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.
A major incident had been declared in Shropshire following reports of a sinkhole affecting a canal in the Chemistry area of Whitchurch.
Emergency services are currently on the scene, and a multi-agency response has been set up, co-ordinated through the Shropshire Tactical Co-ordination Group (TCG).
There are currently no reports of any casualties, and residents are being assisted by the fire service.
A picture seen by Sky News shows a whole section of the canal completely drained of water. Two narrowboats appear to have fallen into the hole and are sitting on the canal bed.
Image: This is the section of the canal which has been affected. Pic: Uy Hoang/Google Street View
Image: Pic: Shropshire Fire and Rescue Service
Shropshire Fire and Rescue Service said on X: “Shropshire FRS is responding to a landslip affecting the canal in the Whitchurch area.
“For everyone’s safety, members of the public are kindly asked to remain away from the affected area, including Whitchurch Marina, while crews and partners manage the incident.”
Puppy farms, trail hunting and snare traps are all set to be banned under animal welfare reforms being introduced by the government.
Ministers have today unveiled the government’s Animal Welfare Strategy, which also takes aim at other measures seen as cruel, such as shock collars, as well as cages and crates for farm animals.
But while proposals to improve animals’ lives have been welcomed, Labour have been accused of acting like “authoritarian control freaks” for plans to ban trail hunting.
This is the practice that sees an animal scent laid through the countryside, which then allows riders and dogs to ‘hunt’ the smell.
Labour banned fox hunting outright in 2004, but Sir Keir Starmer’s government has suggested trail hunting is now “being used as a smokescreen for hunting” foxes.
Announcing the reforms, Environment Secretary Emma Reynolds said: “This government is delivering the most ambitious animal welfare strategy in a generation.
“Our strategy will raise welfare standards for animals in the home, on the farm and in the wild.”
More on Animal Welfare
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Image: Emma Reynolds has said the UK is a “nation of animal lovers”.
Pic: PA
Under the proposals, puppy farms – large-scale sites where dogs are bred intensively – will be banned.
This is because these farms can see breeding dogs kept in “appalling conditions” and “denied proper care”, resulting in “long-term health issues”, according to the Department for the Environment, Food and Rural Affairs (DEFRA).
The strategy has also launched a consultation on banning shock collars, which use electricity to sting pets and prevent them from escaping.
Other proposals include introducing new licences for rescue and rehoming organisations, promoting “responsible” dog ownership and bringing in new restrictions for farms to improve animal welfare.
These will see bans on “confinement systems” such as colony cages for hens and pig-farrowing crates, while requirements will be brought in to spare farmed fish “avoidable pain”.
The use of carbon dioxide to stun pigs will also be addressed, while farmers will be encouraged to choose to rear slower-growing meat chicken breeds.
In order to protect wild animals, snare traps will be banned alongside trail hunting, while restrictions on when hares can be shot will be introduced.
Image: Reform UK leader Nigel Farage has said the government “might as well ban walking dogs in the countryside”.
Pic: PA
The reforms have been publicly welcomed by multiple animal charities, including the RSPCA, Dogs Trust, Battersea Dogs and Cats Home, and World Farming UK, as well as by the supermarket Waitrose.
Thomas Schultz-Jagow, from the RSPCA, called the proposals a “significant step forward” and said they have the potential to improve millions of lives.
He added: “People in the UK love animals, and they want to see governments leading the way to outlaw cruel practices which cause suffering. This strategy leads the way by showing a strong commitment to animal welfare.”
Meanwhile, the Greens have also welcomed it but warned the strategy must have “real teeth”, “clear timescales” and “properly support farmers through the transition and not allow imports that don’t meet UK standards”.
Adrian Ramsay said: “Puppy legislation must end breeding for extreme, unhealthy traits in dogs. The strategy could go further for animals, particularly by ending greyhound racing, as the Welsh Government is doing.”
But the Conservatives have hit out at the strategy, saying it shows Labour “simply doesn’t care about rural Britain”.
Victoria Atkins, the shadow environment secretary, said: “While it is good to see the government taking forward Conservative policies to tackle puppy smuggling and livestock worrying, Labour is yet again favouring foreign farmers over British farmers by allowing substandard foreign imports to undercut our already-high welfare standards.”
She also accused Labour of announcing the strategy on the Monday before Christmas “to avoid scrutiny” as “they know that this will be another hammer blow to farming profitability”.
Hundreds of tractors are heading to Westminster to protest over changes to inheritance tax rules.
Meanwhile, Nigel Farage said: “So now Labour wants to ban trail hunting. You might as well ban walking dogs in the countryside as they chase rabbits, hares, deer and foxes. Labour are authoritarian control freaks.”
The Countryside Alliance, an organisation that promotes rural sport, said: “Why does the government want a war with the countryside?
“Trail hunting supports hundreds of jobs and is central to many rural communities. After its attack on family farms, the government should be focusing on addressing issues that actually help rural communities thrive, rather than pursuing divisive policies that hinder them.”
Wes Streeting has pledged to do all he can to avoid industrial action in 2026, as doctors in England return to work following a five-day walkout.
The health secretary said the strike, coupled with surging flu cases, constituted “the most serious threat to the NHS” since he began the role a year and a half ago.
He said: “The double whammy of strike action and flu this December posed the most serious threat to the NHS since I became health and social care secretary.
“The health service has only been able to cope because of the extraordinary efforts of the dedicated staff who work in it, and the hardest yards are in the weeks ahead as we get the NHS through the busiest weeks of the year.
“To everyone who played a role in keeping NHS services running through this exceptionally challenging month, thank you for the real difference you have made.
“I do not want to see a single day of industrial action in the NHS in 2026 and will be doing everything I can to make this a reality.
“My door remains open, as it always has done, and I’m determined to resume discussions with the BMA in the new eear to put an end to these damaging cycles of disruption.”
More on Nhs
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Doctors’ strike begins at ‘worst possible time’ for NHS says health secretary
Sir Keir Starmer called the action “irresponsible”, while Mr Streeting accused the union of a “shocking disregard for patient safety”.
The BMA said the strike was “entirely avoidable” and has demanded a “credible offer” for English doctors to avert “real-terms pay cuts”.
The government’s offer had included a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees.
It also offered to extend the union’s strike mandate to enable any walkout to be rescheduled to January.
Flu hits record for time of year
It does not address resident doctors’ demand for a 26% salary rise over the next few years to make up for the erosion in their pay in real terms since 2008 – this is on top of a 28.9% increase they have had over the last three years.
Public support for the strikes is low, according to a recent YouGov poll.
The results showed 58% of those asked either somewhat or strongly opposed the industrial action, while 33% somewhat or strongly supported it.