06/12/2023 Comments are off SIPTU Health Admin
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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.

10/11/2023 Comments are off SIPTU Health Admin
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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.”

13/10/2023 Comments are off SIPTU Health Admin
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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.”

15/03/2023 Comments are off SIPTU Health Admin
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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.”

26/01/2023 Comments are off SIPTU Health Admin
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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

06/01/2023 Comments are off SIPTU Health Admin
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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.

04/01/2023 Comments are off SIPTU Health Admin
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SIPTU to meet with HSE to discuss difficulties faced by the acute sector

SIPTU and ICTU Health unions are to meet the HSE later this week to discuss the upsurge in activity faced by the acute sector. It follows a a meeting which took place on December 30th to discuss the situation.

At that meeting, management advised of the following:

• Different issues and pressures are presenting on sites across the country.
• The current challenge is not only prevalent to emergency departments and is being experienced across all areas of the acute system.
• There is significant absence of healthcare workers being recorded due to illness.
• The current level of activity within the acute system has not been experienced since the beginning of the pandemic in early 2020.
• The level of flu symptoms presenting have not spiked and are continuing to climb. This is causing a significant level of concern.
• The meeting was told members of the National Crisis Management Team (NCMT) are visiting all acute sites across the country. This is an ongoing situation.
• NCMT is engaging with all sites and advising them to use whatever means are deemed necessary to address the upsurge.
• Solutions are being identified locally as they will be different depending on the challenges arising.
• Management stated they have been planning for winter 2022/2023 for a considerable period but the current patterns are presenting a sudden surge with no ending in sight.
• Discharges are being prioritised.
• This is an exceptional influenza season. Due to post covid, flu was very low in the last two years. The season normally peaks at week 4. This is now week 7 and is still climbing.
• Cases of RSV (in children of 5 years and younger) appear to be falling.
• No new COVID variant has been identified.

In response, SIPTU requested the following:

1) A composite document from the HSE which outlines all the challenges presenting across the country, the local solutions identified to address them and confirmation they will be supported with necessary funding. The HSE stated they would seek to have a document prepared for the unions and this would be shared at the next meeting.
2) Confirmation from the HSE of what protections and supports they will put in place for healthcare workers themselves who are striving to provide care to their patients in this extremely difficult period. The HSE stated this would be considered and they would seek to respond next week.
3) Clarification regarding the use of additional capacity within private hospitals. We were advised additional capacity within private hospitals has been secured across the country. Th Union understands this includes additional capacity within the private hospitals we organise within. The meeting was advised the specific use of additional capacity within private hospitals will depend on what is available and the local needs arising. The exact arrangements will be agreed at local level.
4) Clarification if additional capacity is being utilised by the National Ambulance Service (NAS). The meeting was advised NAS already has arrangements for the use of private or voluntary ambulance services. SIPTU requested specific information relating to what additional capacity is currently being used by the NAS to address the upsurge in activity. The Union was advised this would be sought from the NAS and presented at a further meeting.
5) Management stated additional capacity within diagnostics is a central element of the plan to address the current challenge arising. SIPTU requested clarification of what specific provisions are being made available for additional diagnostics capacity.

SIPTU will endeavour to keep members updated on the outcome of the next meeting.

24/11/2022 Comments are off SIPTU Health Admin
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INMO and SIPTU prepare for industrial action over Clifden District Hospital Failures

Members of SIPTU and INMO are preparing to ballot for industrial action due to the failure of the HSE in St. Anne’s CNU and Clifden District Hospital, Clifden, Co. Galway to engage with the trade unions under the auspices of the Workplace Relations Commission, following the unilateral imposition of rosters and failure to be transparent in the future of Clifden District Hospital.

Conciliation talks under the auspices of the WRC failed to progress due to management’s refusal to comply with the provisions of the Public Service Agreement as it pertains to roster changes and service reconfiguration of the service delivered from Clifden District Hospital.
It is the belief of our members that management have orchestrated a situation whereby there is critical shortage of nurses leading to an inability to maintain services on both sites. The blatant lack of workforce planning has resulted in this situation occurring.

Management proceeded to unilaterally impose rosters and have failed to provide any cogent information regarding the future of Clifden District Hospital.

Staff and the community are very concerned regarding the future of Clifden District Hospital.

07/09/2022 Comments are off SIPTU Health Admin
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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.

20/07/2022 Comments are off SIPTU Health Admin
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SIPTU seeks improved scheme to assist healthcare workers impacted by effects of Covid 19

SIPTU, and fellow health unions, are continuing to argue for a replacement scheme to Special Leave with Pay that better protects healthcare workers whose health has been impacted by Covid 19.

Following the decision to restrict the Special Leave with Pay scheme from the 30th of June 2022 to only include Government recommended isolation periods, SIPTU has sought to negotiate a new scheme for healthcare workers who cannot attend work due to a confirmed COVID infection. To date, the HSE and Department of Health has refused to negotiate on a new scheme but instead sought to impose a temporary replacement scheme on the health service.

It is understood that the terms of the replacement scheme have been issued within the HSE. There are several concerns regarding the replacement scheme, including the fact that it only covers a period of 12 months up to the 30th of June 2023 and that it will only cover healthcare workers in certain settings.

SIPTU has raised the fact that Long COVID has been confirmed as an Occupational Disease by the EU Advisory Body on Safety and Health at Work. The Union has also raised a recent case in Scotland in which Long COVID was confirmed as a disability for the purposes of the Equality Act 2010 by the Scottish Employment Tribunal.

SIPTU has argued the need for this dispute to be referred to the Workplace Relations Commission. The HSE and Department of Health are resisting those efforts. They have stated they will publish the circular to allow those covered by it to get the new payments, instead of sick leave, as soon as possible. SIPTU has advised the employers they are doing so without agreement as the Union claim remains to secure a new scheme fitting of all healthcare workers who require it.

SIPTU Health Divisional Organiser, Kevin Figgis, said “SIPTU’s priority is ensuring that any replacement scheme to Special Leave with Pay will take account of the risks posed by Covid 19 to healthcare workers performing their duties. Health unions have sought to negotiate a new scheme for healthcare workers who cannot attend work due to a confirmed COVID infection. It is our view that the appropriate forum in which to have these discussions is at the Workplace Relations Commission. Unfortunately, the HSE and Department of Health has delayed engaging with us in such a forum. It is important to note that the withdrawal of Special Leave with Pay, and its replacement by an inferior scheme, has taken place at a time in which the World Health Organization’s European office has warned of a “challenging” autumn and winter due to a rise in Covid-19 cases in the region.”

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