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[Editorial] Brexit and junior doctors’ contracts: the real threats to the NHS

On July 6, junior doctors in England’s National Health Service (NHS) voted 58% to 42% to reject the final contract offer from the UK Government. The rejection follows 3 years of negotiation and the first all-out strike for English doctors in 40 years. Some have expressed surprise at the result given that the British Medical Association supported accepting the latest offer. Although many junior doctors acknowledged that they may not receive an improved offer, a situation confirmed by Secretary of State for Health Jeremy Hunt’s decision to impose the contract, they were unwilling to vote in favour of what they say is an attempt to stretch existing staff over 7 days without increasing spending.