Junior doctors in Cumbria are striking for the second day - the first all out strike in the history of the NHS.
Dozens of outpatient appointments have been cancelled in the north of the county, while in South Cumbria some routine operations have been postponed.
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.
Junior doctors' plan to withdraw emergency care in the latest round of strike action over the new contract which is set to be imposed.