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Summary

  1. Junior doctors in England are taking part in a 24-hour strike on Tuesday 12 January 2016 in dispute with government
  2. Emergency cover only being provided after 08:00 GMT
  3. There are 55,000 junior doctors - about a third of the workforce
  4. Three strikes are planned - the last in February will see doctors refuse to provide emergency care

Live Reporting

By Mario Cacciottolo and Michelle Roberts

All times stated are UK

Goodbye

With that analysis from our political editor, we are concluding our live coverage of the junior doctors' strike.

But the strike continues until 08:00 GMT on Wednesday. 

A further 48-hour strike is scheduled for Tuesday 26 January - emergency cover will again be provided

And an all-out junior doctors' strike is planned for Wednesday 10 February - emergency cover will not be provided.

However, talks are ongoing and the two sides are set to get around the table again later this week.

A junior doctor holds her baby and a placard as she takes part in a picket outside London's King's College Hospital on 12 January 2016
Getty Images

'Get their way in the end'

BBC political editorLaura Kuenssberg said the government was determined to stick to the plans for the NHS set out in its manifesto and there was a sense ministers believed they would get their way in the end.

"It is worth noting that the government does have the power to impose these new terms and agreement even if doctors continue resisting. They could just start changing contracts maybe as early as next month. 

"They are not in a mood to back down. They say the door is open to doctors' leaders but they are determined to get maybe not all, but most, of their way."

In the words of one source today - we all know that they [the doctors] are going to lose

Laura Kuenssberg
BBC

Different kind of picket line

The BMA said there were more than 150 picket lines and "meet the doctor" events across England

View more on twitter

What's it all about?

The row between junior doctors and the government is a complicated and long-running affair. The BBC's health correspondent Nick Triggle has dissected the dispute in this explainer - http://www.bbc.co.uk/news/health-34775980

Paediatric surgery registrar Naomi Wright outside St Thomas Hospital in London as junior doctors go on strike for 24 hours
PA

Cancellations at Newcastle hospitals

Martin Freeman shows junior doctor support

You'd expect nothing less from Dr Watson...

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'Neither side backing down'

Norman Smith

Assistant political editor

Norman Smith
BBC

All the signs are that both sides in this dispute appear to be digging in. We've had months of negotiations, weeks at ACAS, and they're not even on the same page. The government insists that something like 75% of junior doctors will be better off as a result of these changes. The British Medical Association say that's simply not true - most will be worse off, some will lose up to 30% of their earnings. The government insists it's about introducing a 24-hour NHS, the BMA says it has no impact whatsoever on introducing that. You just sense neither side is preparing to back down. You have the feeling this dispute could go down right to the wire and, potentially, even to that 48-hour all-out strike next month.

NHS staff's 'morale is low'

The Patients Association knows that junior doctors have not made the decision to take industrial action lightly. Staff morale is low throughout the NHS and many doctors are feeling burnt out. Whilst action could not be averted today, the Patients Association urge both sides to continue discussions in order to avoid further disruption from additional strike action in the coming weeks."

Katherine Murphy, chief executive of the Patients Association

'At least' 180 operations cancelled in Yorkshire

BBC Yorkshire health correspondent tweets:

Shrewsbury and Telford sees most outpatients

A director at the Shrewsbury and Telford Hospital NHS Trust says most of its outpatients were dealt with today, despite the strike action. 

View more on twitter

Life on the wards without junior doctors

Junior doctors at the Royal Devon and Exeter Hospital feature in this BBC video about why they are striking. Also, a consultant describes life on the wards without the help of junior doctors.  

NI junior doctors call to reject English contracts

In Northern Ireland, junior doctors have called on Stormont's health minister Simon Hamilton to say a new contract that led to today's strike in England will not be imposed locally.  

Sandwell 'managing increased patient numbers'

Chief executive Toby Lewis says in a statement that Sandwell Hospital had today managed the increased numbers of patients admitted to the hospital in recent days. 

"The number we have been able to safely discharge has increased so that services are safe for tonight and tomorrow. 

"We have agreed with the LNC chair to stand down the request to some trainee doctors at Sandwell Hospital to come in and provide additional assistance. We will keep this situation under review."

He also thanks those people who did come in to work on the Sandwell wards today. 

"There has never been any doubt here that in circumstances of difficulty individuals would prioritise patients.”

BreakingSandwell 'stands down' request for junior doctors to work

Toby Lewis, chief executive at Sandwell and West Birmingham Hospitals NHS Trust, says he is standing down a request for junior doctors to come back to work at Sandwell Hospital. 

Gaza doctor 'sends support to junior doctors'

This image posted on Twitter appears to show a doctor in Gaza showing his support for the UK's junior doctors' strike.

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Appointments rescheduled in Dorset

Dorset County Hospital has confirmed it will reschedule 20 outpatient appointments and five day surgery operations as a result of the strike. 

There's about 100 junior doctors on the staff.

Junior doctors walk out at Broomfield Hospital

About 180 junior doctors at Broomfield Hospital in Chelmsford joined the England-wide 24-hour strike in a row with the government over a new contract. British Medical Association members wore blue scrubs and operating theatre hats as they walked out to form a picket this morning.

Mascot moggy joins strikes

Earlier we showed a picture of the picketing puppy - here is a picture of Arthur, who has come out to join the strikes at Whipps Cross, London.

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Looking abroad for junior doctors' solution?

David Mowat, the Conservative MP for Warrington South, has a son who works as a junior doctor.

He said his family “was split” and held “regular debate” about pay and conditions within the NHS.

And his son “feels things weren’t as good as they should be” for young doctors, he added.

“If there’s one group of people in this country that we rely on and need, it’s the young doctors who are at the heart of the NHS,” Mr Mowatt said.

“We need to find a way through this that works for everybody.”

Mr Mowatt added that perhaps the government could look at how other countries operate similar health care systems.

“Doctors are under an awful lot of pressure. Maybe some countries, like Australia, have a system that treats them better.”

Pictures from the strikes

Protesters outside St Thomas' Hospital in London
PA
Protesters outside St Thomas' Hospital in London.
A woman poses with her baby in the frame of a protest banner at a strike in London
AP
People of all ages have come together to support the strikes.
A demonstrator holds a tray of decorated cakes at a strike
AFP
NHS-themed cupcakes at a protest at Frimley Park Hospital, London.
Junior doctors pose for a photograph with placards
Getty Images
Junior doctors with their decorated placards on a picket outside Kings College Hospital.