NHS chief warns of ‘enormous’ disruption as junior doctors’ announce strike

Warning came as the health service urged people to try to stay safe in the warm weather during strikes

The NHS will face “enormous” disruption as junior doctors in England go out on strike later this week, a top doctor has warned.

Almost all routine or pre-planned care could be impacted in some way, according to Professor Sir Stephen Powis, NHS England’s national medical director.

It comes as the health service raised concerns about the impact of warm weather on urgent and emergency care.

Junior doctors in England are set to walk out for 72 hours from 7am on Wednesday 14 June in the ongoing dispute over pay.

The NHS has been preparing extensively for this next set of strikes, but we know that – with the sheer number of appointments that need to be rescheduled – it will have an enormous impact on routine care for patients

Professor Sir Stephen Powis

As a result, senior doctors and nurses will be drafted in to cover urgent and emergency care work usually undertaken by junior doctors, which will lead to other work being postponed.

Prof Powis said thousands of routine procedures had already been rescheduled but urged people still to attend unless they had been contacted.

A similar walkout by junior doctors in April saw 196,000 hospital appointments and pre-planned operations rescheduled.

Meanwhile, NHS England also called for people to do their best to protect themselves during warm weather, warning that the service in many parts of the country has faced high demand for urgent care services.

It urged people, particularly the elderly, to follow warm weather guidance such as trying to keep their homes cool by keeping their windows and curtains closed in the day and opening them at night when the temperature has gone down and checking the temperature of their rooms.

Professor Sir Stephen Powis, national medical director for the NHS in England, said: “The NHS has been preparing extensively for this next set of strikes, but we know that – with the sheer number of appointments that need to be rescheduled – it will have an enormous impact on routine care for patients and on the waiting list, as procedures can take time to rearrange with multiple teams involved.

“As we enter the seventh month of industrial action across the NHS, and as this action becomes more frequent, we are now seeing an extraordinary cumulative impact on our services and crucially on our staff, who continue to go above and beyond to maintain safe patient services during this challenging period.

“Emergency, urgent and critical care will be prioritised this week, but some patients will unfortunately have had their appointments postponed – if you haven’t been contacted to reschedule, please do continue to attend your planned appointment.

“This week, as ever, use 999 and A&E for life-threatening emergencies, using NHS 111 online for all other health conditions.”

Meanwhile, senior health leaders implored the government and junior doctors to reopen negotiations ahead of the strike.

Matthew Taylor, chief executive of the NHS Confederation, which represents NHS trusts, said: “It’s disappointing that the NHS is having to brace itself for a further round of industrial action once again as the government and junior doctors have not found common ground on the pay dispute.

“Both sides will need to cede some ground if there is to be any hope of a resolution, and the NHS really needs to see one soon.

“Leaders have prepared well again ahead of the strike and are doing all they can to prioritise patient safety, which will mean that some elective activity and outpatient appointments will take a hit in favour of life and limb care.

“This delay to elective care is what concerns leaders most, and has a real impact on patients, many of whom will have already been waiting a long time only to see their operation cancelled.

“The impact of this can be significant, with patients potentially developing complications or their condition worsening as a result.

“It also means that the waiting list, currently at 7.4 million, is likely to grow further and take longer to clear.

We again strongly encourage both the government and junior doctors to come to the table and put an end to this as quickly as possible

Matthew Taylor, NHS Confederation

“While the NHS will continue to pull together and find ways to cope, repeated industrial action is taking an increasing toll.

“We’ve seen signs that more consultants are becoming reluctant to continue to provide cover unless they are paid the BMA rate card for overtime, which will have an impact on local budgets.

“We again strongly encourage both the government and junior doctors to come to the table and put an end to this as quickly as possible.”

Saffron Cordery, deputy chief executive at NHS Providers, added: “We understand the frustration of junior doctors and other staff groups who’ve seen their pay fall behind inflation and made the difficult decision to strike, but this can’t continue.

“We risk sleepwalking into a summer of strikes if talks don’t resume as a matter of urgency. The Government and unions must re-open talks without delay.”

The strike was announced after talks between the British Medical Association and the government broke down in May.

Last week Health Secretary Steve Barclay said there needs to be “movement on both sides” amid the dispute.

He insisted the Government’s door remains open, but accused the BMA’s Junior Doctors Committee of refusing to budge from its 35 per cent pay demand, despite bringing an intermediary to negotiations.

A Department of Health and Social Care spokesperson said: “Another three days of strikes by junior doctors will risk patient safety and lead to further disruption and postponed treatments.

“We made a fair and reasonable opening offer to the BMA and were in active discussions about both pay and non-pay issues.

“Unfortunately, it seems they are unwilling to move meaningfully away from unreasonable demands that would see doctors’ pay increase by either 35per cent this year, or at least 49 per cent by next year, which were the two propositions they put on the table.

“We are working with NHS England to put in place contingency plans to protect patient safety. The NHS will prioritise resources to protect emergency treatment, critical care, neonatal care and trauma.”

– Junior doctors across England will attend picket lines from 7am on Wednesday with the strike due to end at 7am on Saturday.