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Junior doctors in Cumbria are taking part in two days of strike action from 8am this morning.
It's part of a national dispute over pay and conditions, and the imposition of a new contract.
Hospital management in North and West Cumbria say no operations have been cancelled but more than eighty outpatient appointments have been postponed.
A two-day strike by junior doctors "could lead to greater disruption than previous strikes", according to Cumbria Clinical Commissioning Group.
Junior doctors are about to stage the first ever all-out strike in the history of the NHS, meaning they will walk out of accident and emergency units for the first time.
It's part of a dispute over the imposition of a new contract, which the British Medical Association says would jeopardise patient safety.
Do you agree with the junior doctors taking all-out strike action?
Latest ITV News reports
Junior doctors in Cumbria are in the midst of a two-day strike. They say the new contract will put doctors off working in the county.
The upcoming junior doctors' strike "risks the safety of many patients", the Health Secretary has claimed.