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Junior doctors' strike day two - live updates Junior doctors' strike day two - live updates
(35 minutes later)
10.24am BST
10:24
Steven Morris
Alex Gates, 29, organiser of the picket line at the RUH in Bath, says the striking doctors are as motivated on day two as they were on day one. He thinks the next move should be for more pressure to be placed on hospital bosses to challenge the government.
“If 20 chief executives signed a letter calling for the government to think again, I think that would sort it,” he said.
Junior doctors' strike - junior doctor Alex Gates at the RUH in Bath. https://t.co/aOxwOE3pnj
Lucy Rose Jefferson, 26, who works in the geriatrics department at the RUH in Bath, is in what she calls the “Doomsday camp.” “If the government wins this, they’ll go after the nurses, the physiotherapists, everyone else. It will be the beginning of the end for the NHS.”
Junior doctors' strike. Doctor Lucy Rose Jefferson on the picket line in Bath. https://t.co/ZhaQHN4PHP
10.21am BST
10:21
Aisha Gani
Aisha Gani has been talking to Dolin Bhagawati, a registrar at the national hospital for neurology at Queen Square (central London) who has been a doctor for nine years.
He says the specialist hospital he is at has probably 40 junior doctors and about 20 consultants, and at any one time 30 junior doctors.
“The majority were on strike yesterday - we had four junior doctors working and all consultants were working.”
He said he’s on strike as “this contact is unsafe and discriminatory and if imposed will worsen staff conditions. It’s not trialled and not evidence based.”
He added: “Nine years as a junior doctor I have worked in three continents - US, India and here. I found here it’s very rare to have worked in a full rota and doctors have gone above and beyond to cover and fill gaps. People have worked illegal shifts. I myself am considering my future here. My wife is Indian and her first thought when she saw my working pattern was that I am being paid less and working harder than I would in India.
As a consultant neurosurgeon, the average pay here would be £70,000 in U.S it Would be $700,000 (£479,994). In Seattle, my boss was on $4m - so it’s not about money. These are qualified intelligent people who have chosen a vocation. So rather than seeing the effect of this contract we want to negotiate and work with the government and get back to what we want to do and treat patients. Prevention is better than cure.”
Dolin tells me it's not about the money: As a consultant neurosurgeon he would earn £70k in UK, in U.S. $700,000 pic.twitter.com/IaGk6CaGOl
9.41am BST9.41am BST
09:4109:41
It’s not all support for junior doctors, reports Alessio Perrone at St Mary’s in west London. Some passers-by shout their disapproval.It’s not all support for junior doctors, reports Alessio Perrone at St Mary’s in west London. Some passers-by shout their disapproval.
“Get back to work now. People could die!” one person said. Then a runner: “Shame on you!” And again: “Shame on you!”“Get back to work now. People could die!” one person said. Then a runner: “Shame on you!” And again: “Shame on you!”
Junior doctor Ali Yazdi, who works in the geriatrics department, shouted back that their bosses supported them and are covering for them. He says it’s frustrating when this happens.Junior doctor Ali Yazdi, who works in the geriatrics department, shouted back that their bosses supported them and are covering for them. He says it’s frustrating when this happens.
“I understand some people don’t agree with us, but I wish they stopped to talk to us,” he said. “Instead many just shout and run away. We can’t explain our position.”“I understand some people don’t agree with us, but I wish they stopped to talk to us,” he said. “Instead many just shout and run away. We can’t explain our position.”
At St Mary's, runners shouted: "Get to work now!" "Shame on you!". Jr dr Yazdi says many dont stop to talk to them pic.twitter.com/ZVZG30pmdJAt St Mary's, runners shouted: "Get to work now!" "Shame on you!". Jr dr Yazdi says many dont stop to talk to them pic.twitter.com/ZVZG30pmdJ
9.36am BST9.36am BST
09:3609:36
The numbers of pickets at Royal University hospital in Bath are picking up considerably.The numbers of pickets at Royal University hospital in Bath are picking up considerably.
Picket growing at the RUH in Bath - more than 100 now easily. pic.twitter.com/pIVUAoBRPePicket growing at the RUH in Bath - more than 100 now easily. pic.twitter.com/pIVUAoBRPe
9.33am BST9.33am BST
09:3309:33
Juniors on the picket line at King’s College say official figures on the number of their colleagues who went to work yesterday are misleading, writes Damien Gayle.Juniors on the picket line at King’s College say official figures on the number of their colleagues who went to work yesterday are misleading, writes Damien Gayle.
According to the hospital press office, six junior doctors turned up to work in emergency departments across the trust - which also includes Princess Royal University hospital. However, despite being asked to do so by the Guardian, the trust did not indicate how many of these were juniors on staff grade contracts. These doctors are not covered by the strike as they are not on training contracts.According to the hospital press office, six junior doctors turned up to work in emergency departments across the trust - which also includes Princess Royal University hospital. However, despite being asked to do so by the Guardian, the trust did not indicate how many of these were juniors on staff grade contracts. These doctors are not covered by the strike as they are not on training contracts.
Chris James, a trainee anaesthetist, said he had spoken to consultants in A&E who told him no trainee doctors had gone to work.Chris James, a trainee anaesthetist, said he had spoken to consultants in A&E who told him no trainee doctors had gone to work.
“Yesterday at Kings A&E there were zero junior doctors. At the Pru (Princess Royal) there were five staff grade doctors. They are specialists who are not on these contracts, they are not involved in this dispute. So overall, across both sites, there were zero junior doctors,” he said.“Yesterday at Kings A&E there were zero junior doctors. At the Pru (Princess Royal) there were five staff grade doctors. They are specialists who are not on these contracts, they are not involved in this dispute. So overall, across both sites, there were zero junior doctors,” he said.
“Today we have got three non-training doctors - not on training contracts - at King’s, and I think it’s the same at the Pru again. That’s come from the consultant body. They were happy that they staffed it safely [yesterday], they had full cover and they had no problems at all.”“Today we have got three non-training doctors - not on training contracts - at King’s, and I think it’s the same at the Pru again. That’s come from the consultant body. They were happy that they staffed it safely [yesterday], they had full cover and they had no problems at all.”
9.25am BST9.25am BST
09:2509:25
Aisha GaniAisha Gani
Maddy Wells has just finished night shift in intensive care last night at University College hospital and has joined the picket line. She tells Aisha Gani there are eight junior doctors per shift on an average day and two consultants. No junior doctors worked yesterday from 8-5pm and there were six consultants covering.Maddy Wells has just finished night shift in intensive care last night at University College hospital and has joined the picket line. She tells Aisha Gani there are eight junior doctors per shift on an average day and two consultants. No junior doctors worked yesterday from 8-5pm and there were six consultants covering.
“My main reason for striking is despite multiple attempts at negotiation from people in prominent positions with Jeremy Hunt he has failed to listen,” said Wells.“My main reason for striking is despite multiple attempts at negotiation from people in prominent positions with Jeremy Hunt he has failed to listen,” said Wells.
Rosie & Maddy work in intensive care and were on call last night. Usually 8 juniors, yesterday 6 consultants covered pic.twitter.com/MaoQibCbmsRosie & Maddy work in intensive care and were on call last night. Usually 8 juniors, yesterday 6 consultants covered pic.twitter.com/MaoQibCbms
9.17am BST9.17am BST
09:1709:17
An assortment of signs from St Mary’s in Paddington, were numbers are picking up, writes Alessio Perrone. About 20-25 doctors have joined the picket, but they expect it to get much busier after 9.30am, when most surgeries start.An assortment of signs from St Mary’s in Paddington, were numbers are picking up, writes Alessio Perrone. About 20-25 doctors have joined the picket, but they expect it to get much busier after 9.30am, when most surgeries start.
Some of the best signs at St Mary's Hospital #JuniorDoctorsStrike pic.twitter.com/sVCIqZetpWSome of the best signs at St Mary's Hospital #JuniorDoctorsStrike pic.twitter.com/sVCIqZetpW
UpdatedUpdated
at 9.19am BSTat 9.19am BST
9.15am BST9.15am BST
09:1509:15
Aisha GaniAisha Gani
Aisha Gani is at University College hospital in central London, where about two dozen junior doctors are on the picket line on a chilly April morning.Aisha Gani is at University College hospital in central London, where about two dozen junior doctors are on the picket line on a chilly April morning.
Lina Carmona was on call as urology registrar last night, while she is also doing her PhD in prostrate cancer at UCL. She trained as a doctor in Colombia and came to the UK to work as a registrar. She has been a doctor for eight years and has a small child.Lina Carmona was on call as urology registrar last night, while she is also doing her PhD in prostrate cancer at UCL. She trained as a doctor in Colombia and came to the UK to work as a registrar. She has been a doctor for eight years and has a small child.
“We’re supposed to be encouraging people, and women to be doing research. My wages doing a PhD is much lower than being registrar. I used to earn £3,000 a month and now I earn £1,600 and paying for my PhD. So who’s going to want to go into research when your salary is frozen.“We’re supposed to be encouraging people, and women to be doing research. My wages doing a PhD is much lower than being registrar. I used to earn £3,000 a month and now I earn £1,600 and paying for my PhD. So who’s going to want to go into research when your salary is frozen.
“My mentor is a consultant urologist and publishes research and has four children. She is my role model but I was talking to her and she said if I was in your position I wouldn’t know what I’d do.“My mentor is a consultant urologist and publishes research and has four children. She is my role model but I was talking to her and she said if I was in your position I wouldn’t know what I’d do.
“So if I continue to do this job I’ll just be treated as a junior junior doctor again. I came here as I love research. I come from a country where we have to work dangerous hours and wouldn’t have any rest.”“So if I continue to do this job I’ll just be treated as a junior junior doctor again. I came here as I love research. I come from a country where we have to work dangerous hours and wouldn’t have any rest.”
Lina, a doctor of eight years, is a surgeon, urologist and doing a phd in prostrate cancer. Her salary has halved pic.twitter.com/LHGU1IPiKMLina, a doctor of eight years, is a surgeon, urologist and doing a phd in prostrate cancer. Her salary has halved pic.twitter.com/LHGU1IPiKM
9.07am BST9.07am BST
09:0709:07
Striking junior doctors are just setting up their pickets at the entrance to the King’s College hospital compound in Camberwell, south London, writes Damien Gayle.Striking junior doctors are just setting up their pickets at the entrance to the King’s College hospital compound in Camberwell, south London, writes Damien Gayle.
Progress is slower than yesterday, some of those helping put of banners admitted to being hoarse from last night’s demo march through central London. Yesterday had seen hundreds of striking doctors join the picket at its height in the afternoon.Progress is slower than yesterday, some of those helping put of banners admitted to being hoarse from last night’s demo march through central London. Yesterday had seen hundreds of striking doctors join the picket at its height in the afternoon.
As many are expected today, but the atmosphere is muted for now. Chris James, a trainee anaesthetist, said that yesterday’s strike had really impressed on them the power of the media, and how much most outlets were happy to back the government’s line.As many are expected today, but the atmosphere is muted for now. Chris James, a trainee anaesthetist, said that yesterday’s strike had really impressed on them the power of the media, and how much most outlets were happy to back the government’s line.
James said: ”Yesterday was about where are we, where’s everyone’s support base, are we doing the right thing, are we not. This whole thing is very emotionally charged. Today is a lot more about taking stock.”James said: ”Yesterday was about where are we, where’s everyone’s support base, are we doing the right thing, are we not. This whole thing is very emotionally charged. Today is a lot more about taking stock.”
Despite warnings from the government, James and his colleagues said they believed there had been adequate cover in critical departments of the hospital.Despite warnings from the government, James and his colleagues said they believed there had been adequate cover in critical departments of the hospital.
“I had a chat with our clinical director here saying we are staffing one to one in A&E. That’s where they were talking about the big risk, whereas yesterday was the safest day to go to A&E.”“I had a chat with our clinical director here saying we are staffing one to one in A&E. That’s where they were talking about the big risk, whereas yesterday was the safest day to go to A&E.”
King’s strikers had hired an open top bus yesterday, which they used to tour south west London neighbourhoods before travelling to St Thomas for last night’s march. People they met had been mostly supportive, he said.King’s strikers had hired an open top bus yesterday, which they used to tour south west London neighbourhoods before travelling to St Thomas for last night’s march. People they met had been mostly supportive, he said.
“We had the odd person who would argue with us but if you actually engage with them and tell them [they say] they didn’t realise about the inequality issues, about stretching a five-day service over seven.”“We had the odd person who would argue with us but if you actually engage with them and tell them [they say] they didn’t realise about the inequality issues, about stretching a five-day service over seven.”
King’s - and the wider NHS - have problems, James admitted, but management and the government were attempting to solve them without consulting those at the sharp end.King’s - and the wider NHS - have problems, James admitted, but management and the government were attempting to solve them without consulting those at the sharp end.
“The people who are doing it day in day out, who have got the most experience, they are not engaging with them. It just feels like that’s systematic of the whole problem. If you had an open discussion about what’s happening in the NHS then you can change.”“The people who are doing it day in day out, who have got the most experience, they are not engaging with them. It just feels like that’s systematic of the whole problem. If you had an open discussion about what’s happening in the NHS then you can change.”
Passing cars beep in support as Kings #JuniorDoctorsStrike stand up for their rights - to a reggae soundtrack pic.twitter.com/zLpRAMD0GNPassing cars beep in support as Kings #JuniorDoctorsStrike stand up for their rights - to a reggae soundtrack pic.twitter.com/zLpRAMD0GN
UpdatedUpdated
at 9.31am BSTat 9.31am BST
8.58am BST8.58am BST
08:5808:58
As well as reading your reaction to today’s strikes in the comments, we’d like to hear from those of you who are involved and see your pictures of where you are.As well as reading your reaction to today’s strikes in the comments, we’d like to hear from those of you who are involved and see your pictures of where you are.
Are you a junior doctor on the picket lines today? Maybe you are there in solidarity, or perhaps you have gone to work as a covering senior medic? If you are not a medical worker but are at one of the hospitals up and down the country that is affected, we’d also like to hear from you.Are you a junior doctor on the picket lines today? Maybe you are there in solidarity, or perhaps you have gone to work as a covering senior medic? If you are not a medical worker but are at one of the hospitals up and down the country that is affected, we’d also like to hear from you.
You can share any photos you have by clicking on the blue GuardianWitness buttons on this article and we’ll use some of them as part of our ongoing coverage.You can share any photos you have by clicking on the blue GuardianWitness buttons on this article and we’ll use some of them as part of our ongoing coverage.
UpdatedUpdated
at 9.07am BSTat 9.07am BST
8.53am BST8.53am BST
08:5308:53
My colleague Steven Morris is at the Royal United hospital, a major acute-care hospital in the Weston suburb of Bath.My colleague Steven Morris is at the Royal United hospital, a major acute-care hospital in the Weston suburb of Bath.
The picket line at the RUH in Bath - around 20 junior doctors so far. More expected presently. pic.twitter.com/NbltQSxlrmThe picket line at the RUH in Bath - around 20 junior doctors so far. More expected presently. pic.twitter.com/NbltQSxlrm
The goodies table on the picket line at the RUH in Bath pic.twitter.com/QgJga27BawThe goodies table on the picket line at the RUH in Bath pic.twitter.com/QgJga27Baw
UpdatedUpdated
at 8.54am BSTat 8.54am BST
8.49am BST8.49am BST
08:4908:49
It seems the Department of Health has been reaching out to lobby correspondents, including Sam Coates of the Times, to be its new director of communications. The Spectator has this nugget on its so far fruitless search.It seems the Department of Health has been reaching out to lobby correspondents, including Sam Coates of the Times, to be its new director of communications. The Spectator has this nugget on its so far fruitless search.
With the junior doctors’ strike now in full swing, it’s fair to say that these aren’t the most harmonious days staff at the Department of Health have ever seen. Perhaps that’s why they are looking for a new director of communications to take charge of the department’s ‘external and internal communication activities across a complex and high profile agenda’.With the junior doctors’ strike now in full swing, it’s fair to say that these aren’t the most harmonious days staff at the Department of Health have ever seen. Perhaps that’s why they are looking for a new director of communications to take charge of the department’s ‘external and internal communication activities across a complex and high profile agenda’.
Alas, so far they don’t appear to have had much luck enticing candidates to the public relations role. Despite enlisting the help of ‘executive search firm’ Veredus, the search is still on and recruiters appear to be spending their time sending unsolicited messages to members of the lobby. Sam Coates, the Times‘s deputy political editor, has shared a message online that he received asking if he would be interested in the role — which carries a starting salary of £120,000. Alas, Coates was left unimpressed after two of his friends were approached about the same role just last week.Alas, so far they don’t appear to have had much luck enticing candidates to the public relations role. Despite enlisting the help of ‘executive search firm’ Veredus, the search is still on and recruiters appear to be spending their time sending unsolicited messages to members of the lobby. Sam Coates, the Times‘s deputy political editor, has shared a message online that he received asking if he would be interested in the role — which carries a starting salary of £120,000. Alas, Coates was left unimpressed after two of his friends were approached about the same role just last week.
UpdatedUpdated
at 9.31am BSTat 9.31am BST
8.29am BST8.29am BST
08:2908:29
Junior doctors on the picket line at St Mary’s hospital in Paddington, west London.Junior doctors on the picket line at St Mary’s hospital in Paddington, west London.
Picket starts at St Marys Hospital #JuniorDoctorsStrike pic.twitter.com/tZDPScAKKLPicket starts at St Marys Hospital #JuniorDoctorsStrike pic.twitter.com/tZDPScAKKL
8.26am BST8.26am BST
08:2608:26
The Labour party leader, Jeremy Corbyn, was out yesterday showing his support for striking junior doctors. David Cameron took the opposite tack saying it was “not right” for junior doctors to withdraw emergency care.The Labour party leader, Jeremy Corbyn, was out yesterday showing his support for striking junior doctors. David Cameron took the opposite tack saying it was “not right” for junior doctors to withdraw emergency care.
Today is the second day of the #juniordoctors' strike. Yesterday I was proud to join their demo #JuniorDoctorsStrikehttps://t.co/XXXbx5fkTHToday is the second day of the #juniordoctors' strike. Yesterday I was proud to join their demo #JuniorDoctorsStrikehttps://t.co/XXXbx5fkTH
UpdatedUpdated
at 8.30am BSTat 8.30am BST
8.13am BST8.13am BST
08:1308:13
Denis CampbellDenis Campbell
Denis Campbell, the Guardian’s health policy editor, writes:Denis Campbell, the Guardian’s health policy editor, writes:
Yesterday the highly-respected NHS blogger and health policy analyst, Roy Lilley, wrote, in effect, “a plague on both your houses” about the BMA and Jeremy Hunt for their tactics during the dispute.Yesterday the highly-respected NHS blogger and health policy analyst, Roy Lilley, wrote, in effect, “a plague on both your houses” about the BMA and Jeremy Hunt for their tactics during the dispute.
Today Lilley renews his criticism of the doctors’ union - both its leadership and its junior doctors committee headed by Dr Johann Malawana.Today Lilley renews his criticism of the doctors’ union - both its leadership and its junior doctors committee headed by Dr Johann Malawana.
“I’m thinking about the great NHS strike of 2016 when the junior doctors took on the mighty machinery of government and... and... and what? Lost, I suspect. What is there to win? The union have led their members into a cul-de-sac. More strikes, more disruption? More risk to reputation, careers, public patience?“I’m thinking about the great NHS strike of 2016 when the junior doctors took on the mighty machinery of government and... and... and what? Lost, I suspect. What is there to win? The union have led their members into a cul-de-sac. More strikes, more disruption? More risk to reputation, careers, public patience?
Let’s be honest, the contract is not the draconian settlement it is billed as. The gap between the BMA and the DH is easily bridgeable. The BMA walked away from David Dalton and the DH threw their toys out of the pram.Let’s be honest, the contract is not the draconian settlement it is billed as. The gap between the BMA and the DH is easily bridgeable. The BMA walked away from David Dalton and the DH threw their toys out of the pram.
The JDs have let themselves become a lightning rod for every complaint and disaffection there is in the NHS work place. Their strategic communications woeful.”The JDs have let themselves become a lightning rod for every complaint and disaffection there is in the NHS work place. Their strategic communications woeful.”
But Lilley is also worried about the lingering impact of the whole sorry saga on morale at the NHS frontline. NHS hospital trusts will have to make big efforts to try and engage with their junior doctors to keep them motivated -- not an easy task, he believes.But Lilley is also worried about the lingering impact of the whole sorry saga on morale at the NHS frontline. NHS hospital trusts will have to make big efforts to try and engage with their junior doctors to keep them motivated -- not an easy task, he believes.
“There are plenty of studies about behaviour in post-strike work places. Smouldering resentment. Strikes are industrial warfare. Employees lose money, somebody will have lost face. Emotions run hot.”“There are plenty of studies about behaviour in post-strike work places. Smouldering resentment. Strikes are industrial warfare. Employees lose money, somebody will have lost face. Emotions run hot.”
8.06am BST8.06am BST
08:0608:06
Tim Farron, leader of the Liberal Democrats, last night called on Jeremy Hunt to name an “honest broker” to help bring people back to the table and has put forward its health spokesman, Norman Lamb.Tim Farron, leader of the Liberal Democrats, last night called on Jeremy Hunt to name an “honest broker” to help bring people back to the table and has put forward its health spokesman, Norman Lamb.
Negotiations are at a standstill, with no end in sight. Something must be done before there is serious risk to the public... Our health spokesperson and former care minister, Norman Lamb would be an ideal honest broker, with experience in the department, credibility among health professionals and a record of delivering improvements in services. If the government and the BMA are willing to bring a third, independent, party to the table, Norman is prepared to work with both sides to find a way out of this dispute.Negotiations are at a standstill, with no end in sight. Something must be done before there is serious risk to the public... Our health spokesperson and former care minister, Norman Lamb would be an ideal honest broker, with experience in the department, credibility among health professionals and a record of delivering improvements in services. If the government and the BMA are willing to bring a third, independent, party to the table, Norman is prepared to work with both sides to find a way out of this dispute.
7.52am BST7.52am BST
07:5207:52
It’s day two of the first all-out strike in NHS history. Junior doctors – all those below the level of consultant - will again stay away from hospitals from 8am and 5pm. On the first day, four out of five junior doctors walked out as David Cameron criticised their withdrawal of emergency care.It’s day two of the first all-out strike in NHS history. Junior doctors – all those below the level of consultant - will again stay away from hospitals from 8am and 5pm. On the first day, four out of five junior doctors walked out as David Cameron criticised their withdrawal of emergency care.
At some hospitals, almost 90% of junior doctors refused to work in an escalation of their campaign against the new contract that the health secretary Jeremy Hunt intends to impose on them.At some hospitals, almost 90% of junior doctors refused to work in an escalation of their campaign against the new contract that the health secretary Jeremy Hunt intends to impose on them.
However, most hospitals coped well and did not experience any problems. Senior medics took on duties usually undertaken by their junior colleagues. A&E units were quieter than usual as patients with minor ailments heeded NHS warnings to stay away.However, most hospitals coped well and did not experience any problems. Senior medics took on duties usually undertaken by their junior colleagues. A&E units were quieter than usual as patients with minor ailments heeded NHS warnings to stay away.
Figures released by NHS England showed that 21,608 junior doctors – 78% of those due to work – participated in the industrial action. It claimed that this was down from the 88% who did so on each day during the previous strike on 6-8 April. However, the 88% figure raised questions as NHS England had previously said that almost half of doctors had worked on those days.Figures released by NHS England showed that 21,608 junior doctors – 78% of those due to work – participated in the industrial action. It claimed that this was down from the 88% who did so on each day during the previous strike on 6-8 April. However, the 88% figure raised questions as NHS England had previously said that almost half of doctors had worked on those days.
Turnout was highest at Barts Health, the largest trust in the NHS. The London trust said that 88.4% of its 1,000 junior doctors had joined the walkout. Unlike four previous strikes, this stoppage is the first one to affect areas of life-or-death treatment, such as A&E, maternity and intensive care. More than 125,000 appointments and operations have been cancelled and will need to be rearranged as a result of the latest strike.Turnout was highest at Barts Health, the largest trust in the NHS. The London trust said that 88.4% of its 1,000 junior doctors had joined the walkout. Unlike four previous strikes, this stoppage is the first one to affect areas of life-or-death treatment, such as A&E, maternity and intensive care. More than 125,000 appointments and operations have been cancelled and will need to be rearranged as a result of the latest strike.
UpdatedUpdated
at 7.55am BSTat 7.55am BST