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A paramedic shuts the door of an ambulance outside the Waterloo ambulance station in London on December 21, 2022. Image Credit: AFP

London: Thousands of ambulance workers in England and Wales walked out over pay on Wednesday, increasing the strain on a state-funded health service a day after nurses went on strike, as the government advised the public to avoid taking risks.

The government said the “deeply regrettable” strike would result in fewer ambulances on the road, with only the most urgent life-threatening cases such as heart attacks prioritised.

Health and Social Care Secretary Steve Barclay said the public should “just use their common sense”, adding that the action came when the National Health Service (NHS) was “already facing very significant pressure”.

More on UK health sector strikes

“That’s the point at which the trade unions have chosen to take industrial action and in doing so they haven’t been willing to work with us to agree national exemptions in terms of covering all of the category one, category two, life threatening and emergency calls,” he told the BBC.

The government advised people not to play contact sports, take unnecessary car trips or get drunk in order to reduce their risk of needing an ambulance, as paramedics, call-handers and technicians across England and Wales staged their biggest walkout for three decades.

Christina McAnea, general secretary of Unison, said she was “utterly shocked” by Barclay’s comments, adding that he knew detailed plans were in place in local areas.

“These accusations from the SoS (secretary of state) are a distraction from the government’s own failings and their refusal to constructively resolve this dispute,” she said.

Her counterpart at Unite, Sharon Graham, said all category one calls would be answered, while category two calls, which includes conditions like strokes, would be assessed by healthcare workers.

“This strike did not need to happen,” she told the BBC.

“(The government) need to get back to the negotiating table so we can get a proper pay rise for these workers and everyone can go back to work.” The third union, the GMB, has said pay in the health service has fallen 17% in real terms since 2010, while demand for ambulances has risen 77% in the same period.

An independent pay review body has awarded more than 1 million NHS workers a pay rise of at least 1,400 pounds ($1,704), equating to an increase of at least 4% for most ambulance staff, according to the government.

Unions have asked for a rise above inflation, which stood at 10.7% on the consumer price measure in November.

The NHS Confederation, which represents national health service organisations, said the strike risked patient safety.

“This is the worst possible time for industrial action,” Chief Executive Matthew Taylor told ITV.

“It was already the case even without the ambulance industrial action today that it was taking us twice as long to get to people in category two.” The army has been put on standby to help drive and direct emergency vehicles, but soldiers will not have all the powers that regular ambulance drivers have to respond or provide clinical care.