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Dublin: 12 °C Friday 24 May, 2013

‘Grave concerns’ over controversial HSE plan to fire hospital staff

The HSE has produced a report which proposes getting rid of all agency staff in three hospitals – but the plan has drawn harsh criticism.

Image: Sasko Lazarov/Photocall Ireland

THE MAIN UNION for nurses and midwives in Ireland has said it is “gravely concerned” about a leaked HSE plan to fire all agency staff and end overtime in three hospitals.

The proposals, detailed in a draft report marked confidential and not for circulation, would see 174 agency staff removed from the hospitals in Louth and Meath by the end of the year.

The Irish Nurses and Midwives Organisation (INMO) says that the move would have a dramatic impact on patient care as agency staff are used to cover gaps in staffing that already exist in the hospitals.

The report says that the reduction in staff would mean 20 acute medical beds in Our Lady of Lourdes Hospital in Drogheda would be cut and that 74 per cent of elective theatre activity would have to stop at the hospital.

A spokesperson said that the union is opposed to any measures that will “put lives at risk and exacerbate emergency department overcrowding, lengthen waiting lists and reduce the quality of care provided”.

Sinn Féin TD Peadar Tóibín, who received the leaked report, said it was damning and would create serious risk to patient care across the region. He said:

What is most significant is that this report illustrates the damage that would be done to the health service in the north east even if 50 per cent of the proposed cuts in agency staff are implemented. These proposals need to be scrapped.

He criticised the existing structures in the HSE which have seen increasing numbers of agency staff brought in to deal with the ongoing public sector embargo on recruitment, saying:

The over reliance on agency workers is due to poor workforce planning including the recruitment embargoes of this government. There is a need to replace agency staff with full time HSE staff.

A HSE spokesperson told RTE.ie that the report was an initial draft document and has no current status.

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Comments (40 Comments)

  • I have seen this happen repeatedly in three countries. Managers and accountants get it into their narrow minded little pea like brains that they can do without staff, and then have to hire agency staff. Then they try and ban agency staff and they cannot staff the wards, and are stuck with hiring agency staff again. Its mostly about trying to make the manager look like a efficient good little manager instead of whats actually good for everybody else.
    The recruitment ban on hiring new staff has not saved them any money at all.

    Hire new staff – it’ll save money, save patients and the nurses will enjoy some well earned security – everybody happy (the managers might actually have to come up with some original good ideas, or go look for another job)

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  • End the embargo on recruitment…get rid of some of the abundant managers & hire some nurses for the frontline…where the health service is at breaking point.
    These recruitment companies are making a fortune…lift the embargo, take on more nurses on full time contracts. The government would save a money & also create jobs.

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    • As if the unions care about the public!! As soon as they allowed the HSE to employ agency staff, this was always going to happen! The nursing unions are no different from the teaching unions! All they’re interested in is protecting present day members! Future nurses and teachers haven’t got a hope, and this is all down to looking after themselves! They’re a disgrace!!

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    • @ rodrigo: One of the few times I agree with you. I’ve friends who are newly qualified nurses and teachers and it is so frustrating seeing them rejected for jobs and later discovering that individuals who took early retirement got the job, because they know the principal/manager. The unions might say that it shouldn’t happen, but fail to take action when it does happen.

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  • 32000+ admin staff in the HSE. In a country with the same population as Greater Manchester? Don’t make me laugh. It hurts too much.

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  • So when does a hospital actually stop functioning as a hospital?
    Surely we are getting close to that situation now?

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  • don’t fire the medical staff get rid of all the stupid middle management

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  • Yep, they’ll leave the admin staff alone of course.

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  • Maybe if they cut back the agency staff we might at some stage be able to hire full time nurses to do be employed with decent career progression prospects and on salaries on a par with those in similar positions across Europe.

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    • Also I’m just wondering can agency workers be fired as the headline suggests. I thought the term agency staff meant they have work only when they are required ie no offer of work means they stay at home and are available should work become available.

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    • Micheal 22/08/12 #

      It’s not that they would be fired, they wouldn’t be required. If they are not required, agencies would lay-off.

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    • Agency staff is a direct result of the embargo where the government and the HSE in their infinite retardation assumed would bring about better services and cost less.
      We as a state pay to educate countless amounts of people each year to become medical professionals and then wave goodbye to them at the airports, a few manage to get employment via nepotism and the rest have to settle for agency work and of course as anyone who currently employed with a nursing agency know full well that the bulk of the shifts offered are reserved for retired nurses who retire one day, register with an agency the next and are back on the ward the 3rd day courtesy of having friendship with the nurse manager.

      The whole HSE is one large nepotistic charade where admin laze about and positions filled by not what you know but who you know.

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  • Yesterday we had “grave concerns” about a Care Home , today a hospital. What is going on ? Also , could the people who release statements concerning both institutions be reminded that the word “grave” has another meaning?

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    • We will all need Hospital care sometimes in our lives. So it is important that The Government keep them properly Staffed. We depend on Hospitals to get us back to health. so it is really a priority for Government to do something about it.I am sure that many people would agree that the health service in Ireland needs reform.The health department is so vast that they may need a minster especially to oversee how the Hospitals and care homes are run. And then a minster who would be response able for other sectors in the service. One minster is not enough to run this department. It needs to be reorganised so that different sections of the health service will be properly run.

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    • @ Frances Stokes well said and this Gombeens government closed Roscommon A&E over a year ago and it is an overcrowded and over stretched Galway A& E that Roscommon now have to go to now

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  • Well this is what social partnership , croke park gets you . High ranking members of the public and civi service continue to enjoy amongst the highest payrates in Europe while contract worker are disgarded and hosptials closed . This is Ireland , the nation of cosy cartels !

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  • The HSE asked the unions to agree for all staff to work two extra hours a week – consultants, nurses etc. The unions said no as it’s not in Croke Park.

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  • We will all need Hospital care sometimes in our lives. So it is important that The Government keep them properly Staffed. We depend on Hospitals to get us back to health. so it is really a priority for Government to do something about it.I am sure that many people would agree that the health service in Ireland needs reform.The health department is so vast that they may need a minster especially to oversee how the Hospitals and care homes are run. And then a minster who would be response able for other sectors in the service. One minster is not enough to run this department. It needs to be reorganised so that different sections of the health service will be properly run.

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  • Ireland has 50% more nurses and midwives per capita than the UK. They are also among the most highly paid in the EU.
    This gives us plenty of room for cutting costs which is desperately needed to reduce the deficit. The scandal here is that chronic overstaffing was allowed to happen under the previous government.
    http://www.globalhealthfacts.org/data/topic/map.aspx?ind=75

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  • If People need to be fired to keep this country going in the right direction then so be it. losing a few for the good of the nation isnt exactly wrong.

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  • exactly lad, dats what im saying up above der

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  • Sure hospitals have way much too many working in dem anyways

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  • sure don’t they call in sick every other day up there..

    http://www.irishtimes.com/newspaper/health/2012/0508/1224315729332.html

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