17.08.2026

NHS nurses’ strike could ‘overwhelm’ hospitals and leave patient safety in ‘precarious position’

Striking nurses will put patients at risk if they plough ahead with plans to withdraw ‘life and limb’ care over this Bank Holiday weekend, health leaders warn today.

The Royal College of Nursing will order members to walk out of A&E, critical care and cancer wards for the first time, in a major escalation of industrial action.

But the NHS Confederation, which represents healthcare organisations, says the 48-hour picket from 8pm on Sunday could lead to wards being ‘overwhelmed’.

Health Secretary Steve Barclay said on Monday that he will ask the courts to rule that the second day of the RCN strike is illegal, claiming their six-month mandate for action expires at the end of the first day.

It comes as the Society of Radiographers (SoR) yesterday revealed its members had voted overwhelmingly to reject the government’s offer of a 5 per cent pay rise and a one-off bonus.

The result means nurses will return to the picket line for 48-hours on April 30. Pictured RCN members during a previous strike on February 6

Pictured RCN members during a previous strike on February 6. Nurses rejected a pay deal last night - raising fears they could co-ordinate future strikes with junior doctors

More than 500,000 NHS appointments and operations in England have been cancelled as a result of staff striking over pay, with further disruption planned

More than 500,000 NHS appointments and operations in England have been cancelled as a result of staff striking over pay, with further disruption planned

Some 65 per cent of those eligible to vote cast a ballot, with 80 per cent voting against the deal, making the SoR the second union with members on the NHS Agenda for Change contract to reject the offer after the RCN.

It will now formally ballot its members on whether they are prepared to strike. The union said: ‘Strike action by these staff will result in massive disruption throughout the system.’

The Royal College of Midwives will announce the result of its pay ballot today, with other unions due to announce their results later this week.

Members of Unison, the largest health union, have already voted to accept.

The NHS Confederation has urged the RCN to reconsider its escalation ‘for the sake of patients’ in the immediate term and to reinstate all the national derogations that it had in place up until this point, ‘particularly in emergency and critical care’.

It says bank holidays are already a busy time for urgent and emergency services and so ‘the absence of nurses to fill vital shifts will almost certainly place patients at risk’.

It also means that planned care ‘will have to be scaled back even more than it usually would have been over a public holiday and the days surrounding them’, it added.

The past six months of industrial action has seen over half a million operations and appointments postponed.

Previous walk-outs by nursing staff saw exemptions put in place in areas where timely treatment of patients is vital, including in A&E, intensive care, mental health and cancer services.

The NHS Confederation has already called for the mental health derogations to be reinstated but says these alone will not be enough to protect patient safety across local services.

Matthew Taylor, chief executive of the NHS Confederation, said: ‘While NHS leaders understand why the RCN is intensifying its stance on industrial action, they fear the absence of any exemptions to its planned strikes will put patient care in a precarious position.

‘This is particularly the case for patients who will need emergency and intensive care.

‘NHS leaders are worried that this action could lead to hospital wards becoming overwhelmed during the strike days and could even put some people off from seeking the care they need.

‘We are calling on the RCN to reinstate these vital derogations without delay.’

An RCN spokesman said: ‘Employers are responsible for maintaining safe staffing levels and we’d expect them to cancel non-urgent clinical work and elective procedures due to take place over the strike period.

‘We know this is a difficult task and there are exceptional circumstances where we would call a strike off in any hospital.’

Where will nurses strike on April 30?

The RCN has said the 48-hour, no exceptions walkout will be held at the following NHS workplaces in England.:

East Midlands 

Derbyshire Community Health Services NHS Foundation Trust

Derbyshire Healthcare NHS Foundation Trust

East Midlands Ambulance Service NHS Trust

Kettering General Hospital NHS Foundation Trust

NHS Derby and Derbyshire ICB

NHS Nottingham and Nottinghamshire ICB

Northamptonshire Healthcare NHS Foundation Trust

Nottingham University Hospitals NHS Trust

Nottinghamshire Healthcare NHS Foundation Trust

Eastern 

Cambridge University Hospital NHS Foundation Trust

Cambridgeshire and Peterborough NHS Foundation Trust

Cambridgeshire Community Services NHS Trust

East Suffolk and North Essex NHS Foundation Trust

Hertfordshire Community NHS Trust

NHS Hertfordshire and West Essex ICB

NHS Mid and South Essex ICB

NHS Norfolk and Waveney ICB

NHS Suffolk and North East Essex ICB

Norfolk and Norwich University Hospitals NHS Foundation Trust

Norfolk and Suffolk NHS Foundation Trust

Norfolk Community Health and Care

NHS Trust Royal Papworth Hospital NHS Foundation Trust

West Suffolk NHS Foundation Trust

London 

Great Ormond Street Hospital for Children NHS Foundation Trust

Guys and St Thomas NHS Foundation Trust

Hounslow and Richmond Community Healthcare NHS Trust

Imperial College Healthcare NHS Trust

Kings College Hospital NHS Foundation Trust

NHS North Central London ICB

NHS South West London ICB

Royal Marsden NHS Foundation Trust

St George’s University Hospitals NHS Foundation Trust

Tavistock and Portman NHS Foundation Trust

University College London Hospitals NHS Foundation Trust

North West 

Alder Hey Children’s NHS Foundation Trust

Bridgewater Community Healthcare NHS Foundation Trust

Cheshire and Wirral Partnership NHS Foundation Trust

Countess of Chester Hospital NHS Foundation Trust

Lancashire Teaching Hospitals NHS Foundation Trust

Liverpool Heart and Chest Hospital NHS Foundation Trust

Liverpool University Hospitals NHS Foundation Trust

Liverpool Women’s NHS Foundation Trust

Mersey Care NHS Foundation Trust

Mid Cheshire Hospitals NHS Foundation Trust

NHS Cheshire and Merseyside ICB

NHS Lancashire and South Cumbria ICB

North West Ambulance Service NHS Trust

St Helens and Knowsley Teaching Hospitals NHS Trust

Tameside and Glossop Integrated Care NHS Foundation Trust

The Christie NHS Foundation Trust

The Clatterbridge Cancer Centre NHS Foundation Trust

The Walton Centre NHS Foundation Trust

Wirral Community Health and Care NHS Foundation Trust

Wirral University Teaching Hospital NHS Foundation Trust

Wrightington Wigan and Leigh NHS Foundation Trust

Northern

Country Durham and Darlington NHS Foundation Trust

Gateshead NHS Foundation Trust

North of England Commissioning Support (NECS)

North East Ambulance Service NHS Trust

Northumbria Healthcare NHS Foundation Trust

South Tees Hospitals NHS Foundation Trust

The Newcastle Upon Tyne Hospitals NHS Foundation Trust

University Hospitals of Morecambe Bay NHS Foundation Trust

South East 

East Sussex Healthcare NHS Trust

Kent Community Health NHS Foundation Trust

NHS Kent and Medway ICB

NHS Surrey Heartlands ICB

Queen Victoria Hospital NHS Foundation Trust

South East Coast Ambulance Service

Sussex Community NHS Foundation Trust

Sussex Partnership NHS Foundation Trust

University Hospitals Sussex NHS Foundation Trust

Oxford Health NHS Foundation Trust

Oxford University Hospitals NHS Foundation Trust

Portsmouth Hospitals NHS Trust

Royal Berkshire NHS Foundation Trust

Solent NHS Trust

South Central Ambulance Services NHS Foundation Trust

Southern Health NHS Foundation Trust

University Hospital Southampton NHS Foundation Trust

South West 

Avon and Wiltshire Mental Health Partnership NHS Trust

Cornwall Partnership NHS Foundation Trust

Devon Partnership NHS Trust

Dorset County Hospital NHS Foundation Trust

Dorset Healthcare University NHS Foundation Trust

Gloucestershire Health and Care NHS Foundation Trust

Gloucestershire Hospitals NHS Foundation Trust

Great Western Hospitals NHS Foundation Trust

NHS Bath, North East Somerset, Swindon and Wiltshire ICB

NHS Devon ICB (One Devon)

NHS Dorset ICB (One Dorset)

NHS Gloucestershire ICB (One Gloucestershire)

North Bristol NHS Trust

Royal Cornwall Hospitals NHS Trust

Royal Devon University Healthcare NHS Foundation Trust

Royal United Hospitals Bath NHS Foundation Trust

Salisbury NHS Foundation Trust

Somerset NHS Foundation Trust

South Western Ambulance Service NHS Foundation Trust

Torbay and South Devon NHS Foundation Trust

University Hospitals Bristol and Weston NHS Foundation Trust

University Hospitals Dorset NHS Foundation Trust

University Hospitals Plymouth NHS Trust

West Midlands 

Birmingham Women’s and Children’s NHS Foundation Trust

Dudley Integrated Health and Care NHS Trust

Herefordshire and Worcestershire Health and Care NHS Trust

Midlands and Lancashire CSU

Midlands Partnership NHS Foundation Trust

NHS Birmingham and Solihull ICB (BSol ICB)

NHS Black Country ICB

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Shropshire Community Health NHS Trust

The Royal Orthopaedic Hospital NHS Foundation Trust

University Hospitals Birmingham NHS Foundation Trust

Worcestershire Acute Hospitals NHS Trust

Yorkshire and the Humber

Barnsley Hospital NHS Foundation Trust

Bradford Teaching Hospitals NHS Foundation Trust

Harrogate and District NHS Foundation Trust

Leeds Community Healthcare NHS Trust

NHS North West Yorkshire ICB

Sheffield Children’s NHS Foundation Trust

Sheffield Health and Social Care NHS Foundation Trust

Sheffield Teaching Hospitals NHS Foundation Trust

The Leeds Teaching Hospitals NHS Trust

York and Scarborough Teaching Hospitals NHS Foundation Trust

National employers 

Health Education England

NHS Blood and Transplant

NHS England NHS Resolution

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