NHS industrial action: Common questions and resources to help you

With NHS staff holding industrial action this winter, this article aims to help answer common questions and find out from NHS providers any likely impact in the area.

Common questions

Where can I find advice for the public?

The NHS England has produced an FAQ you can use to help answer your questions about the industrial action.

When will strike action take place?

  • 15 and 20 December 2022: Nursing strike was held at 44 trusts in England;
  • 21 December 2022: Ambulance staff strike at 9 trusts in England;
  • 11 January 2023: Ambulance staff strike repeated at same 9 trusts;
  • 18 and 19 January 2023: Nursing strike held at 55 trusts in England;
  • 23 January: Ambulance strike was held by Unison and Unite;
  • 26 January: Physiotherapist strike at 20 trusts in England;
  • 6 and 7 February: Nursing strike planned at 76 trusts in England;
  • 6 and 20 February: Ambulance staff strike planned by GMB at 7 of England’s 10 ambulance trusts;
  • 9 February: Physiotherapy strike planned, and extended to cover 50 trusts; and
  • 6 and 20 March: Ambulance strike by GMB at same 7 trusts as in February.

Find out more about strike dates

Which workers have backed industrial action?

  • Up to 100,000 nurse members of the RCN;
  • Up to 20,000 ambulance members of GMB, Unison and Unite; 
  • 4,000-plus members of the Chartered Society of Physiotherapy; and
  • Junior hospital doctor members of the British Medical Association are also being balloted in January.

What does strike action by nurses mean for patient care?

The RCN has agreed national principles so far, that nurses can be exempted from strike action if they provide life preserving care, including:

  • Chemotherapy;
  • Dialysis;
  • Critical care units (e.g. intensive care units and high dependency units);
  • Neonatal units; and
  • Paediatric intensive care units.

Generally, other services will be run on a Christmas day- or night duty-level of staffing. This has resulted in outpatient appointments and planned operations on strike dates needing to be rescheduled.

It is up to nurse union representatives at each NHS workplace to agree the exact level of service provision.  Nurses at GP surgeries are not part of the RCN action.

Will A&E departments stay open?

They have been staying open so far. They may be staffed with fewer nurses and more doctors pulled in from other areas of hospitals.

What does the ambulance strike mean for patients?

The unions representing ambulance staff have been negotiating with each individual NHS ambulance trust to agree how the most urgent calls are dealt with on strike dates.

So far, they have been covering Category 1 life-threatening calls – such as road accidents or where the person has stopped breathing.  Some or all ‘Category 2’ calls – such as for people having a stroke - have been covered too, with paramedics coming off picket lines to respond as and when necessary.

In less urgent cases, call-handlers have advised people to ask family or friends to transport them to A&E.

On the first ambulance strike days, fewer people than normal called 999 and 111. This led NHSE to change its messaging, to remind people to still seek help for genuine, life threatening emergencies and to contact 111 for medical advice when needed.

What will physiotherapist strikes mean for patient care?

The Chartered Society of Physiotherapy says it intends to maintain an emergency respiratory on-call service throughout any days of strike action.

But otherwise, services will be similar to Christmas Day cover.

Physiotherapists and physiotherapy support workers provide rehabilitation to prevent people being admitted to hospital or to help speed up the discharge of patients. So fewer staff on duty could affect the current efforts to tackle hospital discharge delays and improve the ‘flow’ of patients through hospitals from A&E.

How will patients find out which local services are affected?

NHS England (NHSE) has written to trusts that they should provide “clarity to patients and staff around service provision on days of planned industrial action through early notification and communication”.

Healthwatch England has met with NHSE and Department of Health and Social Care officials, calling for full and timely communications to patients whose care is postponed, inpatients and the general public.

How and when will patients be rebooked if their appointment, test or operation is postponed?

NHSE has told trusts to “contact patients directly should their appointments need to be rescheduled”. We have urged NHSE to ask trusts to give patients a new date at the point of postponement or tell patients when they will get their new date. The onus should be on trusts contacting patients and not the other way around, we have said.

What have we said publicly about the strikes?

We have called for the NHS to:

  • Prevent public confusion
  • Make clear life-saving intervention is available
  • Support people if care is delayed
  • Share clear contingency plans

Before Christmas we met with nursing and ambulance staff union leaders to discuss their plans to protect patient safety.