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  1. Sarah Saunders @SSaundersITV

WATCH : Impassioned defence of junior doctors' strike by GP trainee

As junior doctors took part in the first all-out strike in history amidst questions about patient safety, GP trainee Cara Neal explained her motivation for striking.

On a march to the Royal Sussex County Hospital in Brighton she said:

"Whilst I was a medical student my dad died in this hospital in the A&E. And I can't tell you how hard it was to walk in the door and work in A&E where I knew my dad had died.

"So if Jeremy Hunt or David Cameron thinks we are going to give up, we're not. Because that took the most guts I've ever had to have, and this is nothing. I will keep striking, I will keep going."

The junior doctor explained:

"I truly believe this is going to be the final nail in the coffin for an NHS free at the point of access. The amount of despair that I have seen in my colleagues is going to mean we can't fill the rostas to a safe level. And that will be the point at which they swoop in and we become a different health service that we don't want".

VIDEO: Junior doctors strike in the South East

Junior doctors across the South East walked out for a second 24-hour strike today amid the ongoing row with the Government over pay and weekend working.

Operations, check-ups and tests have been cancelled as a result of the industrial action, which started at 8 o'clock this morning.

Junior doctors have been at picket lines outside many of the region's major hospitals today including Brighton, Tunbridge Wells, Maidstone and Ashford - but Accident and Emergency departments were staffed as usual. Sarah Saunders reports.

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Operations could be cancelled during strikes by doctors

Patients at Southampton General Hospital could have their operation cancelled during strikes Credit: ITV Meridian

Patients in Hampshire could have their operations cancelled - if strikes by junior doctors go ahead.

Southampton General Hospital and The Royal County Hospital in Winchester are among those affected.

It follows a ballot last week where junior doctors across England voted to strike during three days in December.

The University Hospital Southampton NHS Foundation Trust trust responsible for both hospitals says it's working to minimise disruption to patients.

Patients at Royal Hampshire County Hospital could have their operation cancelled during strikes Credit: ITV Meridian

"Since the announcement (of strike action), human resources and senior clinical staff across University Hospital Southampton NHS Foundation Trust have been working alongside junior doctor representatives and the BMA to develop plans to minimise disruption to patients.

"To ensure our hospitals run as safely and as effectively as possible during the periods of strike action, we expect to cancel some outpatient clinics and non-urgent theatre lists to reallocate clinical staff in other areas.

"Any patients who will be affected if strike action goes ahead will be contacted via telephone and letter beforehand.

"The letter will state that their appointment has been cancelled and will be rescheduled but, if strike action does not go ahead, they should attend their appointment as planned.

"Patients whose appointments will not be affected will not hear from us and should plan to attend hospital as normal."

– Dr Caroline Marshall Chief operating officer University Hospital Southampton NHS Foundation Trust

"Our priority will be the safety of everyone in our care and ensuring we continue to see urgent and emergency patients who need our help on the strike days.

"Patients should continue to attend the hospital as normal unless they have been contacted by the hospital to make alternative arrangements."

– Hampshire Hospitals NHS Foundation Trust

Longer hours for less money say doctors in demo

Junior doctors from across the region are among thousands who've been demonstrating against plans to change their contracts. The doctors say the Government's new deal would mean them working longer hours for less pay, reducing what they're paid for working night shifts and weekends. John Ryall met some of the demonstrators as they left Brighton railway station for London

Tired doctors make mistakes say protesting medics

Doctors from across the Meridian region have joined a protest march in London against plans which they say will see them working longer hours for less pay. The Health Secretary Jeremy Hunt wants to reclassify doctors' normal working week to include Saturdays and late evening working. They say it could mean pay cuts of up to 30%, with "normal hours" reclassified as being from 7am to 10pm, Monday to Saturday. Extra payments for unsociable working will be earned only outside of these times, rather than the current arrangements of 7am to 7pm Monday to Friday. Erica Pool is a junior doctor at Royal Sussex County Hospital, Brighton and Amaran Cumarasny a medical student.

Juniors doctors gather for protest over new contracts

Junior doctors protest in Brighton ahead of London rally Credit: John Ryall

Junior doctors from across the region have been gathering for a protest against planned changes to their contracts.

A demonstration was held outside Brighton railway station by some junior doctors ahead of their journey to the capital for the main demonstration through the centre of London.

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Labour: Hunt should stop 'high-handed demands' on doctors

Labour's shadow health secretary Heidi Alexander is expected to call on Jeremy Hunt to "stop the high-handed demands" on junior doctors at a rally against proposed contract changes.

She will say:

It’s wrong that this Government is OK with the idea of paying some junior doctors less to do the work they do now. They’re wrong to want to remove the safeguards which prevent junior doctors from having to work excessive and exhausting hours. And they’re wrong to punish staff for their own financial mismanagement of the NHS. Nobody wants to see industrial action but nobody wants junior doctors too exhausted to provide safe patient care either.

I have a simple message for Jeremy Hunt today. Stop the high-handed demands, show you are prepared to compromise and put patient safety ahead of politics. The ball is in his court. He needs to listen to junior doctors and he needs to recognise public concern.

– Labour's shadow health secretary Heidi Alexander i
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BMA: Junior doctor rally will be 'wake-up for ministers'

Junior doctors marched on Downing Street last month in protest over contract change plans. Credit: PA

Dr Johann Malawana,chairman of the British Medical Council's junior doctors' committee, has denied the Health Secretary's accusation it has misled doctors over proposed contract changes.

Ahead of a protest rally, he said it would be "a wake-up call for ministers" that pay and working hours reforms are "unacceptable".

In recent weeks the health secretary has acknowledged junior doctors play a vital role in the NHS, which is at odds with his relentless and extremely damaging rhetoric attacking doctors, which has led to the anger on display today.

We have always stated that without the continued threats of imposition and pre-conditions, the BMA would be happy to enter meaningful negotiations. But until the government gives junior doctors the reasonable assurances they are demanding we will continue with our course of action.

– Dr Johann Malawana, chair of the BMA junior doctors committee
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Junior doctor: Contract changes 'too important' to ignore

Ahead of a march in protest against proposed changes to junior doctor pay and working conditions, an obstetrics and gynaecology registrar has taken to Twitter to explain why "it is too important not to make a noise about".