SIPTU members to protest HSE’s Pay and Numbers Strategy in Cavan, Sligo and Tuam tomorrow

SIPTU and colleague health unions will continue the campaign of opposition to the HSE’s Pay and Numbers Strategy this week.

Following several protests in the last two weeks, SIPTU will hold further lunchtime protests this week. A key issue of concern for SIPTU members is staffing levels, with the HSE’s employment census data demonstrating that many key, front-line roles have not benefitted from record levels of investment in the health service.

SIPTU Sector Organiser, Damian Ginley, said: “Our members are calling on the HSE to withdraw a policy that is blocking the proper staffing of essential services in our health system. This policy is an overreaction to concerns about spending, and it is causing real harm.”

Ginley added: “We want to engage with HSE management about staffing needs when they arise, not face a situation where managers are restricted by a rigid policy, even when there is a clear, demonstrable need for more staff.”

SIPTU escalate campaign in opposition to the HSE’s Pay and Numbers Strategy

SIPTU will escalate the campaign in opposition to the HSE’s Pay and Number Strategy with further protests this week, highlighting member concerns that the policy will have a detrimental impact on services.

The protests come following demonstrations last week.

SIPTU Sector Organiser, Damian Ginley, said; “Our members have real concerns that services are suffering due to a lack of investment in key areas. As a union that represents a multitude of grades within the health service, we are seeing that certain areas are being left behind in terms of adequate staffing.”

“The HSE’s current policy on recruitment does not make sense, he continued. “Health service recruitment should be based on what is right and appropriate to be able to provide a safe service for our communities. That is why we are calling on the HSE to reverse its position with regards to recruitment.”

“We are also seeking a safe staffing framework for all grades and areas of the health service.” Mr Ginley concluded.

Safe Staffing for all

SIPTU members protest the HSE’s Pay and Numbers Strategy

SIPTU members today held a demonstration calling for the HSE to end the recruitment embargo, as allowed for under the its Pay and Numbers Strategy.

The demonstrations took place outside Cork University Hospital and Dr. Steeven’s Hospital in Dublin, the HSE’s headquarters.

It comes after SIPTU addressed the Joint Oireachtas Health Committee on Wednesday morning, highlighting concerns about staffing deficits in care grades, support grades, radiation therapy, diagnostics and the National Ambulance Service.

SIPTU were joined at the demonstration by the INMO and Fórsa.

Protests are set to continue next week in a number of other locations.

New HSE recruitment policy means 2023 vacancies are now lost. Unions demand to know how funding for sanctioned posts was spent.

The ICTU group of healthcare unions representing staff in the HSE has said it remains concerned over the ability of the national health body to staff its services adequately, as the HSE’s latest staffing strategy shows that vacancies up to the end of 2023 have been effectively suppressed.

Unions have also raised questions with the HSE about how, in the absence of filling posts, funding for sanctioned posts was spent. Unions sought a meeting with the HSE following the announcement on Sunday (14th July) that it had lifted its ban on recruitment, which had been in place since October 2023.

In a statement following this morning’s meeting, speaking on behalf of the ICTU group, the INMO’s Albert Murphy said: “We immediately sought this meeting following correspondence from the HSE last week stating that strict controls would be placed on recruitment for the remainder of 2024.

“What has become clear is that there are still a significant number of vacant posts that went unfilled up the end of 2023.
“We were advised this morning that these posts will have to be considered in the context of the headcount for 2024. That is a complicated way of saying that these posts are effectively lost, he said.

Kevin Figgis of SIPTU added: “The question is now, were the posts that went unfilled in 2023 fully funded? And, if they were, where was that money spent?

“We believe the failure to fill these posts will continue to place severe pressure on healthcare workers to provide a safe service. The provision of timely and safe care is now an afterthought,” he said.

Unions have said they will reflect on this morning’s developments and revert back to management later in the week.

Fórsa’s Ashley Connolly added: “The inconsistency in its approach to human resources management doesn’t bode well for an employer, like the HSE, that’s hoping to persuade young workers to take up health service employment rather than leave the country.

“The HSE’s pay and numbers strategy (PNS) for 2024 has effectively guaranteed to loss of thousands of frontline positions. We know from our members that these will be vacancies in community health services, mental health, services to older people and is likely to affect disability services also.

“We remain concerned too for the additional pressure this will have on our members as they continue to try and deliver services in circumstances where vacant posts have been long suspended but now appear to be permanently suppressed,” she said.

Staff our Services and end the HSE Recruitment Freeze – SIPTU

In the public health sector, dedicated healthcare workers strive daily to provide essential care and support to the nation’s citizens. However, the persistent challenge of understaffing, resulting from the HSE’s decision to implement a recruitment freeze until the end of 2023, threatens the very foundation of our healthcare system. It compromises the quality of the service and places an immense strain on those who tirelessly serve the community. It is critical that enough staff are employed in the Irish public health service, not just so we can provide support to healthcare services, but to ensure we are providing the best possible care to those in our society.

SIPTU has met with HSE CEO Bernard Gloster, as part of the Staff Panel of Unions, to discuss the recruitment freeze. The Union side raised concerns about its potential broader impact on the delivery of care. SIPTU noted that the recruitment freeze will impact patient facing roles such as health care assistants, health care support assistants, support staff, paramedics, and diagnostics. The Union side also conveyed a worry that the recruitment freeze will only add to the challenges that will be faced by staff during the winter season – a period when attendances traditionally increase, and staffing numbers are usually impacted by staff illnesses.

The Union side also noted that the freeze will have a direct and negative impact on the delivery of the HSE’s own objectives and expansion of services. Despite the above points being raised by Unions, the HSE’s position has not changed with regards to the recruitment freeze, to date.

Healthcare is undeniably a human-centric profession, dependent on the dedication and expertise of its workforce. The impact of understaffing is felt acutely by our members on the frontlines. Working extended hours, battling fatigue, and managing overwhelming caseloads, these individuals are the backbone of our healthcare system, and their well-being is intrinsically linked to the quality of care they can provide.

The correlation between staffing levels of all grades within the health service; and the quality of patient care cannot be overstated. Adequate staffing ensures that those working in healthcare can devote sufficient time to each patient, fostering better communication, comprehensive assessments, and personalised treatment plans. By investing in the adequate staffing, the HSE can not only prioritise the health and well-being of patients but also uphold the integrity of our healthcare system.
The toll of understaffing on healthcare workers is profound, both personally and professionally. Long working hours, high-stress environments, and an overwhelming sense of responsibility can lead to burnout and negatively impact mental health. A workforce that feels supported, with manageable workloads and adequate staffing, is better equipped to deliver the high standard of care that the Irish public deserves. Moreover, a satisfied and fulfilled workforce is more likely to stay within the profession, contributing to the stability and continuity of our healthcare system.

The HSE must staff our services; and end the recruitment freeze. A commitment to hiring enough staff is a commitment to the health and well-being of our healthcare workers and our communities.

Press Statement on behalf of the Staff Panel group of unions of the National Joint Council RE Extension of Recruitment Freeze

The Staff Panel group of unions of the National Joint Council in the Irish Health Service was this morning (Friday) informed of the intention of HSE CEO Mr Bernard Gloster to announce the recruitment embargo on all appointments of staff in the HSE to be extended until the 31st of December 2023.

This follows the extension announced earlier this year for clerical and support grades in the Irish health system. The recruitment embargo will now apply across all grades with the exception of 2023 graduate nurses and consultants.

The Staff Panel group of unions have stated they were not consulted on this extension of the embargo, and that this is in breach of the requirement for proper consultation with the unions in relation to such matters.

The Staff Panel also stated that the effect of this embargo and the freezing of appointments will be to encourage healthcare staff to seek employment abroad.

The group of unions has today requested an urgent meeting with the HSE but state that the HSE has declined to meet with them on this matter. The unions will be consulting with their respective executive councils and members on their response to this announcement.

Kevin Figgis, SIPTU Health Division said
“This decision will cripple departments as they struggle to prepare for the busy winter period. Our members are already carrying deficits due to existing vacancies and to have recruitment come to a sudden stop, without any notice, will render many services unable to meet the growing demand for service over the coming weeks.”

Speaking on this announcement INMO Director of Industrial Relations Albert Murphy said
“This is playing into the hands of other countries such as the UK and Australia who will be only too delighted to offer full time permanent secure jobs to nurses and other healthcare professionals”

Anthony Owens, from the IMO said
“Medical teams all over the country are short staffed and the recruitment freeze on doctors and other healthcare staff will significantly and negatively impact on patient care. We are seriously concerned that this proposal will lead to worsening conditions for patients and doctors which is all the more disastrous as we head into Winter.”

Ashley Connolly, National Secretary, Fórsa said:

“The HSE’s decision to cap all recruitment will have a considerable impact on health service delivery as we enter the winter, a time when more pressure is placed on our health services. In addition, the additional uncertainty will leave Fórsa members considering their futures within the health service.”

Terry Casey, of the MLSA, stated
“This decision will compound the recruitment and retention crisis in laboratories and will severely impact the ability of medical scientists and all healthcare staff to deliver the health services that Irish patients need. At a time when there is global shortage of healthcare staff, the HSE should be striving to be an employer of choice rather than withdrawing offers of employment.”

SIPTU seeks “urgent” meeting with HSE over recruitment freeze

SIPTU Health Division has called for an urgent meeting with the Health Service Executive (HSE) and Department of Health following the decision to implement a recruitment freeze on many grades represented by the union within the health service.

The freeze was revealed in a HSE memo, released today, which confirmed that grades such as Health Care Assistants, Healthcare Support Assistants (or Home Helps), porters, catering assistants, chefs, security personnel and others will all be affected by the decision.

The union said that such a freeze would also affect agency staff, who have traditionally been used to fill vacant posts, maternity leave or long-term sick leave within the healthcare workforce.

Kevin Figgis, SIPTU Divisional Organiser, said: “The decision to implement a recruitment freeze on many of the grades represented by our union has come as a great shock to our members. Many of the grades affected are patient-facing and there will be an inevitable knock-on effect on services.

“What is most alarming about this decision is that we are fast approaching the difficult winter period. Services already struggle to contain the pressures which invariably arise. Our members will now face an impossible situation if a recruitment freeze prohibits the refilling of a vacant patient-facing post within the acute setting or community healthcare.”

Damian Ginley, SIPTU Sector Organiser, said: “Our members provide direct care to patients in hospital or through the community in services such as Healthcare Support Assistants. Their patients and service users are some of the most vulnerable people in society and also some of the most in need of support.

“The HSE has recently stated its wish to extend service provision across the weekend. The decision today will stop any of those plans in their tracks as existing staff are under enough pressure as it is.”

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.”

Campaign Update – Valuing Care Valuing Community

Dear Member,

We write to you with an important update regarding the Valuing Care Valuing Community Campaign.

The story so far:
Members will be aware of the history regarding the campaign for pay justice in the Section 39, Community and Voluntary sectors.

Most recently, in July of last year workers in a number of community organisations engaged in strike action in pursuit of decent pay within their sector. This was followed by further action in September 2022 in which thirteen Section 39 agencies and community organisations took part in a day of strike action in pursuit of pay justice.

The actions were deemed to be a success. A number of high-profile public representatives publicly endorsed the campaign and called for a mechanism for addressing pay within the sector. In October, there was support across the Dáil for a Labour Party motion which called for support for the Valuing Care, Valuing Community Campaign. At the time Minister for Health, Stephen Donnelly, and Minister of State at the Department of Children, Equality, Disability, Integration and Youth, Anne Rabbitte spoke in support of a process, under the auspices of the Workplace Relations Commission, to address the long-standing pay issue within these organisations.

SIPTU supported the call for the use of the WRC and referred the matter for conciliation in October 2022. The Union maintained pressure on all parties to attend the WRC and honour the government’s commitment to resolve this long standing pay dispute through talks. The Union confirmed to employers our members’ willingness to take further action in progression of their claim, if necessary.

Campaign Update:
There was initial resistance by relevant government agencies and departments to attend. However, only this week it was confirmed by the HSE that it would attend talks, bringing us one step closer to resolving the dispute. The Department of Social Protection has confirmed its availability to attend the WRC and an engagement is scheduled for next week.

It is important to note that the relevant parties only agreed to attend the WRC when they realised that our members, with the support of their Union, SIPTU, would accept nothing less than their fight for pay justice to be treated as anything other than a priority.

We understand that a date for talks will be issued shortly and we will endeavour to keep our members updated with regards to any developments on the campaign.

SIPTU will revert to its members in Section 39, Community and Voluntary organisations on possible next steps, if sufficient and timely progress is not made on this claim.

It is important that you speak to your colleagues about the value of being in the Union and join SIPTU as we progress the matter of pay justice in your sector.

In solidarity,

Kevin Figgis
Divisional Organiser
Health Division

Adrian Kane
Divisional Organiser
PAC Division

Update: Health Service Upsurge in Activity January 2023

SIPTU met with HSE Management this week to further discuss the situation regarding the increase in activity in the country’s acute hospitals. Below is a summary of that meeting.

The HSE provided the following update to the meeting:

• Attendance at ED is considerably higher than the same timeframe in 2022. (10,500 additional presentations)
• Highest ever recorded attendance of 75+ years patients.
• Influenza cases continue to rise
• RSV cases are evidencing a decrease
• COVID cases are steady

• The HSE acknowledged the work being undertaken by staff in all grades of the health service during this difficult period.
• The meeting was advised the National Crisis Management Team is meeting every week and local reviews are ongoing daily.
• The HSE accepted additional capacity is required in the private sector & community care.
• They advised they are engaging on a national agreement with private hospital representatives, but this has not been concluded. They stated funding has been made available.
• The meeting was informed of transfers being undertaken of medical patients to private healthcare.
• Site visits are ongoing across the country.
• They are seeking to increase resourcing over 24hrs and weekend service is being looked at.

In response, SIPTU and fellow health unions outlined the following:

• We stated it was unacceptable that many sites had failed to have any local engagement with union representatives on proposed changes to service provision.
• We advised we could not accept forced outcomes which sought to dismantle existing terms and conditions of employment of our members.
• Any proposal should come from local consultation and agreement with our membership & their representatives.
• We had sought a document from the HSE outlining the challenges and the perceived solutions. This was still awaited.
• We sought clarity what supports would be put in place for healthcare workers during this crisis, both those in work and those who have taken ill due to a workplace sourced infection.
• We asked for clarity on the arrangement with the private sector. What level of additional bed capacity, and where, is expected to come from that agreement? What level of additional support has been sought for the National Ambulance Service and diagnostic services?

The HSE confirmed:

• They are seeking to develop a document which will be shared with the unions.
• A management meeting was happening this evening to respond to the union call for supports for healthcare workers during this crisis. Further clarification would issue on this shortly we were advised.
• There would be no ‘ripping up’ of existing agreements with unions. Any proposal would have to recognise existing agreements. Local dialogue was key and would be supported at national level by the HSE.
• Agreement with private sector is not finalised. Local sites are required to identify what they need.
• Management accepted demands could not be made of staff. While a request may be made, subject to the agreed terms, acceptance would be on a voluntary basis only.
• Management also accepted any proposal for change to provide weekend cover could not simply be achieved by moving existing 5 day staff across a 7 day pattern.
• Management stated they had not received a request internally for additional capacity from the private sector for diagnostics.

The meeting adjourned and management agreed to revert on several key points asap. This includes:

• Provision of a composite document
• Clarity on the supports which will be provided to staff during this phase.

A further meeting was proposed for early next week. The date and time for this meeting is to be confirmed.