English doctors begin six-day strike after rejecting government's deal

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 (BMA) 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.

The government has now withdrawn a pledge to fund 1,000 additional ⁠speciality training posts that it said had been contingent on the deal being accepted.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

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.

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

BMA denounces long-term pay erosion

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

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.

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 further undermined ​confidence.

"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.

(Cover: File photo shows resident doctors on their picket line at St Thomas' Hospital Westminster on November 14, 2025 in London, England. /VCG)