
The nurses’ strike vote follows many mobilisations such as this one in 2021 (Picture: Guy Smallman)
Tens of thousands of nurses have voted for pay strikes, with action set to start in December, the RCN union announced on Wednesday. The news will come as a massive blow to Tory plans for more austerity in next week’s new budget statement
RCN members at 176 NHS employers met the turnout thresholds to strike under the anti-union laws— including at many of the biggest hospitals in Britain (see full list below). Workers at all NHS employers in Scotland and Northern Ireland will be included, and all bar one NHS trust in Wales.
There should be nurses’ picket lines in almost every town and city—and they could easily become the focus for the huge well of anger against the government. Every trade union activist must now start planning how they will deliver solidarity to the nurses.
“This is massive and I’m absolutely buzzing,” Midlands RCN union rep and nurse Matt Tacey told Socialist Worker. His trust is one of those set to strike. “We will be on the picket lines for the first time, and it’s long overdue,” he says.
“For the union and activists like me, this has been a marathon. But we can absolutely win this—and that would be a huge step in defending the NHS.”
Matt says nurses must now start preparing for action. “We will face an onslaught of attacks from the Tories because of this,” he said. “The same people who clapped us as heroes will say we are greedy and selfish—and that we don’t care about our patients.
“Nothing could be further from the truth. Strikes will of course close services and lead to cancellations. But this is already happening every single day in the NHS because there are not enough nurses.
“How many operations have been postponed because there are not enough theatre nurses? How many appointments are lost because we are too thinly spread?
“We will guarantee a minimum level of staffing on strike days—and that could mean that some wards are actually safer than they are on a normal working day. Our strike is about defending the health service, and an attack on our pay is an attack on our patients.”
The union leadership must be “absolutely resolute” in the face of the attacks, says Matt. “We can force the government into making yet another U-turn and making a new pay offer, but we have to stand firm,” he says.
The ballot was not successful everywhere. In nearly half of NHS trusts, the voting did not meet the harsh requirements of the anti-union laws. The union must call then out anyway or at least now plan to re-ballot quickly those trusts where a new campaign could get them across the threshold too.
News from the RCN comes as the major Unison health service union is balloting some 350,000 members in England and Wales for strikes—and the GMB and Unite unions have joined them. The physiotherapists’ CSP union is set to do the same this week. Knowing that nurses have already decided to take to the frontline should be a spur to get the vote out in those ballots.
Leading Unison activist Karen Reissmann greeted the RCN’s “brilliant” results. “You are an inspiration to us and we will do all we can to win our ballots too. Solidarity from all of us in Unison,” she said.
All health workers should now be thinking about solidarity with nurses’ strikes. That could mean organising delegations and collections to take to RCN picket lines. But it could also go further. No NHS worker will want to cross nurses’ picket lines, so why should they?
Imagine the impact of groups deciding to stand together on the picket, irrespective of what job they do or which union they belong to.
A national branch of doctors in the Unite union has passed a motion calling for “all trade unions to declare a day of solidarity action in support of NHS workers”. Such a move could see thousands of workers rallying to the nurses’ fight. Activists should push for solidarity walkouts and marches to NHS picket lines.
And, with many other groups of workers readying for battle over pay, such a move could not come at a worse time for the Tories. In addition to postal, telecoms and rail workers already in dispute, university workers are set to strike soon and civil service workers, teachers and others could be out the door too.
The NHS, and those who work in it, have huge support from across the working class. Activists in other unions should begin now arguing for solidarity—from visits to pickets to strikes—when the NHS walkouts take place. Every union leader should be pushed to organise such action, whether it’s allowed under the anti-union laws or not.
Rishi Sunak’s gang are planning to make “eye-watering” cuts in their budget statement later this month. They must now face stiff resistance.
Union leaders must urgently grasp the mood and use it to launch hard-hitting and united action. This is not a time for conciliation or backroom deals. Matt’s message to the Tories is, “If you want to come for us, bring it on. We’re ready to hit back.”
Full list of those trusts that met the thresholds under the anti-union laws
England
Alder Hey Children’s NHS Foundation Trust
Avon and Wiltshire Mental Health Partnership NHS Trust
Barnsley Hospital NHS Foundation Trust
Birmingham Women’s and Children’s NHS Foundation Trust
Bradford Teaching Hospitals NHS Foundation Trust
Bridgewater Community Healthcare NHS Foundation Trust
Cambridge University Hospital NHS Foundation Trust
Cambridgeshire and Peterborough NHS Foundation Trust
Cambridgeshire Community Services NHS Trust
Central Cheshire Integrated Care Partnership
Cheshire and Wirral Partnership NHS Foundation Trust
Cornwall Partnership NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
County Durham and Darlington NHS Foundation Trust
Derbyshire Community Health Services NHS Foundation Trust
Derbyshire Healthcare NHS Foundation Trust
Devon Partnership NHS Trust
Dorset County Hospital NHS Foundation Trust
Dorset Healthcare University NHS Foundation Trust
Dudley Integrated Health and Care NHS Trust
East Midlands Ambulance Service NHS Trust
East Suffolk and North Essex NHS Foundation Trust
East Sussex Healthcare NHS Trust
Gateshead Health NHS Foundation Trust
Gloucestershire Health and Care NHS Foundation Trust
Gloucestershire Hospitals NHS Foundation Trust
Great Ormond Street Hospital for Children NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Guys and St Thomas NHS Foundation Trust
Harrogate and District NHS Foundation Trust
Health Education England
Herefordshire and Worcestershire Health and Care NHS Trust
Hertfordshire Community NHS Trust
Hounslow and Richmond Community Healthcare NHS Trust
Imperial College Healthcare NHS Trust
Kent Community Health NHS Foundation Trust
Kettering General Hospital NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lancashire Teaching Hospitals NHS Foundation Trust
Leeds Community Healthcare NHS Trust
Liverpool Heart and Chest Hospital NHS Found Trust
Liverpool University Hospitals NHS Foundation Trust
Liverpool Women’s NHS Foundation Trust
Mersey Care NHS Foundation Trust
Mid Cheshire Hospitals NHS Foundation Trust
Midlands and Lancashire CSU
Midlands Partnership NHS Foundation Trust
NHS Bath, North East Somerset, Swindon and Wiltshire ICB (BSW Together)
NHS Birmingham and Solihull ICB (BSol ICB)
NHS Black Country ICB
NHS Blood and Transplant (NHSBT)
NHS Cheshire and Merseyside ICB
NHS Derby and Derbyshire ICB (Joined Up Care Derbyshire)
NHS Devon ICB (One Devon)
NHS Dorset ICB (Our Dorset)
NHS England
NHS Gloucestershire ICB (One Gloucestershire)
NHS Hertfordshire and West Essex ICB
NHS Kent and Medway ICB
NHS Lancashire and South Cumbria ICB
NHS Mid and South Essex ICB
NHS Norfolk and Waveney ICB
NHS North Central London ICB
NHS Nottingham and Nottinghamshire ICB
NHS Resolution
NHS South West London ICB
NHS Suffolk and North East Essex ICB
NHS Surrey Heartlands ICB
NHS West Yorkshire ICB
Norfolk and Norwich University Hospitals NHS Foundation Trust
Norfolk and Suffolk NHS Foundation Trust
Norfolk Community Health and Care NHS Trust
North Bristol NHS Trust
North East Ambulance Service NHS Trust
North of England CSU (NECS)
North West Ambulance Service NHS Trust
Northamptonshire Healthcare NHS Foundation Trust
Northumbria Healthcare NHS Foundation Trust
Nottingham University Hospitals NHS Trust
Nottinghamshire Healthcare NHS Foundation Trust
Oxford Health NHS Foundation Trust
Oxford University Hospitals NHS Foundation Trust
Portsmouth Hospitals NHS Trust
Queen Victoria Hospital NHS Foundation Trust
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Royal Berkshire NHS Foundation Trust
Royal Cornwall Hospitals NHS Trust
Royal Devon University Healthcare NHS Foundation Trust
Royal Marsden NHS Foundation Trust
Royal Papworth Hospital NHS Foundation Trust
Royal United Hospitals Bath NHS Foundation Trust
Salisbury NHS Foundation Trust
Sheffield Children’s NHS Foundation Trust
Sheffield Health and Social Care NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
Shropshire Community Health NHS Trust
Solent NHS Trust
Somerset NHS Foundation Trust
South Central Ambulance Service NHS Foundation Trust
South East Coast Ambulance Service
South Tees Hospitals NHS Foundation Trust
South Western Ambulance Service NHS Found Trust
Southern Health NHS Foundation Trust
St George’s University Hospitals NHS Foundation Trust
St Helens and Knowsley Teaching Hospitals NHS Trust
Sussex Community NHS Foundation Trust
Sussex Partnership NHS Foundation Trust
Tameside and Glossop Integrated Care NHS Foundation Trust
Tavistock and Portman NHS Foundation Trust
The Christie NHS Foundation Trust
The Clatterbridge Cancer Centre NHS Found Trust
The Leeds Teaching Hospitals NHS Trust
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
The Royal Orthopaedic Hospital NHS Foundation Trust
The Walton Centre NHS Foundation Trust
Torbay and South Devon NHS Foundation Trust
University College London Hospitals NHS Foundation Trust
University Hospital Southampton NHS Foundation Trust
University Hospitals Birmingham NHS Foundation Trust
University Hospitals Bristol and Weston NHS Foundation Trust
University Hospitals Dorset NHS Foundation Trust
University Hospitals of Morecambe Bay NHS Foundation Trust
University Hospitals Plymouth NHS Trust
University Hospitals Sussex NHS Foundation Trust
West Suffolk NHS Foundation Trust
Wirral Community Health and Care NHS Foundation Trust
Wirral University Teaching Hospital NHS Found Trust
Worcestershire Acute Hospitals NHS Trust
Wrightington Wigan and Leigh NHS Foundation Trust
York and Scarborough Teaching Hospitals NHS Foundation Trust
Scotland
Healthcare Improvement Scotland
NHS 24
NHS Ayrshire and Arran
NHS Borders
NHS Dumfries and Galloway
NHS Education For Scotland
NHS Fife
NHS Forth Valley
NHS Golden Jubilee
NHS Grampian
NHS Greater Glasgow and Clyde
NHS Highland
NHS Lanarkshire
NHS Lothian
NHS National Services Scotland
NHS Orkney
NHS Shetland
NHS Tayside
NHS Western Isles
Public Health Scotland
Scottish Ambulance Service
The Highland Council
The State Hospitals Board for Scotland
Wales
Cardiff and Vale University Health Board
Powys Teaching Local Health Board
Welsh Ambulance Services NHS Trust Headquarters
Hywel Dda University Health Board
Swansea Bay University Health Board
Cwm Taf Morgannwg University Health Board
Betsi Cadwaladr University Local Health Board
Velindre NHS Trust
Public Health Wales
Health Education and Improvement Wales Health Authority
NHS Wales Shared Services Partnership
Digital Health and Care Wales
Another day of mass resistance
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