Probably the most worthwhile link is from the Department of Health directed at patients regarding next weeks Junior Doctor Industrial Action

The NHSE has an internet page directed at patients

How this is circulated to patients I do not know.

Interesting item in BBC News

MPs call for new contract pilot

I also spotted this on the front page of the Sunday Times which gave a more optimistic slant to the story.

Sadly the BBC has reported JH response in this way

From the BMA

Industrial action guidance for non junior doctors | British Medical Association <!– [if lt IE 9]><![endif]–>

Industrial action guidance for non junior doctors

 I have also seen an e-mail sent to all senior doctors at a Trust outside of the M25. I reproduce it in full

Dear colleague

There have been several meetings over the last couple of weeks to plan for the industrial action by junior doctors between 8.00am to 5.00pm on Tuesday 26th April 2016 and 8.00am to 5.00pm on Wednesday 27th April 2016. I am grateful to the Operational team for their work in planning for this period of industrial action along with Clinical Unit Leads and other colleagues who have given up their time to aid this work.  The strike days will run as a critical incident with the Medical Director and Chief Operating Officer leading throughout the day to ensure services remain safe. Plans have been made to cover our Emergency Units and resuscitation responsibilities using colleagues with the appropriate expertise and skills. There are also plans in place to provide consultant coverage to all wards. Emphasis is being placed upon having thorough and robust handover of information before and after the prescribed periods of industrial action. Detailed plans for each Clinical Unit have been described within packs which are available through the clinical unit management teams.  It would be helpful if consultants could pass on details of arrangements for cover in their areas to the junior doctors for whom they are responsible, as I know they would wish to be reassured these arrangements are adequate to maintain patient safety. Please do not hesitate to contact your Clinical Unit management team for further information. I would also like to thank you for your efforts in advance of what is going to be a challenging couple of days.


Medical Director”

I would hope similar messages are going out within the M25 area


The following are newspaper items I have read 

Junior doctors’ ‘heartfelt plea’ to Michelle Obama   The Independent

Junior doctors strike will not put patients at risk  The Guardian

Makeshift NHS camps set up to cope with casualties during walk-out  The Daily Telegraph

Junior Doctor: ‘We find the disruption very regrettable’   Enfield Independent

Community singers soothe patients at North Mid   Enfield Gazette


Junior doctors strikes: ‘Over 100,000 treatment delays’ says NHS

See also


I reproduce a letter sent out to all BMA Consultants and SAS sent today 23/4/16

On Tuesday and Wednesday, junior doctors will fully withdraw their labour for the first time in the history of the NHS. We share their great regret at having been forced to take this action by an intransigent Government unwilling to meet their basic concerns. As the representatives of GPs, SAS doctors and consultants, we urge the Government to drop its threat of imposition – even at this late stage – and in which case the junior doctors have stated that the strike will be called off. The health secretary must put the interests of patient care above political inflexibility, and it is now up to the Government to break this deadlock. In addition, we give junior doctors our full support, in their determination to achieve a contract that secures excellent patient care in the long term. When we were junior doctors, many of us worked long, unsafe hours. We tried to deliver high quality care for our patients in a system that cared little for its own staff. Better, safer conditions were not handed to us on a plate. We had to fight for them. We cannot allow this progress to be reversed. You will have heard the Government say the contract is all but agreed. This is simply not true. The contract the Government seems determined to impose, gives no credit to doctors working in the most intense specialties which is fuelling the recruitment crisis. The contract has no proper means of guarding against unsafe hours and the Government admits – with an apparent lack of concern – that it will have an adverse effect on women. It is little wonder that one royal college president after another, as well as the Patients Association have expressed their dismay at the Government’s approach. Junior doctors do not want to take this action. They want the Government to drop the threat of imposition and instead work with them for a negotiated settlement. Day after day, they wait outside the Department of Health in London and Leeds for the health secretary to reopen talks. If the industrial action goes ahead, it will inevitably put a strain on the health service, as we provide cover for colleagues. Junior doctors are fighting for the quality of the care they can deliver to their patients. Their patients are our patients, and that’s why this is everyone’s fight. We would like to thank every doctor delivering excellent patient care in the difficult week ahead, and we know that our colleagues taking action share this strong sense of gratitude. We are one profession, and it has never been more important to demonstrate it – for patients, our colleagues and for the long-term future of the NHS.

Chaand Nagpaul               Chair, BMA GP committee

Keith Brent                         Chair, BMA consultants committee

Amit Kochhar                    Chair, BMA staff and associate specialists committee


As usual those reading this blog can adapt and circulate to whoever may be interested.