Junior doctors start their longest strike in NHS history – here’s what they want
Junior doctors in England are due to walk out for six days, starting this morning.
The industrial action, from 7am on 3 January to 7am on 9 January, is the longest in the history of the NHS.
Health service executives have said the strike could mean “one of the most difficult starts to the year the NHS has ever faced”.
But the British Medical Association (BMA) has said it was forced to take action and reject the government’s December pay offer as it fails to compensate for real-terms pay cuts going as far back as 2008.
Here Sky News looks at why the strikes are happening and what both sides have said about them.
Who is striking?
The strikes only involve junior doctors in England. Under the NHS system, a junior doctor is any medical school graduate with between one and nine years’ experience.
They can be either members of the BMA or the Hospital Consultants and Specialists Association union.
NHS consultants took strike action in September and October and agreed to an extra 4.95% pay rise for senior doctors on top of the annual 6% increase already offered to them by the government.
This will be voted on by members of their union this month.
Medical students and staff who are not junior doctors are not legally allowed to join their colleagues on the picket line when scheduled to work.
But they can offer support and supplies when not on duty.
Junior doctors who work within the armed forces are also not permitted to take part.
BMA members on strike outside University College Hospital in London on 20 December
What do junior doctors want?
The government gave junior doctors an 8.8% pay rise last summer, with an extra 3% offered during the last round of negotiations towards the end of the year.
The BMA said it rejected the 3% offer because it does not make up for a real-term pay cut of nearly a quarter for junior doctors since 2008.
Instead, they are calling for:
• Full pay “restoration” to reverse real-term cuts in pay since 2008/9;
• A new pay mechanism to prevent any future pay decreases against inflation and the cost of living;
• A reformed Doctors’ and Dentists’ Review Body for independent and fair pay recommendations for staff to “safeguard recruitment and retention of junior doctors”.
The BMA claims junior doctors in England were subjected to a 26.1% real terms pay cut between 2008 and 2022.
First-year doctors on 2016 contracts get paid £32,398 a year – while those on the previous 2002 contract earned £28,274, according to the BMA website.
And with 6.4 million patients on the waiting list for treatment, the union says staff are suffering burnout and leaving the country or the profession altogether.
They say the strikes are designed to “save the NHS” from conditions that put patient care at risk.
Why are these strikes significant?
Junior doctors also went on strike for three days between 20 and 23 December.
With this week’s round of action, it means there will have only been four weekdays unaffected by strikes or the Christmas holidays over a period of three weeks.
Gloucestershire Hospitals NHS Trust decided to close Cheltenham A&E during the last strike – and is doing the same between 8pm on 1 January and 8am on 9 January.
Figures released in September showed that rescheduled appointments due to strike actions by both junior doctors and consultants have now surpassed one million.
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NHS England’s national medical director, Professor Sir Stephen Powis, said the strikes will not only affect the health service this week – but also for “weeks after… as we recover services and deal with additional demand”.
He described them as having a “significant impact on almost all routine care”, with almost half of the medical workforce on picket lines.
Urgent care will be covered by non-striking, more senior staff, but routine appointments and operations are likely to be rescheduled.
What has the NHS said?
Julian Hartley, chief executive of NHS Providers, said hospital trusts are “worried” by the level of industrial action.
“It does mean that there will be a huge amount of concern around managing patient safety and quality during this period because urgent care will be the priority, but a lot of planned care will have to be rescheduled for later in the new year,” he said.
Professor Sir Stephen added: “Six consecutive days of industrial action comes at one of our busiest periods – the action will not only have an enormous impact on planned care, but comes on top of a host of seasonal pressures such as COVID, flu, and staff absences due to sickness – all of which is impacting on how patients flow through hospitals.
“Our colleagues across the health service are doing their very best for patients every day, with extensive preparations in place, but there’s no doubt they are starting 2024 on the back foot.”
He warned people to only use hospital services in emergencies – but said people must still call 999 or attend A&E if they are in genuine need.
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Strike ‘not the way’ to secure settlement, says health secretary
What has the government said?
During the December strikes, Health and Care Secretary Victoria Atkins said she was prepared to return to the negotiating table if the strikes were called off.
On Tuesday, the prime minister’s spokesperson reiterated: “As the health and care secretary made clear, we are willing to have further discussions, but obviously the first thing to do is to stop striking.”
He added that the strikes are impacting the NHS’s ability to clear the waiting list backlog, with 88,000 appointments likely to be cancelled this time.
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The government wants a “fair resolution… for the taxpayer and hard-working doctors and health workers”, he said, adding: “It’s still very much in their gift to call off the strike action.”
Rishi Sunak told parliament last year the junior doctors’ strikes were “disappointing”.
He said: “We have now reached a resolution with every other part of the public sector and every other part of the NHS.
“And I’d also say that it was the junior doctors who received the biggest increase in their pay through the independent public standing pay review process of around a 10% increase for a typical junior doctor.”
Canterbury MP Rosie Duffield has resigned from the Labour Party.
The 53-year-old MP is the first to jump ship since the general election and in her resignation letter criticised the prime minister for accepting thousands of pounds worth of gifts.
She told Sir Keir Starmer the reason for leaving now is “the programme of policies you seem determined to stick to”, despite their unpopularity with the electorate and MPs.
In her letter she accused the prime minister and his top team of “sleaze, nepotism and apparent avarice” which are “off the scale”.
“I’m so ashamed of what you and your inner circle have done to tarnish and humiliate our once proud party,” she said.
Rosie Duffield. Pic: UK Parliament/Jessica Taylor/Handout via Reuters
Sir Keir has faced backlash after a Sky News report revealed he had received substantially more freebies than any other MP since becoming Labour leader.
Since December 2019, the prime minister received £107,145 in gifts, benefits, and hospitality – a specific category in parliament’s register of MPs’ interests.
Ms Duffield, who has previously clashed with the prime minister on gender issues, attacked the government for pursuing “cruel and unnecessary” policies as she resigned the Labour whip.
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She criticised the decision to keep the two-child benefit cap and means-test the winter fuel payment, and accused the prime minister of “hypocrisy” over his acceptance of free gifts from donors.
“Since the change of government in July, the revelations of hypocrisy have been staggering and increasingly outrageous,” she said.
“I cannot put into words how angry I and my colleagues are at your total lack of understanding about how you have made us all appear.”
Ms Duffield also mentioned the recent “treatment of Diane Abbott”, who said she thought she had been barred from standing by Labour ahead of the general election, before Sir Keir said she would be allowed to defend her Hackney North and Stoke Newington seat for the party.
Her relationship with the Labour leadership has long been strained and her decision to quit the party comes after seven other Labour MPs were suspended for rebelling by voting for a motion calling for the two-child benefit cap to be abolished.
“Someone with far-above-average wealth choosing to keep the Conservatives’ two-child limit to benefit payments which entrenches children in poverty, while inexplicably accepting expensive personal gifts of designer suits and glasses costing more than most of those people can grasp – this is entirely undeserving of holding the title of Labour prime minister,” she said.
Ms Duffield said she will continue to represent her constituents as an independent MP, “guided by my core Labour values”.
UK
King Charles hails ‘uniquely special’ Scotland as it marks Holyrood milestone – before being hugged by woman
The King has paid tribute to Scotland as a “uniquely special place” for the Royal Family as he marked the 25th anniversary of the Scottish parliament.
At the ceremony to commemorate a quarter of a century since parliament opened at Holyrood, the King said: “Speaking from a personal perspective, Scotland has always had a uniquely special place in the hearts of my family and myself.
“My beloved grandmother was proudly Scottish, my late mother especially treasured the time spent at Balmoral, and it was there in the most beloved of places, where she chose to spend her final days.”
He said we are all “united by our love of Scotland”, paying tribute to its “natural beauty”, “strength of character”, “diversity of its people”, “passions and frequently deeply held beliefs”.
“From the central belt to the north Highlands, across the islands in Ayrshire, in the Borders, the cities, towns and villages, all the coastal communities, who I wonder, could not fail to be moved by this complex Caledonian kaleidoscope?,” he asked as presiding officer Alison Johnstone and the Queen sat beside him.
After he gave the speech, the King was hugged by a member of the public – who said she did so “because of him being unwell”.
The 75-year-old was diagnosed with cancer in February but has since returned to public duties.
Yvonne Macmillan, 59, from East Renfrewshire, attended the anniversary ceremony with her husband Russell who is registered blind and chosen as a “local hero” for work in their area.
“I asked him if he was feeling better and if I could give him a hug. I actually said to him: ‘Can I hug you?’,” she said.
“As I hugged him I said, ‘God bless you’, so it was like God giving him a hug.”
The King listens to the presiding officer of the Scottish parliament at Holyrood. Pic: PA
The Queen sits alongside the King as he makes his speech on Saturday. Pic: PA
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While Sir Tony Blair’s Labour government legislated for Scottish devolution in 1997 – parliament officially opened at Holyrood on 1 July 1999.
The King has made six visits to the parliament since 1999 – while his mother Queen Elizabeth II made 10 visits during her lifetime.
The King arrives at the Scottish parliament on Saturday. Pic: PA
Scottish First Minister John Swinney is one of a number of MSPs who have been at Holyrood since the start of devolution.
He said in his own speech in Edinburgh on Saturday that the parliament has “placed itself at the very heart of the nation”, describing it as a “vessel of enlightenment, invention and creativity”.
The King shakes hands with First Minister John Swinney in Edinburgh on Saturday. Pic: PA
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The SNP’s Christine Grahame is another MSP who has been there since the start.
“Free tuition, free prescriptions, game-changing policies to tackle child poverty, the ban on smoking, the baby box, ScotRail back in public ownership – none of this would have been possible without the Scottish parliament and the strength of our commitment to self-determination,” she said on Saturday.
The King said the devolved parliament has the ability to “touch and to improve the lives of so many individuals”.
Former first ministers Nicola Sturgeon and Humza Yousaf take a selfie as they wait for the King. Pic: PA
But he added that “there remains much more to be done” for Scotland, the rest of the UK, particularly with regards to climate change.
“Let this moment therefore be the beginning of the next chapter,” he told those assembled.
“The achievement of the past and the commitment shown in the present give us the soundest basis for confidence in the future.”
A moped riding phone thief was caught red-handed after police tracked the device down hours after he snatched it from a woman’s hand.
CCTV footage released by police showed a masked moped rider mount the pavement in Croydon, south London, to swipe a phone from a woman’s hand on 6 March, while another victim had theirs stolen while they waited for a bus an hour later.
Amari Scott, 20, looked surprised when confronted by officers inside a shop, where he was found with two mobile phones.
Amari Scott was caught red-handed. Pic: Met Police
“We’ve just had a moped rob a mobile phone off the pavement and the phone is pinging in this location,” one of the officers told him in body-worn camera footage before Scott was handcuffed and led away.
Police also recovered a stolen motorbike and Scott, from Sutton, south London, was later jailed for four years.
Two teenagers who committed four robberies in the space of just half an hour were also arrested as part of a crackdown in Croydon.
Aged 16 and 17, the teens were issued with referral orders after pleading guilty to charges of robbery, attempted robbery and attempted grievous bodily harm.
Amari Scott was jailed for four years. Pic: Met Police
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They were behind a spree of eight robberies across Croydon and nearby Bromley, including four within 30 minutes on the morning of 5 August.
Their crimes, which included the knife point robbery of a rough sleeper outside Croydon library, were caught on CCTV.
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One of the teenagers tried to discard a knife before she was arrested after a foot chase, telling officers: “The knife wasn’t mine”.
The other ran away, leaving a knife and his bag, but was lying in bed at home when he was arrested shortly after.
Two teenagers committed four robberies in 30 minutes. Pic: Met Police
The Metropolitan Police said officers are intensifying efforts to tackle robbery and theft, encouraging victims to report incidents as they happen to increase the chances of catching the criminals.
Chief Inspector James Weston said: “We understand the impact that robbery has on victims – it is invasive and frightening.
“That’s why our teams are working so hard to deter and catch offenders to reassure our local community.
“Thanks to the hard work of officers, our partners and community grassroots organisations, we are stepping up our efforts and tackling the issues that matter most to the people of Croydon.”
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