
Senior hospital doctors in England announced plans for a two-day strike set to begin on 25 November, during which emergency services will continue but routine and planned procedures will be significantly impacted.
The British Medical Association reached this decision following a vote by members in July that endorsed strike action. Negotiations with the government over the past month failed to produce a resolution, prompting union leadership to proceed with the walkout. The BMA’s leadership stated that negotiation attempts conducted in good faith were unsuccessful, with government officials repeatedly delaying decisions on outstanding issues.
Consultants are seeking multiple concessions beyond compensation adjustments. The union wants basic pay levels increased from current structures, reduction of the standard working week from 40 to 35 hours, enhanced out-of-hours compensation, and pension modifications allowing greater flexibility for when benefits can be accessed. The BMA contends that consultant pay has declined by a quarter over the past 17 years when adjusted for inflation, despite the 3.5% increase provided this year. Current compensation structures see basic pay beginning at £113,500 and reaching £150,500 for the most experienced practitioners, with average total earnings exceeding £150,000 annually.
In the strike authorization ballot, 76% of participating consultants voted in favor of action, though the government noted this represents approximately one in five of all NHS consultants in England, as nearly half are not BMA members. Health Secretary Yvette Cooper characterized the strike announcement as disappointing and irresponsible, warning it would strain health services further. The strike action in England represents the first consultant walkout since 2023, coming as similar actions occur among doctors in Northern Ireland during this period.
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