York and Scarborough hospital patients affected by strikes this week
Consultants and junior doctors are walking out over pay
Patients at York and Scarborough hospitals will be affected by planned strikes this week.
Consultants and junior doctors are going to be holding strike action over pay for the next four days.
Thousands of patient operations and appointments are expected to be postponed.
Saffron Cordery, deputy chief executive of NHS Providers, said this week's strike action in England "can't become the status quo".
Consultants are walking out in a dispute over pay on Tuesday and Wednesday this week as well as on October 2, 3 and 4.
Junior doctors, who have staged 19 days of strike action since March, will walk out on Wednesday, Thursday and Friday this week as well as October 2, 3 and 4.
This means that Wednesday's strike this week, plus the three days next month, will see both consultants and junior doctors absent from work on the same days.
Ms Cordery told the PA news agency: "This 'double whammy' of the first ever joint strikes by senior and junior doctors is the toughest test yet for trust leaders, ramping up pressure on already stretched services.
"Even when consultants go back to work on Thursday, junior doctors will be on strike until Friday with more strikes by both groups and radiographers planned for early October.
"We're in uncharted territory. It's all hands on deck in trusts across the country.
"Ten months of industrial action have seen almost one million routine appointments and procedures delayed.
"Strikes can't become the status quo. Only the Government sitting down with the unions can end this disruption."
The NHS is expected to see a 'Christmas Day' level of staffing when both consultants and junior doctors are off, with emergency care taking priority.
A spokesperson for York and Scarborough Teaching Hospitals NHS Foundation Trust, said:
“The planned consultant and junior doctor strikes are likely to have an impact. Unfortunately, we have postponed some operations and appointments over the period of strike action, which we will be re-arranging as a priority. We appreciate this situation is frustrating for patients affected and apologise for any inconvenience caused. Anyone with an appointment should continue to attend as planned unless they have been contacted to rearrange.
“Urgent and emergency treatment remains our priority and patients can continue to access care from our emergency departments, maternity services and critical services for inpatients. It is vital that people do not put off seeking care.
“It is even more important people choose services wisely over this period so that care is available to patients who need it most. This includes using 111 online as the first port of call for health needs and continuing to only use 999 if it is a life-threatening emergency.”
Pay dispute
The Government has implemented a 6% pay rise for consultants and 6% plus a lump sum of ÂŁ1,250 for junior doctors and has said there will be no further offers.
The British Medical Association (BMA), meanwhile, is calling for "full pay restoration" back to 2008/09 levels, saying pay has been eroded over several years.
Earlier this year, it estimated that, using RPI inflation measures, the value of junior doctors' pay was eroded by 26% up to 2021/22, and would therefore need to rise by 35% above where it was 2021/22 to be restored.
The union has said its consultants' committee is campaigning for at least an inflationary uplift, as of March 2023.
Earlier this week, NHS Providers said it had heard from one trust that it was having to reschedule care for more seriously ill patients who previously may have been protected from strike disruption.
Another trust is rescheduling appointments for patients already hit by strike action, while another said it would deploy volunteers to support patients with meals and drinks as well as providing company in A&E departments during the strikes.
NHS Providers said the strikes are estimated to have cost the NHS at least ÂŁ1 billion so far and trust leaders are worried that senior doctors are increasingly unwilling to cover shifts when junior doctors are striking.
The Prime Minister's official spokesman said on Monday: "These co-ordinated strikes will pose a huge challenge for the NHS and for patients, who will see their care significantly disrupted."
Health Secretary Steve Barclay was open to discussions about the "non-pay elements" of the BMA's concerns but there were no plans to "revisit" the pay deal, the spokesman said.
NHS national medical director professor Sir Stephen Powis said on Monday: "This week's first ever joint action means almost all planned care will come to a stop, and hundreds of thousands of appointments will be postponed, which is incredibly difficult for patients and their families, and poses an enormous challenge for colleagues across the NHS.
"We're very grateful to the public for using the NHS wisely during this period when we will be prioritising emergency care.
"In a life-threatening situation, use 999 and A&E as normal, but for everything else, use 111 online or use services in the community which are largely unaffected, like GPs and pharmacies.
"Patients who have an appointment and who haven't been contacted should attend as normal."
Prime Minister Rishi Sunak began his premiership pledging to cut waiting lists, but figures released last week showed the NHS waiting list in England reached a new record high with 7.7 million people - around one in seven - waiting for treatment.
The October strike dates coincide with the Conservative Party annual conference in Manchester.