Thousands of NHS workers took part in a four-hour strike on Monday as part of a pay dispute.
Nurses, midwives and ambulance staff joined the walkout along with Unison members.
The strike was in protest at the coalition’s decision not to accept a recommended one per cent wage rise for all NHS employees.
More than 400,000 workers joined the strike, which has been followed by a work to rule for the rest of the week.
Staff at the University Hospitals of Morecambe Bay Trust, the North Cumbria University Hospital Trust and the North West Ambulance Service were involved.
Unison regional organiser Jenny Martin said: “It was disappointing to have to take another day of strike action. It is not something our members wanted, it is with heavy hearts that people feel that they need to do this.”
The strike, which started at 7am and ended at 11am, was held across several hospitals including Furness General, Westmorland General Hospital and the Royal Lancaster Infirmary.
Services were disrupted throughout the morning with some clinics and appointments being cancelled.
Ms Martin added: “Every single day people walk into A&E and expect to see clean floors and good services but these staff are expected to do that with a decreasing wage.”
Unison is continuing to take action this week by asking its members to make sure they regularly take their breaks during the course of the da