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.

SIPTU NEC recommends acceptance of proposals for new Public Service Agreement

The National Executive Council (NEC) of SIPTU met today (Thursday 31st January) to consider the Workplace Relations Commission (WRC) proposals for a new ‘Public Service Agreement 2024 – 2026’.

SIPTU representatives, along with colleagues in the Public Services Committee of the ICTU, have been in discussions over the last few months with the Department of Public Expenditure, NDP and Reform for a new Public Service Agreement. Following a period of intense engagement over the 25th and 26th January, a set of proposals were negotiated that will provide long lasting pay benefits to our members that are structured in a way that will assist them in dealing with the cost of living and inflationary crisis.

The proposals also provide for mechanisms to normalise industrial relations in the public service, a bargaining mechanism to allow workers deal with their grade related issues and, significantly, include procedures that protect our members against unilateral outsourcing.

The NEC, having considered the details of the proposals, decided that they should be put to a ballot of SIPTU members in the Public Service and Section 38 Agencies with a recommendation for acceptance.

The pay proposals secured by SIPTU and the other unions in these negotiations are crucially structured in a manner that is consistent with the outcome of previous agreements which prioritise the position of lower and middle-income earners.

If these proposals are accepted, SIPTU members will be covered by the provisions of this Public Service Agreement until the end of June, 2026.

Accordingly, the SIPTU National Executive Council recommends acceptance of these proposals which will be put to a vote of all our members in the public service in a secret ballot to be held over the period Monday, 12th February to Wednesday, 20th March, 2024.

Workers’ voice must be part of mental health services discussion, SIPTU says

SIPTU, the union representing a broad range of mental health workers, has criticised the Department of Health and the Minister for Mental Health and Older People, Mary Butler TD, for excluding workers from discussions on the delivery of services.

The criticism comes as the Government outlines its plans for mental health services at a conference entitled ‘Sharing the Vision: Our National Mental Health Policy’ in Dublin Castle today (Tuesday, January 16th).

John McCamley, SIPTU Sector Organiser, said: “It is astonishing that the voice of workers is not part of the discussion on the delivery of mental health services and the implementation of the ‘Sharing the Vision’ policy.

“Our members are at the coalface when it comes to delivering these services. They are a key stakeholder and their insights are indispensable to these discussions.

“Our union has highlighted significant challenges facing the mental health service, including staffing levels in the Child and Adolescent Mental Health Service (CAMHS). It is a shame that the experience of our members has not been called upon to ensure the delivery of a safe, efficient service for those that depend on it.”

Health and community workers back WRC pay proposals

The three unions representing workers employed community and voluntary sector agencies, SIPTU, Fórsa and the INMO, have confirmed that members of all three unions have given strong backing to a set of proposals, brokered last month during talks at the Workplace Relations Commission (WRC), for an interim agreement on pay for workers in Section 39, 56 and 10 organisations.

The ICTU-led coalition of unions will now request that the WRC reconvene the parties. The WRC proposals led to the suspension of planned indefinite strike action, which had been due to commence in 17 employments across the country in October.

The proposals include pay increases backdated to April 2023, along with commitments to address the funding issues in the sector, providing for the parties to reconvene under the auspices of the WRC no later than 1st December next. The purpose of this engagement will be to agree further adjustments in funding for organisations and their staff that will have regard to the terms of the Building Momentum public service pay agreement and the terms of any successor public pay agreement.

The proposals backed by the unions provide for the following pay adjustments:
• An Increase of 3% from 1st April 2023 (backdated)
• An Increase of 2% from 1st November 2023
• An Increase of 3% from 1st March 2024
The dispute followed years of pay disparity between workers in Section 39 (health and disability services) Section 56 (services to children), Section 10 (homeless services), in community services and their counterparts employed directly by the state.

Because of that pay gap, union research has shown that workers are leaving their jobs – in large numbers – to take better-paid employment elsewhere. The turnover of staff in the sector is around 30% per year. The staffing crisis is adding to recruitment costs and longer waiting lists.

SIPTU acknowledges invitation to public sector pay talks

SIPTU has acknowledged the invitation by Minister for Public Expenditure, National Development Plan Delivery and Reform, Paschal Donohoe, to enter negotiations with the Government on the potential for a new public service pay agreement under the auspices of the Workplace Relations Commission (WRC).

The union has said that the officers of the Public Services Committee of the Irish Congress of Trade Unions (ICTU) would meet within the next 24 hours to discuss the terms of the invitation.

John King, SIPTU Deputy General Secretary, said: “We have received the Minister’s invitation, and the Public Services Committee officers will meet within the next day to give consideration to his request.

“The officers will have to be satisfied that the invitation to talks provides a basis upon which an agreement could possibly be reached.”

The current public sector pay deal, Building Momentum, is due to expire at the end of the year. At SIPTU’s Biennial Delegate Conference (BDC) in Galway today, King laid out the union’s key priorities for any future talks based on a consultation of SIPTU members.

“Our members value their Public Service Agreement,” King said, “they want to be covered by a collective agreement, but not at any price.

“They want a return to normalised industrial relations across the public service and pay increases which ensure that the value of their pay is not eroded by inflation.

He also said that members would want to maintain the protective clauses in the Public Service Agreement against any form of outsourcing and secure clauses around service delivery which “grow and develop public service jobs and employment opportunities.”

In addition, King said, SIPTU members would want “a process where they can progress their grade-related issues.”

“Over the coming years we will continue to campaign and battle for better and improved public service provision for all our citizens,” King concluded, “delivered by directly employed public sector workers on fair pay that recognises their contribution.”

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 calls on minister to expand radiation therapist places or face major crisis

The Government must urgently expand the number of third-level places in radiation therapy or face a major crisis, SIPTU warned the Minister for Further and Higher Education, Research, Innovation and Science, Simon Harris, this week.

The union, along with Higher Education representatives, met with the Minister to discuss major staffing deficits in radiation therapists across country which has had a knock-on effect on patient waiting times and left vital equipment idle.

John McCamley, SIPTU Sector Organiser, said: “Radiation therapists perform a crucial job. 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 and they are the only profession with the legal authority to deliver radiation therapy. These services are mainly delivered by the HSE in Dublin, Cork and Galway.

“SIPTU has successfully argued for the setting up of the radiation therapist review which will hopefully recommend measures to improve the retention of existing staff. However, there continues to be a shortage of new radiation therapist graduates and, if that continues, we are facing a major crisis.

“This week, we impressed on the Minister the need to expand undergraduate and postgraduate places to increase recruitment of radiation therapists and to offer supports for students during clinical placements. The meeting was positive and constructive. We welcome any assistance the Minister and his department can provide on this matter.”

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 radiographers disappointed at HSE response to Galway hospitals’ staffing crisis

SIPTU radiographers at University Hospital Galway and Merlin Park University Hospital have expressed their disappointment at the response from management at a meeting today (12th October) to discuss staffing levels.

Radiographers earlier this week voted overwhelmingly for industrial action up to and including strike action over short staffing and excessive workloads. The vote followed months of frustration over recruitment and retention issues at the two hospitals which have left SIPTU members facing a significant extra workload amid a 20 per cent staffing deficit.

SIPTU Sector Organiser, John McCamley, said: “This dispute centres around staffing, increased workload, non-payment of wage arrears, out of hours arrangements and non-adherence to national agreements. There is a growing sense that HSE management is not willing to engage meaningfully to resolve this dispute and that the window to find a resolution is closing fast.

“SIPTU members are disappointed that no concrete proposals have come from management to resolve the dispute and are frustrated regarding the additional workload placed on radiographers as a result of inadequate staffing.

“SIPTU representatives are seeking commitments from management that it will address wage arrears as a matter of urgency and deal with patient safety issues in the provision of proper out of hours arrangements. ”

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.”