As you will know we have had huge Pay Cuts since 2008 but this marks a change in that trajectory. And if these communications break down, then we will be thinking about going back into dispute and striking again if we need to, but that is always a last Case Resort and something we dont want to have to do. The offer included a backdated Pay Rise for last year of 4 , on top of an existing Increase Worth an average of 9 , and for this year, an additional 6 increase, topped up with an extra £1,000, which comes to around 9 . It overall adds up to 22 . The government says Strike Action Byjunior doctors cost the nhs in england around £1. 7 billion. The Health Secretary welcomed the vote in favour of the deal. The Deal Weve reached with Junior Doctors is fair for them, but crucially fair for patients and the taxpayer because now we can draw a line under this bitter dispute, cut Waiting Lists and get our nhs notjust back on its feet, but fit for the future. Nhs managers and patients will be r