Doctors on the island called off a planned walkout in January 2025 after a deal was reached covering two financial years from 2023-24.

That saw the awarding of an 8% pay uplift for the first year, along with another 6% rise from April 2024 and a further 2% from February last year.

The BMA said, despite those rises, doctors’ real-terms pay was still significantly below what it was in 2008.

Chair of the Isle of Man Medical Society Dr Prakash Thiagarajan said the latest vote was “a clear message that the current situation cannot continue”.

Pay erosion had left doctors “feeling undervalued and increasingly concerned about the future of the profession on the island”, he added.

BMA deputy chair of council Dr Emma Runswick said, in voting for strike action, doctors were “standing up for fair pay, recognition of their expertise, and the long-term sustainability of medical staffing on the island”.