Jeremy Hunt has said the “door is open for constructive discussions” with junior doctors, as they begin three days of strike action in England over pay and conditions.
The walk-out started at 7am on Wednesday, after negotiations between the British Medical Association (BMA) and the Department of Health broke down earlier this month.
Reports suggested an additional pay rise of around 3% – on top of the 8.8% recommended by the independent pay review body in April – was put on the table by the government.
But the BMA said that would amount to real-term pay cuts for its members following years of below-inflation pay rises, with only a rise of 35% bringing pay back to 2008 levels.
A final offer is not understood to have been made by Health Secretary Victoria Atkins before the BMA’s deadline, leading to the union announcing fresh strike dates.
Junior doctors, who are qualified but are undertaking further training after medical school, make up nearly half of all doctors in the English NHS system.
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Health charities and organisations issued a plea to junior doctors to call off the industrial action over fears patients could be left “stranded” in hospital over Christmas as they wait to be discharged.
The groups, including Age UK and the NHS Confederation, also said it would be “extremely difficult to ensure safe and effective care during this period for all patients that need it”.
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But the BMA’s chair of council, Philip Banfield, said for patients to get the care they needed, the government had to “invest in the expertise required to deliver this”, adding: “This is the last strike action of 2023, which will have seen 28 days of action by junior doctors.
“The government is entirely capable of making the total for 2024 zero days – but it needs to make a serious and credible offer now that we can put to members.”
Image: Heath secretary Victoria Atkins has been holding talks with the BMA since taking on her new role
But the NHS has said emergency and urgent care will be prioritised during the strikes, with routine care the most affected.
Speaking to reporters on Wednesday, the chancellor said the walk-outs were “incredibly disappointing”.
Mr Hunt added: “The health secretary has said her door is open for constructive discussions.
“When it comes to this government’s commitment to the NHS, we have 25,000 more doctors than we had in 2010, and we’ve increased funding by more than a third in real terms, so we have shown our commitment to the NHS.
“And more than a million NHS workers have recognised that by settling for a fair and reasonable pay deal, and I hope junior doctors to the same.”
But the BMA’s junior doctors committee said it was “extremely disappointing to be in this position”, with its co-chairs, Dr Robert Laurenson and Dr Vivek Trivedi, saying: “We had hoped that after a much-improved tone and approach from the new health secretary… we were close to a solution to this dispute.
“We have spent the last two weeks awaiting this final offer in the hope it would be the long-awaited credible offer we could put to our members. Unfortunately, we are still yet to hear it.”
They called on Ms Atkins to “show true leadership and leave behind the dogma that has been holding talks back”, adding: “She needs to be willing to talk to us regardless of whether strikes are scheduled.
“After so many missed opportunities in 2023 to settle the dispute, at a cost of £2bn to the NHS, surely now is the moment to conclude that everyone’s time would be saved by cutting out unnecessary posturing. Patients in need of care deserve nothing less.”
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3:45
NHS funding: ‘We’ve stolen from tomorrow’
Further strikes are planned for January, with junior doctors due to walk out for six consecutive days – the longest action ever taken by NHS staff.
Junior doctors in Wales are planning a 72-hour strike from 15 January, while junior doctors in Northern Ireland are being balloted for potential strike action.
Staff in Scotland have already come to an agreement with the Scottish government.
In common with many parents across the country, here’s a conversation that I have with my young daughter on a semi-regular basis (bear with me, this will take on some political relevance eventually).
Me: “So it’s 15 minutes until your bedtime, you can either have a little bit of TV or do a jigsaw, not both.”
Daughter: “Ummmm, I want to watch TV.”
Me: “That’s fine, but it’s bed after that, you can’t do a jigsaw as well.”
Fast-forward 15 minutes.
Me: “Right, TV off now please, bedtime.”
(Pause)
Daughter: “I want to do a jigsaw.”
Now replace me with the government, the TV and jigsaw options with axing welfare cuts and scrapping the two-child cap, and my daughter with rebellious backbenchers.
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6:36
Rachel Reeves’s fiscal dilemma
That is the tension currently present between Downing Street and Labour MPs. And my initial ultimatum is the messaging being pumped out from the government this weekend.
In essence: you’ve had your welfare U-turn, so there’s no money left for the two-child cap to go as well.
As an aside – and before my inbox fills with angry emails lambasting me for using such a crude metaphor for policies that fundamentally alter the lives of some of the most vulnerable in society – yes, I hear you, and that’s part of my point.
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9:11
Welfare U-turn ‘has come at cost’
For many in Labour, this approach feels like the lives of their constituents are being used in a childish game of horse-trading.
So what can be done?
Well, the government could change the rules.
Altering the fiscal rules is – and will likely remain – an extremely unlikely solution. But as it happens, one of Labour’s proverbial grandparents has just popped round with a different suggestion.
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5:31
Welfare: ‘Didn’t get process right’ – PM
A wealth tax, Lord Neil Kinnock says, is the necessary outcome of the economic restrictions the party has placed on itself.
Ever the Labour storyteller, Lord Kinnock believes this would allow the government to craft a more compelling narrative about whose side this administration is on.
That could be valuable, given one of the big gripes from many backbench critics is that they still don’t really understand what this prime minister stands for – and by extension, what all these “difficult decisions” are in aid of.
The downside is whether it will actually raise much money.
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16:02
Is Corbyn an existential risk to Labour?
The super-rich may have lots of assets to take a slice from, but they also have expensive lawyers ready to find novel ways to keep their client’s cash away from the prying eyes of the state.
Or, of course, they could just leave – as many are doing already.
In the short term, the future is a bit easier to predict.
If Downing Street is indeed now saying there is no money to scrap the two-child cap (after heavy briefing in the opposite direction just weeks ago), an almighty tantrum from the backbenches is inevitable.
And as every parent knows, the more you give in, the harder it becomes to hold the line.
The UK has re-established diplomatic ties with Syria, David Lammy has said, as he made the first visit to the country by a British minister for 14 years.
The foreign secretary visited Damascus and met with interim president Ahmed al Sharaa, also the leader of the rebel group Hayat Tahrir al-Sham (HTS), and foreign minister Asaad al Shaibani.
In a statement, Mr Lammy said a “stable Syria is in the UK’s interests” and added: “I’ve seen first-hand the remarkable progress Syrians have made in rebuilding their lives and their country.
“After over a decade of conflict, there is renewed hope for the Syrian people.
“The UK is re-establishing diplomatic relations because it is in our interests to support the new government to deliver their commitment to build a stable, more secure and prosperous future for all Syrians.”
Image: Foreign Secretary David Lammy with Syria’s interim president Ahmed al Sharaa in Damascus. Pic: X / @DavidLammy
The Foreign, Commonwealth and Development Office has also announced a £94.5m support package for urgent humanitarian aid and to support the country’s long-term recovery, after a number of British sanctions against the country were lifted in April.
While HTS is still classified as a proscribed terror group, Sir Keir Starmer said last year that it could be removed from the list.
The Syrian president’s office also said on Saturday that the president and Mr Lammy discussed co-operation, as well as the latest developments in the Middle East.
Since Assad fled Syria in December, a transitional government headed by Mr al Sharaa was announced in March and a number of western countries have restored ties.
In May, US President Donald Trump said the United States would lift long-standing sanctions on Syria and normalise relations during a speech at the US-Saudi investment conference.
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1:12
From May: Trump says US will end sanctions for Syria
He said he wanted to give the country “a chance at peace” and added: “There is a new government that will hopefully succeed.
“I say good luck, Syria. Show us something special.”
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