A statement has surgery retired betwixt NHS England bosses and nan British Medical Association complete nan level of screen that will beryllium made disposable during a five-day onslaught by doctors.
NHS England has ordered hospitals to only cancel non-urgent care, specified arsenic hep and knee operations, successful exceptional circumstances.
But nan BMA has warned this will put patients astatine consequence arsenic it will mean non-striking doctors will beryllium dispersed excessively thinly to unit emergency services.
The walkout by resident doctors – nan caller sanction for inferior doctors – is owed to statesman astatine 07:00 BST connected Friday.
The BMA has 48,000 resident expert members, astir 2 thirds of nan workforce.
During erstwhile strikes successful 2023 and 2024 non-urgent activity was cancelled successful ample quantities truthful elder doctors could supply screen successful emergency and urgent services.
This came aft NHS England told hospitals that rescheduling bookings and appointments was going to beryllium "sadly essential" to support safe care.
But this caller attack is being overseen by Sir Jim Mackey, who became main executive of NHS England successful nan outpouring aft Amanda Pritchard stepped down.
Sources astatine NHS England said he was wished to minimise nan disruption, pointing retired that cancelling non-urgent activity comes astatine a consequence to patients too.
In a missive sent to hospitals managers past week, NHS England said rescheduling should only hap successful exceptional circumstances and pinch its agreement.
Following meetings betwixt NHS England and nan BMA, nan national has now formally written to Sir Jim saying it is concerned astir nan approach.
The letter, from BMA leader Dr Tom Dolphin and lawman leader Dr Emma Runswick, says: "It is captious that infirmary attraction must accommodate connected onslaught days to nan levels of unit available.
"Your determination to instruct hospitals to tally non-urgent planned attraction stretches safe staffing acold excessively thinly."
It comes arsenic nan authorities and BMA proceed talks aimed astatine averting nan strike. Discussions person been ongoing since Thursday.
Resident doctors were awarded an mean 5.4% salary emergence for this financial year, pursuing a 22% summation complete nan erstwhile 2 years.
But nan British Medical Association says wages are still astir 20% little successful existent position than successful 2008 and are demanding "pay restoration".
Health Secretary Wes Streeting has made clear location will beryllium nary other salary this year, but different aspects are thought to beryllium being looked astatine including students debts, exam fees and moving practices.
If nan onslaught is to beryllium called disconnected it is apt to person to beryllium done earlier Wednesday greeting to debar awesome disruption.
Resident doctors took portion successful 11 abstracted strikes during 2023 and 2024, starring to nan cancellation of hundreds of thousands of outpatient appointments and different infirmary procedures.