Matthew Taylor, chief executive of the NHS Confederation, has warned that upcoming strikes by junior doctors could push the NHS to a tipping point early in the new year. The strikes coincide with typical winter pressures, including cold weather illnesses, bed shortages, and increases in norovirus cases, potentially overwhelming the health service. Junior doctors in England have been on strike this week, and are planning a six-day stoppage from 3 January. The strikes have already led to the postponement of outpatient appointments and operations, with Cheltenham general hospital closing its A&E unit due to staff shortages. The dispute centres on their demands for a 35% pay rise. Recent talks between the British Medical Association and the department of health have not resolved the issue. Dr Vivek Trivedi, for the BMA, argues that the Government's offer of an additional 3% pay rise is insufficient. He emphasises that junior doctors need fair pay to prevent them from seeking employment abroad, and believes the public still supports their right to strike.