Resident doctors across England begin a five-day strike this morning over pay and jobs, marking the 14th walkout by them since March 2023.
It coincides with the record number of flu cases in England and NHS leaders warning of a “huge strain on hospitals” and strikes causing “further disruption and delays”.
Resident doctors are striking in England from 7am today until 7am on Monday 22 December.
Sir Keir Starmer called the action “irresponsible” while Health Secretary Wes Streeting has rejected the British Medical Association’s (BMA) pay demands, accusing the union of a “shocking disregard for patient safety”.
But the BMA insists its strike is “entirely avoidable” and has demanded a “credible offer” to avert “real-terms pay cuts”.
Streeting: Government has gone ‘as far as we can’ with BMA negotiations
Why are resident doctors on strike?
The government says resident doctors have already received an average pay rise of 28.9% over the past three years (2023-24 to 2025-6).
But the BMA has been demanding an additional 26% pay uplift to restore what they say amounts to erosion in their earnings, once inflation is taken into account. Although there is some dispute about the extent of the real terms fall, because of the BMA’s use of the Retail Price Index (RPI) in its calculation.
While it did not include any extra pay, the offer included the fast expansion of specialist training posts; covering out-of-pocket expenses such as exam fees; and offering to extend the union’s strike mandate to enable any walkout to be rescheduled to January.
BMA boss on decision to go ahead with doctors’ strike
What if I need urgent medical care?
The Department of Health and Social Care says it is important people do not avoid seeking urgent care, and should use 999 if it is a serious or life-threatening emergency. For everything else, there is NHS 111 or the NHS App.
It adds that patients should turn up for planned appointments unless they have been told otherwise. Any appointments that need to be rescheduled will be given priority.
During strikes, there are exemptions or special arrangements, called derogations, which allow certain essential services to continue operating. It means critical services will be maintained to ensure patient safety and prevent serious harm.
How much do resident doctors earn?
There are many different types of resident doctor in England with different levels of pay. Full Fact, which has crunched the numbers, said they currently earn between £38,831 and £73,992 a year, but that does not take into account extra pay for unsociable hours.
Full Fact states that resident doctors typically get between a quarter and a third more than their basic salary from other sources.
This takes estimated average earnings (in the year ending August 2025) to between £45,846 and £81,061 (although the government claims the figures are more like £49,000 to £97,000).
Comparisons with other countries are difficult because of how doctors are categorised. Broadly, resident doctors in England earn about the same as those in Ireland and anything between 1% less and 26% more than in New Zealand.
But doctors in Australia earn somewhere between 23% and 48% more than their counterparts in England.
BMA rejects offer despite Streeting’s attack
Wes Streeting took a risky line of attack. He put an offer of more jobs to the BMA.
And while that offer was being considered he went on the offensive.
He warned the NHS would collapse if the resident doctors carried on with their strikes during a record flu season.
He repeated that line throughout last weekend when doctors were voting on whether to call off the strikes.
The BMA responded by accusing Streeting of “scaremongering”. In the end, 83.2% of those who took part in the poll rejected the government’s offer.
Senior NHS consultants gave interviews saying flu season was bad, but to be expected, and with the same contingency planning that happens every summer (off flu season) the NHS would cope.
The BMA will argue that Streeting can make the resident doctors his scapegoat for an NHS that will struggle again this winter.
They rejected that idea completely. And now they have rejected his offer.
What has the reaction been?
The prime minister has said the strike comes “on the back of a very substantial pay increase in the last year or so”.
“I think it’s irresponsible action by the BMA,” he told MPs.
BMA actions ‘irresponsible’, says Starmer
The health secretary called for doctors to ignore the strike and criticised what he called the “fantasy demand for another 26% pay rise,” adding that “it reveals the BMA’s shocking disregard for patient safety”.
Dr Jack Fletcher, chairman of the BMA’s resident doctors’ committee, said the strikes were “entirely avoidable”. He added that “we should start negotiating, and the government should stop game-playing”.
But organisations representing NHS trusts have been scathing about the walkouts. Daniel Elkeles, chief executive of NHS Providers, said: “Trust leaders and staff will be working now to minimise the impact of the strike, but sadly it will mean further disruption and delays.”
Meanwhile, Rory Deighton, acute and community care director at the NHS Confederation, said: “These strikes come at the worst possible time, with rapidly rising flu levels putting huge strain on hospitals.”
What about public support for strikes?
Public support for the strikes is low, according to a YouGov poll released last week.
The results showed 58% of those asked either somewhat or strongly opposed the industrial action, while 33% somewhat or strongly supported it.
Former British heavyweight world champion Anthony Joshua delivered a dose of reality to YouTuber-turned-boxer Jake Paul as he won their much-anticipated showdown.
Joshua scored three knockdowns before landing a huge right hit on Paul halfway through the sixth round.
The British fighter lifted Paul’s hand in a show of respect after the fight broadcast on the streaming platform Netflix.
Image: Joshua landing the right hit that knocked out Paul. Pic: AP
“Jake Paul has done really well tonight. I want to give him his props, he got up, time and time again,” he said about his opponent.
Joshua said it “wasn’t the best performance”, adding: “It took a bit longer than expected. But the right hand finally found the destination.”
Image: Joshua celebrating his win after the fight. Pic: Reuters
Meanwhile, Paul said: “I’m feeling good, that was fun. I love this sport. I gave it my all, It’s f****** crazy. I had a blast.
“I got my ass beat, but that’s what this sport is about. I’mma (going to) come back and keep on winning.”
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He added: “I just got tired to be honest. He did amazing and hits really hard.”
Image: Jake Paul was knocked down three times before the final knockout in the sixth round. Pic: Reuters
The fight marked the end of a 14-month hiatus for Joshua, 36, while for 28-year-old Paul it was the biggest fight since his boxing career began in 2020.
At the weigh-in on Friday, Joshua boasted an almost two-stone advantage over Paul, who has regularly fought at cruiserweight since he entered the world of boxing.
Britain’s two-time world heavyweight champion tipped the scales at 243.4lbs (17st 5lbs) for his fight against Paul in Miami, while Paul weighed in at 216lbs (15st 6lbs) – a hefty 1.9st difference.
Joshua, who could not weigh more than 245lbs, is the lightest he has been since his first fight against Oleksandr Usyk in September 2021 when he was 240lbs. For his last fight against Daniel Dubois he weighed 252.5Ibs.
Image: Jake Paul and Anthony Joshua at the weigh-in. Pic: Reuters
It is also only the second time that Paul weighed in over cruiserweight limit – the other time was when he fought 58-year-old Mike Tyson. Paul defeated Tyson by unanimous decision with 80-72, 79-73, and 79-73.
This breaking news story is being updated and more details will be published shortly.
David Walliams has been dropped by his publisher HarperCollins UK following allegations of inappropriate behaviour towards women.
A spokesperson for the company said it had decided not to release any new titles by Walliams“after careful consideration, and under the leadership of its new CEO”.
“HarperCollins takes employee well-being extremely seriously and has processes in place for reporting and investigating concerns,” they added.
“To respect the privacy of individuals, we do not comment on internal matters.”
In a statement later on Friday, a spokesperson for the comedian and children’s author said: “David has never been informed of any allegations raised against him by HarperCollins.
“He was not party to any investigation or given any opportunity to answer questions. David strongly denies that he has behaved inappropriately and is taking legal advice.”
It follows a report from The Telegraph that Walliams was dropped after an investigation into allegations of inappropriate behaviour towards young women.
The 54-year-old, who shot to fame with the BBC sketch show Little Britain, is one of the country’s best-selling children’s writers.
He has written more than 40 books, which have sold more than 60 million copies worldwide and been translated into 55 languages, according to his website.
His first children’s book, The Boy in the Dress, was published by HarperCollins in 2008, and he was awarded an OBE in 2017 for services to charity and the arts.
Walliams is also known for Come Fly With Me, another BBC sketch show, and was formerly part of the judging panel for ITV’s Britain’s Got Talent.
He left the show in 2022 after a recording of him making disparaging comments about contestants was leaked.
The remarks were understood to have been both derogatory and sexually explicit, referring to one contestant as a “c***” and saying of another: “She thinks you want to f*** her, but you don’t”.
HarperCollins UK announced in October that it had appointed Kate Elton as its new chief executive, following the departure of former boss Charlie Redmayne.
The family of a nine-year-old girl stabbed to death have said she was a “beautiful soul” who was brave, kind-hearted and “always put a smile on people’s faces”.
Police were called to Lime Close in Weston-super-Mare, Somerset, just before 6.10pm on Monday, where Aria Thorpe had suffered a single stab wound.
The child was pronounced dead at the scene.
In a tribute released by Avon and Somerset Police on Friday, the girl’s family on her mother’s side said: “For those who didn’t have the privilege of knowing Aria, she was the most beautiful little soul – happy-go-lucky, full of light, and joy.
“She loved to sing and dance, and she took such pride in dressing up, always wanting to look just like her mummy.”
Tom Thorpe, the girl’s father, said: “It’s hard to put into words how devastating it is, our little Aria, that you’re up there with the angels looking over us.”
It comes as a 15-year-old boy charged with Aria’s murder appeared in court.
Image: Pic: Avon and Somerset Police
Aria was a ‘precious girl’
In their statement, Aria’s family on her mother’s side said her death “has devastated us beyond words”.
“Our hearts are broken in a way we never imagined possible,” they added.
“As a family, we are holding one another close and doing everything we can to support each other through this unimaginable time.”
They said they were “truly touched by the lovely messages we have received”, before asking “that our privacy is respected, as we try to come to terms with the terrible loss of our precious girl”.
Image: Flowers laid in memory of the young girl
‘Wacky ways and outright madness’
Mr Thorpe said: “How sad it’s going to be not hearing ‘Dad, how long left?’ on our long journeys back and forth at weekends.
He then said that Aria was “such a brave, kind-hearted and a beautiful innocent soul”, and “always put a smile on people’s faces with your wacky ways and just outright madness”.
Mr Thorpe added: “Your other little family down here in Portsmouth will forever miss you.
“We’ll miss you begging to go outside, even in the pouring rain just to have as much fun as possible in the little time we had at weekends.
“You will be greatly missed, you special little angel. A life gone far too early but I hope a life lived well. We all love you dearly. Goodnight darling.”
Teenager in court
Meanwhile, a 15-year-old boy charged with Aria’s murder appeared at Bristol Crown Court on Friday, where he was remanded.
The teenager, who cannot be named because of his age, was arrested in the Somerset village of Worle at 6.19pm on Monday.
He is next due in court on 16 March 2026. Appearing via video link from youth detention accommodation, he spoke only to confirm his name.
Judge Peter Blair KC set a provisional trial date for 15 June during the hearing.