London Daily

Focus on the big picture.
Sunday, Nov 01, 2026

Ambulance staff on strike in England and Wales

Ambulance staff on strike in England and Wales

Ambulance staff belonging to three unions - GMB, Unison and Unite - are on strike in a dispute over pay.

In line with previous industrial action, life-threatening 999 calls will be attended to, but other emergencies may not be, or could face delays.

The biggest day of industrial action for the NHS in this dispute is set to happen on 6 February, when nurses will walk out too.

Governments say the above-inflation pay rises requested are unaffordable.

Pay rises are decided by independent pay review bodies.

NHS staff in England and Wales - including nurses - have already received an average increase of 4.75%. The lowest paid were guaranteed a rise of at least £1,400.

The Welsh government offered a one-off payment as a way to avoid strike action, but that was rejected by unions.

Fourteen health unions, representing more than a million NHS workers in England, have said they will no longer work with the NHS Pay Review Body on discussions about the next (2023-24) pay deal until their current demands are met.

In Scotland, a pay offer averaging 7.5% has been accepted by some unions.

In Northern Ireland, the government has said it will give a 4.5% uplift to pay, backdated to April 2022. That is a below-inflation increase for most workers. Pay disputes continue.

Health Secretary Steve Barclay said Monday's industrial action was "hugely disappointing" and despite contingency plans to mitigate risks to patient safety, "there will inevitably be further disruption".

He added: "I have had constructive talks with unions about this coming year's pay process for 2023-24, and am keen to continue talking about what is affordable and fair."

Speaking on Sky's Sophy Ridge on Sunday, Unite general secretary Sharon Graham said the government was willing to "talk about anything, but they won't talk about pay".

Meanwhile, Unison general secretary Christina McAnea said a "solution" to the strike was "staring the government in the face".


What 999 care will be provided?


The advice remains to call 999 in an emergency.

The most life-threatening situations - such as cardiac arrest - will be responded to by an ambulance.

Conditions which are serious but not immediately life-threatening might not be attended straight away.

Less urgent calls - such as a woman in late-stage labour - will not be prioritised.

Those who have a fall, or suffer other non-life-threatening injuries, are unlikely to receive 999 care. The NHS 111 service is available.


Which parts of the UK are affected?


Some ambulance staff in the GMB union are on strike in the West Midlands.

Meanwhile the action by Unison affects London, Yorkshire and the north-west, north-east and south-west of England.

Members of Unite are walking out in the West Midlands, East Midlands and north-west and north-east of England as well as in Wales.

Future strikes are also planned.


When are the next strikes?


Ambulance trust workers will be striking on:

* Tuesday 24 January - GMB (North West) ambulance workers

* Thursday 26 January - Unite (in Northern Ireland)

* Monday 6 February - Unite (in North West, North East, West Midlands, East Midlands and Wales), plus GMB ambulance workers and nurses

* Thursday 16 February - Unite (in Northern Ireland) plus GMB workers

* Friday 17 February - Unite (in West Midlands and Northern Ireland)

* Monday 20 February - Unite (in East Midlands, North East and Wales) plus GMB workers

* Wednesday 22 February - Unite (in North West)

* Thursday 23 February - Unite (in Northern Ireland)

* Friday 24 February - Unite (in Northern Ireland)

* Monday 6 March - Unite (in North West, North East, West Midlands, East Midlands and Wales) plus GMB workers

* Monday 20 March - Unite (in North West, North East,West Midlands, East Midlands and Wales) plus GMB workers

What patients need to know


* People seriously ill or injured, and whose life is at risk, should call 999 as usual, or call 111 for non-urgent care

* Other services, such as some cancer treatments or urgent testing, may be partially staffed

* More routine care is likely to be badly affected, including planned operations such as knee and hip replacements, community nursing services and healthvisiting

* Anyone with an appointment not already rearranged should attend at their allotted time

* GPs, community pharmacies and dentists will be unaffected

Newsletter

Related Articles

0:00
0:00
Close
Home Office Expands Border Security Operations and Intelligence Sharing With European Partners
Office for National Statistics Reports Modest Retail Sales Growth Ahead of Crucial Christmas Trading Season
Welsh Government Unveils Strategic Plan to Boost Regional Technology Innovation and Digital Skills Training
Department for Environment Food and Rural Affairs Implements New Agricultural Subsidies Framework for English Farmers
Scottish First Minister John Swinney Announces Major Regional Infrastructure and Green Energy Investment Strategy
National Health Service Leaders Warn of Severe Winter Pressures and Mounting Accident and Emergency Backlogs
Bank of England Monetary Policy Committee Signals Cautious Interest Rate Path Amid Persistent Services Inflation
Chancellor of the Exchequer Rachel Reeves Finalizes Autumn Budget Framework Aiming to Close Public Sector Fiscal Gap
Department for Science, Innovation and Technology Prepares Enhanced Artificial Intelligence Safety and Cyber Defense Frameworks
United Kingdom Government Expands International Sanctions Framework Against Russian Shadow Fleet and Financial Enablers
Institute of Directors Reports Sharp Post-Budget Drop in Business Confidence Despite Long-Term Investment Intention Shifts
Chancellor John Healey Defends Sweeping Fiscal Adjustments and Household Support Packages Following Autumn Budget
Parliamentary Petitions Committee Schedules Major Legislative Debates on Special Educational Needs and Non-Stun Meat Labelling
Regional Devolution and Good Growth Fund Frameworks Reshape Local Government Funding Across English Regions
Loughborough University Economic Analysts Highlight Substantial Uncertainty Surrounding Public Sector Efficiency Savings
British Legal Sector Drives Sixty Billion Pounds in Annual Economic Output While Employing Over Half a Million Professionals
Law Society Welcomes New Better Regulation Executive While Pressing for Long-Term Legal Aid Funding Reform
Metropolitan Police and Security Services Heighten Operations Across London Ahead of Large-Scale Public Demonstrations
Bank of England Economists Scrutinize Corporate Tax Adjustments and Public Sector Borrowing Pressures
Chancellor John Healey Defends Autumn Budget Tax and Spending Allocations Following Intense Parliamentary Scrutiny
Department for Environment, Food and Rural Affairs Implements Strict Water Quality Monitoring Rules Following Severe Rainfall and Flooding
Welsh Government Unveils Comprehensive Regional Housing Strategy to Address Rural Affordability and Homelessness Pressures in Cardiff
Office for National Statistics Reports Slowing Consumer Price Inflation and Steady Retail Performance Across United Kingdom Markets
Northern Ireland First Minister Michelle O'Neill and Deputy First Minister Emma Little-Pengelly Advance Cross-Border Infrastructure Agreement in Belfast
Competition and Markets Authority Launches Formal Investigation Into Artificial Intelligence Partnerships Involving Major Technology Corporations
Scottish First Minister John Swinney Secures Cross-Party Support for Devolved Budget Framework and Renewable Energy Expansion
High Court Rules in Favor of Environmental Campaigners Over Department for Energy Security and Net Zero Licensing Procedures
National Health Service England Announces Major Digital Modernization and Artificial Intelligence Diagnostic Rollout Across Regional Trusts
Bank of England Monetary Policy Committee Signals Cautious Approach to Interest Rate Cuts Amid Persistent Wage Growth and Inflation Pressures
British Prime Minister Keir Starmer and Chancellor Rachel Reeves Outline Strategic Infrastructure Plans to Boost Regional Growth and Private Investment
Water pollution remains high despite £5bn investment
Regional Economic Divergence and Industrial Transformation
Technological Sovereignty and Regulatory Scrutiny
Fiscal Consolidation and Public Service Pressures
Automotive Industry Leadership Warns of Imminent Supply Chain Disruptions Following Recent European Trade Negotiations
High Court Delivers Landmark Ruling Affirming Strict Legal Protections for Corporate Data Privacy Against State Surveillance
Welsh First Minister Eluned Morgan Secures Additional Funding for Regional Transport Infrastructure and Rail Modernization
Scottish First Minister John Swinney Announces Major Green Energy Infrastructure Investment Package for Aberdeen
Department for Work and Pensions Proposes Sweeping Welfare Reforms to Incentivize Long-Term Unemployed Back into Work
Competition and Markets Authority Launches Formal Investigation into Artificial Intelligence Partnerships Involving Major Tech Giants
United Kingdom Foreign Secretary David Lammy Concludes High-Level Strategic Talks in Washington on Middle East Security
National Health Service England Unveils Emergency Winter Resilience Plan to Combat Projected Surge in Emergency Admissions
Bank of England Governor Andrew Bailey Signals Cautious Approach to Interest Rate Cuts Amid Persistent Inflation
British Chancellor Rachel Reeves Finalizes Corporate Tax Overhaul Ahead of Autumn Budget to Fund Public Services
Automotive Manufacturers Urge Government Action as High Energy Costs and Global Supply Chain Disruptions Threaten Production
Metropolitan Police Issue Formal Apology Following Inadvertent Release of Confidential Information During High-Profile Investigation
Scottish Finance Secretary Shona Robison Unveils Devolved Budget Highlighting Housing and Public Service Adjustments
Energy Regulator Office of Gas and Electricity Markets Prepares to Remove Household Gas Standing Charges Following Treasury Mandate
Treasury Confirms Reversal of Planned Cash Individual Savings Account Allowance Reduction Protecting Twenty Thousand Pound Limit
Office for Budget Responsibility Revisions Predict Moderate United Kingdom Economic Growth with Elevated Inflation Pressures
×