Junior doctor's strike in England set to be the 'longest in NHS history'

It's the first of five days of industrial action

Author: Karen LiuPublished 13th Jul 2023

Junior doctors in England start a five-day strike today, thought to be the longest walkout in the history of the NHS

The strikes begin at 7am and are due to continue until 7am on Tuesday as members of the BMA in England continue their dispute over pay.

Protestors will attend picket lines at hospitals and medical centres around the country.

Will Collins is a junior doctor at Scarborough Hospital and he said: "I guess we've had enough really. There's been about a decade of half of stagnant pay for all people who work in the NHS and public sector. If you work in t e NHS, you're not doing it for the money, you're doing it because you think you're going to make a difference and that goodwill is being abused and exploited by politicians.

"People might miss their appointments, it's true. Patients do rely on us doctors and NHS workers to keep them healthy and stop them from dying but at the end of the day, what they rely on more is the NHS as an institution which has been systematically gutted and underfunded for the last 20 to 30 years.

"I think what the Government is trying to do is single out junior doctors who are choosing to strike as the reason for people dying but actually that's simply not true. A recent stat suggested that 500 people per week were dying because of cuts to services, waiting times and the pressure on the NHS.

"Patients response has generally been extremely supportive because I think in general people also understand that the NHS is in crisis and it's not our fault that it's happening. Everyone in the hospital that I know is doing their best to work in a broken system and deliver the best patient care to people.

"People waiting in A&E know it's not because of doctors and nurses aren't working hard enough, they know it's because we haven't got the staff and resources to give decent care so they have been understanding and supportive. I've had numerous poeple say they're grateful for what we do and they support the strikes because they know it's about much more than just simply pay."

Calls for negotiations to continue

BMA leaders urged the Government to return to the negotiating table in a bid to resolve the long-running row, which has already led to a series of strikes and thousands of cancelled operations and consultations.

BMA leaders Dr Robert Laurenson and Dr Vivek Trivedi said: “Today marks the start of the longest single walkout by doctors in the NHS’s history, but this is still not a record that needs to go into the history books.

“We can call this strike off today if the UK Government will simply follow the example of the government in Scotland and drop their nonsensical precondition of not talking whilst strikes are announced and produce an offer which is credible to the doctors they are speaking with.

“The pay offer on the table to junior doctors in Scotland and how it was reached throws into sharp relief the obstinate approach being taken by the Prime Minister and the Health Secretary, Steve Barclay.

“The Health Secretary has said there can be no talks while strikes are planned – Scotland has proved him wrong. He said above 5% wasn’t realistic – Scotland proved him wrong. He refused to even acknowledge the concept of pay restoration – Scotland proved this is not only possible but essential.”

Industrial action is "taking its toll" on the NHS

NHS Providers has urged both sides to resume talks in a bid to head off more industrial action.

Deputy chief executive Saffron Cordery said: “The impact of these disputes is fraying the fabric of the NHS, held together by a unique sense of commitment and shared endeavour across the workforce that has served it so well over so many years. We lose that at our peril.

“The disruption for many thousands of patients and the potential harm of delaying their treatment is a huge and growing risk for the NHS to manage. Trusts will hardly have time to draw breath after a five-day walkout by junior doctors before consultants strike for two days, followed by a two-day strike by radiographers.

“Trusts will continue to do everything they can to limit disruption and keep patients safe but that’s getting harder and more expensive with every strike as the cost of hiring cover grows, and with staff dissatisfaction increasing as disputes remain unresolved.

“Eight consecutive months of industrial action across the NHS are taking their toll not just on patients, with more than 651,000 routine procedures and appointments forced to be rescheduled, but on already overstretched services – hampering efforts to cut waiting lists.”

Strikes still supported by the wider public

Polling by YouGov showed that public support for strikes has remained consistent since the beginning of the year.

Nurses have the strongest public backing, with three in five Britons supporting them and just three in 10 opposed.

Ambulance workers have similar levels of support, with 58% in favour and 33% opposed.

Health Secretary 'disappointed' over strike action

Health and Social Care Secretary Steve Barclay said: “It is disappointing that the BMA is going ahead with further strike action. This five-day walkout by junior doctors will have an impact on thousands of patients, put patient safety at risk and hamper efforts to cut NHS waiting lists.

“We were in discussions about pay and a range of other measures to improve the working lives of junior doctors until their representatives collapsed the negotiations by announcing further strikes. A pay demand of 35% or more is unreasonable and risks fuelling inflation, which makes everyone poorer.

“Earlier this week I held a round table with doctors in training to talk about other key issues that affect them so we can work together to make the NHS a better place for all. We recently published the first ever NHS Long Term Workforce Plan, which includes measures to better support staff, improve training and double the number of medical school places by 2031.

“If the BMA shows willingness to move significantly from their current pay demands and cancels these damaging and disruptive strikes, we can get around the table to find a fair deal to resolve this dispute.”

History of the NHS

NHS is established

The National Health Service was formally established in 1948 at what is now Trafford General Hospital in Manchester. The service was started by Aneurin Bevan under the government of Clement Atlee. Its aim was to create a system of free healthcare to all. One of the first patients was Sylvia Diggory, aged 13, who was suffering from a liver condition.

Prescription charges introduced

Soon after its inception, charges for prescriptions and dental care were introduced. Each prescription would cost one shilling, while dental care would require a £1 payment. Charges would eventually be dropped and then reinstated in 1968.

NHS discoveries

Throughout the 1950s, thanks to the pioneering technology the NHS was using, a number of medical advancements were made. Polio vaccinations were rolled out in the UK, the structure of DNA was found and the link between smoking and cancer was proven.

Treating new diseases

As time went on and the NHS grew, so did its capacity to look after those who were unable to be treated before. The Mental Health Act in 1983 was the first time the concept of consent was raised in treating those with mental health issues. Nurses also treated people suffering from AIDS in the late 1980s and, together with the government, helped to reduce the stigma of the disease, which primarily affected gay men.

Opening to the public

In order to cope with the increasing demand for the NHS, the structure of the service changed. In 1991, NHS Trusts were established in the first of a wave of reorganisation for the service. People would later be able to donate organs more easily with the introduction of the NHS Organ Donor Register.

Stretched resources

In the 21st century, the NHS came under pressure as a result of stretched resources. With the rising cost of medicines, the government voted to bring in longer working hours and minimal increases in pay for NHS staff in 2015. This resulted in a mass picket of junior doctors around the country for better working conditions. It was the first general strike in the NHS' history and the first instance of industrial action in 40 years. There have been further strikes in 2023

NHS during coronavirus

In 2020, a new disease named COVID-19 began to spread around the world, eventually reaching the UK at the end of January. The resulting pandemic led to NHS workers being on the frontline of the disease. Support for the NHS grew massively and during lockdowns, so-called "Claps for Carers" would take place every Thursday to thank the NHS and its staff for protecting the public during the pandemic.

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