SIPTU radiographers in Galway vote for industrial action

Radiographers in University Hospital Galway and Merlin Park University Hospital have voted overwhelmingly for industrial action up to and including strike action in a dispute over safe staffing levels. The result follows months of frustration over recruitment and retention issues at the two hospital sites which have left SIPTU members facing a significant extra workload amid a 20 percent staffing deficit.

Proposals put forward by SIPTU representatives to address these issues have been rejected by management in recent weeks. Management’s reluctance to consider additional out-of-hours services in particular is at odds with the stated positions of the Minister of Health and HSE CEO. University Hospital Galway is one of the few hospitals and acute stroke centres in Ireland that does not provide an on-site radiographer at out-of-hours times for CT scans.

SIPTU Sector Organiser, John McCamley, said: “There is a growing demand for qualified radiographers across Ireland. As a result, fundamental changes must be made to attract radiographers to Galway. If these are not forthcoming, there will be a full-blown crisis in both hospitals.

“SIPTU representatives are concerned that staffing deficits for radiographers in Galway could cause significant safety issues. We are calling for immediate action to be taken by management to address recruitment and retention.”

SIPTU seeks immediate engagement with HSE regarding recommendations in the CAMHS report

SIPTU representatives have today (Friday 28th July) sought immediate engagement with the Health Service Executive (HSE) over the implementation of the Independent Review of the Provision of Child and Adolescent Mental Health Services (CAMHS) in the State by the Inspector of Mental Health Services.

SIPTU, as one of the largest union representing staff working in mental health services, including psychiatric nurses, healthcare assistants, and support grades, welcomes the report’s recommendations. However, representatives expressed disappointment over the lack of formal engagement with members throughout the stakeholder process.

SIPTU Sector Organiser, John McCamley, said: “Our members were not surprised by the report’s contents given they face each day the daunting task of providing care to vulnerable clients in a system plagued by deficits. We call on the HSE to begin a process of engagement with the relevant stakeholders to resolve these issues as a matter of urgency.”

“The dedication of all CAMHS staff must be recognised. They relentlessly strive to deliver vital services under challenging circumstances, and they would be the first to advocate for a world-class mental health service for young people in this country. They are an invaluable asset to the State, and we must bear this in mind as we confront the outcomes of this report.”

He added: “The report noted a number of ways staffing issues within CAMHS are having a detrimental effect on the delivery of the service. Crucially, the report highlighted the absence of a benchmark for safe staffing levels within child and adolescent mental health services. This must be addressed. The report also acknowledged the prevalence of low staff morale and burnout among healthcare workers in CAMHS; and raised serious concerns that some staff members are compelled to work beyond their contracted hours without additional compensation, all in a bid to provide essential therapeutic interventions, and stop some services from collapsing. This is not right, this is not fair, and ultimately this is not sustainable for staff or their clients.”

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 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 calls for emergency plan to deal with staffing deficits in cancer services

SIPTU representatives have called on the HSE and the Minister of Health, Stephen Donnelly, to develop an emergency plan to deal with the deficits in cancer services resulting from a 30% shortfall in radiation therapists.

SIPTU Sector Organiser, John McCamley, said: “Our members have established that the staffing deficit is causing increasing delays in cancer treatment. There are currently at least four cancer treatment machines that are not in operation around the country due to a lack of qualified radiation therapists.

“These machines could treat around 30 patients a day meaning there may be as much as 120 cases not being dealt with on a daily basis due to staffing deficits. Radiation therapists perform a crucial job, as almost half of people with a cancer diagnosis will require radiation therapy as part of their treatment plan. This treatment is delivered by radiation therapists as part of a multi-disciplinary team. It is the only profession with the legal authority to deliver radiation therapy services which are mainly provided by the HSE in Dublin, Cork and Galway.

“We have successfully argued for the setting up of the Radiation Therapist Review which will hopefully recommend measures to improve recruitment and retention. The union is calling for a short-term emergency plan to bridge the gap between the present situation and when the recommendations of the Radiation Therapist Review are agreed and implemented.”

He added: “The HSE and the Minister for Health need to act decisively to avert a full-blown staffing crisis within cancer services. Our members are calling for special provision to deal with the recruitment and retention issues for radiation therapists due to their crucial role in the delivery of cancer services. They have also requested that sufficient dedicated support staff be placed in radiation therapy departments to help with patient flow and to support radiation therapists so more of their time can be focused on carrying out treatment.”

SIPTU seeks urgent meeting with Minister and HSE on safe staffing levels in CAMHS

SIPTU representatives have written today (Tuesday, 24th January) to the Minister of State for Mental Health and Older People, Mary Butler, and the management of the HSE requesting an urgent meeting to discuss safe staffing levels in Child and Adolescent Mental Health Services (CAMHS).

SIPTU Sector Organiser, John McCamley, said: “We welcome the publication of the Interim Report on the Independent Review of the Provision of Child and Adolescent Mental Health Services (CAMHS) in the State by the Inspector of Mental Health Services and that the HSE has accepted its findings. This interim report indicates that there are issues regarding safe staffing within the service that need to be addressed.

“It notes that there is currently no benchmark in place for the safe staffing of child and adolescent mental health services. The report also noted that low staff morale and burnout are issues and that some staff are working above their contracted hours, for no additional compensation, in order to provide therapeutic interventions.”

He added: “SIPTU representatives have recently raised concerns about staffing in CAMHS, particularly in the Cork Kerry Community Healthcare Organisation. It’s clear that a focus now needs to be placed on establishing a safe staffing level for child and adolescent mental health services. In order to progress this issue we have written to the Minister of State and the HSE to seek an urgent meeting to discuss what must be done.”

SIPTU Nursing and Midwifery Sector Welcomes Government approval of additional supports for Student Nurses and Midwives

SIPTU’s Nursing and Midwifery Sector has today (December 13th 2022) welcomed an announcement from Minister for Health, Stephen Donnelly, that it is his intention to provide additional supports for student nurses and midwives to the value of €9m.

In November 2021, the Minister published the Longer-Term Review of Matters Relating to Student Nurses and Midwives (McHugh Report). The review, carried out by Mr. Seán McHugh, made a number of recommendations that would enhance the pay and conditions of student nurses and midwives. Today, Minister Donnelly announced government approval for funding the following, in line with the recommendations in the McHugh report:

1) An enhanced Travel and Subsistence Scheme for student nurses and midwives in years 1 to 3 of their studies will see each receive €500 per year as a targeted measure to contribute towards meeting the extra costs of meals associated with practice placements outside the student’s core placement site.
2) A new rate of €80 for overnight accommodation is being introduced, along with an increased weekly cap of €300, for those students who require accommodation away from their normal place of residence while attending practice placements. This weekly cap is three times the cap introduced on 1st January 2022, and almost six times the previous cap.
3) Student nurses and midwives can also avail of, on a vouched basis, the reasonable cost of uniform laundry services during periods of overnight accommodation.
4) Pay will be re-instated at 80% of first year staff nurse/midwife pay scale, for internship students.
5) Two additional uniforms for student nurses and midwives at the start of their internship.

Speaking after the announcement, SIPTU Sector Organiser, John McCamley said “The announcement of government approval for funding to implement these elements of the McHugh report is welcomed. It follows a long-fought campaign by our members to address some of the financial hardships faced by student nurses and midwives during their placements; and we are hopeful that it will go some way towards encouraging people into the profession.”

“The Union will now be engaging with the Department of Health to ensure that these measures will be implemented without delay, now funding has been approved.”

SIPTU welcomes the establishment of Chief Health and Social Care Professional role in the Department of Health

SIPTU has welcomed news that the HSE has commenced an expressions of interest process to fill the newly created role of Chief Health and Social Care Professional in the Department of Health.

The news of the new role comes following a campaign by SIPTU for the role’s creation, so that there would be a focus on key issues faced by health and social care professionals (HSPCs) in the service.

The Chief HSCP Officer will report through the Assistant Secretary for Primary Care division. The Person will be initially based in the Strategic Workforce Planning Unit of the Department to support specialist policy development as a priority under the Sláintecare programme.
Some of the key functions of the Office will be to develop a Health and Social Care workforce planning strategy action plan; and to support the role of HSCPs to the maximum extent possible.

SIPTU Sector Organiser, John McCamley, said “Following engagement with relevant parties about this role over several years, we are welcoming the creation of the Chief Health and Social Care Professional. The input of health and social care professionals in the state funded health and social services is significant and requires specific policy input to support development of the professions in the context of Sláintecare.”

First meeting of National Radiation Therapist Review Group takes place

SIPTU have welcomed the first meeting of the National Radiation Therapist Review Group which took place today, December 1st.

This first meeting takes place at a crucial time for cancer treatment services. Radiation therapy is used in the treatment of around half of all cancer cases. This treatment is delivered by radiation therapists who, as part of a multi-disciplinary team, have the legal authority to carry out this role. SIPTU has continuously raised the crisis that exists in the recruitment and retention of radiation therapists; and the knock-on effect it is having in delayed treatment for patients. Currently there is approximately a 15% shortage of Radiation Therapists nationally.

Following the meeting Sector Organiser, John McCamley, said “The National Radiation Therapist Review Group will investigate and make recommendations on a range of matters which could alleviate the recruitment and retention crisis among radiation therapists. This will involve exploring areas around safe staffing, career progression, advanced practice, managerial structures and role development for the radiation therapist.”

It is hoped that the Review will contribute to the continued professionalisation of the service to the benefit of staff and patients.