Daily Mail

PATIENTS’ SUMMER OF CHAOS

As doctors plan to go on a strike without end, now ambulance staff threaten walkout

- By Ben Spencer and Daniel Martin

PATIENTS face a summer of NHS chaos after paramedics threatened to follow the lead of junior doctors, who are launching an all-out strike today.

Hospitals will suffer unpreceden­ted disruption as thousands of junior doctors abandon their posts in A&E, intensive care and maternity wards over two days.

Consultant­s and nurses will fill the gaps left by up to 45,000 striking doctors – and paramedics have been asked to set up temporary units outside hospitals. Patients are being advised to stay away from A&E during the walkouts unless it is a real emergency.

But more mayhem could follow within weeks, as two unions yesterday announced plans to ballot ambulance staff for industrial action.

Last night Tory backbenche­rs called on the Government to ban strikes in the emergency services.

Junior doctors are also considerin­g an indefinite ‘ strike of no return’ should the Government not shelve plans to impose controvers­ial new contracts.

The NHS is facing major financial problems, lengthenin­g waiting lists and ballooning demand, while trying to meet ministers’ demands for radical reform.

But it could face a series of further shocks later this summer, with more than half of junior doctors thinking about quitting the NHS, according to a poll.

Health Secretary Jeremy Hunt yesterday appealed to junior doctors to abandon the current allout strike, between 8am and 5pm today and tomorrow.

He said the walkout will have an ‘unpreceden­ted impact’ – with more than 110,000 outpatient appointmen­ts and 12,500 opera- tions cancelled. Junior doctors are furious at plans to impose deals that will see them work more weekends for less pay.

In the Commons, Mr Hunt acknowledg­ed their ‘frustratio­n’. But he said doctors already receive more Saturday pay than ‘nearly every other worker in the public and private sectors’.

‘No trade union has the right to veto a manifesto promise voted for by the British people,’ he said. ‘I wish to appeal directly to all junior doctors not to withdraw emergency cover, which creates particular risks for A& Es, maternity units and intensive care units.’

Major unions GMB and Unison yesterday announced plans to ballot ambulance workers to gauge support for industrial action in a separate pay row.

The GMB’s Steve Rice said: ‘Ambulance staff are sick and tired of being pushed around. In 2015 we settled a pay dispute with Jeremy Hunt in good faith. Nearly a year on we feel badly let down with an undelivere­d promise and a continued demand on the 999 emergency service.

‘We urge Jeremy Hunt to get round the table, otherwise a second dispute in the NHS in addition to the junior doctors will be unavoidabl­e.’ Conservati­ve MP Andrew Bridgen urged Mr Hunt to ‘review’ the situation, adding: ‘Doctors are among the most highly remunerate­d of our public servants – far better remunerate­d than members of the police or the armed services, who are essential workers and who are barred by law from taking strike action.’

Julian Lewis, a fellow Tory MP, asked whether public demand for a law against such strikes could be ‘irresistib­le’ if patients died as a result of the walkout.

The Health Secretary said Mr Lewis was ‘right’, adding: ‘The public will be extremely disappoint­ed that profession­als are putting patients at risk in this way. I think it is extremely tragic that they are doing that.’

He said it was a ‘crossing of the Rubicon’, adding: ‘When you are paid a high salary it comes with the responsibi­lities of a profession. It is totally inappropri­ate to withdraw emergency care.’

But asked whether ministers were planning to clamp down on strikes, a Government source said: ‘It is not something we are looking at right now.’

Dr Johann Malawana, of the British Medical Associatio­n’s junior doctor committee, said: ‘We have made a repeated and genuine offer to the Health Secretary – lift the imposition and we will call off this action … but by refusing to get back around the negotiatin­g table the Government has left them with no choice but to take short-term action to protect patient care in the long term.’

The strike does not have the backing of any royal colleges, but their presidents wrote to David Cameron, saying: ‘At this eleventh hour, we call upon you to intervene … end this damaging stand-off, and initiate an honest

‘Totally inappropri­ate’ ‘Unpreceden­ted impact’

debate about the serious difficulti­es facing UK health services.’

But a Government source argued that the BMA was more interested in a ‘political win’ than reaching agreement.

Another source said the BMA had radicalise­d a ‘generation of junior doctors’ and if the Government backed down it would face similar action by other unions, which were watching ‘like a hawk’.

A Department of Health spokesman said: ‘Vital work to review paramedic pay rates is in progress and we continue to work with trade unions to reach an agreed deal for their members.’ Additional reporting: Madlen Davies

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