NHS ‘doesn’t just belong to junior doctors’, says health secretary as strikes continue
The NHS “doesn’t just belong” to striking junior doctors and can’t be “switched on and off on whim”, the health secretary said.
Victoria Atkins turned up the heat in the government’s row with the British Medical Association (BMA) as their record-breaking walk-out continues.
Junior doctors in England are in the middle of a six-day strike over pay and conditions, the longest industrial action in NHS history.
A number of hospitals in England have pleaded for medics to leave picket lines and get back to work due to safety concerns, also known as derogation requests.
But this has sparked a row as the BMA has suggested the requests are “politically motivated”.
Ms Atkins promised to start talks with the BMA “in 20 minutes” if the strikes were called off.
Speaking on a visit to London Ambulance Service, she told the PA news agency: “I’ve said throughout this that, please, to the junior doctors’ committee, the moment you call off the strikes, I’ll get back around the table with you within 20 minutes.”
She said the strikes have to be called off for negotiations to happen, “because the NHS belongs to us all”.
“It doesn’t just belong to the junior doctors’ committee, and for the 1.3 million people who work in the NHS, as well of course for the tens of millions of people it looks after, the NHS cannot be switched on and off on whim.”
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The longest strike in NHS history
However, the BMA hit back calling it a “political choice” for Downing Street to “stick rigidly to its dogma of not negotiating while strikes are planned”.
Professor Philip Banfield, BMA council chairman, said: “In the past, the government waived this principle for the barrister strikes, so there is no reason for them to waste time and money by refusing to talk now.
“We are clear: we are ready to talk 24/7. Get back around the table, give us a credible offer and we can end these strikes right now.”
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.
Victoria Atkins MP
But the BMA rejected the 3% offer, saying it does not make up for a real-term pay cut of nearly a quarter for junior doctors since 2008.
They want 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, and a reformed pay review body to “safeguard recruitment and retention of junior doctors”.
The strikes are a headache for Rishi Sunak as the UK enters an election year.
The prime minister has staked his premiership on five key pledges which include cutting NHS waiting lists.
Although the backlog was at a record high before the industrial action broke out, over one million appointments have been cancelled or rescheduled due to strike action by junior doctors and other workers in the NHS in the past year.
Read More:
Junior doctors start their longest strike in NHS history – here’s what they want
While the government has managed to resolve other disputes, with a new pay offer recently made to senior doctors, the row with junior medics is showing no signs of abating.
More than 20 derogation requests have been submitted to the BMA for this round of strikes, but so far none have been approved.
The union said that NHS England and some trusts are refusing to provide evidence that they have undertaken steps to show they have “exhausted” all other sources of staffing before recalling medics from the picket line.
In a letter to NHS bosses, the BMA accused health leaders of misusing the system and bowing to political pressure to undermine the strike.
NHS England said they will “continue to engage with the BMA in good faith” and they will address the process for considering patient safety mitigations.
Ms Atkins, echoing Mr Sunak’s comments earlier on Thursday, said she backed NHS leaders in making the mitigation requests but this is being done “completely independent of government”.
She said the strikes are having “very serious consequences”, with 88,000 appointments cancelled during the last set in December.
Health officials have warned that this strike will be worse because it coincides with one of the busiest weeks of the calendar year, due to a rising tide of winter bugs and people storing up problems over the Christmas break.
On the first day of the strike on Tuesday, critical incidents were declared at Queen Alexandra Hospital in Portsmouth and by the NHS in Nottingham.
Meanwhile more than a dozen hospitals said that emergency services were busy, with some reporting “extreme heightened pressure”.
This move follows a recent crackdown that involved confiscating 2,000 cryptocurrency mining devices as part of an anti-corruption initiative.
Billionaire Sir Jim Ratcliffe has told Sky News that Britain is ready for a change of government after scolding the Conservatives over their handling of the economy and immigration after Brexit.
While insisting his petrochemicals conglomerate INEOS is apolitical, Sir Jim backed Brexit and spent last weekend with Labour leader Sir Keir Starmer at Manchester United – the football club he now runs as minority owner.
“I’m sure Keir will do a very good job at running the country – I have no questions about that,” Sir Jim said in an exclusive interview.
“There’s no question that the Conservatives have had a good run,” he added. “I think most of the country probably feels it’s time for a change. And I sort of get that, really.”
Read more: Sir Jim’s mission to succeed at ‘the one challenge the UK has never brought home’
Sir Jim was a prominent backer of leaving the European Union in the 2016 referendum but now has issues with how Brexit was delivered by Tory prime ministers.
“Brexit sort of unfortunately didn’t turn out as people anticipated because… Brexit was largely about immigration,” Sir Jim said.
“That was the biggest component of that vote. People were getting fed up with the influx of the city of Southampton coming in every year. I think last year it was two times Southampton.
“I mean, no small island like the UK could cope with vast numbers of people coming into the UK.
“I mean, it just overburdens the National Health Service, the traffic service, the police, everybody.
“The country was designed for 55 or 60 million people and we’ve got 70 million people and all the services break down as a consequence.
“That’s what Brexit was all about and nobody’s implemented that. They just keep talking about it. But nothing’s been done, which is why I think we’ll finish up with the change of government.”
UK needs to get ‘sharper on the business front’
Prime Minister Rishi Sunak has indicated an election is due this year but Monaco-based Sir Jim is unimpressed by the Conservatives’ handling of the economy.
“The UK does need to get a bit sharper on the business front,” he said. “I think the biggest objective for the government is to create growth in the economy.
“There’s two parts of the economy, there’s the services side of the economy and there’s the manufacturing side. And the manufacturing, unfortunately, has been sliding away now for the last 25 years.
“We were very similar in scale to Germany probably 25 years ago.
“But today we’re just a fraction of where Germany is and I think that isn’t healthy for the British economy… particularly when you think the north of England is very manufacturing based, and that talks to things like energy competitiveness, it talks to things like, why do you put an immensely high tax on the North Sea?
“That just disincentivises people from finding hydrocarbons in the North Sea, in energy.
“And what we need is competitive energy. So I mean, in America, in the energy world, in the oil and gas world, they just apply a corporation tax to the oil and gas companies, which is about 30%. And in the UK we’ve got this tax of 75% because we want to kill off the oil and gas companies.
“But if we don’t have competitive energy, we’re not going to have a healthy manufacturing industry. And that just makes no sense to me at all. No.”
‘We’re apolitical’
Asked about INEOS donating to Labour, Sir Jim replied: “We’re apolitical, INEOS.
“We just want a successful manufacturing sector in the UK and we’ve talked to the government about that. It’s pretty clear about our views.”
Sir Jim was keener to talk about the economy and politics than his role at struggling Manchester United, which he bought a 27.7% stake in from the American Glazer family in February – giving him an even higher business profile.
Old Trafford stadium in Manchester. Pic: AP
Push for stadium of the North
He is continuing to push for public funds to regenerate Old Trafford and the surrounding areas despite no apparent political support being forthcoming. Sir Keir was hosted at the stadium for a Premier League match last weekend just as heavy rain exposed the fragility of the ageing venue.
“There’s a very good case, in my view, for having a stadium of the North, which would serve the northern part of the country in that arena of football,” Sir Jim said. “If you look at the number of Champions League the North West has won, it’s 10. London has won two.
“And yet everybody from the North has to get down to London to watch a big football match. And there should be one [a large stadium] in the North, in my view.
“But it’s also important for the southern side of Manchester, you know, to regenerate.
“It’s the sort of second capital of the country where the Industrial Revolution began.
“But if you have a regeneration project, you need a nucleus or a regeneration project and having that world-class stadium there, I think would provide the impetus to regenerate that region.”
Northern Ireland Secretary Chris Heaton-Harris has said he won’t be standing at the next general election but will keep campaigning for the Conservative Party.
In a letter to Prime Minister Rishi Sunak, which he posted on X on Saturday night, Mr Heaton-Harris said after 24 years in politics, it had been an “honour and a privilege to serve”.
He thanked the people of Daventry, Mr Sunak and former Tory leaders, including Theresa May, Boris Johnson and Liz Truss, “for putting their trust in me”.
Mr Heaton-Harris, who has been serving as Northern Ireland secretary since September 2022, said: “I started as a campaigner and I’ll be out campaigning for @Conservatives at the next election because we are the only party that has and can deliver for the whole of the United Kingdom.”
He joins an exodus of Tory politicians who have announced they will be leaving Westminster at the next general election.
Keep up with all the latest news from the UK and around the world by following Sky News
More than 100 MPs from across the Commons have said they will not be standing.
Those who have announced their intention to leave parliament range from the longest-serving female MP, Labour’s Harriet Harman, to one of those only elected at the last election in 2019, Conservative MP Dehenna Davison.
Of the more than 60 Tory MPs stepping aside, high profile names include former cabinet ministers Ben Wallace, Sajid Javid, Dominic Raab and Kwasi Kwarteng.
Back in March, Mrs May, 67, said she too had taken the “difficult decision” to quit the Commons after 27 years representing her Maidenhead constituency.
The last possible day for a general election is Tuesday 28 January 2025.
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