Steve Barclay, well being and social care secretary, has mentioned junior docs in England should “transfer considerably” from their present pay declare earlier than the federal government will re-enter talks, because the medics start their third interval of commercial motion since March.

Describing the docs’ 72-hour walkout, starting at 7am on Wednesday, as “extraordinarily disappointing”, Barclay mentioned it might “put affected person security and our efforts to chop ready lists in danger”. 

The British Medical Affiliation has dismissed the federal government’s provide of a 5 per cent pay enhance as “under no circumstances credible” because it seeks a settlement to handle what it describes as 15 years of pay erosion.

Calling it “a good and affordable opening provide”, Barclay mentioned discussions had been beneath method on “each pay and non-pay points till [the junior doctors] selected to finish the talks by asserting new strike dates”.

If the BMA cancelled these “damaging and disruptive strikes and exhibits willingness to maneuver considerably from their place, we are able to resume confidential talks and discover a method ahead, as we’ve performed with different unions”, he added.

Within the meantime, folks ought to attend appointments until advised in any other case by the NHS, “proceed to name 999 in a life-threatening emergency and use NHS 111 on-line providers for non-urgent well being wants,” he mentioned.

An estimated 500,000-plus operations and appointments have been cancelled since NHS staff, together with nurses and paramedics, started industrial motion final December.

The NHS Employees Council, which represents 14 well being unions, in Could accepted a pay provide which supplies employees a consolidated rise of about 9 per cent over two years. Nevertheless, a majority of Royal School of Nursing members rejected it, with nurses now balloting for a second six-month strike mandate.

Consultants and radiographers are holding their very own ballots as they search the go-ahead for walkouts.

Well being leaders mentioned employees had turn out to be accustomed to managing the disruption of strike days however warned of the longer-term penalties for the well being service and sufferers. 

Rory Deighton, director of the acute community on the NHS Confederation, mentioned native providers had been doing the whole lot they may “to prioritise these with the best scientific want and supply secure providers for sufferers”.

Nevertheless, he warned that “every wave of strikes chips away on the NHS’s resilience, impacting on employees, inside relationships and their capacity to ship on authorities pledges to cut back the elective backlog”.

Securing advisor cowl for absent junior docs was “a problem” he famous, as native negotiations over extra time funds continued.

Individually, in an open letter to NHS employees, Barclay mentioned he would work with the NHS Employees Council to supervise implementation of the “non-pay” parts of the pay settlement.

He invited individuals within the NHS pay-review physique course of, together with well being unions, NHS England and the devolved administrations, to share their views on areas comparable to “timing of the pay spherical, appointments course of for members, enter of the NHS Employees Council and the information and proof that’s fed in”, he mentioned.

Unison normal secretary Christina McAnea mentioned that, with out basic change, “the federal government dangers sleepwalking right into a disastrous repeat of the shambolic method ministers dealt with the 2 most up-to-date pay rounds”.

A strike by junior docs in Scotland is about to happen between July 12 and 15 after BMA members rejected Holyrood’s provide of an mixture 14.5 per cent rise over two years, coupled with talks on a change to the system of pay evaluations.