Use the NHS as usual during junior doctors' strikes, public told
Sir Jim Mackey said striking medics should not be able to make up for lost shifts by doing overtime to clear backlogs once industrial action is over.
Thousands of junior doctors are expected to join the strike, which is the 12th they have staged since March 2023. They are demanding a 29 per cent pay rise despite already having been handed an increase by Labour.
Sir Jim urged hospital leaders to keep routine operations and appointments going if possible and to only cancel if there is a risk to patient safety.
He said the NHS would be 'much more resistant' to demands from the BMA, according to The Times, adding that previous strikes had been 'net positive from a financial point of view' for doctors but must not be 'consequence-free' this time.
In a call with hospital leaders on Wednesday, he said: 'We've been very, very clear we want to have a different approach this time.
'You have noticed already we are in a different space compared to where we were last time, much more instructive to the BMA, much more resistant to their demands.
'Frankly we and you make decisions about safety, not the BMA. Do what you do best, make sensible decisions and we'll stick together.'
NHS England said hospitals and local teams had been preparing before the industrial action by the British Medical Association, which begins at 7am on Friday, and had plans to 'minimise disruption to patient care and ensure life-saving care continues'.
During the strike, GP surgeries will open as usual and urgent care and A&E will continue to be available for those who need them, NHS England said.
It urged the public to use 111 online as the first port of call for urgent but not life-threatening issues.
Prof Meghana Pandit, NHS England national medical director, said: 'There is no doubt this industrial action will take a toll on patients and NHS staff, and it is disappointing it is going ahead.
'While it will mean some appointments won't be able to go ahead as planned, we are doing all we can to limit this, and patients should continue to use NHS services in the usual way.
'The public should dial 999 in an emergency, and otherwise use 111 online, your local pharmacist or GP, and patients should attend NHS appointments unless told otherwise.'
The BMA said NHS England's plan posed a risk to patients.
Strikes by resident doctors last June led to 61,989 inpatient and outpatient appointments being rescheduled.
Since the end of 2022, almost 1.5 million appointments have been rescheduled as a result of industrial action.
The BMA said on Tuesday that talks with the Government aimed at averting the strike had collapsed over the core issue of pay.
Dr Melissa Ryan and Dr Ross Nieuwoudt, co-chairs of the BMA's resident doctors committee, said in a statement: 'We have always said that no doctor wants to strike and all it would take to avoid it is a credible path to pay restoration offered by the Government.
'We came to talks in good faith, keen to explore real solutions to the problems facing resident doctors today.
'Unfortunately, we did not receive an offer that would meet the scale of those challenges.
'While we were happy to discuss non-pay issues that affect doctors' finances we have always been upfront that this is at its core a pay dispute.'
'Completely unjustified, completely unprecedented'
Wes Streeting, the Health Secretary, said: ' We cannot move on pay after a 28.9 per cent pay rise ' but added that the Government was looking at ways to improve resident doctors' working lives.
He said there was an opportunity for the union 'to work with us on a range of options that would have made a real difference to resident doctors' working conditions and created extra roles to deal with the bottlenecks that hold back their career progression.
'Instead, they have recklessly and needlessly opted for strike action.'
'All of my attention will be now on averting harm to patients and supporting NHS staff at work.
'After a 28.9 per cent pay hike in the last three years and the highest pay rise in the public sector two years in a row, strike action is completely unjustified, completely unprecedented in the history of British trade unionism and shows a complete disdain for patients and the wider recovery of the NHS.'
It came after research suggested public support for the strike is waning.
A YouGov poll showed about half (52 per cent) of people in the UK 'somewhat oppose' (20 per cent) or 'strongly oppose' (32 per cent) resident doctors going on strike over pay.
A third (34 per cent) of the 4,954 adults surveyed either 'somewhat support' (23 per cent) or 'strongly support' (11 per cent) doctor strikes.
YouGov said the proportion supporting the strike over pay has dropped five points since it last asked the question in May, when 48 per cent opposed the strikes and 39 per cent supported them.
Daniel Elkeles, the chief executive of NHS Providers, said the decision for strikes to go ahead 'is a crushing blow for patients and for the NHS'.
Resident doctors are qualified doctors in clinical training.
They have completed a medical degree and can have up to nine years of working experience as a hospital doctor, depending on their speciality, or up to five years of working and gaining experience to become a GP.
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