23/06/2019 Comments are off SIPTU Health
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Unions, it’s time to talk fiscal policy

Mention ‘fiscal policy’ in a crowded room and it will soon be empty. Fiscal space, structural balance, output gap, expenditure benchmarks – this is not the stuff of every day conversation.

However, in the last crisis trade unionists were divided over policy responses, undermining our ability to influence the public agenda.

We cannot let that happen again, especially as the economic conversation is moving back into austerity terrain – spending cuts, tax rises, deficits, debt, etc.

In its recent assessment the Fiscal Council raised legitimate concerns regarding the country’s finances, especially given the uncertainty over a hard Brexit, over-reliance on corporate tax revenue, Trump’s tariff threats and climate breakdown.

The prospect of higher deficits and rising debt is very real. And so is the inevitable public debate.

Would you cut spending or raise taxes? What would you cut? What tax would you raise? It’s as if we learned nothing from the previous crisis. Already growth is slowing down from its post-recession/austerity bounce.

Spending cuts and tax increases will only exacerbate this slowdown.

A real problem is that we do not have a definitive measure of our public finances. Just as we know that GDP is not a reliable indicator of the economy, the Fiscal Rules throw up contradictory projections.

Do we scope for more spending increases? Is the economy over- heating? Ultimately, we can’t say for certain. Imagine a business or your own household facing such uncertainty over what should be a straight-forward measurement.

Professor John Fitzgerald, formerly of the ESRI, suggests we rely on ‘common sense’. If so, common sense tells us that if we enter a slow-down with a housing crisis it is going to cost a lot more to repair when the economy picks up again.

More than 40% of us are unable to meet an unexpected expense (one of the highest levels in the EU), and common sense tells us this figure will only increase in the event of a slowdown.

Common sense tells us that the cost of meeting the challenge of climate breakdown will go north if the economy goes south.

Common sense also tells us that collective bargaining at the sectoral level is the best way to protect workers’ incomes and jobs in the event of a downturn. In this respect, we should argue that collective bargaining is an important fiscal tool, not just an industrial relations one.

Similarly, in a downturn the private sector reduces investment. Therefore, the state needs to increase productive investment.

It also needs to spread public owner- ship into the market economy through business start-ups and rescues – especially in cash-starved regions and districts where there is no incentive for private capital.

And if we want to talk about more productive public services (the word ‘reform’ will be thrown out again but, like the last crisis, it will just be code for cuts), then let’s introduce an innovation process guided by the people who know best, the people who actually deliver them: the public service.

The trade union movement needs to start a dialogue on fiscal policy on our own terms, drawing up new starting points – the participation of workers in the decision-making process through comprehensive collective bargaining in the private sector and employee-driven innovation in the public service.

We need to grow public investment and public enterprise at local, regional and national level.

In short, we need to start with workers and public activity, the work and ideas of people who produce the goods and services. That would be a far better fiscal policy than anything the right-wing parties and employers are already cooking up.

21/06/2019 Comments are off SIPTU Health
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Health strike deferred to allow for focused talks at WRC on Monday

SIPTU representatives have tonight (Friday, 21st June) confirmed that a 24 hour strike planned for next Tuesday (25th June) has been deferred pending the outcome of talks on Monday (24th June) at the Workplace Relations Commission (WRC) aimed at resolving the dispute in the health service.

SIPTU Health Divisional Organiser, Paul Bell, said: “Following protracted discussions today some movement has been made on the claims put forward by SIPTU representatives on the full implementation of the job evaluation scheme. At the request of the WRC, SIPTU representatives have agreed to defer strike action scheduled for Tuesday to allow for focused discussions which will hopefully make the full implementation of a job evaluation scheme a reality for our members.”

He added: “If negotiations are not concluded successfully on Monday, SIPTU members are prepared to take strike action on Wednesday (26th June) in 38 selected hospitals across the country in pursuit of their legitimate claim for pay justice.”

20/06/2019 Comments are off SIPTU Health
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WRC talks adjourn until Friday afternoon.

“Only for the actions of our members and our strike committees across the country we would not be in the WRC today. Government would not have taken any notice of our claim for fairness and respect.”

– SIPTU Health Divisional Organiser, Paul Bell

Updates on the talks are available directly on the SIPTU Health App.Free to download in the App Store and Google Play now.

 

19/06/2019 Comments are off SIPTU Health
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Health workers strike for decent pay

Up to 10,000 health workers in 38 selected hospitals and health care facilities are taking action. Action for justice. Action for recognition. Action for respect.

The action will see SIPTU members providing portering, household and catering services and those working as healthcare assistants, maternity care assistants, laboratory aides, chefs and surgical instrument technicians take to the picket line in their pursuit of pay justice. The workers are in dispute with the Health Service Executive (HSE) over its failure to implement increases in pay for SIPTU members arising from a job evaluation scheme.

However, the roots of this dispute run deep. In 2015, following seven years of painful pay adjustments and changes to work practices, SIPTU members voted in overwhelming numbers to support the Lansdowne Road Agreement.

Seen by members as the first step in a journey towards full pay restoration, the agreement included the re-introduction of a Job Evaluation scheme.

The scheme had been suspended during the height of the economic crash in 2008 and its reintroduction gave SIPTU members hope that by staying the course, playing by the rules and working with their union there would be brighter days ahead.

Meanwhile, four long years have passed and SIPTU members are still waiting for this recognition. This is despite ballots for strike action in 2016 and 2018, both resulting in Workplace Relations Commission interventions. Health and other public service members also voted for the Public Service Stability Agreement (PSSA) in 2017.

The Health Service Executive (HSE) accepted the findings of the Job Evaluation scheme. It agreed that our members are doing more work, have more qualifications and are subject to additional health and safety protocols and practices than their job descriptions allowed for.

But when it comes to giving the lowest paid workers in the public health service the respect they deserve, the employers are slow to deliver. Just like union members across the public service and in low paid, precarious jobs in the private sector, these workers have to pay extortionate rents and mortgage repayments as well escalating childcare and other costs of living.

The implementation of this agreed job evaluation scheme will cost about €20 million, very small change considering the overall health budget of €18 billion, not to mention the cost of the Government’s recent financial mismanagement of public projects including the National Children’s Hospital (NCH) and the rural broadband plan.

However, when enough political pressure is put on them, the money is almost certain to be found. We saw it with the special deal given to the Garda, the rubberstamping of the gargantuan overspends in public infrastructure projects and the substantial pay out recommended by the Labour Court in the recent dispute involving nurses and midwives.

This dispute also comes at a time when the reintroduction of massive bankers’ bonuses is back on the agenda, when tax reliefs are subsidising the investments and savings of high earners at the expense of those on low and middle incomes and when hundreds of millions of euros are being paid into the pockets of the privateers running our creaking home care services into the ground.

The Government must now honour its obligations to health workers. SIPTU members have kept their heads down, worked hard and played by the rules.
The behaviour of the HSE and the two government departments has been interpreted by our members as disrespectful and dismissive as if nobody will miss them if they go on strike.

Thousands of health workers have formed the view that Fine Gael believe that support staff are not of any great value to the health service.

This view has been reaffirmed by the fact that neither the Minister for Health, Simon Harris, or the Minister for Finance, Public Expenditure and Reform, Paschal Donohoe have made any comment or intervened in this dispute to date.

SIPTU representatives believe it is unacceptable that workers should be forced to go into an official dispute in order to get what they are owed. SIPTU members are not asking for flexibility or for a special deal. We are demanding that the Government honours its agreement, give our members the justice they deserve or face a summer of discontent in the health service.

In the end, all disputes are resolved. Crucially, how this dispute is resolved will undoubtedly shape our members attitude towards any future proposals for a successor to the PSSA.

The following is a list of hospitals where SIPTU members will take strike action:

  • Cork University Hospital
  • Cork University Maternity Hospital
  • Kerry University Hospital
  • Mallow General Hospital
  • South Infirmary Hospital Cork
  • South Tipperary General Hospital
  • Wexford General Hospital
  • St Lukes Hospital Carlow/Kilkenny
  • Mercy Hospital Cork
  • Connolly Hospital Blanchardstown
  • National Rehabilitation Hospital
  • Beaumont Hospital
  • St Ita’s Portrane
  • Mater Hospital
  • St James Hospital
  • St Vincent’s University Hospital
  • Tallaght Hospital
  • Our Lady’s Hospital Navan
  • Louth County Hospital
  • Our Lady of Lourdes Hospital Drogheda
  • Our Lady’s Children’s Hospital Crumlin
  • Rotunda Hospital
  • Central Mental Hospital
  • Midland Regional Hospital Mullingar
  • Midland Regional Hospital Tullamore
  • Midland Regional Hospital Portlaoise
  • Naas General Hospital
  • Cavan General Hospital
  • Letterkenny University Hospital
  • Sligo General Hospital
  • Roscommon Hospital
  • Portiuncula Hospital Ballinasloe
  • Galway University Hospital
  • Merlin Park
  • Mayo University Hospital
  • UL Hospital Dooradoyle
  • UL Maternity Hospital
  • UL Orthopaedic Hospital Croom

 

17/06/2019 Comments are off SIPTU Health
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WRC talks end without agreement

SIPTU Health representatives have tonight (Monday, 17th June) confirmed that talks at the Workplace Relations Commission (WRC) aimed at resolving a dispute on job evaluation have ended without agreement.

SIPTU Health Division Organiser, Paul Bell, said: “The strike this Thursday (20th, June) will go ahead and regrettably it is likely to have serious consequences for the delivery of patient services. A claim by the Department of Public Expenditure and Reform to the effect that there was no commitment to pay additional money on foot of the job evaluation scheme is patently inaccurate. The fact is the Department admit they owe the money, but they want to pick and choose when to pay it. The health employers accepted the recommendations of the job evaluation scheme in 2017 which set out which staff members should be upgraded and remunerated accordingly.”

He added: “SIPTU members will find it extremely difficult to accept another national agreement such as the Public Service Stability Agreement unless this current agreement is honoured in full.” 

17/06/2019 Comments are off SIPTU Health
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SIPTU representatives demand that any new home care scheme prioritises people over profit

SIPTU representatives have today (Tuesday, 17th June) said that any plans to introduce a new home care scheme must prioritise people over the profits of private care companies.

SIPTU Sector Organiser, Marie Butler said: “Over recent days, it has emerged that the Government will not in a position to meet the demands of the service or to deliver on its promise of an extra 800 directly employed staff and 670,000 home care hours in 2019. The Government claims that investment in home care has increased by 50% since 2015 and that there is €450 million being spenton the service this year. However, our members are asking where is all that money going? The elephant in the room is that tens of millions of euro are being paid into private hands.

The Government pays agencies up to €28 per hour to provide home support. The average wage for non-unionised home care workers is less than €12 per hour. These healthy profit margins should be curtailed and reinvested in the service. Otherwise, we will continue to go around in circles. Any new deal for home care must be run for people, not for profits.”

Secretary of the SIPTU Health Care Support Assistants (HCSA) Committee, Katherine Dowling, said: “Directly employed home care support assistants provide exceptional value for money and enable elderly people to remain in their home or be safely discharged from hospital. The Health Service Executive (HSE) has confirmed that it will not be in a position to allocate hours to new applicants until November. This is an effective freeze on the most vulnerable people in our communities. It’s not acceptable.”

SIPTU Industrial Organiser, Ted Kenny, said: “Any potential freeze is going to have a major impact on older citizens in need of care, on their families and on people with a disability. It will also put major pressure on hospitals because of delayed discharges and force older people into nursing homes. The Government must now move to provide the necessary funding to meet the expectations of the public and the 6,000 people waiting on home care support.”

16/06/2019 Comments are off SIPTU Health
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Securing best deals for the public good

Ireland spends billions each year in public procurement. We should be getting the greatest possible benefit from public money spent in this way and making powerful use of the associated leverage.

EU Directives introduced in 2014 allow for a stronger social and environmental dimension to procurement by public bodies. Unfortunately, that potential has been underused and recent controversies have made it clear that we are not only missing opportunities, we are creating problems.

That is why, I brought forward a new Bill to place quality at the heart of public procurement in Ireland.

“Currently, contracting authorities usually chose between a ‘price- quality’ or a ‘lowest price only’ approach when designing calls for tender. The collapse of UK construction giant Carillion seems to have arisen among other things from underbidding to win public contracts and the subsequent liquidation of its Irish sub-contractor halted work on six important school projects here.”.

“An approach which automatically favours the lowest bidder tends to benefit companies which are in a position to put in an undercutting bid. Last year a health expert informed an Oireachtas committee that Irish laboratories tendering for cervical screening in 2007/8 were told they had scored highly on quality and turn-around time but not on cost.

The contract was subsequently awarded to a US provider.

The Contract Preparation and Criteria Bill,  would make ‘price:quality’ the default, requiring companies bidding for public contracts to compete on quality as well as price.

Public authorities can still opt for lowest price only but that requires sign off at senior level and a published rationale. The aim is to encourage more thought and accountability at an earlier stage in the process.

This does not mean that procurement becomes more expensive. In the Netherlands, where similar laws were introduced, 73% of contracts still went to a lower bidder but those companies also brought quality to the table.

Researchers there found that a price:quality ‘approach more than doubled the overall benefits to the public as purchaser.

In the case of the billions earmarked under the National Development Plan 2019–2027, the Bill raises the bar by setting a mini- mum target of 50% quality criteria on any major project.

There are wide definitions of quality under the EU Directives, but the Bill requires public authorities to give due consideration to guidelines from the Office of Government Procurement that contain established policy targets and commitments in areas such as climate change, employment and social inclusion.

Lastly, the Bill encourages greater awareness around the Public Sector Duty on Equality and Human Rights by requiring public bodies to provide updates on that duty in their annual procurement reports.

This Bill is not only in line with EU law on procurement, it also reflects a wider momentum for change within Europe’s economic policies.

It is increasingly clear that many economic mechanisms could be redesigned to deliver more for the collective common good. A strong, active interpretation of EU procurement law is one step in the right direction.

This is fundamentally about joined-up thinking. By changing the process and culture around public procurement we can deliver tangible benefits in terms of sustainability, standards and social impact.

The Public Authorities and Utility Undertakings (Contract Preparation and Award Criteria) Bill 2019 passed in the Seanad on Wednesday 3rd April with the Government abstaining and all other parties supporting.

This article was written by Senator Alice Mary Higgins. Alice-Mary Higgins is an independent Senator on the NUI panel and leader of the Civil Engagement Group

13/06/2019 Comments are off SIPTU Health
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Talks over health dispute adjourned

SIPTU representatives have confirmed this evening (Thursday, 13th June) that talks at the Workplace Relations Commission (WRC) aimed at resolving a dispute on job evaluation have adjourned until Monday 17th June.

SIPTU Health Divisional Organiser, Paul Bell said: “SIPTU representatives entered talks today with the employer with no great expectations, so we leave this evening feeling no great disappointment. We were invited back to the WRC on Monday at 2.30pm and have accepted this invitation.”

He added: “As it stands, the strike will go ahead next Thursday (20th June) and our members are continuing to put in place plans for our day of action in pursuit of pay justice.”

13/06/2019 Comments are off SIPTU Health
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Update: WRC Mental Health Nursing (Enhanced Nurse Contract Talks)

This is an important update regarding the proposed introduction of the Enhanced Nurse role within Mental Health services and related issues.

SIPTU representatives returned to the Workplace Relations Commission on Thursday, 13th June regarding these matters. The employer was represented by HSE, Dept of Health and Dept of Public Expenditure & Reform officials. Within conciliation, the following issues were discussed:

  • Proposed Contract of Employment for Enhanced Nursing within Mental Health Services: this matter has been advanced but is not yet concluded to our satisfaction. Parties are continuing efforts to develop a draft of a contract which is acceptable to all sides.
  • Subsidiary issues relating to the proposed introduction of Enhanced Nursing within Mental Health Services: there are a few pay related issues which remain outstanding concerning the proposed introduction of enhanced nursing within mental health services. Further effort is committed to resolving these issues as part of the package of measures to be offered.
  • Employer FAQ relating to Proposed Contract of Employment for Enhanced Nursing: employers representatives informed SIPTU they were preparing an explanatory faq document to undermine the specific requirements for those undertaking the proposed enhanced nurse role. We understand this includes specific reference to the required amount of flexibility re location and rostering. SIPTU has demanded sight of this document in advance of any member being requested to consider the proposed contract for enhanced nursing. SIPTU has confirmed to the employer that no nurse or midwife should be asked to consider a contract of employment while the employer is withholding significant documentation such as their explanatory document outlining required flexibility.
  • Proposed Terms of Reference (Expert Review): SIPTU has demanded receipt of the proposed Terms of Reference for the recommended Expert Review of Nursing/Midwifery grades. This review was proposed within the recent Labour Court recommendations and will seek to examine detailed aspects of the nursing/midwifery workforce including grading.
  • Nurse Management Structures – Mental Health (Area Directors of Nursing): Parties have agreed to prioritise the examination of existing nurse management structures within mental health. The commitment is to restart this process imminently and conclude same by the 1st November 2019. This examination will include a mechanism to address the long standing grading issue for Area Directors of Nursing. SIPTU confirmed to the Commission the deep frustration of our members and the need for an accelerated process to conclude this outstanding claim as one of priority.
  • Advanced Nurse Practitioners – Mental Health: employer representatives confirmed the target of 2% (of the workforce) for appointment of advanced nurse practitioners will apply within mental health. This is consistent with the previous recommendation of the Labour Court and the target which will apply in the other sectors of the profession.
  • Current Contracts v Enhanced Nursing: employers confirmed their intent that no enhanced incremental advancement will apply to current eligible nurses who remain on existing contract.

Please note the Workplace Relations Commission adjourned conciliation last evening and has invited parties to return on Friday, 28th June 2019 to advance all matters referred to above.

SIPTU has accepted this invitation. Further updates will issue as issues develop and negotiations advance. If you have queries relating to any matters arising, please contact your local SIPTU Organiser for guidance.

13/06/2019 Comments are off SIPTU Health
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SIPTU to enter WRC talks in health dispute

SIPTU Health representatives have accepted an invitation to attend exploratory talks at the Workplace Relations Commission (WRC) today (Thursday, 13th June) at 2.30pm to discuss the dispute on job evaluation.

The dispute has led to the scheduled strike action of 10,000 health workers, which is due to commence on Thursday, 20th June.

SIPTU Health Division Organiser, Paul Bell, said; “We have accepted the invitation from the WRC to attend the talks. We will use these talks as an opportunity to restate our members’ position that the Government must make every effort to resolve this dispute. Failure to resolve this dispute will undoubtedly bring pressures on the delivery of health services.”