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Doctors in England plan six-day strike after government pay offer rejected

Published by Global Banking & Finance Review

Posted on March 25, 2026

3 min read

· Last updated: April 1, 2026

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Doctors in England plan six-day strike after government pay offer rejected
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LONDON, March 25 (Reuters) - Resident doctors in England will stage six days of strike action in April after rejecting a government pay offer, the British Medical Association (BMA) said on Wednesday.

Doctors in England plan six-day strike after rejecting government pay offer

Resident Doctors Reject Pay Offer and Announce Strike

By Sam Tabahriti

LONDON, March 25 (Reuters) - Resident doctors in England will strike for six days in April after rejecting a government pay offer, the British Medical Association said on Wednesday, escalating a long-running dispute over pay and staffing pressures in the National Health Service.

The walkout, due to run from April 7 to April 13, follows weeks of negotiations in which the union concluded the government's final offer fell short of restoring pay that it says has been eroded in real terms over the past decade.

The BMA represents about 55,000 of the so-called resident doctors, who make up nearly half of the medical workforce.

Government Response to Strike Decision

Health minister Wes Streeting said he was "really disappointed" by the decision and accused the union of having expectations that were "beyond reasonable and realistic". He told Sky News that, under government changes, resident doctors "would have been 35.2% better off" than four years ago.

Details of the Government Pay Offer

OFFER DOESN'T GET BETTER THAN THAT, MINISTER SAYS

Under the proposal, the government offered a 3.5% pay award for 2026/27, in line with the pay review body's recommendation, alongside changes to pay progression that would be phased in over three years.

The package also included reimbursement of mandatory exam fees from April 2026, between 4,000 and 4,500 additional specialty training posts over three years, and measures to improve contractual arrangements.

Union's Criticism of the Offer

The BMA said the structure of the offer - particularly the multi-year phasing of pay progression and what it described as a below-inflation uplift - risked locking in further erosion of earnings.

Jack Fletcher, chair of the committee, said the union could not recommend a deal that "barely treads water" at a time when doctors continued to leave for better-paid roles overseas.

"No strikes need to happen, but government will need to act fast to prevent them," he said.

Streeting said the union "may well want to reconsider, because the offer doesn't get better than this, and as the disruption occurs and as the costs mount, we simply won't be able to afford to offer this again."

Wider Impact Across the UK

Separately, union committees in Northern Ireland and Wales criticised the same 3.5% recommendation, warning that sub-inflation pay awards were undermining morale and pushing doctors to consider industrial action there.

(Reporting by Sam Tabahriti; editing by Catarina Demony, Aurora Ellis and Ros Russell)

Key Takeaways

  • The British Medical Association reported that resident doctors in England will strike for six days in April after voting to reject the government’s pay offer—a reflection of deepening unrest.
  • Doctors cite sharp erosion of real‑terms earnings since 2008 (estimated at around 21%) and a lack of new training positions as core grievances.
  • A prior ballot showed a 93% strike mandate with 53% turnout, extending the BMA’s ability to call industrial action through August 2026.

References

Frequently Asked Questions

Why are resident doctors in England planning a strike?
Resident doctors are striking due to dissatisfaction with the government's pay offer and ongoing disputes over pay and staffing pressures.
When will the doctors' strike in England take place?
The strike will run for six days, from April 7 to April 13.
Who announced the strike action by resident doctors?
The British Medical Association (BMA) announced the planned strike action.
What issues have led to the strike action?
Key issues include falling real-terms earnings for doctors and growth in staffing vacancies within the NHS.
How long has the dispute over pay and staffing in the NHS been ongoing?
The dispute has been long-running, with doctors raising concerns for over a decade.

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