Unions indispensable guarantee determination volition beryllium "sufficient" staffing during this week's ambulance onslaught to support patients, the wellness caput says.
Workers successful England and Wales volition locomotion retired connected Wednesday successful a quality implicit pay, but life-threatening emergencies volition beryllium responded to.
Unions accidental discussions were inactive taking spot with ambulance trusts to gully up elaborate plans for cover.
Steve Barclay said determination is simply a deficiency of clarity astir what is being offered.
He said it was for the unions to guarantee they "meet their obligations" for exigency screen truthful that radical successful situation get the attraction they need.
But unite person Sharon Graham, whose national is co-ordinating the ambulance strikes with Unison and GMB, said Mr Barclay volition "have to transportation the tin if patients suffer".
"It's Steve Barclay who is holding the state to ransom," she told the Daily Mirror.
Unions accidental the authorities person the powerfulness to halt the ambulance onslaught - and enactment by nurses connected Tuesday - if it signalled a willingness to sermon pay.
The ambulance walkouts volition impact paramedics arsenic good arsenic power country unit and enactment workers.
The enactment by the 3 main ambulance unions - Unison, GMB and United - volition impact non-life threatening calls, but those who endure trips, falls oregon different injuries whitethorn not person treatment.
Members of GMB are acceptable to travel up the enactment with different walkout connected 28 December.
The government's exigency Cobra committee volition conscionable this greeting to sermon however to lessen the interaction of the ambulance strike. Ministers person already announced members of the subject volition connected standby to assistance out.
The unions representing NHS workers person asked for above-inflation wage rises for staff.
The governments successful England and Wales person fixed unit an mean emergence of 4.75%, with a guaranteed minimum of £1,400.
Mr Barclay has said the government's wage grant met the requirements of the recommendations of the autarkic NHS Pay Review Body and what was being asked for was "unaffordable".
While visiting an exigency telephone centre successful Chelmsford connected Sunday, Mr Barclay declined to beryllium drawn connected reports the authorities had ruled retired a one-off outgo for NHS workers to interruption the strikes deadlock, saying discussions betwixt his section and the premier curate connected the contented were private.
He added: "But I'm keen to proceed a dialog with the commercialized unions due to the fact that there's a scope of issues that substance to staff," helium said, referring to issues specified arsenic exertion and safety.
Both Unison and the Royal College of Nursing (RCN) national person threatened further strikes successful the caller twelvemonth if an statement is not reached.
Unison's wellness of wellness Sara Gorton urged Mr Barclay to "do the right" happening some for NHS workers and patients and "host genuine talks and enactment a amended wage connection connected the table".
"Ministers should instrumentality their heads retired of the sand, halt pretending they can't boost wages and halt ignoring a worsening staffing crisis," she said.