NIAS advice to the public ahead of industrial action 24 April 2015
The Northern Ireland Ambulance Service is facing more than two weeks of industrial action from Monday 27 April 2015, in addition to action already being taken by NIPSA which commenced at the beginning of April.
UNISON and GMB trade unions have informed the Trust that they will be advising their staff to work to contracted hours only from that date. The UNISON action will finish on 10 May and GMB will complete their action the following day.
Additionally the UNITE trade union has advised NIAS of their intention to withdraw labour for a 24 hour period on 6 May.
How will this impact on NIAS's ability to deliver a service?
Working to contracted hours will reduce our capacity to respond as staff are being asked by Trade Unions not to work voluntary overtime. As a result of the withdrawal of labour by UNITE staff on 6 May 2015, NIAS anticipates that there will be an impact on the frontline but also within the Control room.
What will this mean for those who have need of the service?
In relation to the “working to contracted hours only” NIAS anticipates that this will impact on our ability to respond to calls as quickly as we would like and that a backlog of calls may build up.
In relation to the day of action on May 6, the Trust anticipates that there may be delays in answering calls in the control centre which will have a knock on impact on the despatch of ambulances.
What advice can NIAS provide to the public for this period?
The most important advice is that, at all times but particularly over this period, people should only use 999 when they really need it.
NIAS will continue to prioritise calls and will respond first to those with the highest clinical need.
Before calling 999, we would ask the public to consider:
Visiting a pharmacy
Contacting a GP
Using “out of hours” services
Using Minor Injury Units
Making their own way to the Emergency Department if appropriate
When would NIAS advise patients to phone 999?
NIAS would advise patients to call 999 especially, but not exclusively, in cases of:
Severe blood loss
Severe burns or scalds
Severe allergic reactions
Is it possible that calls may not be responded to?
NIAS will seek to respond to all calls from the public. However due to the prioritisation process applied there may be delays for those less clinical urgent calls which we appreciate may cause distress to those involved including elderly people who may have fallen, some young children with broken bones or people who may have been involved in road traffic collisions and have not suffered serious injury.
Letter to NIAS staff re declaration of major incident on 13 March .
20 March 2015
I want to take this opportunity to write to you following last Friday's day of industrial action and in particular the declaration of a major incident which placed NIAS at the centre of media attention.
I want to tell you in all honesty that the declaration of a major incident was not a cynical attempt to “break the strike” but a sincere attempt to ensure that ambulance response was maintained for emergencies and clinically critical patients, throughout the planned day of action.
The Trust recognises and accepts your right to ballot for and take industrial action. I acknowledge the importance and depth of feeling around the issues on which you were balloted for industrial action. While agreed outcomes have not been reached on any of those particular issues, I can assure you that we are committed to finding resolutions that will be both practical and sustainable.
As Chief Executive of NIAS I am charged with ensuring adequate levels of ambulance cover to protect patients who have need of our service. It was in that context, and only in that context, that a major incident was declared.
Discussions, relating to the maintenance of emergency services to patients, with Trade Unions at a regional level had resulted in an agreed Memorandum of Understanding on 6 March whereby emergency services were to be protected. This agreement had enabled ambulance staff to participate in previous industrial action while maintaining emergency cover and public safety.
In line with these regional agreements the Trust cancelled non-emergency patients and facilitated industrial action for non-emergency and administrative staff.
The situation changed following meeting with local branches whereby the Trust was informed that ambulance staff were reserving the right to totally withdraw labour or, alternatively, provide cover for Category A patients only, which you will be aware covers only 40% of emergency services to patients.
Discussions continued throughout the week and NIAS continued to develop contingency plans to maintain an emergency service to the public. By mid-afternoon on Thursday, the Trust was in a position whereby it was left with a degree of external support and an understanding that NIAS crews on duty supporting industrial action would respond to Category A calls. The levels of ambulance cover projected as being available at that time were sufficient to maintain limited emergency cover.
Late on Thursday afternoon, Resource Management Centre (RMC) reported that it had been receiving calls from staff, who were due to start the night shift, that they would be “withdrawing their labour” at midnight. It soon became evident that the Trust would not have been able to provide safe patient care from midnight and there was no option but to declare a major incident.
Channels of communication with Trade Union officials were maintained through the planning stage leading to the day of action, throughout the actual day and remain in place to discuss any issues that have arisen from the day.
On the Friday, Trust management met with Trade Union officials to discuss the situation and to seek a way forward that would facilitate staff supporting and participating in industrial action while maintaining adequate levels of cover for emergency care. The Trust sought to have an assurance that crews, should the major incident be declared over, would remain on duty and cover Category A and B calls. It was agreed that staff on duty would be canvassed for their views. Initial contact by Trade Unions was followed up with a direct contact with staff via MDT but this did not provide assurance of adequate levels of emergency cover, so the Major Incident remained in place.
I am in no doubt that relations between staff and NIAS, and between trade union representatives and NIAS have been seriously tested and damaged by these events. I want to try and repair relationships and rebuild them so that we can continue to pursue the same aim of ensuring that patients who need the ambulance service receive the highest levels of clinical care.
I would aim to meet as soon as possible to discuss a way forward for us to be able to demonstrate in a practical way our recognition of your right to take, and support, industrial action while maintaining emergency ambulance services for those who need us most. I believe that with goodwill on both sides this can be achieved.
I would, in closing, like to re-iterate that the declaration of a major incident, due to the critical levels of cover rendering us unable to provide a safe service, was regrettably the only course of action open to us at the time. I applaud your professionalism in the manner in which you dealt with patients throughout the day despite your obvious displeasure at the decision. I sincerely hope that engaging with you and your trade unions on this issue can usher in a new productive relationship which will allow us to approach with, renewed vigour, those outstanding issues, including A4C banding, rest periods, late finishes and leave, which have been on the agenda for too long.
11 March 2015
Issued jointly on behalf of NIAS Trust and Trade Unions
Ref: Industrial Action 13 March 2015
The Northern Ireland Ambulance Service has been advised by Trade Unions of the intention of their members to strike on Friday 13 th March. The Trust recognises and respects the right of staff to participate in Industrial Action alongside the need to engage with Trade Unions to maintain patient safety and emergency services.
Discussions with Regional representatives had resulted in an agreed protocol whereby gaps in cover for emergency services and activities would be further discussed with local Trade Union representatives.
Following productive discussions today with local Trade Union representatives where the Trust has been informed that staff will either,
exercise their right to completely withdraw their services for full or part of the day or
staff may report for duty and only respond to Category A (potentially life threatening) calls. (Where possible staff who wish to respond from a picket line will be facilitated.),
a joint Management and Trade Union statement has been issued to staff highlighting progress that has been made during the discussions.
This current position protects response to the most seriously ill, potentially life-threatening patients, however, it represents removal of the capacity of the ambulance service to respond to and transport to hospital urgent but not immediately life-threatening patients, which accounts for 60% of 999 calls.
In relation to non-emergency work, NIAS has identified areas of work which would still be considered clinically critical including palliative care patients, oncology patients, renal patients and paediatric patients, towards which PCS resources will be directed as appropriate. The Trust must now cancel all other PCS activity on the day of the strike and patients will be informed accordingly.
Ambulance control staff are also involved in the strike action and this may impact on the speed at which calls to the Control centre are answered.
NIAS and Trade Unions continue to engage in a process to identify measures to address gaps in cover for emergency services and will reconvene on Thursday in an effort to progress these matters.