A nursing union representing hundreds of thousands of nurses in the UK has voted to hold the first nationwide strike in its 106-year history.

The Royal College of Nursing (RCN) said the strike will affect the majority of NHS employers in the UK as nurses take action against pay levels and patient safety concerns.

The union said that many of the biggest hospitals in England would see strike action but others “narrowly missed” the legal turnout thresholds required for action.

All NHS employers in Northern Ireland and Scotland would be included and all bar one in Wales met the threshold, they added.

RCN general secretary and chief executive Pat Cullen said: “Anger has become action – our members are saying enough is enough.

“The voice of nursing in the UK is strong and I will make sure it is heard. Our members will no longer tolerate a financial knife edge at home and a raw deal at work.

“Ministers must look in the mirror and ask how long they will put nursing staff through this.

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“While we plan our strike action, next week’s budget is the UK government’s opportunity to signal a new direction with serious investment. Across the country, politicians have the power to stop this now and at any point.

“This action will be as much for patients as it is for nurses.

“Standards are falling too low and we have strong public backing for our campaign to raise them. This winter, we are asking the public to show nursing staff you are with us.”

The union had urged more than 300,000 of its members to vote for industrial action over pay in the first statutory ballot on industrial action across the UK in the 106-year history of the Royal College of Nursing.

It had called for its members to receive a pay rise of 5% above the RPI inflation rate, which currently stands at above 12%.

This request has not been met by any UK nation.

Oliver Dowden, the chancellor of the duchy of Lancaster, previously told Sky News’ Sophy Ridge on Sunday programme that the government has “well-oiled” contingency plans in place for dealing with any strike by nurses.

In the event of industrial action, the NHS would prioritise the most essential services, he said.

Recent analysis showed an experienced nurse’s salary has fallen by 20% in real terms since 2010, the RCN said, adding that nurses are working the equivalent of one day a week for nothing.

Health workers in other unions, including ambulance staff, hospital porters and cleaners, are also voting on industrial action over pay.

Ahead of the result of the ballot, a Department of Health and Social Care spokesperson said: “We value the hard work of NHS staff including nurses, and are working hard to support them – including by giving over one million NHS workers a pay rise of at least £1,400 this year as recommended by the independent NHS Pay Review Body, on top of 3% last year when pay was frozen in the wider public sector.

“Industrial action is a matter for unions, and we urge them to carefully consider the potential impacts on patients.”

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