Junior doctors guide to industrial action in England

Time out of training (TOOT) and strike dates

Updated: Thursday 13 June 2024

Time out of Training (TOOT)

  1. For those in Foundation Year 1 and 2, if you take more than 20 days out of training (when you would normally be at work), this may lead to a review of overall performance and achievement of curricular outcomes, but does not mean an automatic extension to training. Provided that outcomes are being met, there would be no justification to extend training as a result of taking industrial action.
  2. For those in Core/Speciality training, if you take more than 14 days out of training (when you would normally be at work), this may lead to a review of overall performance and achievement of curricular outcomes. Provided that outcomes are being met, there would be no justification to extend core training programme end dates, or CCT dates, as a result of taking industrial action.

FY1s generally must complete 12 months of training (full time equivalent) before being eligible for a Certificate of Experience and to apply for full GMC registration. The GMC supports foundation school directors implementing this requirement flexibly to reflect (including in any reviews) the nature and history of absence, the timing and the effect of the absence on achieving the necessary outcomes. The focus should be on meeting the outcomes and the competence required by FY1 doctors.

Read our full guidance

Help to record which days you took strike action

To help you record which days you took strike action, here is a full list of junior doctor industrial action days in 2023 and 2024.

Please note, if you were on a zero day, study or annual leave during a strike day, these days do not count as time out of training (TOOT) and therefore do not need to be entered onto form R.

Junior Doctors Start date (7am) End date (6.59am) Total = 15 days
Round 1 - March 3 day full walkout 13 March 2023 16 March 2023 3
Round 2 - April 4 day full walkout 11 April 2023 15 April 2023 4
Round 3 - June 3 day full walkout 14 June 2023 17 June 2023 3
Round 4 - July 5 day full walkout 13 July 2023 18 July 2023 5

August changeover

Junior Doctors Start date (7am) End date (6.59am) Total = 24 days
Round 5 - August 4 day full walkout 11 August 2023 15 August 2023 4
Round 6 - September Christmas Day cover (joint with consultants) 20 September 2023 21 September 2023 1
Round 6 - September 2 day full walkout 21 September 2023 23 September 2023 2
Round 7 - October 3 day Christmas Day cover (joint) 2 October 2023 5 October 2023 3
Round 8 - December 3 day full walkout 20 December 2023 23 December 2023 3
Round 9 - January 6 day full walkout 3 January 2024 9 January 2024 6
Round 10 - February 5 day full walkout 24 February 2024 28 February 2024 (*ended at 11.59pm) 5