
Dr Hilary seen in hospital bed after huge op as he gives tips on going private
ITV star Dr Hilary Jones has been recovering in hospital after travelling 180 miles to seek treatment - in order to avoid a huge waiting list. The 72-year-old TV doctor is encouraging others to also travel hundreds of miles, if necessary, in order to avoid being left in agony while waiting for a local facility to have time to offer treatment.
Dr Hilary, who has discussed his need to undergo a hip replacement in the past, hopes to spread the news that private medical facilities can be accessed by NHS patients free of charge in order to receive treatment sooner. And by utilising this less known service, there could be a knock on effect that NHS hospitals will become under less strain.
The star - who is known for appearing on shows including ITV's Lorraine and Good Morning Britain - is bringing a spotlight to NHS Patient Choice which he used to find a hospital that had next to no waiting list to seek treatment there. Patient Choice is an NHS service that gives people the option to search for private facilities, hospitals and other providers that they can have access to.
Private hospitals can even be accessed as long as they provide the same service that the NHS would offer - with patients granted access without being billed for it.
Dr Hilary is a spokesperson for Practice Plus Group and he was able to use a new hospital in Birmingham in order to get treated faster. Discussing his use of the hospital, the TV star said, per the Express:"It was 180 miles from my home to Birmingham, but as it's a new hospital and it's a private hospital that treats NHS patients, they could get me in very quickly just with a referral from my GP.
"I'd do it again in a heartbeat for faster, quality care and highly recommend it. Patient Choice gives people real power - they just need to know it's there. The NHS App is going to be developed further to make this easier, and you can speak to your GP about your choices. You can choose to be referred to a private hospital at the outset, or you can switch hospitals like I did if you're facing delays locally.
"It's free for the patient and costs the NHS no more than if that same patient had their op at an NHS hospital. For people like me, who are lucky enough to be mobile despite needing an operation, it makes complete sense to find a hospital that can do your operation sooner so you can get on the road to recovery sooner.
"People don't want to be on a waiting list. They want to get on with their lives. Every single person that looked after me was amazing and couldn't have done any more. I am delighted with the result so far."
His decision to use the facility comes after Practice Plus Group commissioned a survey by OnePoll to question 1,000 adults suffering from chronic aches and pains, including those who were looking for surgical solutions.
The research revealed that a majority would opt to travel an average of 60 miles for treatment if it could be received within three to four weeks, or 49 miles if the waiting time was between six and eight weeks. And 10% of those surveyed said they would be happy to travel more than 200 miles if an NHS surgery could be scheduled within a month.
Last year, Dr Hilary shared details of his surgery and also highlighted that members of the public had a way to gain treatment faster. He said in a statement shared via the Practice Plus Group website: 'I know from my own hip replacement surgery that these 'routine' and 'non-urgent' operations are truly life-changing. Living with pain and not being able to do the things you love is exhausting and debilitating.
"Fast access to surgery, if this is what you need, will help you re-gain your mobility, your fitness and quality of life. It's no surprise therefore that going private has become more and more common since the pandemic and is no longer considered just for the rich. But many people are unaware they can also go to a private hospital as an NHS patient, free of charge, and often sooner than waiting for NHS hospitals."
He continued: "Under the NHS constitution you have a legal right to choose which hospital to have your NHS treatment in, and this often includes private hospitals. If your GP, physio or other healthcare professional says they're going to refer you to a consultant at a hospital in Birmingham, ask for a list of options so you can compare waiting lists and locations.
"You also have a right to switch from one hospital waiting list to another if you've been waiting for more than 18 weeks for surgery and can travel out of your area. My advice is always to discuss your options with your GP to help you get back to your best as soon as possible.'
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Daily Mirror
19 minutes ago
- Daily Mirror
Do you agree with doctors going on strike? Take our poll and have your say
Five days of strike action by resident doctors began today after talks with the government broke down, putting thousands of NHS appointments and procedures at risk. Do you support their decision to walk out? NHS services are expected to face significant disruption as resident doctors launched the first of five days of industrial action today. Previous walkouts saw hundreds of thousands of appointments and procedures cancelled - and we want to know if you support the strikes by taking our poll below. Negotiations between the British Medical Association (BMA) and Health Secretary Wes Streeting broke down earlier this week without reaching an agreement. As a result, resident doctors - previously known as junior doctors - began their walkout across England at 7am today, continuing until 7am on Wednesday. Mr Streeting has pledged to maintain NHS services with as little disruption as possible, and NHS England has instructed hospitals to cancel treatments only in exceptional cases. Prime Minister Keir Starmer made a last-minute plea last night, calling on doctors to reconsider the strike. Meanwhile, Mr Streeting said the government is "doing all it can over this strike period to minimise patient harm and disruption". But he warned: 'There is no getting around the fact that these strikes will hit the progress we are making in turning the NHS around." What do you think? Are doctors right to strike, or should they seek other ways to resolve their dispute? Take our poll below, and if you can't see it click here In a personal letter to doctors, Mr Starmer added: "I deeply regret the position we now find ourselves in. The public, and I am sure many of you, do not understand the rush to strike action." Resident doctors received an average pay rise of 5.4% for 2025/26, consisting of a 4% salary increase and a £750 lump sum payment. This came after a 22% pay boost covering the period from 2023 to 2025, which brought an end to months of industrial action under the previous Conservative government last summer. But the BMA said Mr Streeting had failed to address concerns over pay erosion between 2008 and 2025 due to historic freezes. BMA resident doctors committee co-chairs Dr Melissa Ryan and Dr Ross Nieuwoudt said: 'Mr Streeting had every opportunity to prevent this strike going ahead but he chose not to take it. That said, we want these strikes to be the last we ever have to participate in. "We are asking Mr Streeting to get back around the table with a serious proposal as soon as possible - this time with the intent to bring this to a just conclusion.'


The Guardian
21 minutes ago
- The Guardian
‘Exactly what a union should be doing': doctors in Manchester defend strike action
Outside Manchester Royal Infirmary, car horns beep as striking medics wave orange placards demanding 'Pay Restoration for Doctors.' Most are decked out in matching British Medical Association-branded tangerine baseball caps and bucket hats. Some carry homemade cardboard signs: 'Overworked, Underpaid, Undervalued', or 'Wes: Stop (S)Treating Us Like [poo emoji]'. They have gone out on strike for five days from Friday after talks with the health secretary, Wes Streeting, broke down last week. Doctors say that in real terms their pay has decreased by 21% since 2008, and they are demanding an uplift in salaries for resident doctors. Many graduate from medical school with student debt of £100,000 or more, they say, with the cost of ongoing training such as exams also placing a heavy financial burden on new doctors who, the BMA says, earn just £18.62 a hour. In Manchester, public support for the strike is evident; there is a raised fist or a beeping horn from almost every second vehicle that drives past. It is not the first time doctors have gone on strike – there were 11 separate walkouts during 2023 and 2024 alone. But the doctors here say they had hoped a change of government would see an end to the long-running pay dispute. Last September, doctors voted by 66% to accept a government pay deal, with Streeting promising a 'journey' to pay restoration. But now they have walked out again, saying progress has been too slow and this year's pay increase from the government is not what they had expected. 'We're out on strike today because no doctor today is worth 21% less than they were in 2008,' Mohammed Kamora said. 'We're asking for the government to restore our pay. We're not even asking for that to happen in one go. We're asking for a journey to make that happen. We don't think that's unreasonable. 'We were hopeful when the government came to an agreement last year about this pay uplift. Wes Streeting used the term a journey to pay restoration as well.' But, Kamora added: 'If we continue on the current trajectory, it's going to take us well over a decade to reach pay restoration. Think of how many doctors we're going to lose in the interim if we continue.' Shanu Datta, a co-chair of the BMA's consultant committee, is not involved in the strike, which does not include consultants, but had come down to the picket line to support resident colleagues. 'We had a very cordial meeting with the secretary of state in December. We thought that could be the basis of conversations going forward,' he said. 'Our hope was that we would have a sense of conversation around restoring our pay over time, and that's what Wes Streeting was saying in opposition, and the deal that we thought we'd made, or we had made, last year was going to be the basis, a foundation for more discussion, more conversation going forward, and that's what's not happening.' Datta added: 'These are some of the brightest young people. I've been talking now to some of them. Some of them want to be cancer specialists, some of them want to be emergency medicine specialists, some of them want to be psychiatrists. 'If we can't get these people to stay in this country and the NHS specifically, then the NHS is doomed, frankly.' Sign up to Headlines UK Get the day's headlines and highlights emailed direct to you every morning after newsletter promotion Dr Ross Nieuwoudt, a BMA resident doctors committee co-chair who has been among those leading the industrial action, joined the Manchester picket line. 'We're not asking for everything all at once,' he said. 'All we want is for Wes Streeting to keep his promise of restoring our pay as a journey. The 0.9% increase above inflation that was given this year is not an adequate step in that journey. So that's why we're out today. 'I must be honest, I'm very disappointed, I expected more. I think when [Streeting] initially came in, there were lots of grand words about settling the strikes and this journey to restoring our pay, but when the time came to deliver on the second step he couldn't do it.' Nieuwoudt also pointed out that when resident doctors – then known as junior doctors – walked out under the Conservative government, Streeting was a vocal backer of the striking medics and called on the then health secretary to take action to bring about an end to the dispute. 'I'm wondering where that man is now,' Nieuwoudt said. 'He was making some good points.' He also hit back at claims from Streeting that the strike would undermine the trade union movement, saying that the health secretary's comments were 'a very strange thing to say'. 'I think when doctors are leaving the country, when doctors are struggling with pay and conditions, and genuinely are losing hope that the NHS will be a place worth working in, I don't think representing our members and taking them out on strike action is undermining the trade union movement in any way,' Nieuwoudt said. 'If the membership has voted to do this action, and we're representing our membership, then that seems exactly what a union should be doing.'


Daily Mail
22 minutes ago
- Daily Mail
Striking doctor is called off picket line to treat 'very sick' babies as five day walkout leaves wards without doctors able to do life-saving work
A striking doctor has been called off the picket line to treat 'very sick babies' whose lives could be jeopardised by a five-day walkout by NHS doctors. Nottingham City Hospital pleaded with the British Medical Association (BMA) for the doctor to be exempted from the strikes to work on the neonatal intensive care unit. The hospital ward, which is where the leader of the BMA works, was reportedly concerned about the impact the pay dispute could have on the treatment of the most vulnerable, poorly babies this weekend. Dr Melissa Ryan, co-chairman of the BMA's resident doctors' committee, is a trainee paediatrician who often works on the wards in Nottingham. Alongside Dr Ross Nieuwoudt she has led the BMA into the latest industrial action, which began at 7am. However, Dr Ryan, unlike her colleague, has not been called back to Nottingham; she was some 130 miles south on a picket line outside St Thomas' Hospital, in Westminster, London. A deal has been struck between the NHS and BMA where resident doctors can be forced to work should patient safety be jeopardised by the industrial action. Dr Ryan said this deal had been green-lit for her ward. Speaking to The Times today, she said: '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.' She joined some 30 junior doctors on the picket line in central London as they chanted: 'What do we want? Full pay restoration. When do we want it? Now. How are we going to get it? Striking.' Resident doctors - formerly known as junior doctors - went on strike across England from 7am after talks with the Government collapsed over pay. Doctors are seeking a 29 per cent pay rise. Up to 50,000 resident doctors are believed to have joined the industrial action, which is due to continue until 7am on Wednesday. The strike could cause 250,000 NHS appointments to be axed or postponed and may cost the NHS £87million in staffing cover, according to think tank the Policy Exchange. Members of the public have been urged to come forward for NHS care during the walkout, and are being asked to attend appointments unless told they are cancelled. The news comes as a union leader behind the strikes by thousands of resident doctors earlier insisted the pay rise walkout was 'not about greed'. Ex-Conservative MP Edwina Currie had an argument live on air during ITV 's Good Morning Britain with BMA council chair and anaesthetic consultant Dr Tom Dolphin. It began when Dr Dolphin said: 'Starting doctors, at the very start, when you look at all the hours they do, the night shifts etc, that comes out at £18.62 an hour. That's an incredible bargain.' Ms Currie shook her head interrupted him to say: 'Not true, that is absolutely not true. That is absolutely not true. And it's not fair.' Former Conservative MP Edwina Currie had an argument about the strikes live on air during ITV's Good Morning Britain with BMA council chair and anaesthetic consultant Dr Tom Dolphin But Dr Dolphin insisted: 'It is Edwina, it is true. That is our figure.' Ms Currie responded: 'The figures are on the NHS website, I've got them up now. You are better paid than almost all the people that you are going be looking after, whether it's planned or emergency care. Most of the people you look after are elderly people. 'We're on pensions. Many people are much worse off than I am. They need your care. You should have a heart, you're supposed to be compassionate people, you're in a caring profession. 'First, do no harm' – is the first line of the Hippocratic Oath. If you really want to be that greedy, go and do something else.' Dr Dolphin then said: 'Edwina, it's not about greed, it's about making sure that we have a workforce going forward. When you look at all the doctors who are going overseas, where their salaries… in other countries, where they're valued properly, where their value is recognised by the governments in those other countries, their salaries are two or three times what they are in the UK. 'We're getting a bargain in the UK. All we're asking for is for our pay to be valued at the same as it was in 2008. We're not worth any less than we were 17 years ago, we're not working any less hard than we were 17 years ago. So why are we missing a fifth of our pay?' This morning around 15 doctors and supporters gathered on Westminster Bridge, near the entrance to St Thomas' Hospital. Some were holding placards reading '£18.62/hour is not a fair wage for a resident doctor', and 'Pay doctors, not PPP.' Others printed out an old tweet by Health Secretary Wes Streeting accusing the previous government of failing to prevent strikes. One man was standing beside the striking doctors, selling copies of The Socialist newspaper to passers-by. Chants of 'What do we want? Fair pay. When do we want it? Now' echoed across the bridge. On LBC radio this morning, presenter Nick Ferrari had a dispute with a caller called Sakshi over the strikes after she told him: 'No one's holding politicians accountable.' Mr Ferrari replied: 'Well they are, Sakshi, I'm sorry to talk over you. They are because the last mob were voted out. Possibly a lot of people voting because of their handling of the doctors strike. 'Lots of people have salaries that have not risen by the rate of inflation. Many, many of them. And they have to come to terms - now I don't want it to be a race to the bottom, but this is a group of people who've just had 22 per cent… when you start looking at the actual cash involved, this is 12 grand.' But Sakshi responded: 'It's not enough, it's not even halfway to the journey to fair pay though.' Mr Ferrari then told her: 'No, but this idea, we're not we are in 2008, a junior doctor starting now. Well he or she wasn't working in 2008, they'd only just have been born in 2008.' Sakshi claimed this is 'not an argument though', but Mr Ferrari replied: 'But it is an argument.' Also involved in an on-air clash today was Talk TV presenter Mike Graham and Dr Melissa Ryan, co-chairwoman of the BMA's UK resident doctors committee, when she refused to give him her salary. Dr Ross Nieuwoudt: Radical who refused to talk to public When Dr Ross Nieuwoudt appeared as a guest on Jeremy Vine's Channel 5 magazine show earlier this month, the 29-year-old had the opportunity to explain to the public why he believed strikes were necessary. But the co-chairman of the BMA's resident doctors committee refused to take calls from viewers on the advice of his 'media team'. Dr Nieuwoudt grew up in Truro, Cornwall. His doctor father, Francois, who emigrated from South Africa to the UK as a medical student, and mother, Beatrice, who is also South African, were formerly behind a 'health and beauty salon' where Francois administered acupuncture and 'Chinese medicine'. A former student council leader who graduated from the University of Exeter and became a doctor in 2021, he took on a role with the BMA in 2022. He now works in emergency surgery at Aintree hospital in Liverpool where he lives in a three-bed apartment. He has told doctors they do not have to tell their trusts they are planning to strike – sparking fears for patient safety – and earlier this year told the BMA's annual representative meeting in Liverpool doctors were 'excited' for industrial action. He later corrected this to 'energised.' Asking her what her 'annual salary' was, Dr Ryan told him: 'So if you start off in a first year, you're roughly on £38,600.' Mr Graham interrupted her to say: 'No, I'm asking about your salary... what's your salary?' Dr Ryan said: 'So my salary depends on how many hours I do... but actually if you want to put it in pounds... it's about £21 per hour.' Mr Graham pressed her, saying: 'But how much did you make? I don't know how many hours you work - what's your annual salary, please?' Dr Ryan replied: 'So my annual salary is eroded by 28 per cent since 2008 like every single resident doctor here, and all we want is for our pay to be restored.' But Mr Graham said: 'No, no, I'm looking for a number. Can you not just tell me your salary please, how much did you get paid last year?' Dr Ryan told him: 'As I said my salary is eroded 21 per cent. I'm not here to talk about my salary, I'm here to talk about all resident doctors and how their pay is eroded.' Mr Graham then responded: 'No, hang on, Melissa, you're asking for taxpayers to fund your work, right, because you work for the public sector, you work for the NHS, so taxpayers fund your salary, so I think we're entitled to know how much you get paid.' She also said that her salary 'not really relevant here', but Mr Graham told him: 'Of course your salary is bl***y relevant - you're striking to get more money, your salary is very relevant, so why can't you just tell me what it is? What are you trying to hide?' Outside St Thomas' Hospital today, Dave Bell, a retired nurse and member of the campaign group Keep Our NHS Public, stood in solidarity with striking doctors. 'Britain's doctors are the backbone of our NHS,' he said. 'If you ask anyone who's been to a hospital, they'll tell you those staff work their socks off.' He called for urgent pay restoration, adding: 'We need to value those doctors and restore their pay to what it was 15 years ago.' But he acknowledged the difficulty of strike action within NHS teams. 'I took strike action once when I was a nurse - of course it causes tensions. You're working hard, and if medical staff walk out, it gets even harder for those still in.' Despite this, he said unity was crucial, adding: 'In the long run, people have got to work together - the unions too. It can be overcome.' Resident doctor Kelly Johnson said Mr Streeting's opposition to the strikes felt like 'a slap in the face'. Speaking outside St Thomas' Hospital, where she works, she told the PA news agency: 'Every union has the right to strike. It feels like a slap in the face to say that we are doing something that is unjust. Just because we're doctors doesn't mean we can't come out and strike and protest for what we think is right.' She added: 'When doctors decide to take strike action it's always portrayed as though we're being selfish but we're here as a body to help the public day in day out to work hours that don't even end sometimes. 'Here we are just trying to get what's right for us so we can do our best to serve the public.' Patients at St Thomas' Hospital voiced their support for junior doctors. Jo Irwin, 72, who was attending the London hospital for a blood test before surgery for a hernia, said she had 'no hesitation' in backing the walkout. 'I am fully behind the strikes and the public should be as well,' she said. 'Without these doctors I would be dead. They are looking after sick people. I am very angry about it. 'They should get all the money they want - and more than Keir Starmer and his cronies.' Mohammed Dinee, 42, from Brixton, also gave his backing to the industrial action after being admitted recently with back pain. 'Today I had a physiotherapy appointment - it was fine, no complaints,' he said. 'But I got admitted other day for back pain - you could feel it. It was difficult to get an MRI scan. 'They're strained - being inside St Thomas', you can see it. I fully support them.' Dr Melissa-Sue Ryan: Threats to cripple NHS with action Dr Melissa-Sue Ryan, 45, has previously suggested collective action which would cripple the NHS is 'on the horizon'. She said resident doctors could co-ordinate strike action with consultants and specialist doctors embroiled in pay disputes, which was previously 'immensely disruptive' to patients. In an interview with The Sunday Times in May, she added: 'We have three grades of doctors that are in pay disputes and there could be terrible disruption if the government doesn't intervene soon.' Originally from New Zealand, Dr Ryan, who has a PhD in psychology and worked as a psychologist before studying medicine in Pavia, Italy, is now a paediatrician in Nottingham. Together with Dr Nieuwoudt, she is a member of Doctors Vote, a campaign group committed to 'full pay restoration'. They have a crab as their symbol, and use the slogan 'be a crab, not a scab'. Dr Ryan has regularly been seen on picket lines during previous strikes, and organised coaches to take doctors to rallies at Trafalgar Square. In a post on X in 2022, she acknowledged there were 'all-time highs in patient wait times and delays for care' with the system 'currently putting patient care at risk'. Around 30 doctors and supporters gathered outside Leeds General Infirmary (LGI) this morning, waving placards and cheering as passing cars beeped horns in support. Cristina Costache, who is a paediatrics registrar at the LGI and a PhD student, said: 'It's a very difficult decision to make always, because I love my job and that's the reason I went into it. I get depressed if I'm not in work. My heart is always at work. 'But I also care about my colleagues and my profession.' Dr Costache said: 'I'm seeing more and more gaps as registrars. There's always a gap on the paediatric registrar rota. We end up having to cover the job of another paediatric registrar, of even two other paediatric registrars. 'My SHOs (senior house officers) also have gaps, so I sometimes have to cover their job as well as my registrar job. And that's not safe and that's not OK. 'And the reason that that happens is that they're poorly paid. If you're poorly paid, why would you want to come in on your free time when you know you're going to be on nights the next day and then so three or four nights in a row?' Dr Costache added: 'Reducing the waiting list is a really good target but you're going to reduce the waiting list if you increase the numbers of posts, if you give better pay so the jobs don't leave for another country, like I did from my home country. 'You're going to feel differently when you come to work if you feel valued, it just makes such a big difference. It makes that extra tiredness, that extra coming in and giving away the time that you could have spent with your parents that are ill, or with your family, or with your children. So they have to think about that rather than numbers. 'I look after quite rare diseases in children and my patients aren't numbers.' Dr Costache said she left Romania due to the poor health infrastructure and lack of investment. She said: 'It's really sad to have seen in the last nine years, since being here, how the NHS is heading that way. Hence, I'm a trade unionist because I feel like I want to tell people please 'don't do what has happened there'. 'It can be really scary and really bad, and you don't want to be in that place.' GP surgeries will open as usual and urgent care and A&E will continue to be available, alongside NHS 111, NHS England said. But NHS regional medical director Chris Strether told LBC radio that the walkout would cause 'terrible disruption to the lives of people', adding: 'Each time it happens across the country, 60,000 appointments are delayed. And I think really is it really is time to say enough is enough.' It comes after Sir Keir Starmer made a last-minute appeal to resident doctors, saying the strikes would 'cause real damage'. 'The route the BMA Resident Doctors Committee have chosen will mean everyone loses,' he wrote in The Times. 'My appeal to resident doctors is this: do not follow the BMA leadership down this damaging road. Our NHS and your patients need you.' He added: 'Most people do not support these strikes. They know they will cause real damage. Behind the headlines are the patients whose lives will be blighted by this decision. The frustration and disappointment of necessary treatment delayed. 'And worse, late diagnoses and care that risks their long-term health. It's not fair on patients. It's not fair on NHS staff who will have to step in for cover for those taking action. And it is not fair on taxpayers. '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.' Sir Keir also said waiting lists were 'now at their lowest level in two years, and for the first time in 17 years, waiting lists fell in both April and May', but added that the BMA leadership puts this 'progress at risk'. It comes after Mr Streeting sent a personal letter to NHS resident doctors, saying: 'I deeply regret the position we now find ourselves in.' The Health Secretary said while he cannot pledge a bigger pay rise, he has been committed to progress to improve doctors' working lives. He also said he does not now believe the British Medical Association's resident doctors committee (RDC) has 'engaged with me in good faith' over bids to avert the strike. In the letter sent yesterday afternoon to resident doctors, Mr Streeting said: 'I wanted to write to you personally about the situation we find ourselves in. 'This Government came into office, just over a year ago, with a great deal of sympathy for the arguments that resident doctors were making about pay, working conditions and career progression. 'I was determined to build a genuine partnership with the... RDC to make real improvements on all three fronts. 'We have made progress together. While some of my critics in Parliament and the media believe I was naive to agree such a generous pay deal to end the strikes last year, I stand by that choice.' Mr Streeting said resident doctors have now had an average 28.9 per cent pay award under Labour. He added: 'Strike action should always be a last resort - not the action you take immediately following a 28.9 per cent pay award from a Government that is committed to working with you to further improve your lives at work. 'While I've been honest with the BMA RDC that we cannot afford to go further on pay this year, I was prepared to negotiate on areas related to your conditions at work and career progression, including measures that would put money back in the pockets of resident doctors.' Mr Streeting said that based on talks with the BMA aimed at averting strikes, he had been determined to tackle the 'arduous' training pathway, and 'I made it clear that I was prepared to agree actions to reduce the costs you face as a result of training'. He said he had also been looking at the cost of equipment, food and drink, and 'was prepared to explore how many further training posts could be created - additional to the 1,000 already announced - as early as possible'. Mr Streeting said talks had been progressing but 'I no longer believe that they (RDC) have engaged with me in good faith'. The Health Secretary continued: 'I deeply regret the position we now find ourselves in. The public, and I am sure many of you, do not understand the rush to strike action.' Mr Streeting later said there is 'no getting around the fact that these strikes will hit the progress we are making in turning the NHS around'. He added: 'But I am determined to keep disruption to patients at a minimum and continue with the recovery we have begun delivering in the last 12 months after a decade-and-a-half of neglect. We will not be knocked off course.' Speaking to the Daily Mail, Mr Streeting took aim at union officials as he accused them of acting in bad faith during talks or being 'too weak' to get a grip of their members. He said he would not cave in to their 'unreasonable' demands, adding: 'I'm not going to let the BMA hold this country to ransom.' Mr Streeting said union leaders had given the impression they were happy with how negotiations had progressed and he had believed they would pause industrial action for more talks. But he was shocked when the BMA's resident doctors committee pulled the plug on further discussions on Tuesday and announced it would plough on with the strike. The Secretary of State described it as 'unprecedented' for a union to lead its members to the picket line after receiving inflation-busting pay rises totalling 28.9 per cent over three years. He said that the officials 'who sat in front of me… either couldn't carry their committee with them, in which case they're weak, or have no intention of carrying their committee with them, in which case they're misleading'. He said their behaviour risks bringing the wider trade union movement into 'disrepute'. Mr Streeting said the BMA owes an 'apology' to patients who are left in pain and an agony for longer as a result of appointments being cancelled and said they seem to have 'lost sight' of their responsibility to 'Do No Harm'. Up to 50,000 resident doctors – formerly known as junior doctors – are striking in pursuit of a further 29 per cent pay rise. Mr Streeting had refused to budge on pay but offered a number of other financial concessions relating to the cost of exams, equipment and training. He yesterday accused doctors of 'squandering a huge amount of goodwill' that he had coming into government and revealed the cost of dealing with the impact of the strike – estimated to be 'hundreds of millions of pounds' – means he will no longer be able to fund the changes he had offered to bring the dispute to an end. He called on doctors who disagree with the militancy of the BMA to 'do the right thing and turn up for work'. Talking at the Department of Health and Social Care, Mr Streeting said: 'I'm not going to let the BMA hold this country to ransom. 'They have seriously underestimated me. They've underestimated this Prime Minister. And they've underestimated this government. We're not going to cave into this kind of militancy. That would be, I think, an extremely dangerous precedent to set.' He said the BMA had adopted 'hardline tactics' that 'punish patients for no good reason' and stressed: 'We'll do everything we can to mitigate against the impact of these strikes. What I can't do is promise Mail readers that there isn't going to be a serious impact. 'There will be lots of people who waited a long time, who were looking forward to their appointments and their treatments this weekend, who will have been notified that their procedure can't go ahead. 'Having been through kidney cancer myself, I know what it's like when you're waiting for your tests, your scans, your appointments, the anxiety that comes with that.' The MP for Ilford North continued: 'The thing that BMA seem to have lost sight of are the three words that more than anything else sum up the responsibility of medics, which is to Do No Harm. 'What I can't do, sat here the day before the strikes begin, is honestly say, hand on heart, that I can guarantee that no patients will come to harm. We are doing everything we can with the NHS leadership and operational leaders to avoid that scenario.' Turning his attention to the union leaders who he had been negotiating with, he said: 'They gave me the impression that the reason that they were in the room was to negotiate and agree a letter that could go to their committee that would see the postponement of strike action. 'And then I get a result back from the committee, which was a unanimous rejection, which means that the four elected representatives who sat in front of me appearing to engage in good faith either couldn't carry their committee with them, in which case they're weak, or have no intention of carrying their committee with them, in which case they're misleading. 'Either way, you cannot negotiate with union leaders who are either weak or misleading, or a combination of the two.' He said the committee should reflect on the views of their wider membership, where support for action is weakening. He said: 'When you've got a government that has … shown a real willingness to work with you, why on earth would you lead your members out on strike, knowing full well that the cost of that strike is untold misery inflicted on patients and a heavy price that will inevitably come at a cost of a whole range of things that resident doctors want to see improving the NHS?' Hospitals are trying to minimise the number of cancellations after acknowledging the harm this caused during previous industrial action. Instead, staff will be spread more thinly to keep as many services running as possible. Mr Streeting has cancelled plans to attend a friend's wedding abroad this weekend so he can spend time at the NHS Operational Command Centre and in hospitals to monitor the impact of strikes. He thanked NHS staff who have also cancelled leave to cover for striking doctors but urged consultants not to get greedy with their overtime rates after the BMA said they should charge £6,000 to provide on-call cover over the weekend. Writing in the Telegraph, Mr Streeting said: 'The BMA's leadership, who I believe are badly letting down both their members and the health service, will find that the costs of the strikes are that they now have a Secretary of State who has both less appetite and less ability to work with them on the kind of measures we were having constructive discussions about last week that would materially improve the working lives of resident doctors and leave them with more money in their pockets.' Dr Dolphin also appeared on BBC Radio 4's Today programme this morning, saying 'nobody wants to be on strike' but Mr Streeting's offer 'did not contain anything substantive'. He added: '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', adding: 'They're talking about punishing the trade union, talking about punishing doctors, holding them back in their training, making sure that they don't get locum shifts, that kind of thing. 'People are talking about that which, of course, is not legal. And if we find cases of people being held to detriment for having taken part in strikes, we'll be fighting their case for them. It's just disappointing to hear that kind of rhetoric coming from a Labour administration.' 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 most work was continuing. She said: 'We've got about 500 appointments over the five days so far taken down, but we are continuing to do about 96% of the work we've had planned. 'We have obviously become pretty adept at trying to plan for these (strikes), but it's not something any of us want to do. And it's not just actually planning for today. 'It's the knock-on effect of the ongoing weeks where you have to reschedule appointments. And I think that's what's going to make a difference every time. That's what makes a difference to people's perception, because their appointments have changed.' Ms Stead was also asked about NHS trusts refusing catch-up shifts for striking doctors and fellow consultants, which enables them to earn extra cash. It has been suggested the NHS England move to keep as much pre-planned care going as possible means there will be fewer catch-up shifts needed, and therefore doctors will not be able to top up their pay. She told BBC Radio 4's Today programme: 'There is a finite amount of money. We've been told very clearly that we need to manage within the budget we've got, and we do need to try and make sure that we reduce the waiting list, which I think you'll see have come down, so we will not be having the resources in order to do a massive amount of catch-up lists. We absolutely won't. 'It will be around re-diverting resources we've got in a different way, making the best decision we can.' Asked if she was not going to be prepared to pay extra, because the money simply is not there, she said: 'Absolutely.' Dr Melissa Ryan, co-chairwoman of the BMA's UK resident doctors committee, told the PA news agency that rising living costs are forcing many doctors into debt. She said a first-year doctor with £80,000-100,000 of student debt can expect to lose 9% of their salary for life repaying it. 'We work long nights and unsociable hours, get flung around the country, and still some of us struggle to pay rent,' she said. 'That's because our pay has been eroded by 21% since 2008 - it's like working one day a week for free.' Striking doctors say their demand is simple - restore pay to 2008 levels. Dr Ryan said: 'We want to be paid fairly and we want an excuse to stay in the NHS and do what we enjoy, which is looking after patients.' She argued that doctors have seen the worst pay erosion across the public sector and said: 'Doctors should not need to subsidise the NHS with their wages.' Dr Ryan apologised to patients for the disruption caused by the strike, saying: 'It really is disruptive - and I'm sorry for that.' But she added: 'I apologise to patients every day because the NHS isn't giving them the service they deserve.' 'We're under-doctored and understaffed. And that's a political choice not to fund this properly. 'We need a government that will invest in the NHS, not only for me, but also for the patients.' Daniel Elkeles, chief executive of NHS Providers, told the PA news agency health staff will be working 'flat out' to see as many patients as they can during the strike, after NHS England made clear it wants as much pre-planned care as possible to continue. He said: 'Striking doctors should think carefully if they are really doing the right thing for patients, for the NHS and for themselves... 'The strike will throttle hard-won progress to cut waiting lists, but NHS trust leaders and staff will be working flat out to see that as many patients as possible get the care they need.' It is understood that NHS chief Sir Jim Mackey had told trust leaders to try to crack down on resident doctors' ability to work locum shifts during the strike and earn money that way. Leaders have also been encouraged to seek 'derogations', where resident doctors are required to work during the strikes, in more circumstances, the Health Service Journal (HSJ) reported. Rory Deighton, acute and community care director at the NHS Confederation, said: 'These strikes were not inevitable - the Government entered negotiations with the BMA in good faith... 'The impact of these strikes and the distress they will cause patients rests with the BMA.' The BMA has argued that real-terms pay has fallen by around 20 per cent since 2008, and is pushing for full 'pay restoration'. The union is taking out national newspaper adverts today, saying it wants to 'lay bare the significant pay difference between a resident doctor and their non-medically qualified assistants'. It said the adverts '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'. RDC co-chairs Dr Ryan and Dr Ross Nieuwoudt said in a statement: 'Pay erosion has now got to the point where a doctor's assistant can be paid up to 30 per cent more than a resident doctor. Health Secretary Wes Streeting speaks to the Daily Mail at the Department of Health yesterday Prime Minister Sir Keir Starmer at Chequers near Aylesbury in Buckinghamshire yesterday 'That's going to strike most of the public that use the NHS as deeply unfair. 'Resident doctors are not worth less than they were 17 years ago, but unfortunately they've seen their pay erode by more than 21 per cent in the last two decades. 'We're not working 21 per cent less hard so why should our pay suffer? 'We're asking for an extra £4 per hour to restore our pay. It's a small price to pay for those who may hold your life in their hands.' The statement said Mr Streeting had had every opportunity to prevent the strike, but added: 'We want these strikes to be the last we ever have to participate in. 'We are asking Mr Streeting to get back around the table with a serious proposal as soon as possible - this time with the intent to bring this to a just conclusion.' Resident doctors are qualified doctors in clinical training. Read More EXCLUSIVE BMA's war chest will fund doctors' strikes with unions able to spend MILLIONS to wreak NHS havoc 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 GP. The Department of Health and Social Care (DHSC) said the framing of the BMA advertising campaign was 'disingenuous'. 'Given their repeated use of debunked ways of measuring inflation to overstate their pay claims, it follows a pattern of deliberately misleading calculations from the BMA,' a spokesperson said. 'The average annual earnings per first year resident doctor last year was £43,275. That is significantly more, in a resident doctor's first year, than the average full-time worker in this country earns. 'Resident doctors in their second year earned an average of £52,300 last year and at the top end of the scale, resident doctors in specialty training earned an average almost £75,000 - this is set to increase further with this year's pay award.' The Conservatives accused Labour of having 'opened the door' to fresh strikes with a 'spineless surrender to union demands last year'. Shadow health secretary Stuart Andrew said: 'They handed out inflation-busting pay rises without reform, and now the BMA are back for more. 'They are disrupting care, ignoring patients and gambling with lives. This is a betrayal of the NHS and those who rely on it. The public deserves hospitals where the doctors are on the frontline rather than the picket line. 'But every day Labour refuses to stand up to union overreach, Britain moves closer to a health service run on the unions' terms rather than the patients'.'