Nurses and ambulance staff have ramped up the pressure on Health Secretary Wes Streeting by rejecting his offer of a 3.6 per cent pay rise.

Members of the GMB union voted by a majority of more than two thirds (67 per cent) to go back to the negotiating table.

The union has now written to the Secretary of State demanding an 'urgent meeting' to discuss pay and 'other issues of significant importance' to its NHS members.

GMB national secretary Rachel Harrison said: 'We await his reply with interest.'

AGMB spokesman said the chances of more strike action were 'very limited' because 'the appetite isn't there', but added: 'Workers are unhappy, which is why they have rejected this offer.'