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24 November 2014, 06:12 | Updated: 30 March 2016, 13:50
Nurses, radiographers and paramedics have told Capital they have no choice but to go on strike again because they don't think the government's giving them a fair deal on pay.
Health officials say they've got strong measures in place to protect patients.
Members of 11 unions, including midwives, nurses and porters, are walking out for four hours this morning.
Last time, half of front-line workers at East Midlands Ambulance Service, about 175 people, took action but the service have told Capital they're ready again and can cope.
Sue Noyes, Chief Executive at EMAS said:
'The national strike will cause difficulties for all UK ambulance services and the public are reminded to use 999
appropriately during this challenging period.
'The action will affect non life-threatening emergency calls because our priority will have to be those who require
an immediate response.'