Summary

  • Fourth strike involving junior doctors in England began at 08:00 BST on Wednesday and lasts 48 hours

  • Doctors are providing emergency cover, but 5,000 operations and procedures are postponed

  • Comes amid long-running dispute with government over planned changes to pay and conditions

  • All-out stoppages planned for 08:00 to 17:00 BST on both 26 and 27 April

  1. Second legal challengepublished at 13:39

    Protests

    Today's strike comes a day after a second legal challenge was launched against the government over its decision to impose the new contract.

    NHS staff campaign group Just Health started proceedings after raising £100,000 in four days online.

    The move followed separate legal action made by the British Medical Association last week seeking a judicial review.

    A Department of Health spokesman said legal action was "expensive" for all parties and "totally unwarranted".

    Read more about the legal action here.

  2. Trombones, first aid and doughnutspublished at 13:27

    Striking junior doctors have been finding lots of ways to keep busy on picket lines outside hospitals around England.

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  3. Wythenshawe Hospital ends 'major incident' statuspublished at 13:11

    One of the biggest hospitals in Greater Manchester says it has now scaled down a major incident plan.

    Planned operations were postponed at Wythenshawe Hospital and patients were urged to only attend A&E in a genuine emergency.

    The move came after increasing demand on its A&E unit and a shortage of beds.  

    University Hospital of South Manchester NHS Foundation Trust, which runs the hospital, said it was busy but "back to business as usual".  

    Full story here.

  4. Green Wing actors join picket line in Londonpublished at 13:09

    Five members of the cast of Channel 4 sitcom Green Wing have been at the north London hospital where they filmed the series to lend their support to striking junior doctors.

  5. 'Die in' outside Department of Healthpublished at 13:01

    Protesters have staged a "die in" outside the Department of Health, as they deliver a petition an online petition of some 120,000 signatures gathered on the Care 2 Community, external website.

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  6. Jeremy Hunt 'whizzed off on his bicycle'published at 12:46

    LBC reporter tweets

    Health Secretary Jeremy Hunt hasn't appeared for interviews this morning.

    Reporter Charlotte Wright, who works for radio station LBC, was waiting outside his house earlier - but he didn't stop to chat.

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  7. What do junior doctors do exactly?published at 12:33 British Summer Time 6 April 2016

    Junior doctor

    There are more than 50,000 junior doctors in England. The term covers those who are fresh out of medical school through to others who have a decade of experience behind them.

    So what responsibilities do they have? The BBC has spoken to three doctors at different stages of their career.

  8. Patients group: Junior doctors are right to challenge the government over contract impositionpublished at 12:23 British Summer Time 6 April 2016

    The Patients Association has backed the junior doctors' strike, saying it has watched the dispute with the government with "growing concern".

    Katherine Murphy, chief executive of the Patients Association, said the imposition of the contract was not helpful to finding a resolution, and she was glad it was being challenged.

    Quote Message

    As the voice of patients, our priority lies in protecting patient and public safety, and we know that junior doctors have never taken lightly the decision to strike. Doctors have a very real concern that the imposed terms will stretch the existing resource too thinly and will threaten the quality of patient care. Staff morale is low throughout the NHS and many doctors are feeling burnt out.

    Quote Message

    This ongoing acrimonious dispute risks driving today's doctors away and deterring the next generation from ever joining the profession, and so could lead to greater shortages in the future in an already overstretched service.

  9. 'I'm moving to Australia permanently'published at 12:15 British Summer Time 6 April 2016

    Dr Jason Seebaluk

    There have been reports that some junior doctors are considering quitting their jobs in the UK for work overseas if new contracts come into force.

    The General Medical Council says so far this year, it has issued more than 2,200 "certificates of current professional status" which doctors need in order to work abroad, although not all who request them actually leave.

    Dr Jason Seebaluk, 27, works in Euston, London. He says he is moving to Australia permanently in August because of the government's proposed amendments to junior doctors' contracts.

    "I do feel a sense of guilt leaving but I have to think about my future," he says.

    BBC News has been speaking to Dr Seebaluk and other junior doctors who are considering their futures.

    Read the full article here.

  10. Sexist contract?published at 12:06 British Summer Time 6 April 2016

    Among the issues being highlighted by those on the picket lines are concerns that the new junior doctors' contract will hit female doctors harder than their male colleagues.

    Analysis published by the Department of Health last week stated:

    Quote Message

    While there are features of the new contract that impact disproportionately on women, of which some we expect to be advantageous and others disadvantageous, we do not consider that this would amount to indirect discrimination as the impacts can be comfortably justified.

  11. Hospital boss: 'The fact that it's an imposed contract is non-negotiable'published at 11:47 British Summer Time 6 April 2016

    BBC News Channel

    Nick Hume

    Ipswich Hospital says disruption has been minimal with about 160 outpatient appointments postponed. 

    But chief executive Nick Hulme told the BBC the next planned strike at the end of April, which will include not providing emergency care, would be "a game changer".

    Quote Message

    We are planning for a contingency which assumes [no junior doctors] come in. We're making sure consultants are available, cancelling a lot of leave, and making sure specialist nurses are available. We are concerned, but we can assure the public that when they come here for care, the care will be safe.

    He added that while everyone "had a right to strike", he felt many junior doctors had felt under pressure from the BMA to walk out.

    Now the new contract had been published in full, he hoped more junior doctors would look at the detail and be willing to accept it.

    Quote Message

    We will be imposing the junior doctors contract, that is our responsibility as the NHS and we take that seriously. The fact that it's an imposed contract is non-negotiable, we don't have any choice about that, but we do have some flexibility around rotas and we're working with juniors on that. But ultimately my responsibility is to the people who come here for care.

  12. Will British public support emergency care strikes?published at 11:28 British Summer Time 6 April 2016

    A poll by YouGov, external released on Monday suggests that while the British public have been more supportive of the junior doctors' strikes than of industrial action in other industries, their support drops when it comes to action that extends to emergency care - as the next round of planned strikes on 26 and 27 April will.

    The poll showed 59% support partial strikes, while 23% oppose, but support for full strike action falls to 44% and opposition rises to 37%.

    Yougov resultsImage source, Yougov
  13. Patients Association: Government imposition of new contract 'not helpful'published at 11:21 British Summer Time 6 April 2016

    BBC health correspondent tweets...

  14. Analysis, by BBC health correspondent Adam Brimelowpublished at 10:49 British Summer Time 6 April 2016

    Victoria Derbyshire

    The dispute now seems to have reached a real impasse - and the next planned strike really takes it into new territory by extending to A&E and emergency services. That's something that's never happened before. While it doesn't mean those services will stop - the health service will bring in extra staff - there will undoubtedly be a knock-on effect, particularly for planned procedures. 

    We seem to have reached a point where two sides can't even agree on what they disagree on, and a complete breakdown of trust. Some doctors and patient groups have called on both sides to step back from the brink - for example, the Academy of Medical Royal Colleges is calling on the BMA to call off the strike and the government to call off the imposition of the new contract.

    Public opinion has so far been fairly firmly behind junior doctors, but will that remain the case as there is further disruption? There is also the attitude of junior doctors who've walked out four times now. Will they continue to support strike action as it escalates, or will some of them decide that the battle has been going on for too long? That is certainly what the government would like to see.

    Follow Adam at @adambrimelow, external

  15. NHS England: Strike action 'deeply regrettable'published at 10:25 British Summer Time 6 April 2016

    PatientsImage source, SPL

    Responding to today's strike, NHS England says it has minimised the impact, but has "regret for the disruption patients will face and the fact that thousands of planned procedures will have to be rearranged, leaving people having to wait longer for treatment".

    Dr Anne Rainsberry, national incident director for NHS England, said she expected the second day of the strike to be particularly difficult.

    Quote Message

    We’ve already seen that a 48-hour strike puts considerably more pressure on the NHS and it’s deeply regrettable that thousands of patients are still facing disruption because of this recurring action.

    Quote Message

    As always, the safety and care of patients is our number one priority and everything possible is being done to make sure patients will still be able to access urgent and emergency services.

  16. 'We are 54,000 junior doctors singing from the same hymn sheet'published at 10:17 British Summer Time 6 April 2016

    BMA representative Latifa Patel told BBC Breakfast the new contract would stretch staffing across NHS England too far.

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  17. Contract details publishedpublished at 09:53 British Summer Time 6 April 2016

    NHS Employers has published the full details of the new junior doctors' contract, external, including a pay calculator for those affected.

  18. Celebrity endorsement at north London hospitalpublished at 09:35 British Summer Time 6 April 2016

    Actor Stephen Mangan has been tweeting to say he and four other stars of the Channel 4 sitcom Green Wing will be visiting the hospital in north west London where they filmed the series to support doctors on strike there.

  19. Passion on the picket line in Ipswichpublished at 09:32 British Summer Time 6 April 2016

    Strike

    Our reporter Smitha Mundasad is with doctors on the picket line in Ipswich, and says there is no less passion than during the previous three strikes.

    She's been talking to Dr David Rouse, from the British Medical Association, about the 24,500 delayed and cancelled treatments and operations that have resulted from the strikes - here's what he had to say:

    Quote Message

    No one wants to have any operations cancelled if we can avoid it. But in the long run, if this contract is imposed, cancelled operations will become the norm. There will be so many rota gaps, this is a toxic contract as far as doctors' hours and rotas are concerned.

  20. On the picket line as 48-hour strike beginspublished at 09:17 British Summer Time 6 April 2016

    Junior doctors across England have been tweeting images of the walkout.

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