Junior doctors across the West begin a second 24 hour strike from 8am this morning.
It follows a march in Bristol on the weekend and is the second of a series of walk-outs after talks with the government over a new contract have broken down. The row centres on a disagreement over new contracts and weekend pay.
NHS England says consultants and nurses will provide cover in areas affected by industrial action, but some non-emergency treatments have been cancelled.
While some junior doctors are taking to the streets in protest, many are making a judgment to walk out of the profession completely. In the last five years more than 600 junior doctors have already made the decision to leave the UK - many to working in places like Australia.
One health authority is reassuring the public that it has robust plans in place to minimise disruption to services.
The Weston Area Health NHS Trust will still be running 307 outpatient appointments out of 392. Those affected have already been contacted.
Impact of industrial action for Weston Area Trust
The authority say they will not be paying junior doctors who take part in the industrial action. Junior doctors who are scheduled to work, but taking strike action, will have their shift pay deducted from their salary.
As the strike by junior doctors gets underway today, many will be turning up outside the region's biggest hospitals to mark their protest.
They say their striking against the imposed changes in pay for unsocial hours, claiming it devalues the work doctors do on evenings and weekends.