罢工期间,患者被建议"谨慎选择医疗服务",因担忧可能导致患者受到伤害。英国医学协会(BMA)警告称,根据英国国民医疗服务体系(NHS)的计划,医生资源可能过于分散。
英格兰和威尔士的医生将于周五起举行为期五天的罢工,有警告称这可能导致急诊科患者受到伤害。
这是英国国家医疗服务体系(NHS)管理层与英国医学协会(BMA)就薪酬问题不断升级的争执所导致的结果。
关于此次罢工事件,您需要了解的所有信息都在这里。
罢工将持续多久?
自7月25日星期五上午7时至7月30日星期三上午7时。
谁在罢工?
多达5万名住院医师将举行罢工。
住院医师(Resident doctors)是初级医师(junior doctors)的新称谓,这一变更旨在更准确地体现其职责。住院医师是完全合格的医生,他们或正在接受研究生培训,或作为本地聘用医生积累经验,以成为顾问医师、全科医生或专科医师。
经过多年呼吁废除"初级"这一称谓——因其被认为既具有误导性又带有贬低意味——他们的头衔最终得以更改。
全科诊疗、社区药房及牙科服务未受此次行动影响。
这将如何影响预约安排?
在之前的罢工期间,英格兰国民医疗服务体系(NHS)要求各信托机构取消大量非紧急护理服务,以便顾问医生能接手处理急诊工作。
此前多轮罢工行动——包括持续数日的11次停工——导致约150万次预约被迫取消或改期。
但在英格兰国民保健署新任首席执行官吉姆·麦基爵士的领导下,医院现已被指示仅在“特殊情况下”且必须事先获得批准时,才能取消非紧急工作。
这表明计划预约的取消量将大幅减少,尽管双方均未提供具体数据。
英国医学会警告称,这种新方法可能导致医生资源过度分散。
我该如何知道我的预约是否已被取消?
罢工期间,患者被建议“谨慎选择医疗服务”。
若您的预约被取消或改期,医院将直接与您联系。病情最紧急的患者将获得优先诊疗权。
如未接到预约变更通知,请按原定安排准时出席。
我还能获得急诊服务吗?
罢工期间如需紧急医疗救助,仍应照常前往医院就诊。
患者被告知,如遇医疗或心理健康紧急情况,应拨打急救电话999。
若病情不危及生命,患者应通过NHS 111电话服务、NHS 111在线平台、全科医生或药店寻求帮助。
他们为何罢工?
英国政府宣布为英格兰和威尔士地区的医生加薪5.4%,但英国医学会(BMA)仍以此次加薪未弥补历史性薪资冻结为由,威胁将采取罢工行动。
相反,英国医学会(BMA)呼吁加薪29.2%,以使薪资水平与2008年持平。
超过2.6万名住院医生投票支持罢工行动。
我以为他们已经加过薪了?
是的,去年7月,住院医师们获得了两年内22%的加薪,这结束了长达数月的罢工行动。这是近年来公共部门给出的最高涨幅。
但工会指出,若考虑通胀因素,实际薪资自2008年以来已大幅缩水。最新协议规定医生将获得4%的加薪,另加750英镑的"固定补贴",合计平均涨幅为5.4%。
英国医学协会表示,没有医生会"轻率对待罢工的可能性",但绝大多数成员认为他们"别无选择"。
工会表示:“医生们已经明确表达了意见。”
他们无法接受自己的价值比2008年缩水了五分之一。尽管薪资水平下降,但我们的抗争意志依然坚定。
英国医学协会表示,斯特里廷先生有权在薪酬问题上"做出正确决定"。
公众是否支持罢工行动?
YouGov最新民调显示,针对罢工的支持率正在下降。
调查显示,英国约半数(52%)民众对住院医生因薪资问题举行罢工的想法持反对态度,其中20%表示“较为反对”,32%表示“强烈反对”。
年长者持反对意见的比例更高:65岁以上人群中有52%表示“强烈反对”,而18至24岁人群中这一比例仅为10%。
YouGov民调显示,自去年5月以来,支持罢工的人数比例下降了5个百分点。
政府作何表态?
政府与英国医学协会(BMA)的谈判仍在继续,后者表示罢工仍有避免的可能。
英国卫生大臣韦斯·斯特里廷已排除今年进一步加薪的可能性,但表示合同的其他方面——包括学生债务、考试费用和工作条件——可能仍有协商空间。
斯特里廷先生此前曾警告英国医学会(BMA),公众"不会原谅"罢工行动。
他在《泰晤士报》撰文称,任何罢工行动对工会和患者都将是一场"灾难",并补充说政府"无力承担"进一步的加薪。
英国国家医疗服务体系(NHS)负责人表示,任何形式的罢工行动重启都将"对患者、员工乃至整个NHS体系造成不利影响"。
英国国民保健服务体系供应商协会首席执行官丹尼尔·埃尔库莱斯表示:“我们需要冷静应对以缓和局势,消除可能造成进一步破坏性影响的罢工行动威胁。”
Patients have been advised to "choose healthcare wisely" during the strike, with concerns it could lead to patient harm. The British Medical Association (BMA) is warning doctors may be spread too thinly under NHS plans.
Doctors in England and Wales go on strike for five days from Friday, with warnings it could lead to patient harm in emergency departments.
It is the culmination of an escalating row between NHS bosses and the British Medical Association (BMA) over pay.
Here is everything you need to know about the strikes .
How long is the strike?
From 7am on Friday 25 July to 7am on Wednesday 30 July.
Who is striking?
Up to 50,000 resident doctors will walk out.
Resident doctors is the new name for junior doctors - it was changed to better reflect their responsibilities. Resident doctors are fully qualified doctors who are either currently in postgraduate training or gaining experience as locally employed doctors to become consultants, GPs or specialists.
Their title was changed after years of calls for the term "junior" to be retired, as it was seen as both misleading and demeaning.
General practice, community pharmacies, and dentistry are not impacted by the action.
How will it affect appointments?
During previous strikes, NHS England told trusts to cancel large volumes of non-urgent care so that consultants could step in to cover emergency care.
Previous rounds of industrial action - 11 walkouts over multiple days - saw an estimated 1.5 million appointments cancelled or rescheduled.
But under the leadership of new NHS England chief executive Sir Jim Mackey, hospitals have now been instructed to cancel non-urgent work only in "exceptional circumstances" – and only with prior approval.
This suggests that much fewer planned appointments will be cancelled, although no exact figures have been given by either side.
The BMA has warned this new approach risks spreading doctors too thinly.
How will I know if my appointment has been cancelled?
Patients have been advised to "choose healthcare wisely" during the strike.
If your appointment has been cancelled, or rearranged, you will be contacted by the hospital directly. Priority will be given to patients with the most pressing health needs.
If you do not hear that your appointment has been changed, you should attend as usual.
Will I still be able to access emergency care?
If you need emergency care during the strike you should still go to hospital as normal.
Patients have been told to call 999 if it is a medical or mental health emergency.
If the situation is non-life threatening, patients should seek support through NHS 111, NHS 111 online, their GP or a pharmacy.
Why are they striking?
Doctors in England and Wales were awarded a 5.4% pay increase by the government, but the BMA still threatened strike action, claiming the increases did not account for historical pay freezes.
Instead the BMA is calling for a rise of 29.2% to bring salaries back in line with 2008 levels.
More than 26,000 resident doctors voted in favour of the strikes.
I thought they already had a pay rise?
Yes, in July last year resident doctors were awarded a raise of 22% over two years , bringing to end months of strike action. It was the highest public sector award in recent years.
But the trade union argues that pay has declined significantly since 2008 when adjusting for inflation. The latest deal saw doctors given a 4% increase, plus £750 "on a consolidated basis" - which works out as an average rise of 5.4%.
The BMA said no doctor "took the possibility of striking lightly" but the majority of its members believed they had "no other choice".
"Doctors have spoken and spoken clearly," the union said.
"They won't accept that they are worth a fifth less than they were in 2008. Our pay may have declined but our will to fight remains strong."
The BMA said Mr Streeting had the power to "make the right decision" on pay.
Does the public support the strikes?
A new YouGov poll found support for the strikes is declining.
The survey found about half (52%) of people in the UK either "somewhat oppose" (20%) or "strongly oppose" (32%) the idea of resident doctors going on strike over pay.
Older people are more likely to be against, with 52% of those aged over 65 "strongly opposed", compared to 10% of those aged 18 to 24.
YouGov says the proportion of people who support the strikes has dropped five percentage points since May last year.
What does the government say?
Talks between the government and BMA have continued, with the latter saying strikes could still be avoided.
Health secretary Wes Streeting has ruled out any additional pay rises this year, but has said other aspects of the contract - including student debt, exam fees and working conditions - may be up for negotiation.
Mr Streeting previously warned the BMA the public "will not forgive" strike action.
He wrote in The Times that any walkouts would be a "disaster" for the union and for patients, adding the government "can't afford" more pay rises.
NHS chiefs said any return to industrial action would be "bad for patients, for staff and for the NHS".
Chief executive of NHS Providers Daniel Elkeles said: "We need cool heads to de-escalate this and remove the threat of further damaging industrial action."
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