Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the cost to the NHS and the public sector of industrial action by doctors and other healthcare workers since July 2024; what assessment he has made of the potential impact of that industrial action on the length of waiting lists, and the number of cancelled procedures and the level of patient outcomes; and whether he plans to reintroduce minimum service levels or amend protections relating to industrial action in essential health and social care services.
Since the agreement made with resident doctors in July 2024 there have been four rounds of strikes. The resident doctors have been on strike for five days each in July, November, and December 2025, and for six days in April 2026. These have an estimated total cost of £50 million a day, including direct and indirect costs, so the total estimated cost is £1 billion. There have not been other national strikes of other healthcare worker groups in this time period.
NHS England routinely publishes information on postponed inpatient and outpatient appointments during periods of industrial action. This information is available at the following link:
NHS England has published further workforce and activity analysis for the most recent strikes, and this is available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/supplementary-information/
There are no plans to reintroduce minimum service levels or to amend protections relating to industrial action in essential public services. The Government is committed to bringing in a new era of partnership that sees employers, unions, and the Government work together in co-operation to resolve disputes through meaningful negotiations. Additionally, we have robust contingency plans in place to minimise disruption from any potential industrial action. Striking workers are still subject to section 240 of the Trade Union and Labour Relations (Consolidation) Act 1992, which allows for criminal prosecutions for those who intentionally and maliciously endanger life or cause serious injury to a person by going on strike.