Nurses are prepared to consider striking as hospital board faces vote of no confidence
Unions have warned that senior nurses and midwives facing downgrading at a Cornish hospital – which is engaged in a £19 million cost-cutting drive – would consider strike action as well as an unprecedented vote of no confidence in management.
Dozens of nurses at the Royal Cornwall Hospital Trust (RCHT) are having their roles reassessed, but union leaders say strict procedures have been cast aside and morale has plummeted to rock bottom.
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Royal Cornwall Hospitals Trust
Trust managers have insisted they have followed guidelines and the changes are about simplifying structures rather than saving money.
A collective dispute hearing was yesterday staged at the Trust's Truro headquarters, which brought Unison, the Royal College of Nursing (RCN) and the Royal College of Midwives(RCM) face to face with health bosses.
Chris Dayus, regional organiser for Unison, said nurses were angry.
"My members are very unhappy about what is happening and (strike) action would be one way of expressing that.
"It is fair to say that confidence in senior managers is at an all time low.
"There are several people who have asked whether we can have a vote of no confidence in the board of the RCHT."
Judy Slesser, regional organiser for the RCM, confirmed a vote of no-confidence had been suggested and there was an appetite for balloting on industrial action.
"My members are considering a vote of no confidence, but we will wait and see what happens at the collective dispute hearing."
She added that strike action was "something we would need to discuss with members, but judging by the strength of feeling they may well consider it."
Midwives number about 20 of the 90 posts under scrutiny and Mrs Slesser said "morale is low.
"Everybody is disappointed with the rationale the Trust has given.
"They say it is about leadership and performance, but many staff are feeling that is a direct criticism."
Earlier this week, the RCHT announced it had identified the first 38 out of 400 posts which it needs to shed in order to help make £19 million worth of savings this year.
Unions claim that, in the case of the senior nurses, the Trust did not consult them ahead of staff thereby ignoring their own guidelines – a matter the Trust denies.
"The Trust should have talked to the unions first, but they didn't do that, they just went straight in and told the staff," said Mrs Dayus.
"They ignored their own procedure."
Jon Sparkes, Director of Human Resources and Organisational Development at RCHT, said the restructuring had been done according to policy and feedback had been taken on board.
He said that the Trust had been talking to staff and Unions about proposals to simplify the senior nursing and midwifery structure to "better focus on safety and quality of care."
"We want to make sure our nurses are properly and fully represented at senior level and that those leading our ward teams have the time to fully utilise their leadership skills, share their knowledge and experience and to encourage the development of their own staff.
"The proposed restructure is not about cost cutting, nor about making people redundant.
"We have been open from the outset that where the restructure results in anyone being displaced from their current role we will be making every effort to redeploy them to other suitable alternative roles in the Trust."








6 Comments
by Bill, Redruth
Saturday, April 16 2011, 11:32AM
“I used to work in both RCH Treliske and RCH City, and the standard of care over the years has gone through the floor, mostly because of attitudes of various governments and mostly of managers, everything now there is led by money pure and simple. On a brighter note, I have just been an in patient in Derriford, the staff from the cleaners, catering staff, nurse to consultants, were excellent, cheerful, had time for you , the food was excellent, thecare was superb, and the hospital was CLEAN, this unfortunately canot be said for Treliske.”
by Cornish, English & British, Cornwall, England
Saturday, April 16 2011, 11:17AM
“Further to my last. I agree with most, if not all, of the comments made about the NHS and the Nursing care provided within that environment.
I trained in Edinburgh and for 25 years worked within the NHS, in Oxford and London, but became disillusioned with the manner in which the hospitals were managed and the changes in the nurses attitude toward the provision of essential palliative care: a significant number being more interested in their own careers than in patient care.
Later, I worked in teaching/medical research hospitals in the USA and Canada. And the difference in attitude of both the management and nursing staff was easily observed: the patient being placed firmly at the centre of all operating procedures.
Yes, they too had bean-counters (although not on my guest list), but at least they consulted fully with the medically trained staff, and were willing to accept compromise if the patient were to benefit. Additionally, Trades Unions were far less in evidence than they are here!”
by H I Manning, The Wirral
Saturday, April 16 2011, 2:11AM
“My low opinion of hospital services in Cornwall was decisive in my rejecting (going home when I retired.
Now resident in the Wirral I spent a month in Arrow Park teaching hospital last year. The advance in technology is impressive and the standard of nursing is appalling.
The nurses are controlled by computer notes and non medical staff.Political correctness has supplanted competence.
YES! reform is required, but would we place law enforcement into the hands of the Mafia? THAT is what we are doing, placing reform of the NHS into the hands of the Westminster Mafia.
Sadly a strike will cause casualties but there has never been a war without casualties this is a war about the survival of the NHS.”
by A Member of Staff, Truro, Cornwall
Friday, April 15 2011, 7:27PM
“The nurses should be glad their jobs are safe, even if they may change roles. Staff who don't work on wards face the actual threat of redundancy.
They need to remember that we are all in this together.”
by Cornish, English & British, Cornwall, England
Friday, April 15 2011, 1:14PM
“It would be a great pity if Nurses/Midwives voted for strike action.
The NHS has many internal problems, including the over-abundance of non-medically qualified managers (including bean counters), and the problems they cause are self-explanatory and well documented.
In the past 25 years the Nursing profession has undergone considerable change; which has resulted in an increase in highly qualified/trained Nursing staff - this has not served the NHS well.
When the Nursing staff comprised SRN's and SEN's, and worked according to their qualification standard and ability, the system worked efficiently and effectively - and the patients (remember them?) benefited enormously. Perhaps the time has now come to review the required nursing standards, and to determine what is best for the patient and not just what benefits the Nursing profession.”
by CETTOWN, ST AUSTELL
Friday, April 15 2011, 12:47PM
“GO FOR IT GIRLS AND GUYS.
ABOUT TIME THEY STOP TAKING ADVANTAGE OF THESE HARD WORKING PEOPLE.”