Update on NHS strikes - What happens next?

This brings the total number of affected appointments to more than half a million since strikes first began in mid-December.

So what happens next?

It's become a messy situation as unions diverge over their approach and the government digs in. Here's the latest state of play:

• The government has offered staff covered by the Agenda for Change pay system (basically all staff except doctors), bonuses for 2022-23 and a 5% rise for 2023-24;

• Nurse members of the RCN have rejected this offer, Unison members (nurses and paramedics) have accepted it, while results for GMB, Unite and others won't be known until the end of April;

• On 2 May, unions covering AfC staff will meet to decide whether to collectively accept the pay deal even if one or more unions have individually rejected it;

• Ahead of this meeting the RCN has announced a 48-hour strike from 30 April-2 May and removed some of the strike exemptions for staff working in critical areas;

• Unite has also announced a strike at Yorkshire Ambulance Trust and Guy's and St Thomas's hospital in London for 1 May;

• Junior doctors want a 35% restoration in pay but have yet to start full talks with government and are considering a further strike, possibly to coincide with the RCN's;

• Consultants could be balloted from mid-May on strike action.