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| Version 21 | Version 22 |
|---|---|
| NHS strike dates: Why are nurses and ambulance staff taking industrial action? | NHS strike dates: Why are nurses and ambulance staff taking industrial action? |
| (1 day later) | |
| Some nurses, ambulance staff and physiotherapists are striking over pay. | Some nurses, ambulance staff and physiotherapists are striking over pay. |
| What does it mean for patients? | |
| 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 since December 2022. | |
| Unite members are striking again on the following dates: | Unite members are striking again on the following dates: |
| Northern Ireland: 16, 17, 23 and 24 February | 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 | 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. | |
| 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. | Royal College of Nursing (RCN) members in England walked out on 6 and 7 February, following previous industrial action in December and January. |
| The union has about 300,000 members - roughly two-thirds of NHS nurses. | The union has about 300,000 members - roughly two-thirds of NHS nurses. |
| The February action was the biggest to date, affecting more than a third of NHS trusts in England and all but one Welsh health board. | |
| More than 34,100 outpatient appointments and 7,300 inpatient treatments had to be rescheduled. More than 100,000 appointments and treatments have been affected since December. | |
| The RCN and GMB unions in Scotland postponed strike action to allow talks about a 2023 pay offer. | |
| Reopen NHS pay talks, bosses plead as staff strike | Reopen NHS pay talks, bosses plead as staff strike |
| Nurses call on Sunak to make new pay offer | Nurses call on Sunak to make new pay offer |
| Midwives | Midwives |
| Members of the Royal College of Midwives in Wales also walked out on 7 February. | Members of the Royal College of Midwives in Wales also walked out on 7 February. |
| What do strikes mean for patients? | 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 |
| Serious conditions not obviously life-threatening might not be immediately attended | |
| Less urgent calls - such as women 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 | Nurses |
| Life-preserving treatment must be provided. All nurses in intensive and emergency care should work. | 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. | 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. | 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. | 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. | 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 2023-24 pay. | |
| 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 2023-24 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. | 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. |
| Related Topics | |
| UK ambulance services | |
| NHS crisis | |
| Nursing | |
| NHS | |
| Royal College of Nursing | |
| Strike action |