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Junior medical doctors urged to ‘come again to desk’ as 3-day strike begins

The union behind the junior medical doctors’ strike has been urged to ‘come again to the desk’ and negotiate amid warnings their newest walkout has come on the ‘worst potential time’ for the well being service.

The British Medical Association (BMA) has coordinated the three-day motion, operating from 7am this morning, in a bid for a fair larger pay rise than the 12 per cent already supplied by the Government. It has beforehand demanded a 35 per cent increase.

Health leaders have warned that sufferers face being ‘stranded’ in hospitals over Christmas, whereas 1000’s of important appointments and operations have been cancelled and A&E departments have been pressured to shut. 

Professor Sir Stephen Powis, nationwide medical director for NHS England, warned that the motion has come on the ‘worst potential time of 12 months’ when the well being service is already overwhelmed by a surge in demand as a consequence of Covid, flu and norovirus.  

Ministers this morning urged junior medical doctors to ‘come again to the desk’ to barter with the Government.

Junior doctors today kicked off their 26th day of industrial action this year. The action will end at 7am on Saturday before a further six-day strike — the longest in NHS history — begins at 7am on January 3. Pictured: Junior doctors striking outside University College Hospital in London on December 12

Junior medical doctors immediately kicked off their twenty sixth day of business motion this 12 months. The motion will finish at 7am on Saturday earlier than an additional six-day strike — the longest in NHS historical past — begins at 7am on January 3. Pictured: Junior medical doctors hanging outdoors University College Hospital in London on December 12

The BMA has claimed that junior doctors have seen their pay eroded by 35 per cent in real terms over the past 15 years. Pictured: Junior doctors striking outside University College Hospital in London on December 12

The BMA has claimed that junior medical doctors have seen their pay eroded by 35 per cent in actual phrases over the previous 15 years. Pictured: Junior medical doctors hanging outdoors University College Hospital in London on December 12

NHS bosses had already warned that hospitals will operate at full capacity for just four weekdays until January 10. Only December 27, 28, 29 and January 2 are unaffected by the impending chaos of the holidays and walk-outs until January 10

NHS bosses had already warned that hospitals will function at full capability for simply 4 weekdays till January 10. Only December 27, 28, 29 and January 2 are unaffected by the approaching chaos of the vacations and walk-outs till January 10

Health Secretary Victoria Atkins instructed the BMA to name off strikes to restart talks.

She mentioned: ‘We know that regardless of these measures and the exhausting work of NHS employees, these strikes could cause vital disruption to sufferers and add further strain on the NHS.

‘My door stays open ought to the BMA junior medical doctors committee cancel these disruptive strikes and are available again to the negotiating desk as we have been making good progress.’

Mel Stride, the Secretary of State for Work and Pensions, instructed LBC Radio: ‘What the junior medical doctors have gotten to do now – they’re those which have walked away from the desk – is to come back again to the desk.

‘What they actually shouldn’t be doing is placing folks in these very tough conditions, over this very tough interval for the NHS when the strain is that rather more acute.

‘They’ve walked away, now we have our door vast open to proceed these discussions.

‘We’ve been making some progress, however they actually ought to be coming again to the desk now. It’s deeply disappointing that they’ve completed what they’ve completed.’

Junior medical doctors immediately kicked off their twenty sixth day of business motion this 12 months. The motion will finish at 7am on Saturday earlier than an additional six-day strike — the longest in NHS historical past — begins at 7am on January 3.

It comes after talks between the medics and the Government broke down.

The Government had initially supplied junior medical doctors an 8.8 per cent pay rise, on common, for the 2023/24 monetary 12 months. However, the uplift was increased for first 12 months medics, who got a ten.3 per cent increase.

Ministers insisted this was the ultimate supply, regardless of weeks of devastating strikes by junior medical doctors staged since March. 

But Ms Atkins, who took over from Steve Barclay final month, supplied the medics a further 3 per cent on high of this rise.

However, Dr Robert Laurenson and Dr Vivek Trivedi, who co-chair the BMA’s junior physician committee, mentioned this sum was nonetheless ‘fully inadequate’ and have pressed forward with contemporary walkouts.

The BMA has claimed that junior medical doctors have seen their pay eroded by 35 per cent in actual phrases over the previous 15 years.

The trainee medics have been demanding full pay restoration and have mentioned they’d not accept something much less, though senior figures inside the union have steered they could compromise.

Ms Atkins has since mentioned that the union walked away from the desk earlier than the Government introduced its ‘remaining supply’. 

Dr Laurenson and Dr Trivedi, mentioned immediately: ‘It is extraordinarily disappointing to be on this place. We had hoped that after a much-improved tone and method from the brand new Health Secretary, Ms Atkins, we have been near an answer to this dispute. 

‘We have been inspired by her insistence final week that even after our mutually agreed deadline had handed and we have been pressured to name new strikes, we had nonetheless not heard her ‘remaining supply’.

‘We have spent the final two weeks awaiting this remaining supply within the hope it will be the long-awaited credible supply we might put to our members. Unfortunately, we’re nonetheless but to listen to it.’ 

The Government has refused to speak to unions when strikes are scheduled and the union has mentioned they’re ‘prepared to talk at any level’ and known as for this method to be ditched.

Cheltenham General Hospital's unit shut this morning until 8am on December 23 ¿ shortly after the national three-day junior doctor strike ends

Cheltenham General Hospital’s unit shut this morning till 8am on December 23 – shortly after the nationwide three-day junior physician strike ends

The British Medical Association (BMA) has coordinated the three-day walkout, running from 7am this morning, in a bid for an even bigger pay rise than the 12 per cent already offered by the Government. It has previously demanded a 35 per cent boost

The British Medical Association (BMA) has coordinated the three-day walkout, operating from 7am this morning, in a bid for a fair larger pay rise than the 12 per cent already supplied by the Government. It has beforehand demanded a 35 per cent increase

Professor Powis warned that the strikes are hitting when hospitals are already battling winter pressures within the type of flu and Covid circumstances on the rise. ‘This goes to be a difficult interval and we are going to see disruption as soon as once more,’ he mentioned.

He mentioned: ‘We need to preserve sufferers protected, the BMA additionally acknowledged they want to preserve sufferers protected, and we will likely be guaranteeing that now we have a laser give attention to guaranteeing our most pressing and emergency pathways are there.’

He added: ‘This will likely be a disruptive interval – three days this week, six days – the longest interval of strike motion that we have seen – early within the new 12 months.

‘Of course that is after the brand new 12 months festivities the place we see exercise rising, so it is that second interval of strike motion in January that’s giving us probably the most concern.’

Professor Powis mentioned that he was ‘upset that negotiations broke down’ however mentioned that offers reached with different physician teams present that it’s ‘potential to make progress’.

Dr Robert Laurenson: The ‘militant’ junior physician behind a collection of crippling NHS strikes

Dr Robert Laurenson is co-chair of the BMA's junior doctor committee, which has coordinated strikes among the medics

Dr Robert Laurenson is co-chair of the BMA’s junior physician committee, which has coordinated strikes among the many medics

Dr Robert Laurenson is co-chair of the British Medical Association’s junior physician committee, which has coordinated strikes among the many medics.

He has claimed he’s ‘continuously worrying’ about methods to pay his payments whereas on a junior physician wage.

However, he’s additionally a director of his household’s funding agency and owns a £500,000 flat with no mortgage. 

The junior medical doctors’ chief additionally sparked controversy earlier this 12 months by swanning off to a good friend’s marriage ceremony throughout the first junior medical doctors’ strike – whereas urging union members to sacrifice pay and take to picket traces.

The GP trainee works at Dartford and Gravesham NHS Trust, having taken a 12 months out after his diploma to work as a contract physician for ‘cash and wellbeing’, in line with his LinkedIn.

Dr Laurenson is listed alongside his mother and father and brothers as a director at Westholme Investments Limited. 

The enterprise holds over £2million of investments and beforehand ran a Surrey golf course described as ‘one of many best’ within the county. 

Dr Laurenson was made a director in 2013, a 12 months after he started his medical diploma at Barts and The London School of Medicine and Dentistry. 

It is known he has no day-to-day duties with the agency and doesn’t draw a wage or dividends and isn’t a shareholder. 

He attended Sevenoaks School in Kent, some of the prestigious boarding colleges within the nation which fees charges of as much as £46,566 per 12 months for sixth-formers.

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Due to strike pressures, Cheltenham A&E has been pressured to shut till 8am on December 23 — after the three-day junior physician strike ends. It will shut once more from 8pm on January 1 till 8am on January 9, masking the following wave of motion. 

Patients in life-threatening situations will likely be diverted half-hour to Gloucestershire Royal Hospital for emergency care.

Gloucestershire Hospitals NHS Trust, which runs the hospital, mentioned the closure had ‘not been taken calmly’ and it will work intently with native companions to make sure these in ‘biggest want proceed to have entry to top quality care and assist’.

Dr Ananthakrishnan Raghuram, chief medical officer on the belief, mentioned: ‘We are sorry that many sufferers will expertise disruption to companies.’ 

Health leaders additionally warned that 1000’s of sufferers are liable to being stranded in hospital for Christmas.

Hospitals have been gearing as much as discharge more healthy sufferers sooner, with NHS chief Amanda Pritchard beforehand admitting that diminished staffing brought on by the medical doctors’ strikes decelerate discharges.

Around 13,000 folks a day who’re deemed medically properly sufficient to depart hospital are caught on wards, largely as a consequence of restricted social care and neighborhood companies capability.

But NHS knowledge exhibits the variety of sufferers discharged from hospital fell over the past interval of business motion. 

Julian Hartley, chief government, NHS Providers, mentioned: ‘Trusts are doing every part they’ll to allow folks to get dwelling to be with or near their family members as quickly as they’re properly sufficient to take action.

‘But this week’s strikes are certain to have an effect. Strikes have enormous knock-on results for employees and sufferers throughout the NHS any time.’

Caroline Abrahams, charity director at Age UK, mentioned it was ‘so unhappy’ aged sufferers specifically might stay in hospital unnecessarily over the festive interval.

She mentioned: ‘As Christmas approaches, there’s nothing worse than the distress of many older folks being caught in a hospital mattress for a lot longer than is important, doubtlessly undermining their possibilities of making restoration.

‘This is so unhappy for them and their households and a waste of NHS assets, so trying forward it’s important that the well being and care system works higher in discharging older folks from hospital as soon as they’re medically properly sufficient to depart.’

Last evening, the Prime Minister mentioned the continued strikes have been ‘very disappointing’ and urged the BMA to settle like all different public sector employees.

Rishi Sunak mentioned the Government has ‘demonstrated its appreciable reasonableness’ in reaching settlements elsewhere.

He instructed the Commons Liaison Committee: ‘The query extra is for the junior medical doctors, as to why they’re refusing to just accept one thing that everybody else is now accepting, on high of getting a pay enhance which is extra beneficiant than anybody else’s set by the impartial physique going into this.’

Hospital bosses warned consultants are clashing with junior medical doctors as a result of they imagine the medics do not ‘have an enormous quantity to complain about’. 

One NHS belief chief government instructed The Guardian that the timing of the strikes was a ‘ethical situation’ and the BMA was purposefully staging the motion over Christmas to trigger mayhem within the well being service.

‘It’s beginning to fracture among the relationships and change into an ethical situation. The ethical situation being folks’s lives are being put in danger,’ they mentioned.

A second belief boss instructed the newspaper: ‘Consultants should not completely satisfied about this. Their relationship normally with juniors is fractured.

‘They should not completely satisfied as a result of this has gone on so lengthy and so they do not suppose the juniors have an enormous quantity to complain about.’

Nurses, physiotherapists and paramedics have all known as off strikes following pay offers, whereas consultants are to vote on a proposal their leaders have accepted. 

Junior medical doctors in Wales are planning a 72-hour walkout from January 15, whereas medical doctors in coaching in Northern Ireland are being balloted for potential strike motion. Those in Scotland have already come to an settlement with the Scottish authorities.

Specialist, affiliate specialist and specialty medical doctors (SAS) in England have additionally come to an settlement, which is being put to members.

Strikes throughout the well being service this 12 months are estimated to have price the NHS £2billion in misplaced earnings from delayed operations, scans and procedures and the price of offering cowl for hanging employees. 

Junior medical doctors’ pay – the reality 

Junior medical doctors have been awarded a pay rise of 6 per cent plus a consolidated cost of £1,250 in July, in step with the advice of the Independent Review Body on Doctors’ and Dentists’ Remuneration.

The package deal was equal to a mean enhance of 8.1 per cent from 2022/23 to 2023/24, or 10.3 per cent for these of their first 12 months of coaching.

Average primary pay for a primary 12 months physician elevated from £29,384 to £32,397, whereas a junior physician who had been a specialty trainee for six years or extra noticed their pay rise from £58,398 to £63,152.

Many are paid a better sum for working extra time and receiving enhanced charges for working unsociable hours.

Junior medical doctors pocketed the additional cash regardless of vowing to proceed hanging, with some boasting the extra earnings would subsidise additional walkouts.

Steve Barclay, who was Health Secretary from October 2022 till November 2023, and Prime Minister Rishi Sunak had described the settlement as remaining and insisted there could be no extra talks about pay.

But the British Medical Association has held additional negotiations with officers and ministers within the Department of Health and Social Care since October, ensuing a proposal of an additional 3 per cent, which has been rejected by union representatives.

The BMA has claimed that junior medical doctors have seen their pay eroded by 35 per cent in actual phrases over the previous 15 years.

The trainee medics have been demanding full pay restoration and have mentioned they’d not accept something much less, though senior figures inside the union have steered they could compromise.