A new deal for health staff

Tuesday afternoon at health conference saw a group of motions on professional and occupational issues.

Top on the agenda was a motion calling for ‘A new deal for healthcare assistants’. It called on the health SGE to continue to build on the work of the highly successful Pay Fair for Patient Care campaign.

The campaign focusses on winning significant sums of pack pay for members by fighting for rebanding for healthcare assistants (HCAs) at a local level.

The motion, moved by Annette Heslop, calls for continued campaigning for proper career progression opportunities, better recognition and lobbying for a strategy to professionalise and regulate HCAs.

Ms Heslop said: “Conference, we are the union of HCA’s. Where others talk, we deliver. Across the UK, thousands of HCA’s have taken industrial action to get rebanding.”

But that is not the end of the campaign, she continued: “Now, band 2 health workers [as many HCAs are] are paid only 1 penny above the minimum wage. That is a disgrace. It is time for a new deal for HCAs.”

A number of speakers told conference stories of their successful rebanding campaigns, including Jackie Lewis from Northern Care Alliance who said their campaign had now seen “a total of 2,688 people entitled to backpay, going back as far as April 2018.

“But that’s only the start of it. There’s so much work you can do from this one campaign – the world’s our oyster.”

A charter for change for admin staff

Conference then turned its attention from HCAs to admin staff, and a motion on the new Admin Charter for Change which has just been launched.

Moving the motion, Maura Price from Frimley Health NHS Foundation Trust asked: “What do people see when they think of NHS staff?

“It’s usually nurses, doctors, paramedics and physios. They don’t think of porters, cleaners and least of all admin staff.

“In 2020/21 NHS England launched their people plan. The plan includes seven promises which employers have endorsed. Point one reads they want to make the NHS a place where all employees feel they belong.”

Speaking as an admin worker, she told conference: “The question is… do we feel like we belong?”

She called on delegates to support their admin colleagues and to support the launch of the charter and to take it to their employers.

The charter sets out actions which employers can take to ensure that opportunities for career development and adequate training are on offer for all administrative and clerical support staff.

Katie Hodgson of the health SGE also spoke on the motion. She said she was recently on the judging panel for the first One Team Awards where all 700 entries were operational staff.

“Of the hundreds of nominations we received,” she said, “there were loads of admin workers going above and beyond making the lives of their colleagues that little bit easier.”

She continued that she knew “all too well what it feels like to be undervalued and taken for granted”, arguing that it was vital that employers examine whether job descriptions are up to date and whether staff are paid appropriately for the jobs that they do.

Supporting newly qualified paramedics

A motion later in the afternoon covered how the union can best support newly qualified paramedics.

It highlighted the vital role UNISON played in negotiating agreement that all paramedics be moved to a band 6 in 2016. As part of this agreement the newly qualified paramedic (NQP) programme was formed.

It was designed to provide structure to properly integrate and support NQPs into the ambulance service workplace and allowing them time to apply their knowledge.

Peter Stevenson branch secretary of South East Coast Ambulance Service moved the motion saying: “At the time we were promised a preceptorship which would provide NQPs strong support. But we know that the quality and content of induction processes varies massively across trusts.”

He added that it takes “almost 10 years from starting as a student to being a fully qualified paramedic at the top of their band 6”.

The motion argues that NQPs ‘are being short changed, and employers haven’t kept to their end of the bargain’, concluding that it’s time for employers to deliver the NQP programme as it was intended and accept that paramedics should be paid band 6 from the point of registration.

Another speaker, Matt Wilson, a paramedic from West Midlands ambulance branch, said: “The reality is that you could be going to any job as soon as you qualify, whether you’ve been there two years or 20 years. With that lack of support it shouldn’t be a surprise that our turnover is as high as it is.”

He continued: “As a young member, this falls predominantly on our young members, and I think this campaign is a fantastic opportunity to engage with them.

“Members want meaningful change, and this campaign is a great opportunity to show our young members that the way we make change is by effective union organising.”

The article A new deal for health staff first appeared on the UNISON National site.

A new deal for health staff

Tuesday afternoon at health conference saw a group of motions on professional and occupational issues.

Top on the agenda was a motion calling for ‘A new deal for healthcare assistants’. It called on the health SGE to continue to build on the work of the highly successful Pay Fair for Patient Care campaign.

The campaign focusses on winning significant sums of pack pay for members by fighting for rebanding for healthcare assistants (HCAs) at a local level.

The motion, moved by Annette Heslop, calls for continued campaigning for proper career progression opportunities, better recognition and lobbying for a strategy to professionalise and regulate HCAs.

Ms Heslop said: “Conference, we are the union of HCA’s. Where others talk, we deliver. Across the UK, thousands of HCA’s have taken industrial action to get rebanding.”

But that is not the end of the campaign, she continued: “Now, band 2 health workers [as many HCAs are] are paid only 1 penny above the minimum wage. That is a disgrace. It is time for a new deal for HCAs.”

A number of speakers told conference stories of their successful rebanding campaigns, including Jackie Lewis from Northern Care Alliance who said their campaign had now seen “a total of 2,688 people entitled to backpay, going back as far as April 2018.

“But that’s only the start of it. There’s so much work you can do from this one campaign – the world’s our oyster.”

A charter for change for admin staff

Conference then turned its attention from HCAs to admin staff, and a motion on the new Admin Charter for Change which has just been launched.

Moving the motion, Maura Price from Frimley Health NHS Foundation Trust asked: “What do people see when they think of NHS staff?

“It’s usually nurses, doctors, paramedics and physios. They don’t think of porters, cleaners and least of all admin staff.

“In 2020/21 NHS England launched their people plan. The plan includes seven promises which employers have endorsed. Point one reads they want to make the NHS a place where all employees feel they belong.”

Speaking as an admin worker, she told conference: “The question is… do we feel like we belong?”

She called on delegates to support their admin colleagues and to support the launch of the charter and to take it to their employers.

The charter sets out actions which employers can take to ensure that opportunities for career development and adequate training are on offer for all administrative and clerical support staff.

Katie Hodgson of the health SGE also spoke on the motion. She said she was recently on the judging panel for the first One Team Awards where all 700 entries were operational staff.

“Of the hundreds of nominations we received,” she said, “there were loads of admin workers going above and beyond making the lives of their colleagues that little bit easier.”

She continued that she knew “all too well what it feels like to be undervalued and taken for granted”, arguing that it was vital that employers examine whether job descriptions are up to date and whether staff are paid appropriately for the jobs that they do.

Supporting newly qualified paramedics

A motion later in the afternoon covered how the union can best support newly qualified paramedics.

It highlighted the vital role UNISON played in negotiating agreement that all paramedics be moved to a band 6 in 2016. As part of this agreement the newly qualified paramedic (NQP) programme was formed.

It was designed to provide structure to properly integrate and support NQPs into the ambulance service workplace and allowing them time to apply their knowledge.

Peter Stevenson branch secretary of South East Coast Ambulance Service moved the motion saying: “At the time we were promised a preceptorship which would provide NQPs strong support. But we know that the quality and content of induction processes varies massively across trusts.”

He added that it takes “almost 10 years from starting as a student to being a fully qualified paramedic at the top of their band 6”.

The motion argues that NQPs ‘are being short changed, and employers haven’t kept to their end of the bargain’, concluding that it’s time for employers to deliver the NQP programme as it was intended and accept that paramedics should be paid band 6 from the point of registration.

Another speaker, Matt Wilson, a paramedic from West Midlands ambulance branch, said: “The reality is that you could be going to any job as soon as you qualify, whether you’ve been there two years or 20 years. With that lack of support it shouldn’t be a surprise that our turnover is as high as it is.”

He continued: “As a young member, this falls predominantly on our young members, and I think this campaign is a fantastic opportunity to engage with them.

“Members want meaningful change, and this campaign is a great opportunity to show our young members that the way we make change is by effective union organising.”

The article A new deal for health staff first appeared on the UNISON National site.

Health conference debates pay

Images: Jess Hurd

Pay talk dominated conference business this morning (Tuesday) at UNISON’s annual health conference in Bournemouth.

The morning started with general secretary Christina McAnea taking the opportunity to invite representatives from all health branches who secured a strike mandate in their pay disputes over the last year, to take to the stage, where they received an impassioned standing ovation from delegates (pictured above).

Striking health branches receive a standing ovation from delegates at annual health conference Bournemouth

Conference business then started with an emergency motion on the recent NHS pay offer and the response of the health unions to it.

Moving the motion, Wilma Brown, chair of the health service group executive (SGE), said the motion was “about the months of hard work and sacrifice it takes to run successful action.

“It’s about the members willing to lose a day’s pay to go on strike. I want to pay tribute to everyone involved in building to strike action.”

She spoke of the decisive results in UNISON’s consultation on the new offer, which returned a 74% accept vote on a turnout of over 50%.

She said that this year, at conference, it was “essential to be honest. First of all about the offer, because you wont be able to find anyone here who says that this is all health workers deserve.” But also highlighting that “we wont know for certain what will happen next year until all unions have declared their results. But this motion lays out our plan.”

She also called on conference to “build on what we’ve learned in getting mandates for strike action.” And highlighted the increased levels of participation in the recent pay consultation saying: “This stands us in great stead for the future.”

The motion noted the ‘particular significance of the talks to NHS staff Northern Ireland’ due to the fact that there are no sitting ministers in place in NI to make NHS funding decisions.

Stephanie Green from UNISON Northern health branch noted that: “UNISON Northern Ireland were the first members of the union to begin strike action.

“But conference will be aware that NI has no functioning executive. The Tory government wants to use us as pawns in their political game. Well, no more. Watch this space, we ask for you solidarity as we take a strong stance on this in the days and weeks ahead. We will not be fourth class citizens.”

Speaking for the motion Sam Kimberly said: “At the end of the day, we are not just here to represent us, we are here to represent those with no voice, the lowest paid, the members who don’t have time to attend meetings, who can’t afford to attend meetings.

“This is a democracy, the members have accepted the offer, we now need to get on and get the money in members pockets as soon as possible.”

The motion carried, calling upon the service group to declare UNISON’s accept mandate to the NHS staff council and explore the potential to achieve a joint position with the other health unions and seek confirmation from the government that the offer will be implemented at the earliest opportunity.

Flat rate pay uplifts: our approach to pay justice

Tanya Pretswell speaking at health conference Bournemouth

Conference then turned its attention to a motion re-affirming the union’s commitment to seeking flat rate pay increases in the health sector.

The motion noted that percentage pay awards, applied equally, increase the pay gap between the lowest and highest paid in any pay structure, that gender and race pay gaps are fuelled by this fact and that the consequences of inflation are deeply regressive, and have a disproportionate impact on lower paid workers.

Speaking of the union’s prior commitment to flat rate pay increases Tanya Pretswell (pictured above), moving the motion for the health SGE, said: “Now is the time to go further, we need a set of tools to help us put this into practice.

“This motion sets out a clear work programme to ensure we can set claims on credible flat rate sums and gives negotiators the tools to do so.” The motion was passed, unamended.

Calling time on the pay review body

Heather Kelly speaking to conference

The next motion which noted that, following a consultation spawned from a motion at last year’s conference, the general appetite for ‘calling time’ on the Pay Review Body (PRB) has been confirmed.

One delegate said: “You told us the PRB was discredited in the eyes of our members and ultimately this motion is about trust, who do you trust? Who do the members trust? Is it our union, or is it those members of the PRB? They’ve never cared for a person or looked after a person in need in their lives.

“No-one is pretending direct negotiations are going to be easy, but we take ownership and we rely on, and trust, ourselves. We get our best settlements when we lead, when we take our members and negotiate directly. Our future decisions on pay should be decided by us.”

He highlighted the failures of the PRB recently including: in 2022 recommending a £1400 pay rise with inflation at 13%; and in 2021 the PRB report saying “Agenda For Change terms do not reflect the realities of nursing, preparing the ground for a nursing only pay spine.”

Speaking of Scotland’s experience building a collective bargaining position and direct negotiation relationship with the government in Holyrood, Heather Kelly (pictured above) told delegates: “There is nothing to fear from calling time on the PRB – if we are truly serious about collective bargaining – we need to get serious and get serious now.”

The motion endorsed UNISON’s ten-point plan as set out in the report ‘Our pay, Our say’ with an end goal of collective bargaining on annual pay awards within each of the UK administrations.

The NHS is One Team – no separate pay spine for nurses

Gamu Nyasoro speaking at UNISON's annual health conference in bournemouth

The debate on pay finished with a rousing debate on the motion – The NHS is One Team – no separate pay spine for nurses. The motion referenced the government commitment to the Royal College of Nursing to consider a separate pay spine in England for nursing staff exclusively and “opposes the creating of a separate pay spine.”

Gamu Nyasoro (pictured above) moved the motion saying: “The media has managed to portray the NHS as only doctors and nurses – but we know better.”

She told conference a personal story of taking her son to the hospital when he was 18 months old, and the huge variety of workers she met on that trip. Doctors, nurses, porters, security staff, radiologists, cleaners, health care assistants and many more. This, for her, embodied UNISON’s One Team belief.

Ms Nyasoro continued, moving onto the recent pay dispute, “After weeks of pay negotiations, imagine our surprise when the government announced they were pursuing further negotiations with just one of the unions.

“It’s simply a tactic to divide and conquer and break up collective bargaining. Conference lets put a stop to this Brexit for nurses. Lets show the government they will not break us, we are one team.”

Anne Cherry Northern health and community branch

Anne Cherry (pictured above) of the Northern health and community branch told conference “I’ve been a nurse for 40 years, always in unions that stand for all health staff.”

She continued: “Across the cover of the old, little blue COHSE rulebook I remember it said. ‘All for one, one for all’.

“We certainly weren’t The Three Musketeers, but we meant it. Delegates have spoken elegantly about one team in this conference and we must stand together in support of that.”

Trudie Martin, chair of the nursing and midwifery occupational group, told delegates: “We understand that our strength comes from our unity and we will not stand by and be divided from our colleagues.”

She called the proposals “completely unworkable” and a distraction and said: “ We cannot tolerate this proposal to divide and rule. Let’s defeat this proposal, grow our nursing family work to strengthen agenda for change as One Team.”

The motion called on the SGE to work collectively with other unions to reject proposals for a nurses only pay spine and to highlight the danger of dismantling the harmonised pay spine.

The article Health conference debates pay first appeared on the UNISON National site.

Powerful anti-racism debate opens UNISON health conference

UNISON’s national health conference opened in Bournemouth today (Monday) with a passionate debate on the continuing fight against racism in the NHS.

The motion ‘Challenging racism in the NHS’, noted that data from the NHS Workforce Race Equalities Standard (WRES) continues to show that higher levels of Black workers are experiencing harassment, bullying and abuse from staff and patients, than their white colleagues.

Black workers also have less access to training and career opportunities than white workers, and are more likely to be disciplined.

As one delegate told the conference: “Racism is rife in the NHS.”

Marking the fact that 2023 is UNISON’s Year of the Black Worker, the delegates discussed the ways in which they can tackle such institutional racism.

Proposing the motion, Peter Oates of Eastern region (pictured below) said: “Challenging racism is front and centre of all our work as activists. We see racism happening in all large employers, and it will continue where it’s not challenged. So we have to keep speaking up.

“It’s everyone’s responsibility to challenge racism, it’s not only on the shoulders of our Black colleagues and Black activists, who live the experience.”

Mr Oates spoke of his region’s anti-racism charter, which has been signed by employers across the region and which, combined with WRES data, empowers activists in their anti-racist work.

Adekunle Akinole from Somerset Health (main picture) also spoke of the importance for everyone not to turn a blind eye when witnessing racism in their workplaces.

“As a society we need to speak up when we witness these issues. We must know that those who choose to remain silent have only sided with the oppressor. What we remember are not only the words and actions of our enemies, but the silence and inaction of our friends and colleagues.”

Annette Heslop of UNISON’s national Black members committee (pictured below), said that people in management roles were a big part of the problem.

“When our Black workers are experiencing racism, managers are not seeing it as such – managers who do know what racism means, and don’t care or want to know.”

That’s why, she said, anti-racism training needed to be extended to HR departments and all managers.

Wilma Brown, chair of the health service group executive, told the delegates: “I’m proud that this motion is opening our conference, because fighting for racial equality is an important part of our union.

“If you are Black and working in the NHS you have a tougher time from patients, colleagues and managers. Black workers are a third more likely to suffer harassment from the public, more than 50% more likely to face disciplinary procedures.

“It’s essential we all fight to make their working lives better. We can’t leave it to Black members and Black activists. We are one team against racism, just as we are one team for patient care and one team fighting for the future of the NHS.”

Conference called on the health service group executive (HSGE) to:

  • continue to promote its race for equality campaign across all health branches and encourage all regional health committees to monitor and evaluate branch work;
  • promote and develop training for health branches geared towards challenging racism in the NHS and tackling racist behaviour in the workplace from patients, the public or staff;
  • work through partnership structures and through direct engagement with Westminster and the devolved governments to influence NHS race equality strategies/plans and push for greater employer accountability where racism disparities persist.
COVID and racism

A further motion outlined how the COVID-19 pandemic exposed racial discrimination in the health service. For example, nearly half of Black NHS staff worked in COVID roles compared to less than a third of all staff.

Voting in favour of that motion, delegates called on the HSGE to  continue to:

  • promote zero tolerance of race discrimination in the NHS and encourage branches to engage with the Race for Equality and One Team campaigns;
  • explore how Black members can gain equal access to career development, training and development opportunities in the NHS;
  • encourage Black members to become active in UNISON regional and national health committees, to ensure the union is reflective of the wider membership in the NHS;
  • explore holding a webinar on challenging racism in the NHS, as part of its Year of the Black Worker in 2023.

Images: Jess Hurd

The article Powerful anti-racism debate opens UNISON health conference first appeared on the UNISON National site.