From 7am, paramedics, emergency care assistants, ambulance technicians, other 999 crew members and control room staff across five services in England – London, Yorkshire, the North West, North East and South West – were joining picket lines.
Porters, cleaners, nurses, midwives, healthcare assistants, theatre staff and other NHS workers at the Liverpool University Hospitals Trust and the city’s Heart and Chest Hospital are also out on strike.
It comes after the unions accused the government of not wanting to find a resolution to what has become an escalating and bitter dispute over pay.
Unite general secretary Sharon Graham said a double-digit pay rise must be offered to striking NHS staff, but described the government as appearing willing to “talk about anything, but they won’t talk about pay”.
Unison general secretary Christina McAnea said the solution is “simple” and “staring the government in the face”, but she accused Chancellor Jeremy Hunt of “blocking progress”.
On Sunday, Ms Graham indicated a 10% pay rise would be considered by union members, saying Labour should show “real leadership” by coming out and saying that is what it would offer if it was the party in power.
Ms Graham told Sky’s Sophy Ridge on Sunday: “The public is supporting that pay rise as we can see from surveys, and we’ve got the employer, in this instance the government, who will talk about anything, but they won’t talk about pay.”
She described Prime Minister Rishi Sunak as being “missing in action” and said she believed the government was either at an “unreal” level of incompetence in terms of negotiating or “looking at this as the moment they can privatise the NHS”.
Ms Graham went on to accuse ministers of “lying” and not being “an honest partner at the other side of the table”, stating: “I’m negotiating with somebody at the moment that I don’t think wants resolution, and that’s a real problem.
“The solution to the growing NHS crisis is staring the government in the face. It’s simple, all the Chancellor needs to do is find the money to pay health workers fairly.
“The public wants the government to end the dispute, so do NHS staff, but most ministers look like they’d rather dig in and do nothing instead of boost pay and help turn the ailing NHS around.”
She added: “It’s strange that it’s the Chancellor blocking progress. Jeremy Hunt knows the NHS better than anyone in the Cabinet. As Health Secretary, he negotiated the wage deal to end the 2015 NHS strike and pushed for fair pay when Health Select Committee chair. But as Chancellor he’s chosen to forget all that.”
Last week, Health Secretary Steve Barclay appeared to rule out a 10% pay rise for nurses, saying it was “not affordable”. He has since described having had “constructive talks with unions about this coming year’s pay process for 2023/24” but unions have been calling for the 2022/23 pay award to be reviewed.
He said further strike action by ambulance workers this week is “hugely disappointing” and will “inevitably” cause disruption to healthcare.
In a statement on Sunday, Barclay said: “It is hugely disappointing some ambulance workers are continuing to take industrial action. While we have contingency plans in place to mitigate risks to patient safety, there will inevitably be further disruption.
“It is important people continue coming forward for treatment – call 999 in life threatening emergencies and use NHS 111 online, local pharmacies and GP services for non-life threatening care.
“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.”
NHS medical director Professor Sir Stephen Powis said: “As with other ambulance strikes, the message to patients remains that it is vital to come forward and seek emergency care if needed.
“This includes calling 999 for life-threatening emergencies as well as using 111 online for other health needs where you will receive clinical advice on the best next steps to take.
“People should also continue to use local services such as pharmacies and general practice as they normally would which aren’t impacted by strike action.”
Next month is likely to see the biggest strike action the NHS has ever experienced, when thousands of nurses and ambulance workers are due to stage walkouts on 6 February if a pay deal has not been reached.