Publisher Health

Nurses and ambulance staff will strike on Monday in parts of England as the biggest round of NHS walkouts starts.

Royal College of Nursing members in a third of England’s NHS trusts will go on strike, but action planned for Wales was suspended after a new pay offer.

They will be joined by members of two ambulance unions – the GMB and Unite – in some places as both sectors walk out on the same day for the first time.

Under trade union laws, emergency cover will be provided.

It marks the start of a series of walkouts by NHS staff in England this week – the biggest round of industrial action in the history of the health service, according to NHS bosses – in their fight to get an above-inflation pay rise.

It comes after a number of unions suspended strike action due to take place in Wales this week. Physios, midwives and nurses all announced on Friday they would not walk out.

Only Unite, which represents some ambulance staff, is going ahead with its planned action there on Monday.

The following strike action will take place this week:

The head of RCN said strikes would be called off if the government came to the negotiating table with a better pay offer in England.

General secretary Pat Cullen told BBC Radio 4 Today programme: “We’ve always said where negotiations happen, we would cancel strikes to allow for our members to be consulted…

“That’s what happened in Wales, that’s what’s been going on in Scotland.”

Currently there is no sign ministers are prepared to discuss a new pay offer for 2022/23.

Ms Cullen urged the prime minister: “Get to the table, negotiate with me and what offer you put on the table I will consult our members and they will make that decision.”

GMB national secretary Rachel Harrison said her members had been forced into Monday’s walkout as there had been no meaningful dialogue for a month.

“The NHS is crumbling, people are dying and this government is dithering,” she said.

The government says the pay demands are unaffordable and would fuel inflation.

Health minister Maria Caulfield has urged unions to suspend strikes and discuss next year’s pay deal.

She told BBC Radio 4’s Today Programme a deal in Wales was not yet guaranteed and added it would be “extremely difficult” to reopen the 2022/23 pay deal – as this could lead to other public sector workers demanding the same.

“You’re talking about billions of pounds to pay for that,” she said.

Health Secretary Steve Barclay said ministers had met the recommendations of the independent NHS Pay Review Body.

And he warned the walkouts this weekly would “undoubtedly have an impact on patients and cause delays”.

Monday marks the first time ambulance crews and nurses will walk out on the same day after NHS industrial action started in December.

The NHS Providers – the membership body representing every NHS hospital and ambulance service – urged ministers to reopen talks with unions on pay.

But while it is the biggest strike action of this winter, the impact will not be felt everywhere.

Under trade union laws, emergency cover will be provided. This means services such as intensive care, kidney dialysis and urgent cancer care will be provided.

What is more, around a third of nurses are not members of the RCN and two thirds of services in England will not see any strike action take place.

The majority of services taking part in the two days of RCN action this week are hospitals.

It means the biggest impact will be seen in pre-booked treatment such as hernia repairs, hip replacements and outpatient clinics.

In the hospitals where strike action took place in January, the extent of the disruption varied greatly. Some said up to 20% of routine work had to be rescheduled, but others reported a much smaller impact.

Speaking to BBC Radio 4’s Today Programme, chief executive Sir Julian Hartley said: “We do expect to have significant disruption in terms of planned care, outpatients and elective appointments, but obviously making sure that we deliver the priority of patient safety for urgent and emergency care.

“We can’t go on with a series of industrial actions that really take us away from focusing on those priorities because I can’t overstate the amount of work that goes on in organisations to manage and mitigate for industrial action, and our focus needs to be on delivering for patients as an NHS in those key areas.”

There is no strike action taking place in Northern Ireland this time, while talks have restarted in Scotland following a fresh pay offer.

Meanwhile, in the ambulance service Unison, which is by far the biggest union in the sector, is not taking action on Monday.

Between them, the GMB and Unite represent around a quarter of ambulance staff.

The services in London and the East of England will be completely unaffected.

The government has refused to reopen official pay talks – although it has met union leaders to discuss the situation.

The pay award, which is worth at least £1,400 for each NHS worker below the level of doctor and works out at an average of 4.75%, is already being paid to staff.

The government says it is now in the process of gathering evidence for next year’s pay award which is due to come in in April.

But the unions have pulled out of that pay process, which is overseen by the independent NHS Pay Review Body.

In Wales, staff were given the same award as in England, but the Welsh government has now offered another 3%, prompting many unions to suspend action there.

Pay talks are also taking place in Scotland as ministers there have offered extra too.

Unison head of health Sara Gorton said: “This ramps up the pressure on the prime minister significantly. Political leaders in Scotland and now Wales are making the Westminster government look decidedly out of touch.”