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First-Year Doctors in England Back Strike in 97% Vote Over Jobs, Pay

The ballot gives the BMA leverage in pay talks to secure guarantees on training posts.

Overview

  • The BMA reported that 97% of first-year resident doctors voted for industrial action on a 65% turnout, establishing a clear mandate.
  • No strike dates have been set, with the union saying talks must now produce solutions on job security as well as pay.
  • A BMA survey found 34% of first-year doctors and 52% of second-year doctors without substantive work from August 2025.
  • The union highlighted more than 30,000 applicants competing for roughly 10,000 first-round specialty training places, while the NHS plan commits to 1,000 additional places over three years.
  • The pay dispute centers on inflation measures, with the BMA citing a 21% real-terms cut using RPI and the government favoring CPI, which Nuffield Trust analysis suggests implies about a 5% fall since 2008.