Junior doctors' strike February 10: How will it affect you?
Hundreds of operations and outpatients appointments have been cancelled or postponed in the Black Country ahead of the latest junior doctors' strike tomorrow.
The figures come ahead of the 24-hour walkout, which will see emergency cover only provided from 8am.
At New Cross Hospital in Wolverhampton, eight operations and 188 appointments have been cancelled, while 40 outpatients appointments have been cancelled at University Hospital of the North Midlands.
Sandwell General Hospital has cancelled 300 outpatients appointments, but would not give a figure for the number of operations.
At Russells Hall Hospital, 182 outpatient appointments, four day case procedures and two inpatient operations have been rescheduled.
At Walsall Manor Hospital, bosses say no procedures have been cancelled, although figures for paediatrics were not immediately available.
The row between junior doctors and the government flared up in 2014 after the government insisted it was going to impose new contracts. The dispute has escalated since the summer.
Gwen Nuttall, chief operating officer for New Cross Hospital, said: "We are sorry we have had to reschedule patient appointments, however this is to ensure we have enough cover across all our wards. All our emergency portals will be fully opened and staffed."
Mr Robert Courteney-Harris, medical director at UHNM, said: "The trust has tried and tested plans to deal with industrial action.
"We have been working to ensure our robust plans protect the safety, welfare and service provided to patients, always our top priority."
Toby Lewis, chief executive for Sandwell and West Birmingham Hospitals NHS Trust, said: "Regrettably, almost 300 outpatient appointments have been cancelled to release medical time, and a number of elective operations and endoscopic procedures have been deferred.
"We apologise to the patients concerned and will look to re-book at the earliest opportunity in the weeks ahead."
Government officials and the British Medical Association (BMA) are today locked in last-ditch talks in a bid to avert the strike action.
The Department of Health confirmed that Sir David Dalton - the chief executive of Salford Royal NHS Foundation Trust who has been drafted in by the Government to broker a deal - is in discussions with BMA representatives and officials from NHS Employers.
The major sticking point is the issue of weekend pay and whether Saturdays should be classed as normal "plain" time or should attract a premium.