This week’s five-day doctor strike in England will go ahead after British Medical Association members voted to continue with a planned walkout despite a new offer from the government.

The strike by resident doctors, the new name for junior doctors, is due to start at 07:00 on Wednesday with ministers warning patients will be put at risk because of the huge pressures on hospitals which are battling a wave of flu.

Some 83% voted for the strike to go ahead in the online poll held over the weekend.

The BMA agreed to the snap poll last week after the government came forward with a fresh deal which included increasing speciality training posts and covering out-of-pocket expenses like exam fees.

But it did not include any promises on pay – Health Secretary Wes Streeting has maintained he will not negotiate on that after resident doctors pay has been increased by nearly 30% in the past three years.

The union argues that, despite the pay rises, resident doctors’ pay is still a fifth lower than it was in 2008, once inflation is taken into account.

This will be the 14th strike in the long-running dispute which began in March 2023.

Resident doctors, which represent nearly half the medical workforce, will walk out of both emergency and non-urgent care. Senior doctors will be drafted in to provide cover.

Last week Streeting warned the NHS was under the most pressure it had been since Covid.

Data showed the number of patients in hospital with flu had risen by more than 50% in a week, topping 2,600 in the first week of December, with officials warning there is still no sign of it peaking yet.

Flu came early this winter, and it looks to be a particularly nasty season.

The strain that is circulating is H3N2, which tends to cause more severe illness, and it has mutated somewhat with fears people may have less immunity.