Junior doctors across England have begun the first ever all-out strike in the 68 year history of the National Health Service, as the bitter row with the government over working conditions and pay continues.

Taking place over two days - from the 26-27 April and for a total of 18 hours - the strike is a reflection of the impasse between the government and the junior doctors, many of whom already have up to ten years experience. It follows Health Secretary Jeremy Hunt's refusal to withdraw from his decision to impose a new contract on junior doctors from August this year and potentially resolve the dispute by re-entering talks.

Junior Doctors
Doctor in acute medicine, Melissa Haskins, holds up a 'I ain't afraid of no Hunt' sign whilst striking with other junior doctors outside St Thomas' Hospital, London.Chris Ratcliffe/ Getty Images

Standing outside hospitals with banners and placards, the current walk-out is the latest escalation from previous strike action and for the first time ever, no emergency cover will be provided. All participants walked out of their routine and emergency care duties at 08:00 BST.

Nicola Miller, a junior doctor taking part in the strike, explained to Reuters that "It's not in our interests to go out there and try and topple governments or try and take over and be all powerful. The doctors running the BMA, they work in hospitals, they know what it is like on the front line, they are simply trying to put forward what would actually work in practice. Jeremy Hunt has never been on the frontline, he has never worked in a hospital, he's got no idea how to run a hospital and yet he comes out with these ridiculous assertions and ideas."

Jeremy Hunt is adamant that the government will not be 'blackmailed' into withdrawing the new contract.

Junior doctors strike
NHS medics urge Jeremy Hunt to 'stop lying, start listening'.IBTimes UK
Junior Doctors
Junior doctors hold placards as they stand on a picket line outside the Royal Berkshire Hospital in Reading.Adrian Dennis/ AFP
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 April.Matt Cardy/ Getty Images
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 AprilMatt Cardy/ Getty Images

Junior Doctors
Junior doctors outside her hospital, St Thomas' Hospital, London.Chris Ratcliffe/ Getty Images
Junior Doctors
Doctors hold up protest signs whilst striking outside St Thomas' Hospital, London.Chris Ratcliffe/ Getty Images
Junior Doctors
Doctor in acute medicine, Melissa Haskins, holds up a 'I ain't afraid of no Hunt' sign whilst striking with other junior doctors outside her hospital, St Thomas' Hospital, London, EnglandChris Ratcliffe/ Getty Images
Junior Doctors
Junior doctors hold placards as they stand on a picket line outside the Royal Berkshire Hospital in Reading.Adrian Dennis/ AFP
Junior Doctors
Clincal Fellow in emergency medicine, Simone Herrmann, holds a rose given to her by a member of the public whilst striking with other doctors outside her hospital, St Thomas' Hospital, London.Chris Ratcliffe/ Getty Images
Junior Doctors
Junior doctors hold placards as they stand on a picket line outside the Royal Berkshire Hospital in Reading.Adrian Dennis/ AFP
Junior Doctors
Junior doctors hold placards as they stand on a picket line outside the Royal Berkshire Hospital in Reading.Adrian Dennis/ AFP
Junior Doctors
Doctors hold up protest signs whilst striking outside St Thomas' Hospital, London.Chris Ratcliffe/ Getty Images
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 April.Matt Cardy/ Getty Images
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 April.Matt Cardy/ Getty Images
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 April.Matt Cardy/ Getty Images
Junior Doctors
Junior doctors and supporters take part in a strike outside the Royal United Hospital in Bath. Junior doctors will walk out from 8am to 10pm on 26 and 27 April.Matt Cardy/ Getty Images