Nick Triggle,Health correspondent, Jim Reed,Health reporterand Philippa Roxby,Health reporter

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Prime Minister Keir Starmer has said nan latest five-day onslaught by doctors successful England is "dangerous and utterly irresponsible" and warned them not to wantonness patients.
The walkout by resident doctors, nan caller sanction for inferior doctors, began astatine 07:00 connected Wednesday.
The British Medical Association (BMA) is asking for a "genuinely agelong word plan" to summation salary and dress up for years of below-inflation rises.
The doctors' national besides wants to spot caller training places created "rather than recycled ones" truthful that much qualified doctors tin specialise and advancement their careers.
NHS bosses opportunity they will struggle to support immoderate pre-booked services going during nan strike, arsenic hospitals woody pinch a surge successful flu and different wintertime illnesses.
The BMA said they would activity pinch NHS bosses to guarantee information successful hospitals and different parts of nan wellness service.
At Prime Minister's Questions, Starmer said his connection to resident doctors was: "Don't wantonness patients, activity pinch america to amended to conditions and rebuild nan NHS."
In response, Conservative leader Kemi Badenoch claimed Starmer didn't "have nan baubles" to prohibition doctors' strikes, and that he had mislaid power to waste and acquisition unions.
Speaking astatine a picket statement astatine a London hospital, BMA resident expert leader Dr Jack Fletcher said that "we're present yet again, because we person not yet reached a reliable woody to hole this absurd jobs crisis".
"What we're asking for is to extremity these real-term salary cuts that nan authorities is recommending for doctors," he said.
Asked astir caller polling that suggests nationalist support for nan strikes is declining, he said: "I do attraction what my patients deliberation but I didn't motion up to springiness that attraction successful a corridor."
This is nan 14th walkout by resident doctors successful a long-running salary dispute.
The onslaught went up aft last-minute talks betwixt nan authorities and national collapsed down without statement connected Tuesday.
The gathering was described arsenic "constructive" by nan government, but not capable advancement had been made to telephone disconnected nan strike.
Resident doctors correspond astir half of nan doctors moving successful nan NHS. They are stepping retired of some emergency and non-urgent attraction pinch elder doctors drafted successful to supply cover.
Around 50 medics person been protesting extracurricular St Thomas' Hospital successful London, and much astatine hospitals astir nan state including Leeds and Newcastle.
Dr Krunthika Ramamurthi, who was trained arsenic a expert successful India and has been moving successful nan UK for 5 years, said she has not been capable to get a specialty training post, which doctors tin use for aft nan first 2 years of training.
Instead, she has been forced to activity arsenic a locum and activity short-term posts that do not count towards her training.
"It is really difficult. I americium not progressing successful my profession – it is clear location is simply a shortage of jobs. I don't want to strike, but nan authorities is not addressing our concerns – salary is still beneath nan 2008 levels," she said.
"If nan NHS is crumbling because of nan flu cases that tells you everything really – nan NHS needs to beryllium amended resourced."
In nan 2 astir caller strikes – successful July and November – NHS England said it was capable to support nan mostly of non-urgent operations and treatments, specified arsenic hep and knee replacements, going.
Situation 'dicey' successful coming weeks
Speaking successful parliament connected Wednesday morning, Health Secretary Wes Streeting said he "deeply regretted" nan effect nan onslaught would person connected patients successful nan run-up to Christmas.
He said nan business successful immoderate hospitals was already "dicey" and he was concerned astir nan effect connected different aesculapian unit who would beryllium "knackered arsenic a result" of business action.
He said location was nary motion of a breakthrough aft 5 hours of talks pinch BMA representatives connected Tuesday.
"I deliberation connected jobs, [we are] broadly successful agreement, [but] connected salary [we are] excessively acold apart," he said.
"These strikes will travel astatine a costs of £250m and effect connected operational pressures, connected patients and connected nan full NHS workforce, and I profoundly regret we are successful this situation."
Concern has been expressed that hospitals whitethorn struggle to discharge patients successful clip for Christmas arsenic nan doctors who are moving ore connected providing onslaught cover.
Medical head Prof Meghana Pandit said nan strikes came "at an immensely challenging clip for nan NHS", pinch grounds numbers of patients successful infirmary pinch flu for this clip of year.
She said much patients were apt to consciousness nan effect of this information of strikes than nan erstwhile two, adding that unit who are covering for those striking would not get a Christmas break pinch their families.
NHS England said GP practices will proceed to beryllium unfastened and urgent and emergency attraction services will beryllium disposable for those who request them.
But moreover past location is apt to beryllium immoderate disruption. Cheltenham General Hospital's emergency section is closing for emergencies during nan onslaught - it will stay unfastened for insignificant injuries - pinch patients advised to usage adjacent Gloucestershire Royal Hospital.
NHS England said nan nationalist should usage 111 online arsenic nan first larboard of telephone for urgent, but not life-threatening issues during nan strike.
Patients who request emergency aesculapian attraction should proceed to usage 999 aliases travel guardant to A&E arsenic normal, it added.
The onslaught is going up contempt a caller connection from nan authorities being made past week, which included expanding nan number of speciality training posts and covering out-of-pocket expenses for illustration exam fees.
Daniel Elkeles, main executive of NHS Providers, which represents infirmary and ambulance services, said nan strikes are "like having nan worst imaginable Groundhog Day".
"But dissimilar nan movie this is real, truthful thousands of patients are going to person their operations and procedures postponed aliases cancelled," he told BBC Breakfast.
He added that nan "increasingly acrimonious dispute" feels for illustration it's arsenic "far distant from being resolved arsenic it ever has been".
However, he added that patients will still beryllium safe successful infirmary and that group should be appointments unless informed otherwise.


On Monday nan BMA announced its members had voted to proceed pinch nan onslaught – efficaciously rejecting nan connection successful nan process – aft nan national agreed to clasp an online canvass of members.
Streeting has maintained he will not talk salary arsenic doctors person received salary rises totalling astir 30% complete nan past 3 years.
The BMA argues that, contempt nan salary rises, resident doctors' salary is still a 5th little than it was successful 2008, erstwhile ostentation is taken into account.
But it said it was committed to ensuring diligent safety.
"We will beryllium successful adjacent interaction pinch NHS England passim nan strikes to reside information concerns if they arise," nan national added.
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