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Monday 23/02/2026

NHS Strikes Loom as Dispute Over Pay and Staffing Intensifies

Resident doctors in England holding strike signs for fair pay
Ethan BrooksEthan Brooks

In This Article

HIGHLIGHTS

  • NHS England and the British Medical Association (BMA) are in conflict over staffing levels during a planned five-day strike by resident doctors.
  • NHS England has instructed hospitals to cancel non-urgent care only in exceptional cases, raising concerns about patient safety.
  • The BMA is demanding a 29% pay rise over several years to restore real-term pay to 2008 levels, following a 22% increase over the past two years.
  • Public support for the strikes has decreased significantly, with approval ratings dropping from 52% to 26% in the past year.
  • Health Secretary Wes Streeting is engaged in talks with the BMA to avert the strike, but no additional pay increase is expected this year.

A looming five-day strike by resident doctors in England has sparked a heated dispute between NHS England and the British Medical Association (BMA) over staffing levels and patient safety. The strike, set to begin at 07:00 BST on Friday, involves approximately 48,000 resident doctors, who make up about two-thirds of the workforce. NHS England has directed hospitals to cancel non-urgent care only in exceptional circumstances, a move that the BMA warns could endanger patients by stretching non-striking doctors too thinly.

Staffing Concerns Amid Planned Walkout

The BMA has expressed grave concerns over NHS England's approach, arguing that maintaining non-urgent planned care during the strike will compromise safe staffing levels. In a formal letter to NHS England's chief executive, Sir Jim Mackey, BMA leaders Dr. Tom Dolphin and Dr. Emma Runswick emphasized the need for hospital care to adapt to available staffing levels during industrial action. NHS England, under Mackey's leadership since spring, aims to minimize disruption, acknowledging that cancelling non-urgent work also poses risks to patients.

Pay Dispute and Public Sentiment

The strike action is rooted in a pay dispute, with the BMA demanding a 29% pay rise over several years to restore real-term wages to 2008 levels. This follows a 22% salary increase over the past two years. Despite these demands, public support for the strikes has waned, with approval ratings plummeting from 52% to 26% over the past year. Health Secretary Wes Streeting has engaged in discussions with the BMA, hoping to avert the strike, but has made it clear that no additional pay increase will be offered this year.

Voices from the Frontline

Resident doctors have voiced their frustrations, highlighting the financial pressures they face. Fareed Al Qusous, an academic foundation doctor, described the strike as a last resort, emphasizing the disparity between doctors' pay and that of their assistants. Another resident doctor, Hassan, pointed out the challenges faced by those from working-class backgrounds, who cannot rely on family support for financial stability.

WHAT THIS MIGHT MEAN

As the strike date approaches, the potential impact on healthcare services looms large. If the strike proceeds, it could lead to significant disruptions in patient care, particularly in non-urgent services. The ongoing negotiations between the BMA and the government may yet yield a resolution, but the lack of additional pay offers could hinder progress. Experts suggest that if the strike goes ahead, it may prompt a broader discussion on healthcare funding and workforce sustainability in the UK. The outcome of these talks could set a precedent for future industrial actions within the NHS.