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 members in the National Ambulance Service begin ballot for strike action

SIPTU members in the National Ambulance Service (NAS) have begun a ballot for strike action in a dispute regarding the failure of the HSE to fully implement a series of reforms which would benefit this vital public service.

The series of proposed reforms are contained in the Roles and Responsibilities Report for NAS, which was commissioned by NAS management, SIPTU and the HSE. It’s recommendations include the introduction of new grades of staff, new job descriptions and the upskilling of existing staff.

SIPTU Sector Organiser, Ted Kenny, said: “This report provides for a proposed new structure for the service, which includes revised pay scales for our members. Following months of intensive, local engagement on this issue with NAS management our representatives are deeply concerned that it is yet to be implemented.

“Our members have fully co-operated with the plan drawn up by management to develop the service and they expect commitments concerning new grades and pay scales which were made to them to be met. Our members will not accept any deviation from the reality that it is management’s function to secure the necessary funding to deliver the agreed vision for the service. This includes any payments arising to staff as part of their overall restructuring plan.”

He added: “SIPTU is of the view that the business case for the implementation of this report is outside the terms of the Building Momentum Public Service Agreement. We do not accept the premise that delivery of the service level aspects of the plan are permitted yet the commitments to staff in return are deemed to be a cost increasing claim. It is the function of management to secure the necessary funding to deliver the commitments it has made.”

The ballot for strike action will conclude on Thursday 4th May 2023.

SIPTU calls for investment in healthcare workers on World Health Day

To mark World Health Day (7th April), the SIPTU Health Division has called for more investment in the working conditions of all healthcare workers to be prioritised. Union members are seeking to end the unfair system in which support workers in the public health service receive less financial supports than other healthcare colleagues when they are the victim of an assault in the workplace. SIPTU members are also seeking a replacement scheme to financially assist those are suffering with the impact of Long Covid and fair pay for workers in Section 39 agencies.

SIPTU’s Health Divisional Organiser, Kevin Figgis, said: “World Health Day is an opportune time for us to reflect on the role that all healthcare workers play in the provision of health services in the State and to consider how they might be appropriately remunerated for the essential services they provide.

“SIPTU has been leading the campaign to end the unjust system in which healthcare workers who are employed as support workers do not receive the same level of financial support as their other healthcare colleagues if they are assaulted in the workplace. This policy has no place in a modern healthcare system which should respect the contribution and work of all healthcare workers equally.

“SIPTU and our colleague health unions are also still awaiting an engagement at the Workplace Relations Commission (WRC) regarding our claim for a replacement scheme to assist healthcare workers who are suffering with the impact of Long Covid. Healthcare workers, who stood on the frontline of the pandemic on behalf of the public, deserve assistance when dealing with the chronic impact of Long Covid.

“SIPTU is also actively campaigning for a fair resolution on the matter of pay justice for Section 39 workers. It is beyond belief that workers who are providing essential frontline services on behalf of the State are still waiting for this matter be dealt with in a fair and just manner.”

“There is no healthcare system without the workers that provide the services on which we all depend. All workers in the health service matter. Investment in the working conditions of healthcare workers is fundamental to building a decent healthcare system.”

Unions to attend WRC do discuss pay for staff in community and voluntary health and care services

The three unions representing staff working in community and voluntary sector agencies funded by the HSE – SIPTU, Fórsa, and the INMO – have confirmed the unions will attend the Workplace Relations Commission (WRC) on Monday 17th April.

The WRC meeting will mark the commencement of conciliation talks on the long-standing problem of pay terms for staff working in HSE-funded agencies providing health and care services.

While funded by the State, employees in a range of health professional, clinical, clerical and administrative grades are on lesser terms and conditions than their HSE counterparts.

SIPTU divisional organiser Kevin Figgis said: “The health minister acknowledged in the Dáil last October that the Government is the ‘main and often sole funder’ of these organisations, and that its funding affects the ability of agencies to improve pay and conditions. That acknowledgement means these talks must happen, and that a fair and sustainable solution is achieved.”

SIPTU’s divisional organiser Karan O’Loughlin added: “These pay disparities continue to have a detrimental effect on staff recruitment and retention, and ultimately on the capacity of these organisations to deliver services. It’s therefore crucial that we enter discussions with the funding bodies in order to resolve it once and for all,” she said.

Fórsa national secretary Ashley Connolly commented: “Our members across this sector continue to deliver vital services on behalf of the State, and so we welcome the opportunity to enter conciliation talks.

“The unions continue to work together on this issue and remain determined to secure a just and sustainable solution to the pay disparities for specialist staff in this sector,” she said.

The INMO’s director of industrial relations Albert Murphy said: “We welcomed the news last week that the Department of Children, Equality, Disability, Integration and Youth, and the Department of Health, confirmed they would attend the Workplace Relations Commission (WRC) along with the HSE, in future conciliation talks.

“It provided some badly needed progress. Unions have a shared and very clear idea of the scale of the problem. We remain determined to engage on the basis of making sure these agencies are sustainably funded and that the drift on pay and conditions is finally reversed after almost 15 years,” he said.

Until 2008, workers in these agencies received pay increases under national wage agreements. At the onset of the financial crisis they were subject to FEMPI pay cuts in line with the same cuts applied to public sector pay.

Limited pay restoration measures were eventually won by unions in 2019 but pay in these agencies remains significantly behind, and no formal mechanism for collective pay bargaining exists for workers in the sector.

Last week the unions confirmed they had served fresh pay claims on a number of employers in the sector.

SIPTU supports Seanad motion on equality for healthcare staff assaulted at work

The SIPTU Health Division has called on all parties to back a motion that will be tabled in Seanad Éireann this evening (Wednesday, 22nd February) which calls on supports for healthcare staff, who suffer an assault in the workplace, to be based on equality of access and not the grade of the worker involved.

SIPTU Health Division Organiser, Kevin Figgis, said: “This motion, which is being tabled by the Labour Party, calls on the government to address the issue of inequality in the treatment of healthcare workers assaulted in the workplace which was highlighted in a SIPTU submission to the Joint Oireachtas Health Committee on 8th February.

“At the Joint Oireachtas Health Committee, we highlighted the fact that healthcare workers employed as support staff within the public health service only receive 25% of the benefits that their colleagues in other grades in the event of an assault at work.

“At the hearing, SIPTU highlighted that, after their nursing colleagues, support grade staff endure the second-highest level of assaults in the workplace, according to HSE data. We also raised the fact that, according to the HSE data, 41% of support staff assaulted at work are still unfit to return after three months by which time they have exhausted their entitlements under the HSE Serious Physical Assault Scheme.

“They are then, predominately, moving to ordinary sick pay, while their colleagues employed in other grades are continuing to receive payments under the HSE Serious Physical Assault Scheme. This policy is outdated and we support the call in the motion to end this disparity.”

He added: “In addition, the motion also calls on the Government to conduct a review of all relevant protocols to ensure procedures, staffing levels and training are appropriate to minimise the risk of injury from an assault to a healthcare worker. It also calls for the development of a public awareness campaign which highlights some of the examples of assaults on healthcare workers. Both these measures were included in the SIPTU submission to the Joint Oireachtas Health Committee earlier this month.”

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

SIPTU calls on Minister to end pandemic payment delay for non-HSE and Section 38 workers

SIPTU representatives have called for the intervention of the Minister for Health, Stephen Donnelly, to ensure that eligible health workers employed in private employments and Section 39 organisations receive their Pandemic Special Recognition Payment (PSRP) without further delay.

SIPTU Sector Organiser, Pat Flannery, said: “Our members are aware that a limited number of Section 39 agencies have made these payments to their eligible workforce but many have not. It has been reported that more than half of eligible workers who do not fall under the remit of the HSE or Section 38 agencies have yet to receive their payment.

“Agencies that do not fall under the remit of the HSE or Section 38 of the Health Acts received guidance from KOSI Corporation, which has been commissioned by the Government to oversee the process, in November 2022, advising them of the eligibility criteria for the PSRP. The guidance also set out how these organisations could submit a claim for the funding in order to make the payment to their workers.

“The KOSI guidance explained that it was intended that funds would be made available to these organisations to pay the PSRP by the end of November 2022, as long they submitted accurate claim forms by 11th November of that month.

“These workers put their shoulder to the wheel and provided essential care during the darkest days of the pandemic. The services they provided included care to the vulnerable in the intellectual disability sector, care to our elderly in communities around the country and nursing home care.”

He added: “The fact that these workers have been kept waiting for payment of PSRP is unacceptable. We are calling for the Minister of Health to intervene and make sure that funds are released to make these payments. Workers in these essential services cannot be expected to wait any longer. The PSRP was announced by the Government in January 2022. Surely it is time for all the workers eligible for this payment to receive it as some form of recognition for the work they did to protect our society and communities at great personal risk.”

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.

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.

SIPTU Deputy General Secretary says public sector funding faces 5% cut by 2025

Funding for the public sector faces a 5% cut in real terms by 2025, which will result in a decline in services, SIPTU Deputy General Secretary, John King, told the SIPTU Health Division Biennial Delegate Conference in Waterford today (Wednesday, 26th October).

Addressing more than 200 delegates, King said: “The figures would indicate that nominal expenditure on public services will increase by 6% between 2022 to 2025. However, when inflation is factored in, spending falls by 3%, and when population growth is also factored in, spending actually falls by 5%.
“These outcomes are about the implementation of political choices. The effect is not good for public servants and it is not good for wider society. They will lead to poorer services for the less well-off and the marginalised in key areas of public service provision.”

King added: “When we compare Budget 2023 spending on public services to our European Union peer group we find another key result, that is that Ireland is at the bottom of the table when it comes to public service spending. We need to significantly increase our public spending to achieve the quality of service which the citizens in our EU peer group enjoys.”

King also highlighted the failure of the Government to adequately fund organisations that provide services on behalf of the HSE but are not formally part of the public sector.

He said: “The denial of funding for these community and Section 39 organisations for pay increases for their staff, who provide essential public services to our most vulnerable and marginalised citizens and communities, will have profound negative consequences for our society.”

He added: “Last week in the Dáil, in response to a motion submitted by the Labour Party, two senior government Ministers acknowledged that these workers not having a pay rise for 14 years is not acceptable, particularly in light of the cost-of-living crisis that all workers are suffering.

“These workers must not be left out of the ‘whole of government’ response to this inflationary crisis, and I am calling on those Ministers to act now on their words and put in the necessary process to address this issue once and for all.”

The SIPTU Health Division Biennial Delegate Conference in the Tower Hotel, The Mall, Waterford City concludes this evening.