SIPTU says mental health services at breaking point due to lack of staff and burnout

SIPTU representatives have highlighted the threat to the operation of mental health services through lack of staff and worker burnout at a Policy Forum for Ireland online seminar, on the ‘Next steps for mental health services in Ireland’ which took place today (Tuesday, 20th June).

Addressing the seminar, SIPTU Sector Organiser, John McCamley, said: “SIPTU has been to the fore in highlighting issues faced by our members in mental health services. They face heavy workloads and risk burnout due to a lack of staff.

“Problems with staffing are particularly acute in the Child and Adolescent Mental Health Services (CAMHS). SIPTU representatives have requested a meeting with the Minister of State for Mental Health and Older People, Mary Butler, to highlight the concerns of our members who work in CAMHS.

“We note that the Minister has announced that she has commenced a series of high-level roundtable discussions with key stakeholders in CAMHS and have been informed that SIPTU representatives will be asked to participate. It is our view that an engagement that focuses on the experiences of workers in this sector should happen without delay. It is imperative that we deal with the issues relating to staffing if we are to stem the flow of workers leaving these services.”

He added: “We welcomed the opportunity to address the seminar on behalf of our members as often the voice of workers is missing when the future of essential public services is discussed.”

SIPTU Radiation therapists forced to work extended days to complete cancer treatments

SIPTU members employed as radiation therapists are struggling to provide cancer treatments within the working day.

In a recent survey of members conducted among union members, 91% of respondents said that their location provided an ‘overrun service’ in order to keep on top of caseloads.

SIPTU Sector Organiser, John McCamley, said: “An overrun service occurs when the scheduled service runs beyond the normal finish time. This can happen for a variety of reasons such as the addition of an emergency patient who requires treatment, delays with scheduled treatments throughout the day, machine breakdowns and to accommodate patients on waiting lists. Most radiation therapists will continue to treat scheduled patients until they are all seen.

“Our members have said this is as the result of a stretched service which is in desperate need of more radiation therapists to meet demand. They have also said that the practice is leading to burnout and difficulties with childcare. However, they are doing it out of care for the patients they are treating.”

Separately, the survey revealed that 84% of respondents believed that the public at large was not aware of the role of the radiation therapist in treating cancer.

McCamley continued: “Critically, our members feel as though their role is not recognised as being as crucial as it is in the treatment of cancer. Respondents felt that there is an awareness of the role that chemotherapy and surgery plays in the treatment of cancer, but not radiation therapy. This is despite the fact that radiation therapy is one of the main treatments of cancer.

“There is a view among our membership that you will likely not appreciate the significance of the the role of the radiation therapist unless you’re unfortunate enough to require their help some day.”

The SIPTU Radiation Therapist survey was completed in February 2023 across public and private practice. There are currently approximately 300 radiation therapists practicing in Ireland. Radiation therapy uses targeted high energy x-rays to treat patients with cancer..

SIPTU members in National Ambulance Service vote overwhelmingly for strike action

SIPTU members in the National Ambulance Service (NAS) have voted overwhelmingly for strike action in a dispute resulting from the failure of management to fully implement the recommendations of a report on the reform and modernisation of the service.

SIPTU Sector Organiser, Ted Kenny, said: “The ballot which was counted on Friday (5th May) has returned a result of more than 95% in favour of strike action. The dispute has resulted from a failure of NAS management to fully implement the recommendation of the Review of Roles and Responsibilities Report which was jointly commissioned by the NAS, SIPTU and the HSE in 2018.

“This huge vote in favour of taking action demonstrates our members’ determination to ensure their employer honours its agreement in full when it comes to implementing widespread reform at the NAS.

“Our members have fully co-operated with a plan drawn up by management to develop the service and they expect commitments concerning new grades and pay scales, which were made to them, to be met. It is the function of management to secure the necessary funding to deliver the agreed vision for the service. This includes any payments arising to staff as part of their overall restructuring plan.”

He added: “We have advised NAS management of the outcome of our ballot. The exact date and nature of the industrial action that will now be taken will be finalised in consultation with our members.”

SIPTU survey of radiation therapists reveals looming staffing crisis in cancer services

A SIPTU survey of radiation therapists has found that cancer services in both public and private hospitals are facing into significant staffing issues due to most respondents saying they intend to leave the profession within the next five years.

SIPTU Sector Organiser, John McCamley, said: “The survey found that 60% of respondents did not see themselves working as a radiation therapists in five years’ time. Some cited excessive workloads, staffing issues and a lack of a career pathway as the reasons they are considering leaving the service. Some are actively applying for other roles, while others are returning to education to seek an alternative career.

“Radiation therapy is used to treat around half of cancer cases and staffing issues in the service will have a knock-on effect on treatment waiting times. The survey also found that 48% of respondents are either ‘dissatisfied’ or ‘very dissatisfied’ with their current workplace. Participants believe their pay does not reflect the level of competency required for the role and feel undervalued. Some said they are under pressure and ‘worried’ about the number of patients waiting for radiotherapy.

“The survey also found that 88% of respondents are dissatisfied with their level of pay for the functions they carry out and that the majority would not recommend radiation therapy as a profession.

“The findings of the survey are very troubling. SIPTU representatives have previously called on the Minister of Health, Stephen Donnelly, to put in place an emergency plan to deal with the imminent staffing crisis in radiation therapy. The findings of this survey demonstrate that there is a need to address staff concerns within the service.”

He added: “The survey was carried out with SIPTU members in both public and private practice among the approximately 300 radiation therapists actively working across the country during 2023. The majority of respondents were in the 18 to 34 age cohort. It is very worrying that most state that they do not see themselves working in the field long-term. It calls into question the sustainability of the service if a coherent plan is not put in place to recruit and retain staff.”

SIPTU members in the National Ambulance Service begin ballot for strike action

SIPTU members in the National Ambulance Service (NAS) have begun a ballot for strike action in a dispute regarding the failure of the HSE to fully implement a series of reforms which would benefit this vital public service.

The series of proposed reforms are contained in the Roles and Responsibilities Report for NAS, which was commissioned by NAS management, SIPTU and the HSE. It’s recommendations include the introduction of new grades of staff, new job descriptions and the upskilling of existing staff.

SIPTU Sector Organiser, Ted Kenny, said: “This report provides for a proposed new structure for the service, which includes revised pay scales for our members. Following months of intensive, local engagement on this issue with NAS management our representatives are deeply concerned that it is yet to be implemented.

“Our members have fully co-operated with the plan drawn up by management to develop the service and they expect commitments concerning new grades and pay scales which were made to them to be met. Our members will not accept any deviation from the reality that it is management’s function to secure the necessary funding to deliver the agreed vision for the service. This includes any payments arising to staff as part of their overall restructuring plan.”

He added: “SIPTU is of the view that the business case for the implementation of this report is outside the terms of the Building Momentum Public Service Agreement. We do not accept the premise that delivery of the service level aspects of the plan are permitted yet the commitments to staff in return are deemed to be a cost increasing claim. It is the function of management to secure the necessary funding to deliver the commitments it has made.”

The ballot for strike action will conclude on Thursday 4th May 2023.

SIPTU calls for investment in healthcare workers on World Health Day

To mark World Health Day (7th April), the SIPTU Health Division has called for more investment in the working conditions of all healthcare workers to be prioritised. Union members are seeking to end the unfair system in which support workers in the public health service receive less financial supports than other healthcare colleagues when they are the victim of an assault in the workplace. SIPTU members are also seeking a replacement scheme to financially assist those are suffering with the impact of Long Covid and fair pay for workers in Section 39 agencies.

SIPTU’s Health Divisional Organiser, Kevin Figgis, said: “World Health Day is an opportune time for us to reflect on the role that all healthcare workers play in the provision of health services in the State and to consider how they might be appropriately remunerated for the essential services they provide.

“SIPTU has been leading the campaign to end the unjust system in which healthcare workers who are employed as support workers do not receive the same level of financial support as their other healthcare colleagues if they are assaulted in the workplace. This policy has no place in a modern healthcare system which should respect the contribution and work of all healthcare workers equally.

“SIPTU and our colleague health unions are also still awaiting an engagement at the Workplace Relations Commission (WRC) regarding our claim for a replacement scheme to assist healthcare workers who are suffering with the impact of Long Covid. Healthcare workers, who stood on the frontline of the pandemic on behalf of the public, deserve assistance when dealing with the chronic impact of Long Covid.

“SIPTU is also actively campaigning for a fair resolution on the matter of pay justice for Section 39 workers. It is beyond belief that workers who are providing essential frontline services on behalf of the State are still waiting for this matter be dealt with in a fair and just manner.”

“There is no healthcare system without the workers that provide the services on which we all depend. All workers in the health service matter. Investment in the working conditions of healthcare workers is fundamental to building a decent healthcare system.”

Unions to attend WRC do discuss pay for staff in community and voluntary health and care services

The three unions representing staff working in community and voluntary sector agencies funded by the HSE – SIPTU, Fórsa, and the INMO – have confirmed the unions will attend the Workplace Relations Commission (WRC) on Monday 17th April.

The WRC meeting will mark the commencement of conciliation talks on the long-standing problem of pay terms for staff working in HSE-funded agencies providing health and care services.

While funded by the State, employees in a range of health professional, clinical, clerical and administrative grades are on lesser terms and conditions than their HSE counterparts.

SIPTU divisional organiser Kevin Figgis said: “The health minister acknowledged in the Dáil last October that the Government is the ‘main and often sole funder’ of these organisations, and that its funding affects the ability of agencies to improve pay and conditions. That acknowledgement means these talks must happen, and that a fair and sustainable solution is achieved.”

SIPTU’s divisional organiser Karan O’Loughlin added: “These pay disparities continue to have a detrimental effect on staff recruitment and retention, and ultimately on the capacity of these organisations to deliver services. It’s therefore crucial that we enter discussions with the funding bodies in order to resolve it once and for all,” she said.

Fórsa national secretary Ashley Connolly commented: “Our members across this sector continue to deliver vital services on behalf of the State, and so we welcome the opportunity to enter conciliation talks.

“The unions continue to work together on this issue and remain determined to secure a just and sustainable solution to the pay disparities for specialist staff in this sector,” she said.

The INMO’s director of industrial relations Albert Murphy said: “We welcomed the news last week that the Department of Children, Equality, Disability, Integration and Youth, and the Department of Health, confirmed they would attend the Workplace Relations Commission (WRC) along with the HSE, in future conciliation talks.

“It provided some badly needed progress. Unions have a shared and very clear idea of the scale of the problem. We remain determined to engage on the basis of making sure these agencies are sustainably funded and that the drift on pay and conditions is finally reversed after almost 15 years,” he said.

Until 2008, workers in these agencies received pay increases under national wage agreements. At the onset of the financial crisis they were subject to FEMPI pay cuts in line with the same cuts applied to public sector pay.

Limited pay restoration measures were eventually won by unions in 2019 but pay in these agencies remains significantly behind, and no formal mechanism for collective pay bargaining exists for workers in the sector.

Last week the unions confirmed they had served fresh pay claims on a number of employers in the sector.

Fresh pay claims served on employers in community and voluntary health; and care services

The three unions representing staff working in community and voluntary sector agencies funded by the HSE – SIPTU, Fórsa and the INMO – have confirmed that fresh pay claims have been served on a number of employers in the sector.

The fresh pay claims have been served on employers in the context of an ongoing dispute about pay terms in HSE-funded agencies providing health and care services.

While funded by the State, employees in a range of health professional, clinical, clerical and administrative grades are on lesser terms and conditions than their HSE counterparts.

The Minister for Health acknowledged in the Dáil last October that the Government is the ‘main and often sole funder’ of these organisations, and that its funding affects the ability of agencies to improve pay and conditions.

Earlier this week the Department of Children, Equality, Disability, Integration and Youth, and the Department of Health, confirmed they would attend the Workplace Relations Commission (WRC) along with the HSE, in anticipated conciliation talks on the issue.

The departments confirmed their intention to attend at a meeting of the National Joint Council on Tuesday the 28th of March, the main industrial relations forum for the health service, comprised of representatives from management and trade unions.

Until 2008, workers in these agencies received pay increases under national wage agreements. At the onset of the financial crisis they were subject to FEMPI pay cuts in line with the same cuts applied to public sector pay.

Limited pay restoration measures were eventually won by unions in 2019 but pay in these agencies remains significantly behind, and no formal mechanism for collective pay bargaining exists for workers in the sector.

The unions have said they remain available to engage with the departments and the HSE under the auspices of the WRC, and are hopeful of an imminent conciliation meeting.

St. Cronan’s Association staff call for inclusion in pandemic payment scheme

SIPTU members employed as day services staff by the St. Cronan’s Association, which provides support to adults living with intellectual disabilities at four facilities in the Midlands, have called for their inclusion in the Pandemic Special Recognition Payment (PSRP) scheme.

SIPTU Organiser, Liz Cloherty, said: “The HSE engaged the services of a consultancy firm, KOSI Corporation Ltd, to oversee the roll out of the PSRP scheme to staff in non-HSE and Section 38 agencies last year.

“KOSI Ltd has issued guidelines for the payment to these organisations which state that only workers in Section 39 long-term residential facilities are eligible under the scheme. The guidelines omit any mention of payment to staff who provide a day service around the country, including our members who provide care in the St. Cronan’s Association facilities.

“Our members simply cannot understand why they are not being included along with other employees who are in receipt of the PSRP. These same members were recognised as a priority for the Covid vaccination programme. Many of the people they supported were unable to wear protective masks. They provided personal care and could not practice social distancing from their clients including when they transported them for PCR tests or were requested to go into family homes.

“They played their part in protecting vulnerable adults and our health services during the pandemic. We are calling on common sense to prevail and that day service staff be included in the PSRP scheme.”

The St. Cronan’s Association provides day support to adults living with intellectual disabilities and autism at sites in Roscrea and Nenagh in county Tipperary and Birr in county Offaly.

SIPTU calls on Minister for Health to end disparity in payments to assaulted healthcare workers

SIPTU representatives have written to the Minister for Health, Stephen Donnelly, today (Wednesday, 15th March), seeking action by him to address the disparity in payments to public healthcare workers who are victims of serious physical assault in the workplace.

SIPTU Health Division Organiser, Kevin Figgis, said: “SIPTU representatives highlighted the disparity in payments to healthcare workers who are victims of serious physical assault at a meeting of the Joint Oireachtas Committee on Health in February.

“We highlighted the fact that under the HSE Serious Physical Assault Scheme, healthcare support workers are only eligible to receive payments for three months while other grades may receive payments for up to a year, even if they are assaulted in the same incident. SIPTU representatives also provided statistical data that demonstrates that support workers suffer the second highest level of assaults in healthcare workplaces, after nursing staff.

“Our union had to seek the intervention of the Minister for Health on this matter. This follows our lodging of a claim to have equality for support workers under the HSE Serious Physical Assault Scheme in late 2021. While the HSE noted the merits of the claim, we were advised that it would need the sanction of the Department of Health to address our concerns. The matter has remained with the Department of Health since then with no sign of resolution or progress. As such, we have decided to call for action directly from the Minister for Health.”

He added: “There is no justification for support workers being treated any less favourably than their healthcare colleagues when they are dealing with the fallout of an assault in their workplace. We expect the Minister to now take action to resolve this completely unacceptable situation.”