Respect? Why Scotland’s resident doctors delayed their ballot until after the deadly flu season’s predicted peak

Professor John Robertson OBA

At least four of the above stories, including the resident doctor strike news, in the midst of a flu epidemic, concern only NHS England.

BBC Scotland have no apparent health worries for us.

Why no reporting?

The Scottish Resident Doctors vote does not close until 19 December 2025 with strike action unlikely until January.

Why have they delayed until this point?

Flu cases tend to decline in early January, year after year.

Why would the NHS England resident doctors not have delayed? This:

See that ‘still?’

This goes back to earlier experience of the doctors and the two governments they have dealt with.

From the Guardian 13 July 2023:

BMA leaders Dr Robert Laurenson and Dr Vivek Trivedi said:

Today marks the start of the longest single walkout by doctors in the NHS’s history, but this is still not a record that needs to go into the history books.

We can call this strike off today if the UK Government will simply follow the example of the government in Scotland and drop their nonsensical precondition of not talking whilst strikes are announced and produce an offer which is credible to the doctors they are speaking with.

The pay offer on the table to junior doctors in Scotland and how it was reached throws into sharp relief the obstinate approach being taken by the Prime Minister and the Health Secretary, Steve Barclay.

The Health Secretary has said there can be no talks while strikes are planned – Scotland has proved him wrong. He said above 5% wasn’t realistic – Scotland proved him wrong. He refused to even acknowledge the concept of pay restoration – Scotland proved this is not only possible but essential.

The BMA leaders said talks have to be resumed, adding:

The government’s refusal to talk with junior doctors in England who have strikes planned is out of keeping with all norms of industrial action.

Doctors have a right to expect that as in Scotland, and as in many other recent industrial disputes, talks will continue right up to the last minute to try and reach a deal without the need to strike.

The complete inflexibility we see from the UK government today is baffling, frustrating and ultimately destructive for everyone who wants waiting lists to go down and NHS staffing numbers to go up.

The government has missed chance after chance to provide a credible offer and potentially bring to an end the industrial action by junior doctors in England and whilst there are differences between junior doctors and governments in England and Scotland, the UK government has far more financial freedom to give doctors what they deserve.https://www.theguardian.com/politics/live/2023/jul/13/doctors-strike-nhs-rishi-sunak-pay-uk-politics-live

What will be the price of the disrespect shown by Streeting an Starmer for doctors? What were the consequences the last time Junior/Resident doctors went on strike in England?

After the last set of Junior Doctor strikes in 2023/2024, there were serious concerns about postponed appointments and excess deaths due to these.

Above, the shocking picture of 52 out of the last 365 days when doctors were on strike in England. There were no days lost to action in Scotland.

According to the Guardian on 10 January 2025, junior doctor strikes caused around 1.3 million appointments to be cancelled. Had there been comparable action in Scotland, around 130 000 appointments would have been lost.

According to the Telegraph on 2 January, there were nearly 53 000 excess deaths in 2023 ‘amid’ the strikes across the UK so, had there been strikes in Scotland, the implication is more than 5 000 deaths were averted by the actions of Humza Yousaf as Health Secretary and then as FM in respecting, meeting with and settling with both consultants and junior doctors, without a single day lost to action.

The SNP settlement to avoid strikes?

From the Guardian July 13, 2023, live feed 08.34:

BMA leaders Dr Robert Laurenson and Dr Vivek Trivedi said:

Today marks the start of the longest single walkout by doctors in the NHS’s history, but this is still not a record that needs to go into the history books.

We can call this strike off today if the UK Government will simply follow the example of the government in Scotland and drop their nonsensical precondition of not talking whilst strikes are announced and produce an offer which is credible to the doctors they are speaking with.

The pay offer on the table to junior doctors in Scotland and how it was reached throws into sharp relief the obstinate approach being taken by the Prime Minister and the Health Secretary, Steve Barclay.

The Health Secretary has said there can be no talks while strikes are planned – Scotland has proved him wrong. He said above 5% wasn’t realistic – Scotland proved him wrong. He refused to even acknowledge the concept of pay restoration – Scotland proved this is not only possible but essential.

The BMA leaders said talks have to be resumed, adding:

The government’s refusal to talk with junior doctors in England who have strikes planned is out of keeping with all norms of industrial action.

Doctors have a right to expect that as in Scotland, and as in many other recent industrial disputes, talks will continue right up to the last minute to try and reach a deal without the need to strike.

The complete inflexibility we see from the UK government today is baffling, frustrating and ultimately destructive for everyone who wants waiting lists to go down and NHS staffing numbers to go up.

The government has missed chance after chance to provide a credible offer and potentially bring to an end the industrial action by junior doctors in England and whilst there are differences between junior doctors and governments in England and Scotland, the UK government has far more financial freedom to give doctors what they deserve. https://www.theguardian.com/politics/live/2023/jul/13/doctors-strike-nhs-rishi-sunak-pay-uk-politics-live

Chair BMA Scotland, Dr Iain Kennedy was strangely not available for comment. Having tea with Sandesh Gulhane MSP (Con)?

One thought on “Respect? Why Scotland’s resident doctors delayed their ballot until after the deadly flu season’s predicted peak

  1. What constantly infuriates me when NHS stories are covered by the ”national” media is the implication that when discussing ”the countries NHS ” they mean the UK when 99% of the time it is England’s Nhs they mean .

    The fact that Wes Streeting , or whomsoever holds that post , is described as ”The Health Secretary ” when his remit is only NHS England gives the impression to the hard of thinking that he has responsibility for the UK .

    Whenever the Scottish Health Secretary is mentioned ( rarely ) in ”National News ” he is ALWAYS given his exact title . No one in England could possibly think that he/she had any say in their NHS – but nightly we in Scotland , Wales and N.I. must listen to the English Health Secretary being addressed as if he was the only one in the UK .

    This is either ignorance or contempt on the part of the News Media – but the effect is the same . Misleading some who hear ”The Health Secretary ” warning of the collapse of the NHS – when he is discussing the collapsing English NHS !

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