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Dublin: 6 °C Friday 24 May, 2013

HSE West absenteeism “costs €60 million a year”

The high rate of absenteeism by staff at the HSE has been criticised today. It emerged that the cost of absenteeism to HSE West is around €60 million annually.

Image: John Birdsall/John Birdsall/Press Association Images

ONE IN TWENTY employees of the Health Service Executive West do not show up for work each day – and it is costing the State millions of euro.

The scale of absenteeism at the HSE West emerged during a meeting of the Public Accounts Committee yesterday – and they are on the rise, coming in at 5 per cent, with that figure replicated nationally at 4.7 per cent.

The worst hospital for absenteeism is Ennis General Hospital in Co Clare. There, the absentee level stands at 9.43 per cent.

Today, Fine Gael Wicklow Deputy and member of PAC, Simon Harris, said it is completely unacceptable that the absentee figures are this high.

HSE Chief Executive, Cathal Magee, confirmed today at PAC, under questioning by me,  that the absentee figures for HSE West are worsening and that 1 in 20 employees each day are not showing up for work. This figure is reported to be significantly higher among support staff, compared with medical staff.
While the figures nationally for the HSE are improving, dropping from 7 per cent a few years ago to 4.7 per cent now, this is still completely unacceptable.

He said that this is clearly a management issue which needs to be addressed.

If the cost of absenteeism to HSE West is estimated to be in the region of €60 million annually, the cost to the Exchequer when all regions are considered must run into hundreds of million of euro.

Deputy Harris noted that the Irish health service “is under serious pressure and continues to account for a considerable portion of State funding”.

He said it is vital that HSE management “get to grips with what is going on here and demonstrate exactly how they plan to bring these figures down”.

He has requested to receive all data pertaining to absenteeism in the HSE and for a regional, monthly breakdown of the figures.

I will, through PAC, be pursuing this matter further in the hope of finding a resolution.

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Comments (36 Comments)

  • Do they get sick pay from the HSE? If they do why isn’t this stopped? They won’t be as quick to take "sick" days if it costs them….

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  • Some semi-State bodies allow workers a certain number of “sick”days each year which the workers see as unoffical holidays. The Irish Civil Service http://www.deegannon.com/portfolio/Civil%20service%20html/chapter3.html allows for “Up to seven days uncertified sick leave may be permitted in any period of twelve months.” on top of your holidays. No wonder there are so many of them going out sick.

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  • The figures seem crazily high, I wonder what the figures are compared to the private sector. It’s shocking.

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    • I think the most important question here is how in the name God a figure of 60million was reached??? If 3,000 workers were out sick for 6 weeks and let’s say for argument they earn a figure of 1,000 per week. That’s 3,000 x 6 x 1,000 = 18m. Even if you double any of my figures its 36m. Love to see their calculation!

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    • The figures don’t compare as in 90% of cases in the private sector we don’t get sick pay. Working for over 15 companies and we never got sick pay.
      Pull the plug on sick days and them figures will soon change.

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    • Comparing with the private sector would not be a big help as hospital staff deal with sick people so it is almost to be assumed that staff will be sick more often then an office worker in Google (or The Journal).

      As stated above, this is nothing more than a management issue. Staff are liable for their sick days, if they are not genuine there should be some come back. However, if GP’s are signing people off, well, what can anyone do?

      This is not a simple story of work-shy public sector staff.

      But any chance to put the boot in, eh?

      The thing that makes me sad is that people are crying out for the fat to be trimmed from the public sector but as soon as services are threatened with cuts or closures everyone is up in arms.

      If you want to cut costs, I’m afraid services are going to be affected – waiting lists will and are currently getting longer. And the quick answer of cutting salaries is a false economy as all that will do is force frontline staff into bankruptcy or send then overseas. A pay freeze would be bad enough but it’s a lot less of a shock than a pay cut. And possibly lower salaries for new starters (not that there are many of those with the recruitment freeze). However, then you will struggle to attract new staff and will have to rely on foreign workers and then you will complain about the amount of Irish training here but going to work overseas.

      It’s not an easy question to answer.

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    • According to media reports, absenteeism rates across the HSE are 5% and 2.5% in private sector.

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    • @David I’d imagine cost is something to do with providing replacement cover. Ie. Getting in (probably outrageously expensive) temps

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    • Just a thought – where on earth do they get the rate for the private sector? No-one I know running a business reports attendance or sick days to anyone as far as I know.

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  • Rather than engaging in a private versus public sector debate, we should examine why absenteeism is high in HSE. It is too simplistic to say that the patients make them sick as a bucketload of staff never see a patient. Some workers take sick days as additional annual leave in both sectors. Clearly where staff have a generous sick pay scheme with full pay and lots of days available then the temptation is there to abuse it. Genuinely sick people should not be tarnished with the same brush . The question is what sick leave is available and is it fully paid. I am self employed and haven’t missed a day sick for thirteen years. I have been sick many tines during that time and been on antibiotics etc but had to work because nobody would pay me otherwise. Irish people will take advantage where advantage can be taken. People get sick and sick leave should exist but be restricted and closely monitored.

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    • I understand your point Pat, but do we really want genuinely sick hospital staff with chest infections and the like heading in to look after sick elderly patients? You may be well able to go to work sick and not affect others, but hospital staff going in to work sick would leave other patients open to further illness, thereby worsening the ailments of those patients attending hospital. Though something does indeed need to be done about it. Genuinely certified sick leave should be the only sick leave permitted. Perhaps have something like permitting 10 sick days, but only paying for the first 3 (due to the nature of the job, infections and the like are quite rampant in hospitals and a staff member in a hospital is more likely to fall ill than in other sectors). Let the other 6 sick days come out of the person’s own salary.

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    • Well said Pat.
      Its always softly softly when anything happens around the public service. Regardless of whether its HSE or County Council staff etc, the take the sick pay as glorified holidays, thats a fact.
      Go out into towns around the country and its full of public servants who if they have a bit of a hangover can stay in bed and ring in sick. I don’t know how many times I have been out with them and get the “ah we can ring in sick in the morning”.
      Living in a bubble, time it was burst and bring people into the real world.

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    • @ Aidan – not all members of the public service are like that though. My partner is a member of the public service and has been for 4 years. She took 3 hours off one evening because she was very sick (about 2 years ago). Other than that, she has never taken any time off for sickness. 2 other colleagues of hers have taken about 2 or 3 days each in the same time period. There is,however, one other person who has taken more than 15 days sick leave every year for 4 years (and whatever else she took in the years before my partner joined the public service).

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    • Sorry Brian I should have qualified that, there are plenty of good people working in the public service, but the % is much too high of those who pull the p**S of too many aspects of whats “normal” in the public service, sick pay been one of those.

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    • @ Aidan – I have to say I agree with you there. It really annoys my partner when she sees people taking the piss. She, like many of her colleagues, ends up trying to take up the slack as a result of others’ laziness. She is constantly telling me about how she doesn’t mind taking pay cuts, she doesn’t mind taking on extra taxes (within a certain amount of course) but she is constantly telling me about how it’s those that do the least that are the very ones complaining about pay cuts and tax increases. Basically, those that are doing the least are the very ones that complain the most and are also the very ones most likely to take the p*ss when it comes to taking days off. Management never do anything about it, and are very reluctant to even consider workplace practice changes as it may affect their own cosy arrangements. This leads to those, such as my partner, ending up being demoralised, stressed and overworked. It’s a management issue basically. Get rid of half the managers, stop linking promotion with length of service and link it instead to performance, and get rid of the system which allows people take the p*ss (incl. not only excessive sick days, but also failure to meet targets or some other measure depending on industry). That would create a far more effective public sector, a cheaper public sector and deliver far more bang-for-your-buck (I hate terms like that, but it’s entirely accurate in this case).

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  • let them take their sick day pay from their own pensions. And you’d see that figure plummet.

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  • Minister stop this waste !

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  • Remember this in a few months when the public sector start whinging. They say busy people don’t refuse work.

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  • Name and Shame them, and don’t pay them sick leave.

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  • It’s a very poorly written article – using, for example, very precise percentages even though collapsing down "HSE staff" in all their forms into one big group renders the figures meaningless.

    Who isn’t turning up? How often? Why? Do some people always turn up? Is there a difference between different departments or grades or professions?

    Why bother with facts when there’s another lazy healthcare-bashing story to trot out?

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    • Aoife Barry 30/09/11 #

      Hi Eoghan, we haven’t been given that specific information, and are currently following up on whether more details are available. Of course, once we have them the story will be updated.
      Aoife

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  • Why are public sector workers still getting sick pay and shoping days at christmas, its a joke, public sector reform is required for the last 10 years and still has not been dealth woth by either ff or present government. sick pay should be eliminated full stop, i dont get sick pay i wor 45 hours a week get paid for 40, I am happy with that why do u get such great working conditions in the public sector when u r already earning above average wages. If the public sector was run in the way the private sector is the reduction in expenditure and waste would be astronomical.

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    • 30/09/11 #

      thats your perrogative, to give away 5 hours of your labour for free. no one will thank you for that because it is exactly this kind of attitude that devalues the contribution of the average worker. why should anyone be happy to give free labour? also, half day christmas shopping was abolished 2 years ago. I can assure you the majority of the lower paid working force do not take advantage of the sick leave as ‘extra holidays.’ anyway, aside from all that, isnt higher sick leave than average in the healthcare system not a given since the work with sick people?

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    • Gemma – everyone gets sick pay, see citizensinformation.ie “If you are not entitled to sick pay from work you may get Illness Benefit if you have enough (PRSI) social insurance contributions”.

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  • Is this not an argument for privatising healthcare provision?
    We have a dysfunctional healthcare system that costs more money each year.
    The state could continue funding medical cards or universal healthcare.

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    • Sean – healthcare costs more each year for a number of reason. Better (more expensive) technology, an ageing population probably being the biggest two – not sick days. Personally, I don’t think the government (of any party) negotiates hard enough with big pharma for better value.

      The bigger cost savings are going to come from the top down (executives and pharma contracts).

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  • Then surely the story should be "idiot politician spouts off without waiting for facts" and not yet another repetition of "look at all those lazy bastards in the hospital", no?

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  • yet again it’s’ have a go at the ordenary staff,’ how many ‘upper executives’ are on in the h.s.e. commitees and only ‘work’ a handfull of days each year yet get paid 5 figure saleries? this is where the real waste of tax payers money is,all these non elected self important quango’s whose commitees are made up of t.d’s, senetors and executives wives,girlfriends and family members, they sit every 2-3 months and recieve a nice big fat cheque for a couple of hours listening to some gombeen waffleing on about “percentage gross intake” and “in real terms”, the h.s.e. is overstaffed not by medical or clerical frontline staff but by commitees and overpaid middle to uppermanagement who think you should runa health service like a supermarket chain. these are the ones we need to get shot off and the savings made will be astronomic.

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  • I worked in the public service on a part time basis while also being self employed and was amazed at the amount of money that was being paid to employees over and above their normal rate of pay through partnership and bench-marking agreements. it was understood that these payments were in recognition of increased productivity and such like while this increased productivity was never measured or accounted for – just paid for.

    The rate of absenteeism in the public service is shocking! There is a climate of entitlement and privilege which stems from an understanding that these jobs are for life and incompetence and ineptitude are not dealt with in the same manner as similar shortcomings might be in the private sector. This attitude prevails among all levels and grades and the result is all too evident to anyone who has dealings with:

    The Health Service
    The Social Welfare
    Local Government
    Central Government Departments
    Courts Service

    etc. etc..

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  • I find this story very odd, normally trying to get information from the HSE is like pulling teeth but suddenly when they release figures like this its news. If this headline read “4.7% of HSE Frontline Staff Catch Infections From Patients” there wouldn’t be much surprise or maybe “HSE Frontline Staff Twice as Dangerous as Most Other Jobs”.
    I’m sure there are those in the HSE who take advantage, it happens everywhere, but the alternative when your nurse catches C Diff, your porter has MRSA and your cleaner has scabies is for them to continue working, spread it around the hospital and in no time there’ll be an outbreak. Yes, staff have paid sick leave, but not indefinite, this is not some sort of luxury to be used on a whim, a doctor’s certificate is needed, and unless an accident occurs at work they must attend their own GP, many people are under the illusion that if you work in a hospital you have free medical care. Not so. The sick leave is there so that ill staff are removed from the hospital and other patients protected, in most hospitals if a frontline staff member is sick they MUST report it and go home immediately.

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  • I think the most important question here is how in the name God a figure of â

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