National exemptions are in place to provide critical care during strike action by nurses, a union leader has insisted, telling Sky News staff would never leave patients unsafe or create more risk.

Royal College of Nursing (RCN) general secretary Pat Cullen was speaking to Sophy Ridge On Sunday ahead of a 28-hour walkout by members over pay.

The government has warned strike action without mitigations “clearly does put patients at risk”.

The industrial action will run from 8pm on Sunday until 11.59pm on Monday night after voting to reject the latest government offer.

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The union initially said it would not agree to derogations – broad areas of care where staffing is guaranteed despite industrial action – fuelling concerns about patients being put at risk.

It led Great Ormond Street Hospital (GOSH) among other organisations to declare a “business continuity incident” until it was confident it could staff its services over the strike.

The RCN subsequently offered assurances after the hospital raised “serious concerns”.

But Ms Cullen told Ridge wider, national exemptions were in place.

According to the RCN website, limited safety critical mitigations would include allowing some staff “to preserve life-and-limb” care in emergency departments and intensive care units.

Ms Cullen said: “Our nurses, as I’ve said time and time again, will never leave their patients unsafe or create more risk that’s already in the system at this point in time.”

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Ms Cullen added: “There are national exemptions in place for a range of services, for emergency departments, for intensive care units, for neonatal units, paediatric intensive care units, those really acute services.

“In fact, it was the Royal College of Nursing contacted NHS England to ask for a process to be put in place so that we could make sure that the strike was safe for our patients.”

‘Lives are being put at risk every single day’

Defending the latest walkout she added: “They’re going on strike because patients’ lives are being put at risk every single day, and why? Because we have tens of thousands of vacant nursing posts.”

Health workers across the NHS have gone on strike several times in past months in disputes over pay and conditions.

Unions including Unison and the GMB have voted in favour of a government pay offer to end the strikes, while Unite and the RCN have voted against.

Nurses make up a quarter of NHS staff and are the biggest proportion of the health service workforce.

NHS England warned staffing levels for some areas of the country will be “exceptionally low, lower than on previous strike days”.

Pay offer ‘fair and reasonable’

Warning of the danger of strike action without exemptions for emergency care, cabinet minister Mark Harper told Ridge: “It clearly does put patients at risk, which is why we urge the unions not to go ahead and do the strike.”

Appealing to the RCN, the transport secretary added: “I would urge them to think again and to do what the other trade unions in the health service have done, which is to accept what I think is fair and reasonable pay offer, reflecting the value that we do place on hardworking NHS staff.”

‘I don’t want to see strikes go ahead’

Speaking on the same programme, Labour leader Sir Keir Starmer refused to say whether he supported nurses going on strike without exemptions.

He said: “I don’t want to see strikes go ahead.

“The way to avoid strikes is to get in the room with the nurses and resolve these issues.”

A High Court judge ruled on Thursday it would be unlawful for the RCN strike to continue into Tuesday as originally planned, meaning it will now end just before midnight on Monday.