Huddled together on a grassy knoll outside Manchester Central ambulance station, paramedics explain why they've gone on strike again.
For most of them, it's not just about wages - they're fighting for the future of the NHS, where sick and injured patients have to wait for hours on end either in the back of an ambulance or in a corridor because hospitals are so stretched they don't have enough beds or staff to cope.
It's a depressing picture of an NHS in crisis.