Guest Post by Mark Toynbee, Adam Al-Diwani, Joe Clacey and Matthew Broome
[Editor’s note: Events in the real world have moved more quickly than David or I have; the facts of the junior doctors’ strike have moved on since the paper was published and this post submitted. Still, the matters of principle remain. – IB]
A strike by junior doctors is planned for January 2016 following failure of the last-ditch ACAS (Advisory, Conciliation and Arbitration Service) mediated talks between the BMA and the Department of Health (via NHS Employers) – see media reports here, here, and here. Industrial Action had previously been planned for December last year but was suspended at the last minute when both sides agreed to the now failed mediation. The current regrettable position has resulted from over two years of formal negotiations between the BMA and NHS Employers regarding a new junior doctor contract. The BMA went to its junior doctor members for a mandate for industrial action last autumn as the talks stalled and received an almost unprecedented mandate with 98% indicating they would be prepared to strike.
Subsequently, many well-known figures voiced their concerns about the ethical and practical implications of industrial action (here and here). Strikes by doctors are not common, with only one example in the UK in the last generation, but far from unprecedented. The overwhelming recent ballot result raises many interesting issues, foremost among them the ethical legitimacy of industrial action by doctors, specifically junior doctors.
The term ‘junior doctor’ is often misunderstood.
The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.