Junior doctors have been told what to do if a trust declares a major emergency during the strike.
During the last junior doctors' strike, Sandwell Hospital in West Bromwich declared a level 4 incident and told its junior doctors they must attend work.
As you know when we last took industrial action there was some confusion about when trusts could call junior doctors back into work.
In addition to the legal advice we took at that time we now have a joint letter signed by Sir Bruce Keogh of NHS England and the BMA's Mark Porter setting out the protocol should a major unpredictable incident occur.
According to the letter, junior doctors can be requested to work if:
- There is both "exception and sustained deterioration in performance such as to endanger patient safety and cannot be managed through the deployment of the hospital’s senior hospital doctors and the junior doctors providing emergency care".
- The Trust must make a formal request to NHS England, who will then contact the BMA.
Thousands of junior doctors across England have gone on strike and only emergency care will be provided during the 24-hour walkout.
Thousands of junior doctors across England are going on strike after last-ditch talks failed to reach an agreement.
Junior doctors - which refers to all doctors below consultant level - will only provide emergency care from 8am Wednesday morning in the 24-hour walkout.
It is the second day of strike action by the British Medical Association (BMA) in a bitter dispute with the Government over a new contract.
It is understood the BMA put forward a proposal that would have seen doctors' basic pay rise by about half the 11% offered by ministers in return for Saturday not to be treated as a normal working day.
The union argued it would have been cost neutral, meaning the Government would not pay any more than the £5bn currently spent on junior doctor salaries.
But it is thought the Government blocked that deal.
The very latest on Storm Imogen as heavy rain and gusts of 60 mph batter The MidlandsRead the full story ›
Dillon, a happy, healthy eight-year-old from Coventry, has microcephaly. His mother Sarah writes what it's like to deal with the condition.Read the full story ›
Video report by ITV News Central reporter Chris Halpin
There are 61 flood warnings and alerts across the Midlands as torrential heavy rain caused waterways to swell and burst their banks.
Some of the worst flooding has been in Warwickshire, with homes and motorists affected.
But with more wet weather forecast tonight and into tomorrow, there may be more misery to come. Chris Halpin reports.
A major stretch of river in Warwickshire has burst its banks, causing severe flooding.Read the full story ›
Storm Imogen - when and where we will see the strongest winds? ITV Weather's Manali Lukha gives the breakdown.Read the full story ›
Flood warnings have been issued across the Midlands after heavy rainfall.Read the full story ›
Three men will appear in court today after police uncovered a large cannabis factory in Coventry on Thursday.
More than 2,000 plants were found in Riley Square, Wood End after officers carried out a warrant on Thursday evening.
47-year-old Dat Nguyen, of no fixed address, 50-year-old Su Nguyen of no fixed address and 20-year-old Anh Hoang, of Exeter Street in Birmingham, have all been charged with production of a class B drug.