Sent on behalf of Cllr Angela Macpherson

Please find below for your information an update from the Integrated Care Board about today and tomorrows planned strike within the NHS.  If there are any further updates we will arrange to share these with you.


The Royal College of Nursing (RCN) is due hold strikes on Thursday 15 and Tuesday 20 December.

In Buckinghamshire, Oxfordshire and Berkshire West (BOB), these strikes will be at:

• Oxford University Hospitals NHS FT

• Oxford Health NHS FT

• Royal Berkshire NHS FT

Other Trusts across BOB - Buckinghamshire Healthcare NHS FT and Berkshire Healthcare NHS FT – will work as normal.

BOB ICB activity 

We, the Integrated Care Board, have been working closely with the RCN and partners across the NHS and care sector to mitigate against any effects of the strikes, ensuring services remain safe.


The affected Trusts in Oxfordshire and Berkshire West have been negotiating with the RCN to agree local derogations – areas that will be exempted from the industrial action – to protect patient safety and safeguarding.


We have been gathering information about these agreements on a daily basis and working with all NHS Trusts, including the South Central Ambulance Service, to ensure mitigations are in place and to agree any mutual aid between Trusts.


Any postponed appointments resulting from the industrial action will be rebooked as soon as possible.


However, staff taking industrial action are not obliged to notify employers until the day of the action. This means there remains a degree of uncertainty as to how services will be affected and how severely. To manage this uncertainty, Trusts have arrangements in place to resolve any issues that emerge on the day of the strikes.


NHS messages to staff and the public


The NHS wants to see a resolution as soon as possible to the strikes, but ultimately pay is a matter for the Government and the trade unions. 


When talking to patients or the public, we want them to know that regardless of any action taking place, people who need care should continue to come forward as normal, especially in emergency and life-saving cases.


People should go to 111 online for help and advice, and call 999 if it is a life-threatening emergency.


Patients with appointments booked on strike days have been contacted by the NHS if their appointment needs to be rescheduled due to industrial action. If they have not been contacted, they should attend their appointment as planned.


All referral routes and pathways remain open across all care settings and will be available to Adult Social Care and Healthcare professionals, including care homes. These services will continue to be accessed in the usual manner.


This includes same day services such as GP referrals to Same Day Emergency Care (SDEC), Ambulatory care units, Urgent Community Response services and virtual wards.


We will cascade further communications on the day of industrial action if needed.




Service Director 

Partnerships, Policy and Communications


07747 486750



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