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[&6o98886-_n\KTd\OKe'^Rj;Z\aZh93P<<~ nMib/8rpppx*Xlh4kNi&W,|q7t/h''%S FWN Cfe۽N#Yv\Zv:8888:SӑW6rhĨv ᢔmoH5&l crRqyTl˫řD_G*凴~fBaM A**aT;>lGZ~5H..vč 1| ,:8888l`D ~cAw%U*i0d"; Ki( NP> `cuv\t0ǟx4;+.bud\^Ɔo9% dc̬sWM@j1LbzAy&8jfVwc,r_xppppxy"DJ~T ZfP5͉6Ĵ .~ԑ?n]zQM$XUnUCAW08 xT("WH֦$2^[#'Xu0.`i\`4o]H뾰#hQyGn+l `<%R^Gl,Q=+.19D7 x/ۄ@>+M)RK҉VQkR\E.E"^^@z,s98888D&8r\.r5~ HA䴤۝!AќlTLCkbi6,*"_ڍ>tzčw;_n&$ .AZ_mXD;q-G':7ʕT c ҕi=UmJR-c]#GU"E g U >vcTE__bag,RmwpppppXLcJkry@GPt9C!*uX.B16T{l :rppppXsTc?>rBIc#;Sja|g \,ƪyK+vnU7um&67\vppppAc~B_.w:w堕tycŷXps0zO5Bb:}񖃃Ú1xKҾMTdߑ A]GZkDZffґӯ Y(UGdʯjz˷._{PxMd+dBU23D iۿzK\|ߪFb_,8(   p"www.unison.org.uk2http://www.unison.org.uk// 00DArialBlacDz(0(z[ 0 DTimes New Roman(0(z[ 0  DWingdingsRoman(0(z[ 0 0DArial Blackman(0(z[ 0 "@ .  @n?" dd@  @@`` ,$2       !"#$%&'()+*,-./01,"$)GYȰw`R  0AA@8 ʚ;ʚ;g4+d+d@z[ 0ppp@ <4ddddl 0z g4BdBd@z[ 0p@ pp<4BdBdl 0z80___PPT10 pp?  %O  =b/G Issues facing ancillary workers in healthcare in the United Kingdom HH.G 5Mike Jackson Senior National Officer (Health), UNISON5  Background UNISON Largest Union in UK  1.4 million members working in the public sector 425,000 members in the National Health Service, representing a broad range of professionals and ancillary workers  the NHS is Europe s biggest employer with over 1.2 million health workers 40,000 in the private sector  ancillaries 80% of members women(EL@D  My background  nNational Union of Public Employees (NUPE) 1978  1993, Area Officer, representing ancillary workers and nursing assistants. UNISON 1993  2004, Regional Officer, representing all healthcare workers UNISON 2004 to date, Senior National Officer (Health), Lead Negotiator NHS Terms & Conditions, NHS Staff Council 7 Ancillary Workers in the NHS Catering  Chefs, Cooks, Kitchen Porters and Assistants, Ward hostesses, Dining Room assistants Domestic  Cleaners, Housekeeping staff, Portering  incl transport and security, Laundry - incl Linen and Sewing room staff, Other - Switchboard/Call Centre, Sterile Services, Not classified as ancillary (but similar)  Healthcare assistants (nursing), Healthcare support workers, Administrative and Clerical staff, Maintenance  buildings, car parks and grounds  U  "+.l"b     $     Battle for Equal Pay (Whitley Councils (9), including Ancillary Staff Council, determined pay since 1948 Carlisle (North Cumbria) cases 1997 Compared domestics, HCA s, entry nurses with maintenance workers  Agenda for Change Project - Agreement to harmonisation of NHS terms and conditions plus job evaluation Negotiations 2000  2004 Equal Pay Implementation NHS 2004  2006 Equal Pay Private Sector Ancillaries from 2006 fwPCPPPy@Mr 2 Agenda for Change (AfC).   jJob Evaluated Pay & Grading Scheme Introduced a Knowledge & Skills Framework Covered over 1 million NHS Staff (excl Doctors) Introduced new NHS Minimum Wage = 5.88 per hour, Since  Agenda for Change Oct 2004 Average earnings (UK)= Men 11.31 per hour, Women 9.84 per hour (ONS. Nov 2005) UK Minimum Wage = 5.05 per hourL PP#$  Current AfC Ancillary Pay NHS.   Band 1, 11,494 - 12,539 (Domestics, Catering Assistants, Porters, Laundry Assts) Band 2, 12,209 - 14,739 (Higher Level Domestics, Chargehand Porters, Patient TS Drivers, Sterile Service Assts, Security, Cooks  also Health Care Assistants (HCAs), Ward Clerks, Reception, Maintenance Assistants) Band 3 13,694 - 16,389 (Cook Supervisors, Portering Supervisors, Domestic Supervisors- also Higher Level HCA s, Maintenance Craft Workers) VZZ!8$!zb   d  f   ] HAncillary Staff Pay  Private Sector%%($ ZOctober 2005, Agreement between UNISON, Department of Health and CBI for Agenda for Change implementation covering all ancillary staff except maintenance workers Interim Minimum Pay 5.65 per hour from October 2005 moving to 5.88 per hour in April 2006 Job Evaluation and KSF from October 2006 AFC minimum pay rates from October 2006 Terms & Conditions equivalent value from October 2006 Resistance by Employers to implement PPk +J%&  Privatisation of Ancillary Work ,1983  Compulsory Competetive Tendering (CCT)  Domestics, Catering, Laundry  others later Lowest cost basis  fair wages clause abolished Most NHS Hospitals in England privatised (female dominated) ancillary work 1991 TUPE regulations 1998  Compulsory Competitive Tendering abolished but much ancillary work remains outsourced to the private sector due to PPP/PFI projects  one third of domestic workTZ-, .   y  Impact on Ancillary Workers Balance sheet cost savings but& .. high staff turnover exploitation of women and ethnic minorities low and unequal pay loss of pension (if they had) loss of sick pay/high sickness rates union de-recognition little staff development No longer part of a healthcare team  P    Impact on Service Delivery Reduced domestic (cleaning) workforce by 50% over 20 year period 1984 - 2004 Huge turnover rate (50% in London) Loss of skills and experience Rise in cross infection and MRSA Nurses forced to do cleaning New hospitals built with no kitchens! Cook chill units = poor nutrition Z   Cleaner Hospitals Campaign yUNISON launched campaign in 2004 Raised profile of importance of cleaners Focussed responsibility for cleaner hospitals on Senior managers not individual cleaners Demonstrated that contracting out reduced standards (9 out of 10 dirtiest hospitals had privatised) Linked poor standards with spread of MRSA Became 2005 General Election issue Forced Government action on standards*zZ/sy Issues facing Ancillary Workers Remain the lowest paid with poor pension provision Many women part-time  face discrimination Improved pay but overall unequal pay  compared to male average earnings Privatisation reducing but job insecurity  always first to face cuts if savings needed Marginalisation  access to training, careers, team Exploitation of women and of black & ethnic minority workers - denied rights and access to opportunity www.unison.org.uk www.unison.org.uk/healthcare/cleanerhospitals/ ~PPBPP.F   -  U 0/l ! 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A&H  0޽h ? 33___PPT10i.%@Wi+D=' = @B +}   x$(  xr x S d  `   r x S Âd `p  H x 0޽h ? }ff___PPT10i.(%Q]+D=' = @B +   ,0(  ,x , c $tقd  `   x , c $݂d ,p  H , 0޽h ? gg3___PPT10i.%+D=' = @B +   00(  0x 0 c $<d  `   x 0 c $d `p  H 0 0޽h ? gg3___PPT10i.%0J+D=' = @B +   @0(  @x @ c $Xd  `   x @ c $,d `p  H @ 0޽h ? gg3___PPT10i. %5/+D=' = @B +   80(  8x 8 c $ld  `   x 8 c $@d `p  H 8 0޽h ? gg3___PPT10i.%P+D=' = @B +   <0(  <x < c $=d  `   x < c $>d `p  H < 0޽h ? gg3___PPT10i.%0%U+D=' = @B +}   t$(  tr t S 8Md  `   r t S  Nd `p  H t 0޽h ? }ff___PPT10i.$%!ϱ+D=' = @B +   D0(  Dx D c $^d  `   x D c $^d `  H D 0޽h ? gg3___PPT10i. % \+D=' = @B +}   $(  r  S Lhd  `   r  S hd `p  H  0޽h ? }ff___PPT10i.`)q+D=' = @B +}   $(  r  S (}d  `   r  S }d `p  H  0޽h ? }ff___PPT10i.a)`?2+D=' = @B +}   $(  r  S `d  `   r  S  d `p  H  0޽h ? }ff___PPT10i.a)+D=' = @B +   40(  4x 4 c $X{d  `  { x 4 c $,{d `p { H 4 0޽h ? gg3___PPT10i.% +D=' = @B + 0  (  X  C |     S x| 0   " H  0޽h ? 3380___PPT10.)%  0 TL(  X  C |   L  S ˧| 0   Also member of PSI and EPSU 17 unions in NHS Largest in NHS. All staff except Drs and Dentists, 2nd largest RCN  300K, BMA 250K, Amicus 75K, CSP 45K, RCM 40K BMA 250K but not part of Staff Council *a d  H  0޽h ? 3380___PPT10.)%< 0  L(  X  C |     S d| 0   N1993 union merger joined with COHSE predomin nursing TU After 24 years  promoted  indian summer for my career. Assumed Lead Negotiator role within months  lead on behalf of UNISON but all 16 unions at NHS Staff CouncilZ$  )  |   H  0޽h ? 3380___PPT10.)% 0 0 (  X  C |     S 8ԧ| 0   " H  0޽h ? 3380___PPT10.)% 0 jb@(  X  C |   b  S ٧| 0   RWhitley Councils for GeneraL Nursing & Midwifery Professions  Rads, Physios OTs Technicians Admin & Clerical Ambulance Maintenance Ancillary Riddled with gender discrimination, diff t&cs reflecting values of 1940s 1997 Lab Govt + Carlisle Equal Pay on agenda Agenda for Change project agreed   #      g  o H  0޽h ? 3380___PPT10.)%  0 P0(  X  C |     S | 0   2 See page 6  H  0޽h ? 3380___PPT10.)%$ 0 ` (  X  C |     S | 0   " H  0޽h ? 3380___PPT10.)%$ 0 p (  X  C |     S | 0   " H  0޽h ? 3380___PPT10.)%$ 0 (  X  C |     S @| 0   ;Created by member expectation, (some entitled under TUPE) Industrial action, political pressure, threat of litigation Voluntary agreement Stick & carrot DH funding from 1st Oct 06 Contractor funding from Oct 05 NHSE funding from April 06 If implement on short list for contract renewal If not out of health market*<  < H  0޽h ? 3380___PPT10.)%$ 0  (  X  C |     S  | 0   " H  0޽h ? 3380___PPT10.)%$B  0 R(  X  C |     S  | 0   TEarly privatisation  staff redundant  huge turnover of new staff Contractors would bus in asian men and women on lowest pay  min wage or less Pensions  GAD but& . Part time workers not in scheme 55K cases lodged in 1995 Buy out or delay No sick pay first three days or none at all  hoigher sickness . Those at work under greater stress Union derecognition battles to keep membership No Dev Review  little as there was High turnover  domestic on ward, linen room asst, porter Z\    5   z H  0޽h ? 3380___PPT10.--@t#N  0 ^(  X  C |     S  | 0   `Some due to advances in technology but& & Contractors put in tight margins and ran on high vacancy rates or downsizing Poor contract monitoring  H  0޽h ? 3380___PPT10..- j  0 "(  X  C |     S @# | 0   $Govt had to respond with :League tables and spot checks Demonstrated the importance of domestic/housekeping work PM said mrsa fault of cleaners Modern Matrons/cash/ ROE @a     . H  0޽h ? 3380___PPT10..-qrch^kGpsm'x`48IuHfX؄̊(BZr^z=}_? 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   On-screen ShowHOMEree   A ArialTimes New Roman Wingdings Arial BlackPixelH Issues facing ancillary workers in healthcare in the United Kingdom Background UNISONMy backgroundAncillary Workers in the NHSBattle for Equal PayAgenda for Change (AfC)Current AfC Ancillary Pay NHS%Ancillary Staff Pay Private Sector Privatisation of Ancillary WorkImpact on Ancillary WorkersImpact on Service DeliveryCleaner Hospitals Campaign Issues facing Ancillary Workers  Fonts UsedDesign Template Slide Titles  8@ _PID_HLINKSAlhttp://www.unison.org.uk/"__  webmanagerwebmanager  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghjklmnopqrstuvwxyz{|}~Root EntrydO)PicturesCurrent UserSummaryInformation(UPowerPoint Document(iDocumentSummaryInformation8