2 January 2024
The NHS is working hard to keep patients safe during planned strikes while delivering the best care possible, and patients should continue to attend appointments as planned unless contacted to reschedule.
The next planned industrial action is from 7am on Wednesday 3 January until 7am on Tuesday 9 January 2024.
You can also read a message from our colleagues at NHS Shropshire, Telford and Wrekin here.
What is happening?
Trade unions representing some NHS staff are in dispute with the Government over the 2022/23 pay award. A number of the unions have balloted their NHS members to take part in industrial action. As a result, members of the following unions have advised of plans to take strike action on the dates listed below:
- 7am on Wednesday 3 January until 7am on Tuesday 9 January – Junior doctors from BMA will be taking strike action. HCSA junior doctors may join subject to the outcome of their ongoing ballot.
What do strikes mean for NHS services in my area?
The strikes announced cover junior doctors across the NHS. This means action will impact every hospital in England. For more details please see the union websites:
- Hospital Consultants and Specialists Association (HCSA)
- British Medical Association (BMA) junior doctors
What does this mean for care?
During these strikes, other doctors (including consultants, GPs and other specialist doctors) will still be working. However, the NHS is working hard to ensure adequate staffing through the entirety of urgent care pathways, urgent elective cases, and other services. However, the disruption to staffing will cause a significant reduction in elective activity and this may mean that some appointments and procedures may need to be rescheduled. We will only reschedule appointments and procedures where necessary and will rebook immediately, where possible. The BMA and HCSA have stated junior doctors will undertake a full withdrawal of labour. The NHS will be working closely with unions to discuss any concerns around patient safety and ensure that safe emergency care continues to be available.
What if I need urgent or emergency care?
Anyone who needs urgent care should use NHS111 online to be assessed and directed to the right care for them. If you do not have internet access, then 111 helpline is available. When someone is seriously ill or injured and their life is at risk, you should seek emergency care in the normal way, by calling 999.
What about discharge for patients ahead of Christmas?
The NHS and partners are already working hard to discharge patients who are clinically fit and reduce occupancy levels to the extent possible ahead of the Christmas and New Year. The NHS is doing all it can to discharge anyone who is clinically fit. This not only helps patients avoid being in hospital over Christmas and the New Year, it also helps support urgent and emergency care during strike days.
Can the NHS provide safe services during strikes?
The NHS is working hard to minimise the risk to patient safety. This means we will prioritise resources to protect emergency treatment, critical care, neonatal care, maternity, and trauma, and ensure we prioritise patients who have waited the longest for elective care and cancer surgery. We will only reschedule appointments and procedures where it is necessary and will rebook immediately, where possible. Unfortunately, these strikes will have a significant impact upon planned and routine care.
What will this mean for appointments?
During strike action we will prioritise emergency treatment and patients seeking urgent treatment will be seen. Unfortunately, this means we may have to prioritise emergency care over some routine appointments and procedures. Everyone who has an appointment should attend as planned, unless your local NHS provider has contacted you to reschedule. If we have not contacted you, please attend your appointment even if your Trust is affected by strikes.
Will emergency care be affected on strike days?
Emergency care will continue to be available across all parts of the country. It is really important that in emergency and life-threatening cases – when someone is seriously ill, or their life is at risk patients continue to come forward as normal.
When will I find out if my appointment is rescheduled?
The NHS will contact you if your appointment needs to be rescheduled due to strike action. This is likely to be a text, phone call or a letter and you should be offered an alternative date for your appointment. If we have not contacted you, please attend your appointment as planned.
If my appointment is rescheduled, will I be put back to the bottom of the waiting list?
Any appointments that need to be rescheduled will be done so as a priority.
Should I cancel my appointment on the day of strikes?
No, if we have not contacted you, please attend your appointment as planned.
Is there anything I should do now?
To avoid delays in getting your medicines or the risk of running out of medicines during strikes please order prescriptions in good time.
I have a loved one who will be a hospital inpatient on strike day – how will their care be affected?
All hospital inpatients will be informed of how their care will be impacted on a ward-by-ward basis by the staff involved in delivering their care.
Will GP services be affected on strike days?
GP practices will continue to be open during the junior doctors strike. Please continue to attend your GP and dental appointments, unless you are contacted and told otherwise.
Will dentists be impacted?
Please continue to attend any dental appointments unless you are contacted and told otherwise.
What is considered an emergency?
Patients should only call 999 if seriously ill or injured, and there is risk to life. Ambulances will be dispatched where clinically appropriate.
How long will services be impacted?
The joint strike action by junior doctors in December will last for 72 hours.
Could union members still go out on strike in a trust that has no official industrial action mandated?
Action can only be taken where the employer has been notified of strike action by the union after a ballot authorising such action at that employer. It’s unlawful to take part in ‘secondary action’ (going on strike in sympathy with people who work for a different employer). Information is available here on the rights of staff around taking industrial action.
Can staff working in a derogated area still strike?
Union members in derogated areas can still take strike action and will be protected against dismissal. Derogations are an informal agreement between unions and employers and are not legally enforceable.
However, derogations are negotiated for areas providing critical patient care. Those refusing to work in derogated services can be advised they may be committing a criminal offence if their strike action has the potential to endanger human life or cause serious bodily injury and that they should seek advice from their union.
What rights do non-union staff have who take industrial action?
Non-union members who take part in legal, official industrial action at their employing organisation have the same rights as union members not to be dismissed as a result of taking action.