Well being chiefs have warned they can not assure affected person security when ambulance staff launch strike motion on Wednesday, as Rishi Sunak refused to reopen this yr’s NHS pay deal.

Well being secretary Steve Barclay met ambulance unions on Tuesday to debate cowl for 999 calls through the strike in England and Wales, however the talks broke down with warnings that individuals may die on account of the pay dispute.

“There will probably be delays, there will probably be a big impression and lives may very well be misplaced,” mentioned one ally of Barclay. “The unions need to take duty for that. It’s their strike.”

Christina McAnea, common secretary of the Unison union, responded by saying: “It’s ministers placing folks’s lives in danger by refusing to barter with unions. And not using a correct pay rise, escalation of motion appears seemingly within the new yr.”

Sir Stephen Powis, NHS England nationwide medical director, mentioned folks may assist keep away from straining emergency companies “by taking wise steps to maintain themselves and others secure”, together with by “ingesting responsibly”.

Will Quince, a well being minister, urged the general public to keep away from “any dangerous exercise” through the ambulance strike.

The commercial motion by about 10,000 ambulance staff in England and Wales poses the largest problem but for the prime minister as staff in the private and non-private sectors reply to the price of residing disaster by demanding greater pay.

The federal government is deploying 600 army personnel to drive ambulances through the strike organised by the Unison, Unite and GMB unions.

In a letter to Sunak, the NHS Confederation and NHS Suppliers, which symbolize well being organisations throughout the UK, warned of “deep fear amongst NHS leaders concerning the stage of hurt and threat that would happen to sufferers tomorrow and past” through the industrial motion.

Matthew Taylor, chief govt of the NHS Confederation, insisted it was not one thing NHS leaders would say frivolously, “however some now inform us that they can not assure affected person security tomorrow”.

The NHS Confederation and NHS Suppliers urged Sunak to open negotiations on pay with unions to finish the economic motion.

However Sunak instructed MPs that any dialogue on pay must be within the context of subsequent yr’s settlement, which applies from April 2023, including he was wedded to the present unbiased assessment physique course of.

In July, the federal government accepted suggestions from the NHS assessment physique for many well being workers in England to obtain a flat-rate pay enhance of £1,400, backdated to April. This represents a rise of about 4 per cent within the common primary pay of NHS staff.

The Royal School of Nursing, which organised a second strike by nurses in England, Wales and Northern Eire on Tuesday following industrial motion final week, is demanding a pay enhance of 19 per cent. Ambulance unions desire a pay rise matching inflation.

“Our door is all the time open to speak to all people and we will probably be constructive about how we method these items in future,” mentioned Sunak, including that pay restraint was wanted to tame excessive inflation.

Onay Kasab, the Unite nationwide lead officer who attended the assembly with Barclay, mentioned the well being secretary had refused to debate pay.

Rachel Harrison, GMB’s nationwide secretary, defended the timing of ambulance employee walkouts, saying workers had been experiencing “stress, burnout, exhaustion”.

Cowl for 999 calls on Wednesday is because of be comparatively uniform throughout areas, with most ambulance companies planning to reply to life-threatening “class one” call-outs and essentially the most severe “class two” emergencies following agreements reached with unions.

In England’s north-west and the north-east, for instance, class two call-outs the place an ambulance will probably be despatched embody childbirth issues, cardiac-related chest ache and paediatric emergencies.

Nonetheless, underlining the tough backdrop to Wednesday’s strike, 5 ambulance trusts across the nation — in London, the south-east coast, the east, Yorkshire and north-east — declared “enterprise continuity” or “essential” incidents: a standing invoked when companies are susceptible to being overwhelmed.

In the meantime Pat Cullen, RCN common secretary, warned that the clock was operating down for Sunak to keep away from additional motion by nurses.

“There are two days for us to fulfill and start to show this round by Christmas,” she mentioned. “By Friday, we will probably be saying the dates and hospitals for a strike subsequent month.”

Sir Geoffrey Clifton-Brown turned the most recent Tory MP to induce a compromise. He mentioned ministers “parroting” strains about sticking to the suggestions of pay assessment our bodies was “unrealistic”.

Whereas Sunak has taken a troublesome line, public opinion seems to assist placing NHS staff. About two-thirds of individuals polled by YouGov mentioned they backed industrial motion by nurses and ambulance staff.


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