The prime minister is refusing to bow to pressure from health leaders to increase the offer.
The level of disruption could also increase, with nurses striking across more NHS trusts in England and for longer periods of time - perhaps over two consecutive days. Industrial action is also taking place in Wales and Northern Ireland.Former Conservative Party chairman Sir Jake Berry and ex-health minister Dan Poulter want the government to improve its offer.
Mr Sunak said the government remained open to talks to negotiate pay with nurses, but that a demand for a 19% pay rise by the RCN is unaffordable. "We've got enormous gratitude for all public sector workers for the job they do, and I know things are difficult right now.The NHS Confederation, which represents hospitals, has urged ministers to act to avoid strikes in the new year, which it said could be "more severe" and co-ordinated with other health unions.
The RCN wants a larger rise, of 5% above the RPI inflation rate, which currently stands at 14%, saying its members have received years of below-inflation pay increases.
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