Junior doctors suspend planned five-day strike in September

Junior doctors have called off the first of their planned series of five-day strikes after growing alarm from senior doctors and NHS leaders that the action could endanger patients.

In a statement on Monday afternoon, Dr Ellen McCourt, the chair of the British Medical association’s junior doctors committee, said that the doctors’ union was “suspending the industrial action planned for the week of 12 September”.

McCourt told Jeremy hunt, the health secretary, that he now had a month to stop the imposition of the new contract that has sparked such anger among trainee medics in England over the last year. It is due to start being implemented from early October.

However, the BMA is still planning to stage three other five-day- walkouts, in October, November and December, if Hunt does not respond positively.

However, it is unclear what will happen next after the Department of Health’s initial reaction to the call-off did not indicate if Hunt would do what the BMA are urging him to do and suspend the planned imposition of the contract.

A DoH spokesman said only that: “The public will be relieved that the BMA has decided to call off the first phase of these unprecedented strikes, so this is welcome news. But if the BMA were really serious about patient safety, they would immediately cancel their remaining plans for industrial action which, as the GMC says, will only cause patients to suffer.”

Hunt may clarify his position later on Monday, though, when he makes a statement in the Commons on the long-running dispute.

Mc Court added that the BMA decided to call off next week’s planned action, which saw the BMA being heavily criticised by many medical groups including the Academy of Medical Royal Colleges, to ensure that safety of care was maintained.

“Patient safety remains doctors’ primary concern. For the first time in this dispute NHS England have told us that a service under such pressure cannot cope with the notice period for industrial action given,” she said. “We have also listened to the concerns of working doctors, patient groups and the public.”

It comes hours after the General Medical Council, which regulates doctors, warned that “harm and suffering to patients” would inevitably result from the action.

The walkouts were due to include even life-or-death areas of care in hospitals such as A&E, surgery, intensive care and maternity services. An estimated 125,000 planned operations were set to be cancelled as another consequence, leading to fears that patients would suffer pain and distress as hospitals would take months to clear the backlog.

The BMA’s move may be a belated attempt to maintain the profession’s year-long unity over the new junior doctors’ contract, which shattered last week with many leading doctors criticising the intended strikes as disproportionate and likely to threaten patient safety. Junior doctors may also be hoping to keep the public on their side in their bitter dispute with Hunt.

They continued to enjoy around 60% public backing despite the eight days of strikes they staged between January and May in pursuit of their claim that the new contract for England’s 54,000 doctors below the level of consultant was unsafe and unfair.

Junior doctors suspend planned five-day strike in September

BMA calls off September junior doctors" strike after "scores" of protests

A revolt by rank-and-file junior doctors forced the British Medical Association to call off a five-day strike scheduled for next week on Monday, amid worries about the impact it would have on patients and the health service.

BMA insiders say members of the junior doctors committee, who had called the strike last Wednesday, were inundated with “scores, possibly hundreds” of angry protests in the days afterwards, forcing the rethink.

Junior doctors were particularly annoyed and anxious that the BMA had given the NHS just 12 days to prepare for the first of what the doctors’ union later said would be a series of week-long stoppages.

Trainee medics dismayed at the BMA’s decision were worried that the action – which has been due to be the latest protest against health secretary Jeremy Hunt’s new contract for junior doctors – would leave hospitals too little time to arrange to cover gaps in rotas and could compromise patients’ safety, and damage public trust.

Throughout Friday and the weekend, Dr Ellen McCourt, the chair of the junior doctors committee, received a regular stream of emails to her BMA email address from colleagues uneasy at the decision, as did other members of the committee. They demanded an urgent rethink of the union’s position. That played a crucial role in the BMA’s surprise announcement on Monday that it was abandoning its plan to strike next week, even though they had won no fresh concessions from the health secretary.

Dr Ellen McCourt, chair of the BMA’s junior doctors committee. Photograph: Sarah Turton/BMA

McCourt said on Monday that the BMA had called off next week’s strikes to protect patient safety because “for the first time in this dispute, NHS England have told us that a service under such pressure cannot cope with the [12-day] notice period for industrial action given. We have to listen to our colleagues when they tell us that they need more time to keep patients safe.”

The committee’s decision to stage week-long total withdrawals of junior doctor labour across the NHS in England each month until December had prompted such anger that McCourt even received death threats over what some saw as a reckless and indefensible course of action. However, she has not indicated whether those threats came from fellow junior doctors or members of the public.

McCourt revealed in a message she posted on a junior doctors’ Facebook message site on Sunday: “My 64-year-old retired mother has had the press camped outside her house. JDC members’ lives have been splashed across the papers. And I have received threats to my life.” That followed several days of hostile coverage in several newspapers of the planned strikes and of BMA leaders who had endorsed them.

The rolling series of week-long walkouts had been condemned by leading medical bodies such as the Academy of Medical Royal Colleges and the General Medical Council, as well as by some hospital consultants, as disproportionate and risky.

However, Hunt made clear late on Monday that the BMA’s decision to call off next week’s action, while welcome, would not persuade him to lift his threat to impose a new contract on all 54,000 medics working in the NHS in England below the level of consultant from next month. His refusal to accede to the BMA’s plea leaves it unclear as to what the union will now do. Its planned strikes in October, November and December will still go ahead unless he relents, McCourt maintained.

While health secretary Jeremy Hunt welcomed the postponement of strike action, he refused to lift his threat to impose a new contract. Photograph: Carl Court/Getty Images

In a statement on Monday in the House of Commons on the long-running dispute, Hunt – whom Theresa May last week praised as “an excellent health secretary” despite unease in the NHS about his handling of the junior doctors row – said: “This afternoon’s news delaying the first strike is of course welcome. But we must not let it obscure the fact that the remaining planned industrial action is unprecedented in length and severity and will be damaging for patients, some of whom will already have had operations cancelled”.

About 100,000 planned operations will be postponed, and around a million outpatient appointments rescheduled as a result of the BMA’s actions, he said. “We cannot give an absolute guarantee that patients will be safe. But hospitals up and down the country will bust a gut to look after their patients in this unprecedented situation and communicate with people whose care is likely to be affected as soon as possible,” he told MPs.

Despite the BMA’s olive branch, relations between it and the Department of Health grew even more strained when the DH circulated a briefing paper contesting many of McCourt’s claims in her statement announcing that next week’s strike was off, six of which it said were categorically untrue. They also sought to embarrass McCourt, an A&E trainee in Hull, by contrasting her opposition to the contract now with her endorsement of it in a BBC Radio 4 interview on 18 May, the day the BMA and DH announced that a deal had been agreed.

For example, the DH denied her claim that the contract is discriminatory on equality grounds. In May, she told the PM programme that “we’ve come away with an offer, with a contract, that emphasises that all doctors are equal, that has put together a really good package of things for equalities so that we are minimising the issues we had with the previous offer with regards to gender and equality.”

BMA calls off September junior doctors" strike after "scores" of protests

Junior doctors to stage five consecutive days of strikes in September

The British Medical Association has announced a new wave of strikes by junior doctors in England this month – the first since its members rejected the government’s final offer on their new contract.

Junior doctors are to stage five days of strikes with “full withdrawal of labour” between 12 and 16 September, the British Medical Association has announced.

There will be a full withdrawal of labour, including junior doctors working in emergency departments, between 8am and 5pm on the days in question.

The industrial action will further test the NHS, already said by trusts to be at breaking point due to increasing demand for services, staff shortages, and insufficient funding.

There have been five previous walkouts in the dispute, all this year. The longest lasted for two consecutive days, and the first all-out strike – including junior doctors working in emergency departments – was held in April. More than 100,000 operations and outpatient appointments have been cancelled as a result of industrial action to date.

In May a compromise deal was agreed between the BMA and Jeremy Hunt, the health secretary, but last month members of the doctors’ union voted against accepting it by a margin of 58% to 42%. As a result, Hunt is pushing forward with plans to impose the contract on junior doctors – those below the level of consultant – in October.

About 37,000 BMA members, or 68% of the 54,000 trainee doctors and final- and penultimate-year medical students who were eligible to vote, took part in the ballot on the settlement.

Dr Johann Malawana, then chair of the BMA’s junior doctors committee, had recommended the revised terms and conditions as the best deal junior doctors could get, but resigned after the ballot results were announced, and was replaced by Ellen McCourt.

The Department of Health accused the BMA of putting confrontation before cooperation in order to score political points. A spokesman said: “As doctors’ representatives, the BMA should be putting patients first not playing politics in a way that will be immensely damaging for vulnerable patients. What’s more, the BMA must be the first union in history to call for strike action against a deal they themselves negotiated and said was a good one.

“Whilst there are many pressures on the frontline, funding is at record levels, with the highest number of doctors employed in the history of the NHS. Co-operation not confrontation is the way forward to make sure patients get the best treatment and the NHS is there for people whenever they need it.”

Junior doctors to stage five consecutive days of strikes in September