Non-motoring > Strikes - Volume 1   [Read only] Miscellaneous
Thread Author: sooty123 Replies: 244
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New Tue 20 Dec 22 17:21 
 Strikes - Terry
Wes Streeting was honest enough to concede that 19% pay rise is not affordable right now.

Generally the Labour approach has been to avoid "eye contact" - they don't want to suggest pay claims are unaffordable, Sir Kier would prefer MPs don't stand on picket lines, they don't want to be associated with profligacy, they don't want to offend their traditional supporters.

Integrity seems subordinate to their understandable desire to maintain support through to the next election. The Corbyn "sit on hands" strategy whilst Brexit was in the balance continues.

The Pay Review body report exec summary (whole report is 150+ pages) - the pay level is not a given from government, although total NHS spend is. The PRB is specifically asked to balance affordability, retention, recruitment, fairness - inevitably the outcome is a compromise.

The NHS has increased funding compared to pre-pandemic, yet fails to meet expectations. We need to understand the reasons why - I suspect it is not down to medical staff who from personal experience do a very decent and sometimes difficult job:

- clinically qualified staff are 47.5% of total NHS staffing - rest are support - what do they do
- pandemic fallout - many have left the profession due to stress, decided to retire early
- Brexit and difficulty in recruiting and keeping overseas staffing
- continuing failure to integrate NHS and social care
- a lack of GP and practice nurses simply pushes demand into A&E - it is not an economy

Many of these problems and their solution are down to senior NHS management. A simple example - a substantial premium is paid for agency staff. Why can't the NHS set up its own "agency" using their dominant position to provide a better solution - not just pay, but (perhaps) holidays, training to maintain/improve skills, creche, uniforms, pension etc etc.
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