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Doctors in England begin six-day strike after rejecting government's pay and workforce deal

Published by Global Banking & Finance Review

Posted on April 7, 2026

3 min read

· Last updated: April 7, 2026

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By Sam Tabahriti LONDON, April 7 (Reuters) - Resident doctors in England on Tuesday started a six-day walkout after rejecting an offer the government said would not get better, with the British

Doctors in England begin six-day strike after rejecting government's pay, workforce deal

Resident Doctors' Strike and Government Response

By Sam Tabahriti

Strike Commencement and Duration

LONDON, April 7 (Reuters) - Resident doctors in England started a six-day walkout on Tuesday after rejecting an offer the government said would not get better, with the British Medical Association saying it failed to reverse years of pay erosion and staffing pressures.

The strike action during the Easter holiday period is due to run until the morning of April 13 after a 48-hour ultimatum from Prime Minister Keir Starmer passed without agreement. 

Government's Position and Financial Implications

The government has now withdrawn a pledge to fund 1,000 additional speciality training posts that it said had been contingent on the deal being accepted.

Health minister Wes Streeting said the government was not prepared to spend money needed for patient services on a settlement it viewed as unaffordable, estimating the strike would cost the health service about 50 million pounds ($66 million) a day, or 300 million over the six-day walkout.

Pay Uplift and Negotiations

Speaking on Times Radio on Tuesday, Streeting said resident doctors had secured the largest pay uplift of any public sector group under the Labour government, but had rejected the offer without putting forward a counter proposal.

Streeting had said that the offer "doesn't get better than this" when urging the union to reconsider last month.

BMA's Stance and Concerns

The BMA represents about 55,000 of the resident doctors - formerly known as junior doctors - who make up nearly half of the medical workforce.

Long-Term Pay Erosion and Industrial Action

BMA DENOUNCES LONG-TERM PAY EROSION

Since early 2023 the BMA has held more than a dozen rounds of industrial action over pay, strike action that successive governments has blamed for frustrating efforts to reduce waiting lists in the state-run service.

Union's Critique of Government Offer

The union says the government's offer on pay and workforce does not go far enough to address long-standing concerns, including historical below-inflation pay increases.

The pay offer includes a 3.5% increase this year, which the government said would represent an above-inflation rise, and take total pay increases over three years to around 35%, plus reimbursements of mandatory exam fees, which can cost doctors thousands of pounds.

Concerns Over Investment and Implementation

Jack Fletcher, chair of the BMA's resident doctors' committee, has said the union was concerned the level of investment in the deal had been reduced, the proposed reforms were spread over several years, and uncertainties remained over the implementation of new training posts.

Fletcher said the government's threat to withdraw parts of the deal had also undermined confidence.

Union's Call to Action

"No one wants to strike. But without a credible offer on the table, doctors are left with no alternative," the BMA said in a post on X on Tuesday.

Additional Information

($1 = 0.7561 pounds)

(Reporting by Sam Tabahriti; editing by Suban Abdulla, Hugh Lawson and Susan Fenton)

Key Takeaways

  • This six‑day walkout, from April 7–13, is the longest by resident (junior) doctors and their 15th since 2023, expected to cost NHS around £300 million and disrupt services. (theguardian.com)
  • The government’s offer included a 3.5%–7.1% above‑inflation pay rise, exam fee reimbursements, and thousands of new specialty training posts; the BMA rejected it for not restoring pay to 2008 real‑terms levels (~26 %) and for diluted investment. (theguardian.com)
  • Prime Minister Starmer called the BMA’s rejection “reckless,” withdrew the pledge for 1,000 posts, and emphasized no better offer is possible; the BMA called for a credible, enforceable, sustainable settlement amid long‑term pay and staffing pressures. (theguardian.com)

References

Frequently Asked Questions

Why are resident doctors in England on strike?
Resident doctors are striking after rejecting the government's pay and workforce offer, citing long-term pay erosion and staffing pressures.
How long will the doctors' strike last?
The strike is scheduled to last six days, from April 7 to the morning of April 13.
What was included in the government's rejected offer?
The offer included a 3.5% pay increase, reimbursements for mandatory exam fees, and 1,000 additional specialty training posts.
How has the government responded to the strike?
The government has withdrawn funding for 1,000 training posts and urged the union to reconsider, labeling the strike reckless and unnecessary.

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