Government inaction to blame for ambulance handover delays, says UNISON

Responding to the publication today (Thursday) of NHS England data on ambulance handover delays, UNISON acting head of health Helga Pile said:

“Ambulance handover delays are a critical sign the NHS is struggling to cope with unbearable demand.

“The pressure is on all year round especially in the winter and government inaction is to blame.

“Ministers need to wake up and start fixing the problems in the NHS. Top of that list must be solving the staffing crisis.

“Services are stretched to breaking point because there are too few staff. Highly skilled employees have had enough and are leaving for better-paid, less stressful work elsewhere.

“If the government carries on burying its head in the sand, nothing will improve and patients continue to suffer.”

Notes to editors:– UNISON is the UK’s largest union with more than 1.3 million members providing public services in education, local government, the NHS, police service and energy. They are employed in the public, voluntary and private sectors.

Media contacts:Liz Chinchen M: 07778 158175  E: press@unison.co.ukFatima Ayad M: 07508 080383 E: f.ayad@unison.co.uk

The article Government inaction to blame for ambulance handover delays, says UNISON first appeared on the UNISON National site.

Government inaction to blame for ambulance handover delays, says UNISON

Responding to the publication today (Thursday) of NHS England data on ambulance handover delays, UNISON acting head of health Helga Pile said:

“Ambulance handover delays are a critical sign the NHS is struggling to cope with unbearable demand.

“The pressure is on all year round especially in the winter and government inaction is to blame.

“Ministers need to wake up and start fixing the problems in the NHS. Top of that list must be solving the staffing crisis.

“Services are stretched to breaking point because there are too few staff. Highly skilled employees have had enough and are leaving for better-paid, less stressful work elsewhere.

“If the government carries on burying its head in the sand, nothing will improve and patients continue to suffer.”

Notes to editors:– UNISON is the UK’s largest union with more than 1.3 million members providing public services in education, local government, the NHS, police service and energy. They are employed in the public, voluntary and private sectors.

Media contacts:Liz Chinchen M: 07778 158175  E: press@unison.co.ukFatima Ayad M: 07508 080383 E: f.ayad@unison.co.uk

The article Government inaction to blame for ambulance handover delays, says UNISON first appeared on the UNISON National site.

Health conference asks why ambulance staff aren’t an emergency service

The final day of UNISON’s annual health conference in Bournemouth opened with delegates standing in a minute’s silence to mark the upcoming International Workers’ Memorial Day on 28 April (above).

Moving to the business of the day, debates were heard on a variety issues.

Retirement age parity

A motion submitted by the ambulance occupational group highlighted the disparity in retirement age between police, fire service and ambulance staff.

Peter Steventon, South East central ambulance, opened the motion saying: “You would assume that NHS ambulance staff would be recognised as an ‘emergency service’. You would be wrong – we are regarded as an ‘essential service’.

“We don’t retire at 60 like emergency services, ambulance staff starting their career today won’t be able to retire until 68,” adding :“It has been proven that ambulance staff suffer the most muscular skeletal injuries in the NHS.”

One delegate told conference: “When you get a bunch of ambulance staff together you regularly have the conversation return to: best pain killer; best app for back exercises; or why does my ankle make that clicking noise?

“After the recent strike the public have a deeper understanding of the strains of being ambulance staff and now is the time to capitalise on this.”

Ben Morris continued the debate, saying: “As a 26-year-old, I have 41 more years of work left in front of me. 41 years of carrying heavy equipment, 41 more years of carrying patients, 41 more years of stress and declining mental and physical health. This cannot continue.”

Fighting privatisation in the ambulance sector

Delegates at health cvonference holding up orange voting papers at health conference, Bournemouth

Jo Farrell, national ambulance occupational group moved the motion, saying: “Privatisation continues to be one of the biggest threats to the NHS. UNISON research indicates that ambulance trusts in England are spending £42 million a year on hiring private ambulances.

“In my trust, we have paid so much money to one company that they have grown from a small company with 10 vehicles to a huge company which now has four large ambulance stations, two HQ buildings and its own fleet workshop provision.

“Think about that. An NHS trust is using a considerable amount of its own budget, paid by taxpayers, to benefit a private provider and then that private provider is using that money to be in direct competition with the trust.

“It’s like turkeys voting for Christmas.”

Julie Reynolds spoke of her experience being a patient transport driver in the NHS before she was TUPE transferred to a private company.

She said: “I enjoyed my time in the NHS but private contractors just care about how much profit they make. They only care about KPI’s [key performance indicators].” She argued no health staff should be outsourced: “After all we are all one team.”

Halting privatisation and driving insourcing

Continuing on the theme of privatisation, a delegate from the North West region, spoke of the success the region has had in fighting for insourcing.

She said: “In the North West we have settled or taken industrial action in nearly 20 of these outsourced contracts. With workers winning AFC and higher pay and conditions.

“But like painting the Forth Bridge, it’s a never-ending job.”

Joyce Alrdidge health SGE, added: “Over the last few years UNISON, through our US2 campaign has been at the forefront of campaigning against the privatisation of services. Often undertaken by stealth by NHS trusts in a bid to cut costs.

“But the real costs have been to our colleagues in the erosion of their pay and terms and conditions. We must continue to challenge and stand up to these attempts to erode workers rights and pay. And we must remind the NHS bosses of the benefits of retaining in house services.”

The motion called on the health service group executive to campaign for a publicly owned and run NHS, co-ordinate an audit of rates of pay in all NHS contracts and provide guidance to branches to support local in-sourcing campaigns.

Making UNISON a ballot-ready health union

Bryn Webster chair of the national ambulance committee speaking at health conference

Bryn Webster (pictured above) opened debate on the motion, speaking of his experiences both nationally, as chair of UNISON’s national ambulance committee, and locally, as branch secretary of Yorkshire Ambulance service who achieved a strike mandate in the recent NHS pay dispute.

He told conference: “We should be proud of being the largest union in the NHS but with that comes great responsibility. We ended up with the largest turnout ever seen in UNISON with over 93,000 votes cast.”

“I was very proud that Yorkshire ambulance got over the line, but we weren’t as organised as we thought we were.”

Another speaker, Peter Steventon, branch secretary at South East central ambulance, told conference that at his branch: “We were 9 votes short of 50% turnout – it was heart-breaking for those involved.

“We can deliver industrial mandates, we can get over 50% – but there is no magic bullet.” Before highlighting how “It’s the boring stuff that gets you mandates,” – such as data cleansing, updating records and GDPR.

“Conference we can beat these Tory laws – but it takes a lot of organising.”

The article Health conference asks why ambulance staff aren’t an emergency service first appeared on the UNISON National site.

NHS spending over £1m a week on private ambulances for 999 callouts, says UNISON 

The NHS is spending at least £61 million a year – over £1m a week or £167,000 a day – hiring private ambulances to attend emergency calls, says UNISON today (Monday) as its annual health conference opens in Bournemouth.

North West Ambulance Service spent more than £15m between January and December 2022 on private emergency services, according to data obtained by the union.

South Central Ambulance Service spent £19m over the past financial year, North East Ambulance Service is paying just under £7m annually, and South East Coast around £6m a year.

East Midlands Ambulance Service predicts a £9.5m spend in the financial year between 2022 and 2023, and the latest figures from Yorkshire Ambulance Service show the trust paid out £4.5m between 2021 and 2022.

The figures are based on responses from two thirds* of ambulance trusts in England that pay commercial companies to provide cover for critically ill patients.

More than a dozen private companies are being commissioned by ambulance trusts across England to fill widening gaps in services and to meet response times amid overwhelming demand, says UNISON.

Trusts are booking private emergency vehicles and crews up to a year in advance to be available to respond to emergency incidents such as road traffic accidents and stroke patients.

However, UNISON says spending tens of millions on private 999 cover is a short-term fix, not a long-term solution to the crisis in ambulance services.

With demand on ambulance services soaring, the union says this failed policy means that millions of pounds of public money are going into the pockets of private firms rather than being invested in more highly trained ambulance staff and better ambulances.

The money for private cover comes from one-off government ‘crisis management’ payments that are not guaranteed from year to year.

The union says this approach deters some ambulance trusts from investing in their own additional NHS vehicles and staff because of the ongoing costs incurred.

UNISON says private firms are capitalising on the crisis in ambulance services, by tempting paramedics and other crew away from NHS work. The boosted hourly rates might seem attractive but risk leaving staff without sick pay and pensions, the union adds.

In some cases, privately employed crews are being paid to stay with patients in hospital corridors until a bed can be found.

For example, University Hospitals Dorset NHS Foundation Trust has hired this additional cover known as ‘cohorting’ to allow NHS ambulances to leave queues outside A&E and get back out on the road to respond to 999 calls.

Responding to the figures, UNISON head of health Sara Gorton said: “This spend on private 999 services shows a lack of long-term planning and is a shocking waste of money. It’s nothing more than a sticking-plaster solution.

“Ambulance services are in a desperate state because the government has failed to invest long term.

“Patients are waiting ages for help to arrive or worse still dying before crews can reach them. Others are stuck in emergency vehicles outside hospitals for hours and hours on end waiting for a bed.

“This is a crisis of the government’s own making that can only be resolved with a long-term plan. Ministers must step up and come up with proper funding to tackle increasing demand and pay staff properly.”

Notes to editors:
– UNISON’s annual health conference opens today in Bournemouth and runs until Wednesday (19 April). Over the three days, health workers from all across the UK will come together to take part in debates on a wide variety of topics including pay, pensions, childcare, hospital food, ambulance pressures, mental health and challenging racism. UNISON general secretary Christina McAnea will give a speech to delegates at 2pm on Tuesday. Other speakers include Anita Charlesworth from the Health Foundation and Kate Bell from the TUC. The event takes place at the Bournemouth International Centre, Exeter Road, Bournemouth BH2 5BH. The conference opens at 9.30am on Monday and closes at lunchtime on Wednesday.
– *A total of 9 out of the 10 NHS ambulance trusts in England commission private 999 services. These include London Ambulance Service which did not provide a specific figure, South Western which only provided figures for 2019 to 2020, and East of England which did not provide figures.
– Staff employed by private firms for emergency cover include emergency care assistants, technicians, and paramedics.
– UNISON is the UK’s largest union and the largest union in the NHS and in the ambulance sector, with more than 1.3 million members providing public services – in education, local government, the NHS, police service and energy. They are employed in the public, voluntary and private sectors.

Media contacts:
Liz Chinchen M: 07778 158175 E: press@unison.co.uk
Anthony Barnes M: 07834 864794 E: a.barnes@unison.co.uk

The article NHS spending over £1m a week on private ambulances for 999 callouts, says UNISON  first appeared on the UNISON National site.

£30m ambulance contract as effective as sticking plaster on wound, says UNISON

Commenting on the new £30m contract awarded by NHS England to St John Ambulance in an attempt to ease pressure on the ambulance service, UNISON ambulance lead Alan Lofthouse said:

“Th?is move ?is not what an under-pressure NHS needs. It will be about as effective as sticking a ?tiny plaster on a gaping wound.

“Putting additional non-NHS ambulances on the road without ?tackling the staffing crisis or the lack of capacity in A&E departments will mean even longer vehicle queues ?outside hospitals.

“The money ?would have been far better spent investing in pay, staffing, services and social care, so patients don’t have to wait hours to be seen and then can be sent home safely to recover.”

Notes to editors:
-UNISON is the UK’s largest union with more than 1.3 million members providing public services in education, local government, the NHS, police service and energy. They are employed in the public, voluntary and private sectors.

Media contacts:
Liz Chinchen M: 07778 158175 E: press@unison.co.uk
Fatima Ayad M: 07508 080383 E: F.ayad@unison.co.uk

The article £30m ambulance contract as effective as sticking plaster on wound, says UNISON first appeared on the UNISON National site.