Dr Raymond Effah
849 posts

Dr Raymond Effah
@WayoftheRay
Internal Medical Doctor at University Hospital Southampton. Tweets are my own. Ex-BMA MSC Co-Chair 22/23

It’s a YES. An overwhelming 93.4% of resident doctors in England have voted for further strike action, giving a clear mandate to continue pressuring the Government on jobs and pay in 2026. The overall turnout was 52.54%. Stay tuned for updates on our next steps.

Strikes will GO AHEAD from 17-22 December, after resident doctors in England voted overwhelmingly to reject the latest offer from @wesstreeting.




The Government has put forward an offer for @BMAResidents. We are sharing this for consideration by members. The offer includes: 👉1000 specialty training jobs (repurposed LED posts) this year, with 3000 more repurposed jobs over the following 2 years 👉UK graduate prioritisation, with details not clear 👉An alternative Core Training programme 👉No movement on pay Read more👉direc.to/ofS9


The Government has put forward an offer for @BMAResidents. We are sharing this for consideration by members. The offer includes: 👉1000 specialty training jobs (repurposed LED posts) this year, with 3000 more repurposed jobs over the following 2 years 👉UK graduate prioritisation, with details not clear 👉An alternative Core Training programme 👉No movement on pay Read more👉direc.to/ofS9

Hello @BMAResidents We’ve now shared the offer from Wes Streeting. On the headline, it sounds big: “4,000 jobs.” But you need to read the detail, not the headline. First: it’s only 1,000 more jobs this year. We currently have around 10,000 training posts and more than 30,000 applicants. One extra year of 1,000 posts does not fix the crisis. It barely touches it. Second: none of these posts are new. There is no increase in the overall number of jobs for resident doctors. Every one of these “new training posts” is just a locally employed doctor post being converted into a training number. So if you don’t get into training, there will now be fewer jobs available outside training. That is not expansion; that is moving the deckchairs on the Titanic. Third: UK graduate prioritisation is being attached to this offer. This policy costs the government nothing, and they were already planning to do it. It is being packaged into the offer to make it look bigger than it is. Fourth: there are no long-term fixes. These 4,000 posts are temporary, one-off, and will not permanently increase training numbers. We simply hit the same bottleneck again a year later, but worse, because medical school output is increasing and there is no plan for higher specialty posts. The government has not even confirmed which specialties these posts will be in, where they will be, or whether any higher training posts will follow afterwards. Fifth: the offer is designed to split us. It takes a crisis affecting everyone and turns it into a race. Some might feel they have been given something and walk away. That is exactly what the government wants: doctors divided. They are clearly under pressure over December strikes. A month ago, Streeting was talking about consulting on prioritisation. Now he is rushing emergency legislation. That is not confidence. That is panic. And panic means we can get more, if we stay united. And remember what is missing entirely: *no multi-year pay deal *no pay uplift for 2025/26 or 2026/27 *no employment guarantee for doctors stuck in the bottleneck *no extra pay for hours over 40 or antisocial hours *no nodal reform to stop starting salaries falling behind PAs *no funding for GMC fees or essential costs *no meaningful change to premia or safety-critical allowances This offer gives us: *no real expansion *no job security *no sustainable plan *and no headline pay talk at all About the poll: We will run an indicative poll online, which will open at 7am on Friday 12 December and close at 7am on Monday 15 December. We will ask you what you think of this offer and whether it should form the basis for next steps. Remember: *The Government presented this offer on Sunday with a deadline of Tuesday to respond. *Strike action has compelled the Government to make a new offer. *Voting in this indicative poll will not settle either dispute. *A YES vote in this poll will not prevent us taking strike action after December. *This poll result does not affect the status of the re-ballot; vote YES in the re-ballot regardless. We want to hear your thoughts and are presenting this offer factually. I will be voting NO. I personally think it isn’t worth the paper it is written on, and I suggest you do the same. Vote NO. Do not let government buy off our unity with repurposed posts and short-lived promises. We are worth more than this. In solidarity, Nick


Wes Streeting says doctors’ unions are “moaning Minnies” and accuses the BMA of “juvenile delinquency” on Sky News today. Source: Sky News #UKPolitics #NHS #BMA #WesStreeting #SkyNews


Internal medicine (IMT) now requires 22/30 points on the portfolio score to guarantee an interview (if applying to other specialties). How is an F2 doctor supposed to have a portfolio of this standard? Essentially locked out of direct career progression in a medical specialty.

man i literally did MRCP part 1, have an MSc in immunology from a SCHOLARSHIP THE RCP GAVE ME (which doesn’t count for anything), and a PGCert in MedEd etc etc and got rejected from IMT what’s the point lol



“Patients need doctors and doctors need jobs” Today, we've written to @wesstreeting to ask the Government to resume talks – and work with us to agree a viable deal on pay and jobs. Without movement on both, we’ll be left with no choice but to return to the picket lines.


