consultants demonstrate at a British Medical Association picket line outside University College Hospital in London last month. Getty Images
NHS consultants demonstrate at a British Medical Association picket line outside University College Hospital in London last month. Getty Images
NHS consultants demonstrate at a British Medical Association picket line outside University College Hospital in London last month. Getty Images
NHS consultants demonstrate at a British Medical Association picket line outside University College Hospital in London last month. Getty Images

'Double whammy' as senior and junior doctors stage first ever joint strike


Soraya Ebrahimi
  • English
  • Arabic

The NHS is facing its “toughest test yet” as four days of strikes by doctors begin, with thousands of patient appointments expected to be cancelled, a health chief has warned.

This week’s strike in England by consultants and junior doctors, which starts on Tuesday, “can’t become the status quo”, said Saffron Cordery, deputy chief executive of NHS Providers.

Consultants are walking out in a dispute over pay on Tuesday and Wednesday this week as well as on October 2, 3 and 4.

Junior doctors, who have staged 19 days of strike action since March, will walk out on Wednesday, Thursday and Friday this week as well as October 2, 3 and 4.

This means that Wednesday’s strike this week, plus the three days next month, will see both consultants and junior doctors absent from work on the same days.

“This ‘double whammy’ of the first ever joint strikes by senior and junior doctors is the toughest test yet for trust leaders, ramping up pressure on already stretched services,” Ms Cordery said.

“Even when consultants go back to work on Thursday, junior doctors will be on strike until Friday with more strikes by both groups and radiographers planned for early October.

“We’re in uncharted territory. It’s all hands on deck in trusts across the country.

“Ten months of industrial action have seen almost one million routine appointments and procedures delayed.

“Strikes can’t become the status quo. Only the government sitting down with the unions can end this disruption.”

Britain's doctors stage longest strike in NHS history – in pictures

  • Members of the Unite union on the picket line outside Guys and St Thomas' Hospital in London. PA
    Members of the Unite union on the picket line outside Guys and St Thomas' Hospital in London. PA
  • It is the longest walkout in NHS history. PA
    It is the longest walkout in NHS history. PA
  • Junior doctors are hoping to secure a pay rise of more than one third. Bloomberg
    Junior doctors are hoping to secure a pay rise of more than one third. Bloomberg
  • British Medical Association picket lines, like this one outside Leeds General Infirmary, started at 7am. PA
    British Medical Association picket lines, like this one outside Leeds General Infirmary, started at 7am. PA
  • Rebecca Lissmann, 29, joined striking junior doctors. Officials called the doctors' 35 per cent pay demand "unreasonable". PA
    Rebecca Lissmann, 29, joined striking junior doctors. Officials called the doctors' 35 per cent pay demand "unreasonable". PA

The NHS is expected to see a “Christmas Day” level of staffing when both consultants and junior doctors are off, with emergency care taking priority.

The government has approved a 6 per cent pay rise for consultants and 6 per cent plus a lump sum of £1,250 ($1,550) for junior doctors. It has said there will be no further offers.

The British Medical Association, meanwhile, is calling for “full pay restoration” back to 2008-2009 levels, saying pay has been eroded over several years.

Earlier this year, it estimated that, using RPI inflation measures, the value of junior doctors’ pay was eroded by 26 per cent up to 2021-2022, and would therefore need to rise by 35 per cent above where it was 2021-2022 to be restored.

The union has said its consultants’ committee is campaigning for at least an inflationary uplift, as of March 2023.

Earlier this week, NHS Providers said it had heard from one trust that it was having to reschedule care for more seriously ill patients who previously may have been protected from strike disruption.

Another trust is rescheduling appointments for patients already hit by strikes, while another said it would send volunteers to support patients with meals and drinks as well as providing company in A&E departments during the strikes.

NHS Providers said the strikes are estimated to have cost the NHS at least £1 billion so far and trust leaders are worried that senior doctors are increasingly unwilling to cover shifts when junior doctors are striking.

“These co-ordinated strikes will pose a huge challenge for the NHS and for patients, who will see their care significantly disrupted,” the Prime Minister’s official spokesman said on Monday.

Health Secretary Steve Barclay was open to discussions about the “non-pay elements” of the BMA’s concerns but there were no plans to “revisit” the pay deal, the spokesman said.

“This week’s first ever joint action means almost all planned care will come to a stop, and hundreds of thousands of appointments will be postponed, which is incredibly difficult for patients and their families, and poses an enormous challenge for colleagues across the NHS,” NHS national medical director Sir Stephen Powis said on Monday.

“We’re very grateful to the public for using the NHS wisely during this period when we will be prioritising emergency care.

“In a life-threatening situation, use 999 and A&E as normal, but for everything else, use 111 online or use services in the community which are largely unaffected, like GPs and pharmacies.

“Patients who have an appointment and who haven’t been contacted should attend as normal.”

Prime Minister Rishi Sunak began his mandate pledging to cut waiting lists, but figures released last week showed the NHS waiting list in England reached a record high, with 7.7 million people – about one in seven – waiting for treatment.

The October strike dates coincide with the Conservative Party annual conference in Manchester.

MATCH INFO

Norwich City 1 (Cantwell 75') Manchester United 2 (Aghalo 51' 118') After extra time.

Man of the match Harry Maguire (Manchester United)

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While you're here
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Sarfira

Director: Sudha Kongara Prasad

Starring: Akshay Kumar, Radhika Madan, Paresh Rawal 

Rating: 2/5

UAE currency: the story behind the money in your pockets
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Ginger, citrus and orange blossom iced tea

Avocado ranch dip with crudites

Cucumber, smoked salmon and cream cheese mini club sandwiches

Elderflower and lemon syllabub meringue

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A fraudulent investment operation where the scammer provides fake reports and generates returns for old investors through money paid by new investors, rather than through ligitimate business activities.

SPECS
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How the UAE gratuity payment is calculated now

Employees leaving an organisation are entitled to an end-of-service gratuity after completing at least one year of service.

The tenure is calculated on the number of days worked and does not include lengthy leave periods, such as a sabbatical. If you have worked for a company between one and five years, you are paid 21 days of pay based on your final basic salary. After five years, however, you are entitled to 30 days of pay. The total lump sum you receive is based on the duration of your employment.

1. For those who have worked between one and five years, on a basic salary of Dh10,000 (calculation based on 30 days):

a. Dh10,000 ÷ 30 = Dh333.33. Your daily wage is Dh333.33

b. Dh333.33 x 21 = Dh7,000. So 21 days salary equates to Dh7,000 in gratuity entitlement for each year of service. Multiply this figure for every year of service up to five years.

2. For those who have worked more than five years

c. 333.33 x 30 = Dh10,000. So 30 days’ salary is Dh10,000 in gratuity entitlement for each year of service.

Note: The maximum figure cannot exceed two years total salary figure.

Essentials

The flights

Emirates and Etihad fly direct from the UAE to Geneva from Dh2,845 return, including taxes. The flight takes 6 hours. 

The package

Clinique La Prairie offers a variety of programmes. A six-night Master Detox costs from 14,900 Swiss francs (Dh57,655), including all food, accommodation and a set schedule of medical consultations and spa treatments.

The%20specs
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UEFA CHAMPIONS LEAGUE FIXTURES

All kick-off times 10.45pm UAE ( 4 GMT) unless stated

Tuesday
Sevilla v Maribor
Spartak Moscow v Liverpool
Manchester City v Shakhtar Donetsk
Napoli v Feyenoord
Besiktas v RB Leipzig
Monaco v Porto
Apoel Nicosia v Tottenham Hotspur
Borussia Dortmund v Real Madrid

Wednesday
Basel v Benfica
CSKA Moscow Manchester United
Paris Saint-Germain v Bayern Munich
Anderlecht v Celtic
Qarabag v Roma (8pm)
Atletico Madrid v Chelsea
Juventus v Olympiakos
Sporting Lisbon v Barcelona

The Brutalist

Director: Brady Corbet

Stars: Adrien Brody, Felicity Jones, Guy Pearce, Joe Alwyn

Rating: 3.5/5

How to apply for a drone permit
  • Individuals must register on UAE Drone app or website using their UAE Pass
  • Add all their personal details, including name, nationality, passport number, Emiratis ID, email and phone number
  • Upload the training certificate from a centre accredited by the GCAA
  • Submit their request
What are the regulations?
  • Fly it within visual line of sight
  • Never over populated areas
  • Ensure maximum flying height of 400 feet (122 metres) above ground level is not crossed
  • Users must avoid flying over restricted areas listed on the UAE Drone app
  • Only fly the drone during the day, and never at night
  • Should have a live feed of the drone flight
  • Drones must weigh 5 kg or less
New schools in Dubai
The biog

Simon Nadim has completed 7,000 dives. 

The hardest dive in the UAE is the German U-boat 110m down off the Fujairah coast. 

As a child, he loved the documentaries of Jacques Cousteau

He also led a team that discovered the long-lost portion of the Ines oil tanker. 

If you are interested in diving, he runs the XR Hub Dive Centre in Fujairah

 

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Started: November 2017

Founders: Mounir Nakhla, Ahmed Mohsen and Mohamed Aboulnaga

Based: Cairo, Egypt

Sector: transport and logistics

Size: 150 employees

Investment: approximately $8 million

Investors include: Singapore’s Battery Road Digital Holdings, Egypt’s Algebra Ventures, Uber co-founder and former CTO Oscar Salazar

What sanctions would be reimposed?

Under ‘snapback’, measures imposed on Iran by the UN Security Council in six resolutions would be restored, including:

  • An arms embargo
  • A ban on uranium enrichment and reprocessing
  • A ban on launches and other activities with ballistic missiles capable of delivering nuclear weapons, as well as ballistic missile technology transfer and technical assistance
  • A targeted global asset freeze and travel ban on Iranian individuals and entities
  • Authorisation for countries to inspect Iran Air Cargo and Islamic Republic of Iran Shipping Lines cargoes for banned goods
Real estate tokenisation project

Dubai launched the pilot phase of its real estate tokenisation project last month.

The initiative focuses on converting real estate assets into digital tokens recorded on blockchain technology and helps in streamlining the process of buying, selling and investing, the Dubai Land Department said.

Dubai’s real estate tokenisation market is projected to reach Dh60 billion ($16.33 billion) by 2033, representing 7 per cent of the emirate’s total property transactions, according to the DLD.

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Best Agent: Jorge Mendes

Best Club : Liverpool   

 Best Coach: Jurgen Klopp (Liverpool)  

 Best Goalkeeper: Alisson Becker

 Best Men’s Player: Cristiano Ronaldo

 Best Partnership of the Year Award by SportBusiness: Manchester City and SAP

 Best Referee: Stephanie Frappart

Best Revelation Player: Joao Felix (Atletico Madrid and Portugal)

Best Sporting Director: Andrea Berta (Atletico Madrid)

Best Women's Player:  Lucy Bronze

Best Young Arab Player: Achraf Hakimi

 Kooora – Best Arab Club: Al Hilal (Saudi Arabia)

 Kooora – Best Arab Player: Abderrazak Hamdallah (Al-Nassr FC, Saudi Arabia)

 Player Career Award: Miralem Pjanic and Ryan Giggs

RESULTS

Bantamweight:
Zia Mashwani (PAK) bt Chris Corton (PHI)

Super lightweight:
Flavio Serafin (BRA) bt Mohammad Al Khatib (JOR)

Super lightweight:
Dwight Brooks (USA) bt Alex Nacfur (BRA)

Bantamweight:
Tariq Ismail (CAN) bt Jalal Al Daaja (JOR)

Featherweight:
Abdullatip Magomedov (RUS) bt Sulaiman Al Modhyan (KUW)

Middleweight:
Mohammad Fakhreddine (LEB) bt Christofer Silva (BRA)

Middleweight:
Rustam Chsiev (RUS) bt Tarek Suleiman (SYR)

Welterweight:
Khamzat Chimaev (SWE) bt Mzwandile Hlongwa (RSA)

Lightweight:
Alex Martinez (CAN) bt Anas Siraj Mounir (MAR)

Welterweight:
Jarrah Al Selawi (JOR) bt Abdoul Abdouraguimov (FRA)

PROFILE OF CURE.FIT

Started: July 2016

Founders: Mukesh Bansal and Ankit Nagori

Based: Bangalore, India

Sector: Health & wellness

Size: 500 employees

Investment: $250 million

Investors: Accel, Oaktree Capital (US); Chiratae Ventures, Epiq Capital, Innoven Capital, Kalaari Capital, Kotak Mahindra Bank, Piramal Group’s Anand Piramal, Pratithi Investment Trust, Ratan Tata (India); and Unilever Ventures (Unilever’s global venture capital arm)

Skoda Superb Specs

Engine: 2-litre TSI petrol

Power: 190hp

Torque: 320Nm

Price: From Dh147,000

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Updated: September 19, 2023, 5:24 AM