SIPTU says action on workers’ pay and conditions needed due to recruitment crisis in care sector

SIPTU representatives have called on the Government to honour a commitment to raise the Minimum Annual Remuneration thresholds required to obtain an employment permit for Health Care Assistants (HCAs) and Home Support Workers or face a worsening crisis in these services.

SIPTU Sector Organiser, Sharon Cregan, said: “Stakeholders are currently making submissions as part of the ongoing review of work permit structures in Ireland. In the SIPTU submission to the Department of Enterprise, Trade and Employment, we highlight the importance of the Government proceeding with the implementation of increases to Minimum Annual Remuneration thresholds for migrant HCAs and Home Support workers. These increases would see the Minimum Annual Remuneration for Health Care Assistants and Home Support Workers rise from €27,000 per annum to €30,000 per annum.

“However, this policy initiative alone will not address the recruitment crisis for HCAs and Home Support Workers in the Irish health service. The huge disparity of earnings between those employed in the public sector when compared to those working in private and voluntary settings is resulting in staff draining out of these services into those directly run by the State.”

She added: “SIPTU Health Division has consistently called on the Government to act to ensure decent rates of pay and better conditions for those employed in the private and voluntary sector in order to stem the flow of workers out of these services. This can be done by putting in place an effective collective bargaining mechanism so these workers can come together to seek improvements. How such a change could be achieved is at the core of our submission to the Department of Enterprise, Trade and Employment.”

Union representatives are also seeking negotiations with the Department of Enterprise, Trade and Employment on the future of care work in Ireland. At these Union representatives would seek to ensure transparency in pay and conditions in the Sector as well as equality of treatment for all workers.

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.