Public support for doctor strikes is declining
Meanwhile, a third (34%) of the 4,954 adults surveyed either 'somewhat support' (23%) or 'strongly support' (11%) doctor strikes.
Most Britons are now opposed to resident doctors going on strike over pay, as currently scheduled to take place from Friday
Support: 34% (-5 from 27 May)Oppose: 52% (+4) pic.twitter.com/fcdfIsLvDO
— YouGov (@YouGov) July 21, 2025
Older people are more likely to be against, with 52% of those aged over 65 'strongly opposed', compared with 10% of those aged 18 to 24.
YouGov said the proportion supporting the strike over pay has dropped five points since it last asked the question in May.
Back then, 48% opposed resident doctors striking, while 39% supported them taking action.
It comes as the British Medical Association (BMA) condemned NHS England's plans for the health service during the five-day walkout, which begins at 7am on Friday.
NHS England has written to NHS bosses urging them not to cancel pre-planned care wherever possible.
The letter urges the health system to focus on maintaining emergency care, maintaining the flow of patients and 'maintaining elective care to the fullest extent possible' as well as 'priority treatments' such as cancer care.
'It will be important for systems and trusts to try and maintain normal levels of booked activity…' the letter said.
It added: 'Reducing volumes of bookings and rescheduling of appointments and other activity should only happen in exceptional circumstances to safeguard patient safety.'
We've written to NHS England with concerns about inadequate planning ahead of possible strike action later this week. Attempts to run non-urgent services with fewer doctors risk patient safety. It's imperative that Trusts postpone work to protect urgent and emergency care. pic.twitter.com/cUtMdox9kg
— The BMA (@TheBMA) July 21, 2025
On Tuesday morning, BMA deputy chairwoman Dr Emma Runswick told BBC Radio 4's Today programme the plan risked patient safety.
She said: 'We've had proven systems over the last decade that have made sure that where we have to take strike action, senior doctors cover urgency and critical care.
'This time round, NHS England are pushing for the continuation of non-urgent and scheduled care in a way that we think at best is confusing and will create on-the-day cancellations – and at worst could be risky and lead to harm in emergency departments and on wards, because senior doctors cannot physically be in two places at once.
'We think that a notional guidance from NHS England which is saying that basically all scheduled work should continue to go ahead has potential to be seriously risky for patients.'
During previous rounds of industrial action in 2023 and 2024, NHS England told trusts they could cancel large volumes of non-urgent care so that consultants could step in to cover emergency services.
But under the leadership of new NHS England chief executive Sir Jim Mackey, hospitals have been given tougher rules over cancellations and said they may need prior approval.
Dr Runswick said: 'Senior doctors are needed to be freed up in order to provide urgency and critical care.
'We think the vast majority of planned and unscheduled care should be shifted.
Health Secretary Wes Streeting has ruled out any additional pay rise (Lucy North/PA)
'There are always, in every hospital, local medical managers, local clinical leaders, who will make decisions about what is safe to go ahead – but trying to maintain scheduled care during this strike is not safe in many cases.'
Professor Meghana Pandit, NHS England's co-national medical director for secondary care, said: 'The safest thing for patients is for the NHS to maintain as much urgent and planned care as possible during strikes, and we would encourage the BMA to work with us constructively to achieve this in the event industrial action goes ahead.'
Talks between the Government and the BMA have continued in recent days, though Health Secretary Wes Streeting has ruled out extra pay rises.
The BMA has also issued guidance for consultants regarding the extra pay they can seek for covering work during the strike that is not in their contracts.
The BMA 'rate card' says consultants can ask for £188 per hour on weekdays from 7am-7pm and £250 an hour from 7pm to 11pm.
At weekends, the pay claim can rise to £250 per hour from 7am to 11am and £313 per hour for overnight work from 11pm to 7am.
The BMA guidance to consultants regarding the strike said: 'Consultants will no doubt want to work with employers to ensure that services are still able to operate effectively.
Consultants and SAS doctors in England – look out for your indicative ballot email from @TheBMA today!
Wes Streeting called pay restoration "a journey, not an event" – so why have we stopped?
Are you prepared to stand up to demand your value is recognised by the government? pic.twitter.com/f5KJ1colP7
— Tom Dolphin🏳️🌈 🏳️⚧️ (@thomasdolphin) July 21, 2025
'However, they should not be expected to do so without agreement and without being appropriately remunerated…
'If you choose to cover such work, we recommend that you negotiate payment at an appropriate rate using our consultant rate card for non-contractual work.'
Resident doctors, formerly known as junior doctors, were awarded an average 5.4% pay increase this financial year, following a 22% rise over the previous two years.
However, the BMA says real-terms pay has still fallen by around 20% since 2008, and is pushing for full 'pay restoration'.
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 specialty, or up to five years of working and gaining experience to become a general practitioner (GP).
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2 hours ago
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NHS strike chaos threatens to spread as paramedics REJECT pay offer on first day of doctors' walkout
NHS strikes threatened to spread yesterday as paramedics in the GMB union voted to reject their annual pay offer. It came as a five-day walkout by hospital resident doctors began over pay, led by the British Medical Association union. NHS chiefs said the health service was still 'open for business'. But ambulance crews and other NHS staff in the GMB union yesterday voted 67 per cent in favour of rejecting their 3.6 per cent offer for this year's pay rise. Paramedics joined nursing strikes in the winter of 2022-23 and could vote to do so again if they cannot get a better offer from Health Secretary Wes Streeting. National Secretary Rachel Harrison said: 'We have written to Wes Streeting, asking him to meet with us to discuss pay and other issues.' The Royal College of Nursing is also angry at getting a lower wage rise than doctors — and hospital consultants with the BMA are also considering striking again. As resident doctors, formerly called junior doctors, kicked off their strike to demand for a 29 per cent pay rise over the 5.4 per cent offer, Mr Streeting warned he could not guarantee patient safety. He said: 'I'm really proud of the way that NHS leaders and frontline staff have mobilised to minimise the disruption and the risk of harm to patients. 'What I can't do is guarantee there will be none. That's why the BMA's action is so irresponsible.' The BMA has made one exception for its strike so far. It allowed resident doctors to be called in to cover neo-natal intensive care at Nottingham City Hospital to protect newborn babies' lives. Strike leader Dr Melissa Ryan, who works there, said: 'We don't have enough senior staff to cover the doctors that aren't there. "It is important to us that those very sick babies get a lot of care.'
Times
3 hours ago
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Hospitals face paying £8,000 a shift to cover striking doctors
Hospitals could be forced to pay as much as £8,000 to cover the shift of a single striking doctor if multiple consultants are needed to staff some wards overnight. Advice on the British Medical Association (BMA) website says consultants asked to cover shifts overnight in a hospital should have a second consultant on call with them to cover higher-level duties. According to the BMA's rate card, for each junior doctor's overnight shift during the strike, two consultants in London would cover it for £334 per hour, or £4,008 for an overnight shift, totalling £8,016 for both consultants. Hospital leaders described it as 'worrying' and said the funds needed to cover a striking doctor were 'unacceptable'. One junior doctor, who is not striking in this round of industrial action but did last year, said some consultants were 'slower' at day-to-day activities on the ward, which sometimes led to multiple consultants covering one overnight shift. 'The type of things that you are doing overnight [are] quite different to the job that you do as a consultant during the day [but] something that the junior, the resident doctors, core and foundation trainees do all the time. Some of these might be quite practical and logistical things that if you're a consultant [you are] not physically used to doing on the computer system. They're the kind of things you need to do quickly overnight,' the doctor said. While consultants could very ably clinically assess patients, they might be 'a bit slow' at the tasks needed overnight, the doctor suggested. 'Sometimes they feel safer, I think … having more of them on because, more from a speed perspective,' the doctor added. • How much do NHS doctors really earn? Here are the facts BMA guidance says some consultants may have 'concerns' about working on wards. ''Acting down' to provide cover for absent resident doctor colleagues may involve tasks that you have not had to perform for many years, and you may have concerns about the ability to carry out certain tasks involved in ward work,' the advice states. 'A consultant has a professional obligation to act within their sphere of competence. As such, you need to be clear with your employer that you do not feel that you can safely and competently perform the work required and that doing [so] may expose you to enhanced risk of medico-legal consequences. If your employer refuses to take the necessary action to make alternative arrangements […] then, as above, you will need to follow our guidance on raising concerns.' One hospital executive said that while the hospital had not used more than one consultant to cover shifts, the cost of cover ran 'into the millions' and further cuts to NHS services might be needed as a result. 'The cost of consultant cover during the period, which runs into millions of pounds, [is a] huge amount of money that is unfunded. It's well publicised that there's a real tension at the moment in the NHS between safe timely services and financial viability,' said the executive, who did not wish to be named. • Striking doctor called off picket line to treat 'very sick' babies 'We're trying to navigate our way along that. Inevitably, if we accumulate debt as a result of paying consultants more to pick up these shifts, that money is not going to be funded by our NHS. So it would be down for each individual NHS organisation to make further cuts to offset the cost of the strikes.' Saffron Cordery, the deputy chief executive of NHS Providers, said: 'Trust leaders are working to minimise the harm and disruption caused by the strike. Ensuring adequate cover to keep patients safe is expensive and there is no extra money to cover this so the unexpected cost is bound to impact on the services they can provide. 'It's really worrying to see the demands for excessive rates to provide this cover. The withdrawal of labour by one staff group should not be seen as a financial opportunity for another. That is totally unacceptable.'
Leader Live
4 hours ago
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Streeting: We are doing everything we can to minimise patient harm during strike
A five-day walkout by resident doctors in England is under way, with members of the British Medical Association (BMA) manning picket lines across the country. The Health Secretary condemned the strike as 'reckless' and said the Government would not allow the BMA to 'hold the country to ransom'. Asked about the risk of patient harm during a visit to NHS England HQ in London, he told the PA news agency on Friday: 'I'm really proud of the way that NHS leaders and frontline staff have prepared and mobilised to minimise the disruption and minimise the risk of harm to patients. 'We've seen an extraordinary response, including people cancelling their leave, turning up for work, and resident doctors themselves ignoring their union to be there for patients. I'm extremely grateful to all of them. 'What I can't do today is guarantee that there will be no disruption and that there is no risk of harm to patients. 'We are doing everything we can to minimise it, but the risk is there, and that is why the BMA's action is so irresponsible. 'They had a 28.9% pay award from this Government in our first year, there was also an offer to work with them on other things that affect resident doctors – working lives – and that's why I think this is such reckless action. 'This Government will not allow the BMA to hold the country to ransom, and we will continue to make progress on NHS improvement, as we've done in our first year.' Asked about next steps and the continued threat of doctor strikes, given the BMA has a six-month mandate to call more industrial action, Mr Streeting said: 'When the BMA asks, 'what's the difference between a Labour government and a Conservative government?', I would say a 28.9% pay rise and a willingness to work together to improve the working conditions and lives of doctors. 'That is why the public and other NHS staff cannot understand why the BMA have chosen to embark on this totally unnecessary, reckless strike action.' It comes as NHS chief executive Sir Jim Mackey told broadcasters on Friday about his different approach to managing the strike, including keeping as much pre-planned care going as possible rather than just focusing on emergency care. 'So the difference this time is the NHS has put a huge effort in to try and get back on its feet,' he said at NHS England HQ in London. 'As everybody's been aware, we've had a really tough period, and you really feel colleagues on the ground, local clinical leaders, clinical operational colleagues etc, really pulling together to try and get the NHS back on its feet. 'And we also learned from the last few rounds of industrial action that harm to patients and disruption to patients was much broader than the original definitions. So we've decided to say it needs to be a broader definition. We can't just focus on that small subset of care. 'Colleagues in the service have tried to keep as much going as humanly possible as well, and the early signs are that that's been achieved so far, but it is early doors. 'In the end, capacity will have to be constrained by the numbers of people we've actually got who do just turn up for work, and what that means in terms of safe provision, because the thing that colleagues won't compromise is safety in the actual delivery. But it does look like people have really heard that. 'They're really pulling together to maximise the range of services possible.' Asked about further strikes, he said: 'It is possible. I would hope not. I would hope after this, we'll be able to get people in a room and resolve the issue. 'But if we are in this with a six month mandate, we could be doing this once a month for the next next six months, but we've got to organise ourselves accordingly.' Asked why he was not willing to bump pay from what the BMA calculates is £18 an hour to £22 per hour, Mr Streeting told broadcasters: 'I think the public can see, and other NHS staff can see the willingness this Government showed from day one coming into office to try and deal with what had been over a decade of failure on behalf of the previous government, working with resident doctors to improve their pay and to improve the NHS. 'That's why resident doctors had a 28.9% pay award, and that's why the disruption they are inflicting on the country is so unnecessary and so irresponsible.' Mr Streeting said 'we know there'll be real challenges over the next five days'. He added that patients, particularly those who end up waiting a long time for care due to strikes, 'do come to harm, and however much the BMA try and sugarcoat it, what they are fundamentally doing today is forgetting the three words that should be at the forefront of every doctor's minds every day, which is, 'do no harm'.' On whether strikes are going to become the 'new normal', he added: 'As I've said before, the BMA have had a 28.9% pay award from this Government, and we were willing to go further to help on some of the working conditions that doctors face. 'That offer of joint working, that partnership approach, that hasn't gone away, but it does take two to tango, and I hope that the BMA will reflect very carefully on the disruption they are inflicting on patients, the pressures they're putting on their colleagues, and the circumstances in which they are doing so – a 28.9% pay rise and a government that was willing to work with them. 'Those are not grounds for strike action.' It comes after Sir Keir Starmer made a last-minute appeal to resident doctors, saying the strikes would 'cause real damage'. He added: 'Most people do not support these strikes. They know they will cause real damage… 'These strikes threaten to turn back the clock on progress we have made in rebuilding the NHS over the last year, choking off the recovery.' The BMA has argued that real-terms pay has fallen by around 20% since 2008, and is pushing for full 'pay restoration'. The union took out national newspaper adverts on Friday, saying it wanted to 'make clear that while a newly qualified doctor's assistant is taking home over £24 per hour, a newly qualified doctor with years of medical school experience is on just £18.62 per hour'. BMA council chairman Dr Tom Dolphin told BBC Radio 4's Today programme the union had been expecting more pay for doctors. He said: 'Where we were last year when we started the pay campaign, we were down a third on our pay compared to 2008. 'So you've got last year's pay offer which did indeed move us towards (pay restoration), but Wes Streeting himself said that pay restoration is a journey, not an event, implying that there would be further pay restoration to come, and we were expecting our pay to be restored in full – that's our campaign's goal. 'We got part way there, but then that came to a halt this year – we've only had an offer that brings us up, just to catch up with inflation.' Asked what it would take for doctors to go back to work, he said the BMA needed to see 'a clear, guaranteed pathway' to pay restoration. He added that 'it's very disappointing to see a Labour Government taking such a hard line against trade unions'. Elsewhere, the Nottingham City Hospital – where Dr Melissa Ryan, co-chairwoman of the BMA's resident doctors' committee works in paediatrics – reached an agreement with the BMA to exempt one doctor from the strike to work on the neonatal intensive care unit. Speaking from a London picket line, Dr Ryan told The Times: 'I do know that we've granted a derogation already. It is actually at my work, with the babies on one of the neonatal units I work on. That is because it is an intensive care unit for babies. 'We don't have enough senior staff to cover the doctors that aren't there, the residents. And actually, it is important to us that those very sick babies get a lot of care. So we have granted a resident doctor to go back.' The BMA said it had also agreed a derogation for two anaesthetists to work at University Hospital Lewisham on Saturday to ensure patient safety. Louise Stead, group chief executive of Ashford and St Peter's and Royal Surrey NHS Foundation Trusts, told BBC Radio 4's Today programme that around 500 appointments were being rescheduled 'but we are continuing to do about 96% of the work we've had planned'.
