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NHS strikes: Why are nurses and ambulance staff taking industrial action? | NHS strikes: Why are nurses and ambulance staff taking industrial action? |
(4 days later) | |
Nurses, ambulance staff and physiotherapists have announced strikes over pay. | Nurses, ambulance staff and physiotherapists have announced strikes over pay. |
The action has led to concerns about NHS funding and the care of patients. | The action has led to concerns about NHS funding and the care of patients. |
When are NHS staff striking? | When are NHS staff striking? |
Nurses | Nurses |
Royal College of Nursing (RCN) members will strike in England on 18 and 19 January. | |
It says two more nurses' strikes will be held on 6 and 7 February, unless there is movement on pay. | |
The RCN says these strikes would be the biggest so far, with more than a third of NHS trusts in England and all but one Welsh health board affected. | |
The union has about 300,000 members - roughly two-thirds of NHS nurses. | |
The RCN and GMB unions in Scotland have put strike action on hold to allow talks on the 2023 pay offer, BBC Scotland understands. | |
Ambulance staff | Ambulance staff |
Some ambulance staff in England and Wales will hold another strike on 23 January. | Some ambulance staff in England and Wales will hold another strike on 23 January. |
Unison members will take action for 24 hours in London, Yorkshire, the North West, North East and the South West. | Unison members will take action for 24 hours in London, Yorkshire, the North West, North East and the South West. |
Unite members will walk out for 24 hours in the North West, North East, East Midlands and Wales, and 12 hours in the West Midlands. | Unite members will walk out for 24 hours in the North West, North East, East Midlands and Wales, and 12 hours in the West Midlands. |
Call-centre and control-room staff will take part, as well as emergency crews. | Call-centre and control-room staff will take part, as well as emergency crews. |
What do the strikes mean for patients? | What do the strikes mean for patients? |
Nurses | Nurses |
Life-preserving treatment must be provided. All nurses in intensive and emergency care are expected to work. | Life-preserving treatment must be provided. All nurses in intensive and emergency care are expected to 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. |
Other care such as cancer treatments or knee and hip replacements, is likely to be affected. | Other care such as cancer treatments or knee and hip replacements, is likely to be affected. |
Nurses could be pulled off picket lines to work if there are safety concerns. | Nurses could be pulled off picket lines to work if there are safety concerns. |
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 responded to by an ambulance | The most life-threatening situations, such as cardiac arrest - will be responded to by 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 | |
Those who have a fall, or suffer other non-life-threatening injuries are unlikely to receive 999 care. | Those who have a 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? |
What do unions want? | What do unions want? |
The RCN is calling for a 19% pay rise. Ambulance workers also want above-inflation pay rises, but have not announced a figure. | The RCN is calling for a 19% pay rise. Ambulance workers also want above-inflation pay rises, but have not announced a figure. |
The government says the demands are unaffordable and pay rises were decided by independent pay review bodies. | The government says the demands are unaffordable and pay rises were decided by independent pay review bodies. |
NHS staff in England and Wales - including nurses - 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 - including nurses - 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 | |
Fourteen health unions, representing more than a million NHS workers in England, said they will no longer work with the NHS Pay Review Body on discussions about the 2023-24 pay deal. | Fourteen health unions, representing more than a million NHS workers in England, said they will no longer work with the NHS Pay Review Body on discussions about the 2023-24 pay deal. |
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 earnings for ambulance staff in England were £46,643 for April 2021 to March 2022, according to NHS Digital. | The average earnings for ambulance staff in England were £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 - had average pay of £29,139, of which £7,842 came from extra payments. | Workers classed as support staff - such as ambulance technicians and non-emergency ambulance drivers - had average pay of £29,139, 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? |
Are other NHS staff striking? | Are other NHS staff striking? |
Physiotherapists | Physiotherapists |
Up to 4.200 NHS physiotherapy staff across England will strike on 26 January and 9 February. | Up to 4.200 NHS physiotherapy staff across England will strike on 26 January and 9 February. |
The Chartered Society of Physiotherapy (CSP) said further dates will be announced if there is no improved pay offer. | The Chartered Society of Physiotherapy (CSP) said further dates will be announced if there is no improved pay offer. |
Junior doctors | Junior doctors |
The British Medical Association (BMA) opened a strike ballot for junior doctors on 9 January, which will run until 20 February. | The British Medical Association (BMA) opened a strike ballot for junior doctors on 9 January, which will run 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. |