Well being unions and the federal government remained deadlocked of their dispute over NHS staff’ calls for for larger pay after ministers made clear they’d not reopen the wage settlement in England for 2022-23.

As as much as 40,000 nurses and ambulance staff in England and Wales walked out on the largest day of strike motion within the well being service’s historical past, well being minister Maria Caulfield stated “above-inflation pay rises” would gasoline the issue of rising costs.

Rishi Sunak, the prime minister, is contending with the largest wave of strikes in the private and non-private sectors in a long time, with staff pushing for larger pay amid the price of residing disaster.

However after ministers made conciliatory noises to well being unions in January, hinting they could reopen the pay settlement for NHS staff in England for the present monetary 12 months, they’ve since hardened their place.

The concept of a £1,000 one-off fee for NHS employees, floated by well being secretary Steve Barclay, was blocked by the Treasury. Downing Avenue didn’t deny that ministers had not held any critical talks with well being unions in current weeks.

Challenged on whether or not the federal government could be prepared to the reopen the pay settlement for NHS employees in 2022-23, Caulfield raised the problem of constraints posed by affordability.

“The secretary of state [for health] and the PM have been clear that that might be extraordinarily tough to do as a result of it wouldn’t simply be for nurses . . . There are a selection of public sector staff who would additionally need the identical request and throughout the board you’re speaking about billions of kilos to pay for that,” she stated.

The federal government has as a substitute pressed unions to interact in discussions about proof to be submitted to impartial evaluate our bodies in regards to the pay awards for NHS employees in 2023-24.

However Sara Gorton, head of well being for the union Unison, stated NHS staff had been on strike to enhance pay and staffing in 2022-23. “Speaking in regards to the wage rise they’re due in April received’t finish the dispute,” she added.

The GMB union indicated it was prepared to fulfill Barclay for talks, however provided that the pay settlement for 2022-23 was on the desk.

Pat Cullen, Royal Faculty of Nursing common secretary, accused the UK authorities of “punishing England’s nurses”, when the Welsh and Scottish administrations had been prepared to barter on pay for the present monetary 12 months. She urged Sunak to “negotiate and halt this motion now”.

The Welsh authorities’s supply on Friday of improved pay for NHS staff in Wales for 2022-23 prompted the RCN and the GMB, which represents ambulance staff, to name off strikes scheduled for Monday within the principality. Unite, one other union representing ambulance staff, proceeded with walkouts.

Sunak’s reluctance to provide floor to the well being unions dangers costing him politically: a YouGov survey on the finish of January instructed about two-thirds of the general public nonetheless supported strikes by NHS staff.

In affirmation that the NHS strikes pose a specific downside for ministers, the identical YouGov ballot discovered extra folks opposed than supported strikes in different sectors, together with rail.

NHS insiders stated the temper gave the impression to be hardening amongst ministers and unions.

The NHS Confederation, which represents organisations throughout the sector, warned that the well being service’s skill to fulfill a authorities goal to make sure that by the beginning of April all sufferers ready 18 months or extra for non-emergency surgical procedure would have been handled, was now hanging within the steadiness due to strikes.