Mind & Body · Tuesday, 27 October 2026
England's senior hospital doctors will strike on 25 and 26 November and cover only emergencies, as their union says pay has fallen by a quarter
Consultants in England will give only Christmas Day cover for two days, so planned operations and clinics will be put off, while a Newry hospital moves its births and Medicare plans to stop paying outside firms for home health checks.
76%
of consultants who voted said yes to a strike
Turnout was 51.5%, just over the 50% the law needs before a strike can go ahead.
2 days
of emergency-only cover, on 25 and 26 November
Planned operations and outpatient clinics will be put off on both days.
6 million+
patients in England waiting for planned treatment
They are waiting for more than 7 million treatments between them, NHS leaders say.
2.4%
pay rise offered to consultants for next year
The BMA called it the last straw; it says pay is a quarter down on 2009-10.
The lead story — what happened
-
Consultants in England will strike for two days from 06:59 GMT on 25 November, the British Medical Association (BMA), the doctors' union, said on Monday.
[1] [2] -
Consultants are the most senior doctors in a hospital. On strike days they will cover emergencies only, the way hospitals run on Christmas Day.
[1] [2] -
NHS leaders say non-urgent outpatient appointments, planned operations and follow-up visits will be postponed.
[2] -
The BMA says consultants' pay has fallen by a quarter since 2009-10 once rising prices are counted.
[2] It also wants their working week cut from 40 to 35 hours, the BBC reports.[1] -
Consultants got a 3.5% pay rise this year.
[1] The union called last week's offer of 2.4% for next year the last straw.[2] -
In the July ballot 76% of those who voted said yes, on a turnout of 51.5%, just above the 50% the law requires.
[3] -
Only 18,069 of the BMA's 35,067 consultant members voted, and England has 66,759 consultants in all.
[3] The UK government says that means about one in five NHS consultants voted to strike.[1] -
Consultants earn an average of 152,000 pounds a year, counting overtime and awards.
[2] Basic pay runs from 113,500 to 150,500 pounds.[1] -
Health secretary Yvette Cooper called the strike irresponsible.
[1] A source at England's Department of Health said the shorter week the union wants would cost taxpayers over 2 billion pounds.[2] -
More than 6 million patients are waiting for more than 7 million treatments in England, says the NHS Alliance, which speaks for health service leaders.
[2] -
Consultants last struck in 2023, for nine days.
[2] Resident doctors, the doctors still in training, ended more than three years of strikes with a deal in June.[2] -
When resident doctors struck for five days last December, thousands of planned and outpatient appointments were cancelled because senior doctors were moved to cover emergencies.
[7] -
On some past strike days hospitals ran faster: with consultants at the front door, decisions came quickly and fewer patients were admitted, trust leaders told the BBC.
[4]
Who is involved
-
Helen Neary and Shanu Datta
the doctors who chair the BMA's consultants committee; they announced the dates
-
Yvette Cooper
England's health secretary; she called the strike irresponsible
-
Ciaran Devane
head of the NHS Alliance, which speaks for health service leaders; he said they were astonished and dismayed
-
Andy Burnham
the UK prime minister, who must find the money in tight public finances
How it unfolded
-
2023 Consultants strike for nine days across four walkouts
[2] -
Dec 2025 Resident doctors hold a five-day strike, their 14th since March 2023
[26] -
Jun 2026 Resident doctors accept a deal and end their strikes
[2] -
Mar 2026 After a 3.5% award, the BMA says it will ballot consultants and other senior doctors
[5] -
Jul 2026 Consultants vote for strikes; the mandate lasts a year
[3] -
25-26 Nov Consultants give emergency cover only, on dates named on 26 October
[1]
Where this points
The strike is four weeks away and the union's mandate lasts a year from July, so the next test is whether talks with the Department of Health produce a better offer than 2.4% before 25 November.
Signals on this beat
The bar and the word are our reading of how hard each one is pushing, and the arrow is where it is heading.
England's consultants will cover only emergencies on 25 and 26 November.
Medicare, the US health plan for over-65s, plans to pay for home health checks only when the doctor's own clinic does them.
In Singapore, radiographers screening X-rays with an AI program were right 98.0% of the time, against 97.6% alone.
Four US medical groups set out heart care for four stages of a woman's life, noting US trials have had to include women only since 1993.
The rest of the day
18 more stories on this beat.
Each with its own sources. None of these is a link to the story above.
-
02
Newry's births likely to move to Craigavon
The Southern Health Trust in Northern Ireland plans to move births and inpatient maternity care from Daisy Hill Hospital in Newry to Craigavon Area Hospital from 23 November.
[8] Its chief executive, Steve Spoerry, told the Stormont health committee the move is highly probable.[8] The trust has five empty consultant obstetrician posts and cannot staff day and night rotas at both hospitals.[8] Craigavon would take about 1,400 extra births a year.[8] Why it matters — Families in Kilkeel would add about an hour to the trip.
[8] One Newry mother in premature labour was sent to the Ulster Hospital instead, because Craigavon had no room that night.[8] -
03
Medicare may stop paying outside home-check firms
Medicare, the US government health plan for people over 65, has proposed paying for remote monitoring only when someone at the doctor's own clinic does it.
[9] Remote monitoring means devices such as blood-pressure cuffs send readings to a care team, and nurses call when numbers go wrong.[9] Most clinics hire technology companies to do this.[9] The plan follows reports by government auditors in 2024 and 2025 that raised fraud concerns.[9] Why it matters — Caroline Pearson of the Peterson Center on Healthcare says rural patients would be hit hardest, because rural clinics rarely run their own programmes.
[9] Humana, the Blue Cross Blue Shield Association and Sutter Health, which runs its own programme, largely back the change.[9] -
04
More women in ban states don't know where to go
53% of women aged 18 to 49 in US states that ban abortion say they would not know where to get one if they needed it, up from 43% in 2024.
[10] That is from a survey by KFF, a US health research group, of 3,538 women this spring.[10] Nationally the share rose from 26% to 32%.[10] Abortion pills can now be prescribed online and posted even into ban states, but only 8% of women there know this.[10] 202443%202653%Women in US states with abortion bans who say they would not know where to get one. Why it matters — 12% of women now know someone who struggled to get an abortion because of state rules, up from 8%.
[10] 59% worry the bans could make a future pregnancy less safe.[10] -
05
Electric stoves eased asthma in Cleveland
Adults with poorly controlled asthma in Cleveland, Ohio, reported far fewer symptoms a few months after their gas stoves were swapped for electric ones.
[11] A gas flame gives off nitrogen dioxide, a gas that can set off asthma.[11] The 85 people reported gains two to three times as large as asthma medicines usually bring, Science News reports.[11] The work was led by Ashwini Sehgal of Case Western Reserve University.[11] They also reported fewer emergency visits.[11] Why it matters — The project was meant to follow 1,200 homes for a year, until the Trump administration ended its government grant early.
[11] With no comparison group, the next step is a trial where some homes wait six months for their stove.[11] -
06
Bowel cancer is rising, rarely, in children
Colon and rectal cancer is being found more often in US children and teenagers, though it is still very rare.
[12] Among 10- to 14-year-olds the rate went from 1 in a million in 1999 to 6 in a million in 2020, an analysis of US health agency data found.[12] Researchers at Nationwide Children's Hospital in Ohio studied 84 patients aged 21 or under.[12] Eight in ten were found after the cancer had spread, against six in ten across all ages.[12] 1999120206Colorectal cancer diagnoses per million US children aged 10 to 14. Why it matters — 75% of them had back or belly pain first, a symptom that usually has a commoner cause.
[12] Nobody knows yet why the rate is rising; gut bacteria, processed food and childhood antibiotics are being studied.[12] -
07
Schizophrenia medicines linked to fewer deaths
People with schizophrenia who took antipsychotic medicines died at about two-thirds the rate of those who did not, a review of 68 studies covering 1.42 million people finds.
[13] Schizophrenia is a serious mental illness that can bring hallucinations and false beliefs, and antipsychotics are the main medicines for it.[13] The same review linked them to more cancer, 41% higher, more broken bones, 35% higher, and more lung infections.[13] Why it matters — The studies watched patients rather than testing the medicines against a dummy pill, so they show links, not proof.
[13] The authors, writing in Molecular Psychiatry, say several estimates rest on only a few studies.[13] -
08
A lifelong plan for women's hearts
Four US medical groups, including the American Heart Association and the American College of Obstetricians and Gynecologists, published guidance on Monday for women's heart care across life.
[14] It is built around four stages: periods, pregnancy, perimenopause and menopause.[14] Heart disease is the leading cause of death in women, and US trials have had to include women only since 1993.[14] The guidance names perimenopause, roughly age 45 to 51, as the stage when changes in cholesterol can be early signs of heart risk.[14] Why it matters — Sadiya Khan of Northwestern University, who led the writing, says women see many different doctors with no shared plan.
[14] The guidance asks each one to carry warnings forward, such as high blood pressure in pregnancy.[14] -
09
Long COVID tied to high blood pressure
Adults in Stockholm with long COVID were 14% more likely to develop high blood pressure than others, a study of more than 1.2 million people aged 18 to 65 finds.
[15] Long COVID means symptoms that last for months after the infection.[15] The link held even when the first illness was mild enough to stay out of hospital.[15] Anyone who already had high blood pressure was left out.[15] Why it matters — High blood pressure is one of the main heart risks that can be changed, the researchers write.
[15] The study used health records only, so it could not measure blood pressure or show what causes the link.[15] -
10
AI helped X-ray staff only a little
In one emergency department in Singapore, 13 radiographers screened 2,496 X-rays for broken bones over three months, first alone and then with an AI program.
[16] Radiographers are the staff who take X-rays; here they also gave the first reading.[16] They were right 97.6% of the time alone and 98.0% with the AI.[16] The AI on its own found 75.6% of fractures, against 91.6% for the radiographers.[16] AI program alone75.6%Radiographers alone91.6%Share of broken bones each one found on its own, in a Singapore emergency department. Why it matters — With the AI they fixed 11 mistakes and made one new one.
[16] The program gave no answer on 8.8% of scans, which the authors in npj Digital Medicine say mattered as much as accuracy.[16] -
11
A body-clock type of depression
About 23% of 11,380 Australians with depression fit a proposed type called circadian depression, a study finds.
[17] Circadian means tied to the body clock, the roughly 24-hour timer that sets when we sleep and wake.[17] People in this group tended to be night owls, slept longer when depressed and felt tired in the mornings.[17] They reported less benefit and more side effects from two common kinds of antidepressant.[17] Why it matters — People recalled their own symptoms and no one's clock was measured, so it is not yet clear this is a separate type.
[17] Everyone in the study had European ancestry.[17] -
12
A third of young adults ask chatbots about drugs
32% of 995 US adults aged 18 to 29 have used AI chatbots such as ChatGPT to look up drugs or alcohol, a study in JMIR Formative Research finds.
[18] Nearly half of them did so at least once a month.[18] Most wanted to know the risks, and about half asked about particular drugs, including doses.[18] They rated the chatbots 3.66 out of five for trust.[18] Why it matters — Nobody yet knows how accurate the answers are, which the authors say is their next question.
[18] Mireia Triguero Roura of Rutgers University, the lead author, warns that wrong answers could lead to risky use.[18] -
13
A program reads breast cancer risk
A computer program called BREST-AI predicts a woman's chance of breast cancer in the next three years from a mammogram that showed no cancer, researchers report in npj Breast Cancer.
[19] A mammogram is an X-ray of the breast.[19] It learned from scans of 58,591 women.[19] In a UK test it scored 0.751 on a scale where 0.5 is a coin toss and 1 is perfect, beating an older tool, Mirai, at 0.700.[19] Why it matters — A risk score like this is what screening would need to call some women back more often than others.
[19] In a smaller US test the gain over Mirai was not clear.[19] -
14
Dengue settles in Brazil's cool south
Dengue, a virus spread by the Aedes aegypti mosquito, has taken hold in Rio Grande do Sul, Brazil's southernmost state, which has a temperate climate, a study in Nature Communications finds.
[20] The mosquito spread across the state's towns from 2015 to 2023.[20] By 2023 nearly half of its towns had 20 or more cases per 100,000 people a year.[20] Brazil had 70% of the world's reported dengue cases in 2024.[20] Why it matters — Most people in the state have never had dengue, so few have any protection from an earlier infection.
[20] The authors call for more mosquito control and watching in newly hit areas.[20] -
15
Heavy cannabis use and night-time breathing
US adults who use cannabis on 16 or more days a month report loud snoring or stopped breathing in sleep more often than non-users, 55.2% against 44.3%, a study in Sleep Health finds.
[21] These are signs of sleep apnoea, when the throat closes during sleep.[21] The link held after allowing for body weight and tobacco smoking.[21] Trouble sleeping is one of the main reasons people give for using cannabis.[21] Why it matters — People were asked what others had seen, not tested, so the study shows a link, not a cause.
[21] The American Academy of Sleep Medicine already advises against cannabis for sleep apnoea.[21] -
16
Testosterone and bone after menopause
Adding testosterone to hormone therapy after menopause raised bone density in the lower spine, while oestrogen alone only held it steady, a small study of 51 women finds.
[22] Each woman tried both treatments for at least a year.[22] Sona Davis of the University of Southern California presented it this month at the Menopause Society's meeting in San Diego.[22] It has not yet been checked by other scientists in a journal.[22] Why it matters — Denser bone is not the same as fewer broken bones, and the study did not count fractures.
[22] Larger and longer trials are still needed.[22] -
17
India's caste gap in tobacco narrows
Men from India's Scheduled Castes and Scheduled Tribes, groups long held down by the caste system, use more tobacco than upper-caste men, a study in Scientific Reports finds.
[23] It used three national health surveys, from 2005-06 to 2019-21.[23] The gap narrowed considerably over those years.[23] Household wealth, schooling, type of work and reading newspapers explained much of it.[23] Why it matters — The authors call for help aimed at poorer communities, health teaching in their own culture and support to quit.
[23] -
18
Fear of tiny holes is mostly disgust
Trypophobia, a strong dislike of clusters of small holes such as a lotus seed pod, is driven mainly by disgust rather than fear, a 2026 review concludes.
[24] Geoff Cole of the University of Essex first suggested in 2013 that it was a fear of venomous animals.[24] After looking at the experiments since, he now favours a defence against disease, since hole clusters can look like skin sores or parasites.[24] Why it matters — In one test pupils narrowed at hole images, which goes with disgust, while fear widens them.
[24] By some estimates about one in six people have it, and for some it brings panic attacks.[24] -
19
Mental activities and older minds in China
Older adults in China who did more kinds of mental activity kept their thinking better than expected for their age and schooling, a study in npj Aging finds.
[25] It followed 3,293 adults aged 60 and over from 2011 to 2020.[25] Social activities helped up to about three kinds, then levelled off.[25] The social link showed in men but not in women, though more women took part.[25] Why it matters — The study watched people rather than testing activities, so it shows a link.
[25] The authors say activity came before the better scores, which fits the link running that way.[25]
Why care stops when the only people allowed to give it are not there
Some care may be given only by one kind of trained worker, so when those workers strike, leave posts empty or go unpaid, that care stops.
The twist
A hospital can have its theatres, nurses and junior doctors ready and still cancel an operation, because the rules need one senior doctor who is not there.
The picture
How it works
- Some care may be given only by one kind of trained worker
- Planned operations need a consultant; hard births need a consultant obstetrician on call
- So that care happens only where and when those workers are on duty
- When they strike, the posts stay empty or nobody pays for the work, the care stops or moves
- Other staff in the building cannot step in, even when they are there
The same force, elsewhere today
Where this chain is also running, in today's other stories.
-
Newry's births moving to Craigavon
The trust cannot fill five consultant obstetrician posts, so births are set to leave Daisy Hill from 23 November, though it is short of less than one full-time midwife.
-
Medicare's plan for home health checks
Medicare would pay only when staff at the doctor's own clinic do the monitoring, so rural clinics that hire outside nurses could lose the service.
-
AI and X-ray staff in Singapore
A hospital let radiographers, not only specialist doctors, give the first reading of X-rays, and checked the results, which is how a task is safely opened to a second kind of worker.
-
Women in US states with abortion bans
Doctors in those states may not provide abortions, so much of the care moved to online prescribing and pills by post, and only 8% of women there know the pills can reach them.
Where you've seen this
Pharmacies
in Britain a pharmacy needs a pharmacist in charge to hand out prescription medicines, so the counter stops when none is in
Airlines
flights are cancelled when pilots strike, though the cabin crew are ready to work
Courts
only a judge can pass a sentence, so a case waits for one to be free
The catch
These rules exist because the trained worker makes the care safer, so handing the job to others helps only where the results are checked, as the Singapore study did.
And the whole of it
A patient booked for an operation on 25 November, a mother in Kilkeel and a nurse's patient in rural Georgia each depend on who is allowed to do one piece of work. None of them sees the rota or the payment rule that decides it; each sees only a new date, a longer drive or a call that stops coming.
What is really going on
On 25 and 26 November England's consultants will cover only emergencies, so planned operations and clinics that need a consultant will be put off for patients already waiting.
Why it works on us — Each side leads with one number: the UK government with average pay of 152,000 pounds, the union with pay a quarter down since 2009-10.
Who gains
-
The UK government's budget, for now
— Holding consultants to a 2.4% offer keeps a shorter week, which a Department of Health source costs at over 2 billion pounds, off the bill.
[2] -
The 85 Cleveland adults with asthma who got electric stoves
— Taking the gas flame out of the kitchen removed a source of nitrogen dioxide, and they reported far fewer asthma symptoms.
[11] -
Big health systems that run their own home monitoring
— Medicare would pay only for in-house staff, which Sutter Health already has; Sutter, Humana and the Blue Cross Blue Shield Association largely back the change.
[9] -
Online abortion providers posting pills into ban states
— Pills prescribed online now reach women in states with bans, which is how much of the care moved.
[10]
Who pays
-
Patients in England booked for planned care on 25 and 26 November
— Their operations, clinics and follow-ups will be put off while more than 6 million people already wait.
[2] -
Families around Newry and Kilkeel
— If births move to Craigavon, a family in Kilkeel would add about an hour to the trip in labour.
[8] -
Rural Medicare patients such as Dianne Williams in Georgia
— Her clinic says it could not offer home monitoring without an outside company, which the rule would stop paying.
[9] -
Women in US ban states who do not know where to go
— 53% say they would not know where to get an abortion, up from 43% in 2024.
[10] -
Cleveland households left out of the stove project
— The project planned to follow 1,200 homes and reached 85 people after the US government grant was ended early.
[11]
What nobody knows yet
Open questions from across today’s stories — ours included.
-
01
How many operations and appointments the two days will cancel.
No hospital or NHS body has put a number on it yet; NHS leaders say only that planned operations, clinics and follow-ups will be postponed.
[2] -
02
How much shorter a week the consultants want.
The BBC reports a cut from 40 to 35 hours, the Guardian says a 10% cut, and in July the Guardian reported 37.5 hours.
[1] [2] [3] A Department of Health source calls it a five-hour cut.[2] -
03
Whether talks can stop the strike.
The union says 18 months of talks produced no agreement, while the health secretary says discussions were constructive.
[1] [2] Neither side has said what offer would end it. -
04
Whether Craigavon has room for about 1,400 more births a year.
The trust has not said how it will manage them, and a Newry mother was turned away from Craigavon for lack of room.
[8] -
05
Whether Medicare will finalise its rule on home health checks.
The rule is only proposed, and more than 230 groups signed a letter against it.
[9] -
06
Whether the electric stoves caused the asthma gains.
There was no comparison group, and the planned 1,200 homes shrank to 85 when the grant ended.
[11] -
07
Why bowel cancer is rising in young people.
Researchers suspect changes in gut bacteria, processed food and antibiotics, but no cause has been shown.
[12] -
08
How accurate chatbots' answers about drugs and alcohol are.
The study counted who asks, not whether the answers were right; the authors say that is the next question.
[18] -
09
Whether testosterone added to hormone therapy prevents broken bones.
The 51-woman study measured bone density, not fractures, and has not yet been published in a journal.
[22]
In Cleveland, 85 adults with hard-to-control asthma had their gas stoves swapped for electric ones, and a few months later they reported symptom gains two to three times as large as asthma medicines usually bring. They also reported fewer emergency visits and fewer days off work or school.
Also true today
- The trust that runs Daisy Hill and Craigavon hospitals in Northern Ireland has 16 newly hired midwives due to start between November and January.
- In Singapore, radiographers screening X-rays with help from an AI program fixed 11 of their own mistakes and made only one new one.
- The gap in tobacco use between upper-caste men and men from India's Scheduled Castes and Tribes narrowed considerably between 2005 and 2021.
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