Hospitals may wrestle to supply even "basic" ranges of security when junior medical doctors strike subsequent week - with the influence anticipated to be felt for 11 days, in keeping with well being leaders.

The NHS Confederation stated affected person care "rests on a knife edge" amid "huge uncertainty" over the extent of canopy trusts will be capable to safe to fill key shifts.

While hospital leaders are working at "full pelt" to verify emergency and different life-saving care can proceed safely - even offering "basic safety" is a fear for some.

One hospital chief advised the confederation that they're going through a "catastrophic risk" and that whereas it is going to formally final for 4 days, the strike's influence can be felt over 11 days on account of lowered cowl throughout the previous Easter weekend after which throughout the weekend that can observe the top of the strike.

They stated they've by no means fearful extra in regards to the influence a strike may have on sufferers than this one.

Dr Layla McCay, director of coverage on the NHS Confederation, stated: "Health leaders are bracing themselves for the most significant strikes in a decade with many aspects of patient care resting on a knife edge.

"They wish to ship a reassuring message to their native communities however they're deeply involved about not with the ability to present protected care as they can not depend on the identical staffing ranges as they've completed with earlier strikes."

The last junior doctors' strikes in March saw thousands of consultants provide cover, but health leaders do not expect a repeat performance as many consultants either have annual leave booked due to the holidays or are more reluctant to put themselves forward.

One hospital leader said that "the place consultants lined final time, they've constructed time in lieu. Additionally, the following strike falls over Easter, when numerous consultants had booked annual go away. This is all impacting on elective ready lists".

Health leaders say they're having to plan for the worst to guard affected person security, together with by cancelling extra appointments and elective procedures than they want to.

While final month's three-day walk-out noticed greater than 175,000 appointments and procedures having to be postponed, this month the determine may very well be as excessive as 1 / 4 of one million.

One well being chief stated that "basic patient safety will be compromised" with emergency departments specifically prone to be "utterly overwhelmed".

"The NHS will be open for business but this will not mean business as usual," Dr McCay stated.

The NHS Confederation urged the federal government and commerce unions to "do everything they can" to name off the strikes and "to step up public communications urgently so that people who need healthcare understand what is available and at stake".

They are the newest physique to sound the alarm, after NHS Providers additionally raised considerations over affected person security.

The 4 days of strikes will come instantly after the Easter financial institution vacation weekend, when there may be sometimes greater demand.

Last Easter there have been over 70,000 extra calls to NHS 111 from Good Friday to Easter Sunday in contrast with the earlier Friday to Sunday - a 37% improve.

Earlier, the British Medical Association (BMA) stated solely a "credible" pay provide aimed toward resolving 15 years of wage erosion could be sufficient to cease the motion.

The union, which has been asking for a 35% pay rise for junior medical doctors, didn't point out what this may seem like.

Read extra:Royal Mail apologises for 'misjudged' April Fools' joke promising workers pay rises

Committee co-chairs of the BMA Dr Vivek Trivedi and Dr Robert Laurenson stated: "There will be many details we can work out round the negotiating table but first of all we need to get into the room, with a credible offer on the table and that is where and when progress can be made."

They stated the ball is "very much" in Health Secretary Steve Barclay's court docket.

However, the division of well being known as the BMA's pay calls for "unreasonable" and urged the union to "come to the table with a realistic approach so we can find a way forward as we have done with other health unions".

The spokesperson added: "We are working with NHS England to put in place contingency plans to protect patient safety. The NHS will prioritise resources to protect emergency treatment, critical care, neonatal care and trauma."

Content Source: information.sky.com