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NHS strike dates: Why are nurses and ambulance staff taking industrial action? | NHS strike dates: Why are nurses and ambulance staff taking industrial action? |
(about 20 hours later) | |
Some nurses, ambulance staff and physiotherapists are striking over pay. | |
When are NHS staff striking? | When are NHS staff striking? |
Ambulance staff | Ambulance staff |
Members of three unions across England and Wales have been taking industrial action across several dates since December 2022. | |
Unite members are striking again on the following dates: | |
Northern Ireland: 16, 17, 23 and 24 February | |
West Midlands: 17 February, and 6 and 20 March | West Midlands: 17 February, and 6 and 20 March |
North East: 20 February, and 6 and 20 March | North East: 20 February, and 6 and 20 March |
East Midlands: 20 February, and 6 and 20 March | East Midlands: 20 February, and 6 and 20 March |
Wales: 20 February, and 6 and 20 March | Wales: 20 February, and 6 and 20 March |
North West: 22 February, 6 and 20 March | |
GMB members in the South West, South East Coast, North West, South Central, North East, East Midlands and Yorkshire are striking on 20 February, and 6 and 20 March. | GMB members in the South West, South East Coast, North West, South Central, North East, East Midlands and Yorkshire are striking on 20 February, and 6 and 20 March. |
GMB ambulance staff in Wales called off their 6 February strike after an improved pay offer. | GMB ambulance staff in Wales called off their 6 February strike after an improved pay offer. |
Unison members in London, Yorkshire, the South West, North East and North West are striking on 10 February. | Unison members in London, Yorkshire, the South West, North East and North West are striking on 10 February. |
Physiotherapists | Physiotherapists |
Up to 4,200 members of the Chartered Society of Physiotherapy (CSP) are striking at 33 health trusts across England on 9 February. | Up to 4,200 members of the Chartered Society of Physiotherapy (CSP) are striking at 33 health trusts across England on 9 February. |
The union represents three-quarters of the 30,000 physios and support staff in the NHS in England. | The union represents three-quarters of the 30,000 physios and support staff in the NHS in England. |
CSP members in Scotland accepted an improved pay offer, but the union has warned that further strikes in England and Wales are likely. | |
Physiotherapists, 'the quiet NHS miracle workers', walk out | Physiotherapists, 'the quiet NHS miracle workers', walk out |
Nurses | Nurses |
Royal College of Nursing (RCN) members in England walked out on 6 and 7 February, following previous industrial action in December and January. | |
The RCN said the February nursing strikes would be the biggest so far, affecting more than a third of NHS trusts in England and all but one Welsh health board. | |
The union has about 300,000 members - roughly two-thirds of NHS nurses. | |
The RCN and GMB unions in Scotland put strike action on hold to allow talks on the 2023 pay offer. | |
Reopen NHS pay talks, bosses plead as staff strike | |
Nurses call on Sunak to make new pay offer | |
Midwives | |
Members of the Royal College of Midwives in Wales also walked out on 7 February. | |
What do strikes mean for patients? | |
Ambulance staff | Ambulance staff |
The advice remains to call 999 in an emergency. | The advice remains to call 999 in an emergency. |
The most life-threatening situations - such as cardiac arrest - will be sent an ambulance | The most life-threatening situations - such as cardiac arrest - will be sent an ambulance |
Conditions which are serious but not immediately life-threatening might not be immediately attended | Conditions which are serious but not immediately life-threatening might not be immediately attended |
Less urgent calls - such as a woman in late-stage labour - will not be prioritised | Less urgent calls - such as a woman in late-stage labour - will not be prioritised |
Those who fall, or suffer other non-life-threatening injuries are unlikely to receive 999 care. | Those who fall, or suffer other non-life-threatening injuries are unlikely to receive 999 care. |
What calls will ambulances answer on strike day? | What calls will ambulances answer on strike day? |
Physiotherapists | Physiotherapists |
Emergency care will be available. | Emergency care will be available. |
Staff will advise hospital inpatients about any impact. | Staff will advise hospital inpatients about any impact. |
Outpatients should attend appointments as planned, unless they have been asked to reschedule. | Outpatients should attend appointments as planned, unless they have been asked to reschedule. |
Nurses | |
Life-preserving treatment must be provided. All nurses in intensive and emergency care should work. | |
Anyone who is seriously ill or injured should still call 999, or 111 for non-urgent care. | |
Services such as chemotherapy, kidney dialysis and intensive care are staffed, as part of emergency cover. | |
The biggest disruption is likely to be for pre-booked treatments such as hernia repair, hip replacements and outpatient clinics. | |
Midwives | Midwives |
The RCM says action will not affect services for women in labour or emergency care. | |
What do unions want? | What do unions want? |
The RCN wants a 19% pay rise, although it has indicated it may meet the government "halfway". | The RCN wants a 19% pay rise, although it has indicated it may meet the government "halfway". |
Unions representing ambulance workers and physiotherapists also want above-inflation pay rises, but have not specified a figure. | Unions representing ambulance workers and physiotherapists also want above-inflation pay rises, but have not specified a figure. |
The government says the demands are unaffordable, and that pay rises are decided by independent pay review bodies. | The government says the demands are unaffordable, and that pay rises are decided by independent pay review bodies. |
NHS staff in England and Wales have already received an average increase of 4.75%. The lowest paid were guaranteed a rise of at least £1,400 | NHS staff in England and Wales have already received an average increase of 4.75%. The lowest paid were guaranteed a rise of at least £1,400 |
In Northern Ireland, nurses will receive the same increase, which will be backdated | In Northern Ireland, nurses will receive the same increase, which will be backdated |
In Scotland, a pay offer averaging 7.5% has been accepted by some unions | In Scotland, a pay offer averaging 7.5% has been accepted by some unions |
Fourteen health unions, representing more than a million NHS workers in England, said they would no longer work with the NHS Pay Review Body regarding the 2023-24 pay deal. | Fourteen health unions, representing more than a million NHS workers in England, said they would no longer work with the NHS Pay Review Body regarding the 2023-24 pay deal. |
MPs on the House of Commons' Health and Social Care Committee were told the Department of Health and Social Care missed the deadline for submitting evidence about the next pay deal. The Treasury has submitted evidence. | MPs on the House of Commons' Health and Social Care Committee were told the Department of Health and Social Care missed the deadline for submitting evidence about the next pay deal. The Treasury has submitted evidence. |
Are pay review bodies completely independent? | Are pay review bodies completely independent? |
What's the gap between public and private sector pay? | What's the gap between public and private sector pay? |
Would pay demands cost an extra £28bn? | Would pay demands cost an extra £28bn? |
How much are ambulance workers paid? | How much are ambulance workers paid? |
The average salary for ambulance staff in England was £46,643 for April 2021 to March 2022, according to NHS Digital. | |
Of this, £13,854 came from extra payments for things like shift work and overtime. | Of this, £13,854 came from extra payments for things like shift work and overtime. |
Workers classed as support staff - such as ambulance technicians and non-emergency ambulance drivers - received £29,139 on average, of which £7,842 came from extra payments. | Workers classed as support staff - such as ambulance technicians and non-emergency ambulance drivers - received £29,139 on average, of which £7,842 came from extra payments. |
How much are nurses paid? | How much are nurses paid? |
The starting salary for a nurse is England is just over £27,000 a year. This is the bottom of pay band five of the NHS contract, known as Agenda for Change. | The starting salary for a nurse is England is just over £27,000 a year. This is the bottom of pay band five of the NHS contract, known as Agenda for Change. |
Staff such as healthcare assistants, porters and cleaners are on lower pay bands. | Staff such as healthcare assistants, porters and cleaners are on lower pay bands. |
Workers are entitled to in-the-job increases within their pay band. | Workers are entitled to in-the-job increases within their pay band. |
A nurse with four years' experience could expect to earn close to £33,000 - the top end of pay band five. | A nurse with four years' experience could expect to earn close to £33,000 - the top end of pay band five. |
The most senior nurse consultants can earn up to nearly £55,000. | The most senior nurse consultants can earn up to nearly £55,000. |
Does the average nurse earn £34,000 a year? | Does the average nurse earn £34,000 a year? |
Would every 1% rise to nurses' pay cost £700m? | Would every 1% rise to nurses' pay cost £700m? |
How much are physios paid? | How much are physios paid? |
NHS physios are on the standard NHS contract that applies to all staff bar doctors and dentists. | NHS physios are on the standard NHS contract that applies to all staff bar doctors and dentists. |
Starting salaries for physios are just above £27,000 in England. The most experienced physios can earn more than twice that in the NHS, although many combine NHS commitments with private work. | Starting salaries for physios are just above £27,000 in England. The most experienced physios can earn more than twice that in the NHS, although many combine NHS commitments with private work. |
Will other NHS staff strike? | Will other NHS staff strike? |
The British Medical Association (BMA) opened a strike ballot for junior doctors on 9 January, which runs until 20 February. | The British Medical Association (BMA) opened a strike ballot for junior doctors on 9 January, which runs until 20 February. |
The BMA says staff will walk out for 72 hours in March if the ballot is successful. | The BMA says staff will walk out for 72 hours in March if the ballot is successful. |