Report shows major pay gap between Health Care Assistants in public and private employment

A new report from the European Federation of Public Service Unions (EPSU) has revealed a significant pay gap between the earnings of Health Care Assistants (HCAs) in the public and private sectors in some European countries, including Ireland.

The Report, Wage Watch: A Comparative Study of Health Care Assistant and Nurse Wages Across Europe, drew from the expertise of affiliate trade unions from fifteen European countries. As the Union of Health Care Assistants in Ireland, SIPTU contributed to the study. When all payments are factored in, the Report found a 30% wage gap between HCAs employed in public and private settings in Ireland.

SIPTU Sector Organiser, Sharon Cregan, said: “The EPSU report vindicates what SIPTU has been saying for years. There is a big disparity in pay between public and private healthcare for HCAs. The Report seems to indicate that it is not just an issue in Ireland.

“Current starting pay for a HCA commencing employment in the public service is €16.92 per hour and this rises to €21.39 per hour when they reach the top of their incremental pay scale. In theory, a HCA in the private sector could earn as little as minimum wage which is currently set at €12.70 per hour.

“Private healthcare employments are often hostile to trade unions, resulting in workers within such employments having no access to collective bargaining. Without collective bargaining, they lack effective means of securing decent pay rates and enhanced terms and conditions of employment.”

Cregan added: “SIPTU has continuously called for a collective means of addressing pay in the private nursing home and home care sectors. We are also calling for HCAs in all settings and employments to be recognised and adequately remunerated for the essential role they play within the healthcare system.”

HCAs in the public service have seen their annualised salary increase by approximately 24% between 2016 and 2023. They are due further pay increases on annualised salary under the current Public Service Pay Agreement of more than a cumulative 5% up to June 2026.

You can access more information on the report here.

SIPTU supports Seanad motion on equality for healthcare staff assaulted at work

The SIPTU Health Division has called on all parties to back a motion that will be tabled in Seanad Éireann this evening (Wednesday, 22nd February) which calls on supports for healthcare staff, who suffer an assault in the workplace, to be based on equality of access and not the grade of the worker involved.

SIPTU Health Division Organiser, Kevin Figgis, said: “This motion, which is being tabled by the Labour Party, calls on the government to address the issue of inequality in the treatment of healthcare workers assaulted in the workplace which was highlighted in a SIPTU submission to the Joint Oireachtas Health Committee on 8th February.

“At the Joint Oireachtas Health Committee, we highlighted the fact that healthcare workers employed as support staff within the public health service only receive 25% of the benefits that their colleagues in other grades in the event of an assault at work.

“At the hearing, SIPTU highlighted that, after their nursing colleagues, support grade staff endure the second-highest level of assaults in the workplace, according to HSE data. We also raised the fact that, according to the HSE data, 41% of support staff assaulted at work are still unfit to return after three months by which time they have exhausted their entitlements under the HSE Serious Physical Assault Scheme.

“They are then, predominately, moving to ordinary sick pay, while their colleagues employed in other grades are continuing to receive payments under the HSE Serious Physical Assault Scheme. This policy is outdated and we support the call in the motion to end this disparity.”

He added: “In addition, the motion also calls on the Government to conduct a review of all relevant protocols to ensure procedures, staffing levels and training are appropriate to minimise the risk of injury from an assault to a healthcare worker. It also calls for the development of a public awareness campaign which highlights some of the examples of assaults on healthcare workers. Both these measures were included in the SIPTU submission to the Joint Oireachtas Health Committee earlier this month.”

SIPTU to raise disparity in support for assaulted health workers at Oireachtas Committee

SIPTU representatives will raise the disparity in supports for assaulted health sector staff at a meeting of the Joint Oireachtas Committee on Health, tomorrow (Wednesday, 8th February). The Committee is meeting to discuss the safety and welfare of workers in the public health service.

SIPTU Health Division Organiser, Kevin Figgis, said: “Our union welcomes the opportunity to address the Joint Oireachtas Committee on Health so we can highlight some of the concerns of our members regarding their safety and welfare at work. We also want to use the opportunity to present some tangible solutions in this area.

“A key concern for our members is the disparity in financial supports available to healthcare workers based on their role within the public health service. Figures provided by the HSE demonstrate that all healthcare workers face a real threat of physical assault in the workplace. They also show that support staff, which includes healthcare assistants, porters, catering, cleaning and security staff, are the second biggest category impacted by serious physical assaults in the workplace after nurses.

“However, support staff only receive 25% of the financial supports afforded to allied health professionals, clerical officers and nursing staff, even if they are all assaulted in the same incident.

“No worker should have to face the threat of assault in the workplace. If an unfortunate incident does occur, it must be ensured that all policies designed to support workers should be based on equality of access and not grade.”

He added: “SIPTU will also raise the need to give financial assistance to healthcare workers who are diagnosed with Covid-19 or affected by Long Covid. While there was such a scheme in place for public service healthcare workers, it was withdrawn in July 2022.

“A temporary scheme is in place, but we have been advised that this will cease in July 2023. This is despite the fact that the EU Advisory Committee for Safety and Health at Work has confirmed the need to recognise Covid-19 as an occupational disease.”

“In addition, SIPTU representatives will raise the need for safe staffing levels, based on need, across all departments and concerns our members have expressed in relation to the HSE Dignity at Work policy.”

SIPTU’s Health Division Supports Healthcare Workers and Grief Campaign

SIPTU’s Health Division is supporting a HSE and Irish Hospice Foundation campaign aimed at supporting all healthcare workers experiencing grief, bereavement, and loss.

The COVID-19 pandemic caused a new and difficult experience for many healthcare workers who may have been exposed to more death, illness, and distress than usual in the workplace. The campaign notes that healthcare workers are an important consideration for bereavement supports as numerous facets of their work, such as exposure to deaths of patients and colleagues, can make them vulnerable to cumulative grief. It also acknowledges that prolonged exposure to loss can lead to physical and psychological burnout.

Research suggests that a supportive and understanding workplace environment can help those dealing with bereavement in the workplace. This campaign is also encouraging senior managers to be particularly aware of the impact of grief on employees and how they can support their staff with personal and professional grief.

The HSE has published guidance on dealing with grief as a healthcare worker which is available here. They have also published videos in a range of languages which are available online.

HSE workers are reminded that the HSE Employee Assistance Programme (EAP) is available on 0818 327 327 if they need to speak to someone who can help. This is a free and confidential service.

Healthcare workers outside of the HSE can use their own EAP service, if available, or call the IHF Bereavement Support Line on 1800 80 70 77 (Monday to Friday, from 10am to 1pm) for support.