29th March 2017
Submission: Re: Public Sector Pay Commission.
It is our understanding that the Public Sector pay Commission will not make any pay awards in the same way as the Benchmarking process did in the past. Instead you will identify those relevant factors which will be considered by the parties in negotiating the next Public Sector Pay Agreement.
The history of pre-hospital care in Ireland is relatively short but somewhat remarkable. It started in the 1890's when it was recognized that people injured or afflicted by acute medical conditions were dying or their conditions worsened by the transportation of patients is somewhat unsuitable vehicles but mostly by improper treatment by untrained good Samaritans. In 1898 the first full time Ambulance came into operation.
This was hailed as a fantastic development and councils and other institutions with responsibility for public health all across the country raced to develop their own service. These services handled accident services primarily whereas infectious or medical cases were handled by a Hospital ambulance normally staffed by a Driver and a Nurse.
In the 1960's the Health Board Act was introduced and one of its main points was that the Health Boards had the responsibility for the transportation of the patient from the home to the hospital.
Most Health Boards assumed control of rural and urban services which did away with the Driver and attendant role which lead to the Driver and ward Nurse been dispatched on an ambulance when required.
Further in the 1960's was the establishment of the national ambulance training school.
Another big step came in the early 1990's where the Eastern Health Board ambulance attendants could manually defibrillate and automated defibrillators became more mainstream.
The National Ambulance Service Representative Association (NASRA) said today (Friday, 24th March) that it was deeply disappointed and concerned with the findings of today’s HIQA review of progress in implementing recommendations on pre-hospital emergency care services.
NASRA said it was clear that three years on from the original HIQA Review of National Ambulance Service (NAS) the safety and care of patients relying on the ambulance services are still being compromised by issues such as lack of capacity, under-staffing and over reliance on overtime.
NASRA National Chairman, Michael Dixon said that while there had been progress on recruitment into the NAS, management must accept the reality that it is extremely difficult to attract recruits to the NAS when pay and conditions have been progressively eroded in recent years due to austerity and public service pay agreement cuts.
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Ltr to Damien McCallion re Compensation Claim 22.07.16.pdf
Note: all staff assigned to HSE National Ambulance Service who are party to the provisions under the terms of the Public Service agreement are entitled to compensation for actual losses. This is to include non-rostered staff, ICO’s, clerical admin, any trades people assigned to service and managers.
I refer to recent correspondence to you regarding your entitlement to compensation under the terms of the Public Service agreement 2010 - 2014. In this regard the calculation should reflect the terms of the PSA agreement in that all losses are to be compensated for at 1.5 times the actual loss.
It is our view that following the terms of the PSA agreement and the subsequent Labour Court Recommendations regarding the agreement and the precedent of the settlement of the compensation payment agreed between the HSE and our members in Dundrum Central Mental Hospital that the following agreed principles should apply in your case.
The reverse effect of the change to the following
1: Overtime rate for Sundays
2: Overtime rate for Public holidays
3: Overtime rate for time x 2
4: Overtime rate for time x 1.5
5: Overtime rate from 1.5 to 1.25
6: First hour of overtime in week given free x 52
7: Overtime by 2 rostered lost due to change
8: Pay cut of 7.5% x 1.5 times the loss
9: All losses noted in LCR 20313 not noted above x 1.5 times the actual loss.
NASRA , the National Ambulance Service Representative Association said today (Wednesday, 18 th May ) that the findings of a HSE review of the National Ambulance Service must be acted on urgently in order to avoid further tragedy as a result of lack of investment and the inability of ambulances to respond adequately to emergency incidents.
Commenting on the publication the National Ambulance Service of Ireland's Emergency Service Baseline and Capacity Review, NASRA National Chairman, Michael Dixon said ; ‘We have seen a number of adverse incidents in recent years that have resulted from lack of investment in the National Ambulance Service and the HSE insistence on defending response times that have now been shown to be completely unrealistic'.
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NASRA Information -
You can listen to NASRA National Chairman , Michael Dixon on Shannonside Radio where he discusses the leaked independent report on NAS response times
NASRA , the National Ambulance Service Representative Association said today (Monday 9th May ) that the findings of a new review of HIQA ambulance response times confirms NASRA's own findings last year that the HIQA targets are impossible to meet and are exposing the public to danger.
NASRA National Chairman, Michael Dixon said: ‘NASRA's statement last year that the worrying rise in the number of incidents of serious delays in ambulance response times was evidence that the service cannot meet the impossible HIQA response time targets, especially while resources and personnel were being cut, is sadly fully vindicated by the findings of the independent review ordered by the HSE, as reported in the media today.'
Mr. Martin Dunne, Director of the National Ambulance Service Office of the Director of the National Ambulance Service National Ambulance Service Health Service Executive Rivers Building, Tallaght, Dublin 24
27th April 2016
Dear Mr. Dunne,
Previous correspondence refers.
In the first instance I want to emphasise for your attention the anger, fear and the extremely poor morale of the Ambulance Paramedic Workforce in the Midlands Area:
• Anger at the imposition of a rostering system which represents a very damaging threat to their home and working lives and undermines patient response times and safety.
• Fear of the implications for their future in the Ambulance Service.
• The only thing which lifts morale is the anger they feel towards Ambulance Service Management.
They balloted in huge numbers in favour of Strike Action. At the same time they are highly conscious of the service they provide to the community, the support they enjoy in the community and their concern to be responsible professionals, taking Industrial Action as a very last resort.
National Secretary, Tony Gregg was awarded the PNA 2016 National Merit Award for his work on behalf of NASRA members - the award was presented by PNA Chairman, Fintan Leahy at the Annual Delegate Conference in Cavan.
Ambulance transfer of people with mental illness a tragedy waiting to happen
NASRA , the National Ambulance Service Representative Association said today (Friday 15 th April) that services nationally are seriously under resourced and the public are being put at risk unless there is significant recruitment of new staff to meet the demands of greater reliance on the ambulance service within the health services.
Speaking at NASRA's ADC in Cavan, National Chairman Michael Dixon said the role of ambulance paramedic in now one of the most demanding, stressful and under paid in the health services, yet the grade of paramedic is not even recognised by the HSE. He said management of the national ambulance service is chaotic, with a growing reliance on extended and unsustainable 12 -15 hour rosters, overtime, and non-rostered staff and cancellation of leave to keep ambulances on the road.
‘The demands on the ambulance services in the context of the reconfiguration of local hospital services have grown enormously but without any matching increase in staff. The Department of Health has to date not published the NAS Capacity Review of staff, but from what we know of this review, the NAS is up to 500 staff short of what is needed to provide a fully staffed and sustainable ambulance service to meet current demands.'
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