Staffing levels, U.K., Germany

Member of the services union ver.di working in several hospitals across the country took strike action on 19 September as part of the union's campaign on safe staffing levels and reducing workloads. EPSU general secretary Jan Willem Goudriaan sent a message of support, underlining the importance of protecting the well-being of both health workers and patients by taking urgent action to reduce staff shortages in the sector estimated at over 160000, including over 70000 frontline care workers.

The UNISON, Unite and RCN health trade unions have voted to approve a new agreement on pay and staffing in Northern Ireland. The three unions were involved in various forms of industrial action at the end of last year, including the first full strike action in the RCN's history. The unions now have agreement that pay rates in Northern Ireland will be increased to be in line with those in England and measures will be discussed to increase staffing. A fourth union NIPSA did not support the pay deal but recognises that there was a majority vote in favour. In the meantime it is continuing its

Public services union UNISON has called for a £2000 a year pay rise for all health workers in recognition of their continuing work and commitment in the fight against COVID-19. The union underlines the importance of giving health workers a boost before the end of the year particularly as the virus is in resurgence. The RCN nursing union has called for a 12.5% increase for nursing staff in an important step to help address the staffing crisis, in recognition of their skills and to compensate for cost of living increases. The GMB general union, meanwhile, is calling for a 15% pay increase again

Following a government report on nursing and care, services union ver.di has called for urgent action for a long-term solution to understaffing across health and care institutions, particularly in light of the second wave of the COVID-19 pandemic. In conjunction with hospital and care associations the union has already put forward a process for assessing staffing needs in hospitals and says that an academic proposal for evaluating staffing levels in eldercare has identified the need for an extra 100000 staff. Ver.di argues that measures are needed on training and pay and working conditions. It

Services union ver.di coordinated demonstrations across the country on 16 June to coincide with a meeting of health ministers. In the lead up to the general election in September, the union has been determined to show members’ anger over the failure to deliver improved working conditions for health and social care employees. A survey of over 12000 workers commissioned by ver.di revealed that 78% could not imagine staying in their profession until retirement under current conditions. Almost three quarters of respondents reported excessive workloads and understaffing. The union is concerned

The ver.di services union has called a three-day warning strike from 23 August in the hospitals in Berlin run by the regional government’s Charité group, including its Vivantes subsidiaries. The union gave the employer 100 days to initiate collective bargaining to tackle overwork by hospital employees and trainees and to bring pay in line with the public service collective agreement in all Vivantes subsidiaries. The strike will go ahead if the deadline of 20 August is missed. Ver.di says that Charité has failed to make any serious offer and it has called on the employer to conclude agreements

The ver.di services union is celebrating a major victory in Berlin where members in the health sector have been on strike for 31 days. Workers at the Charité university hospital, Vivantes clinics and their joint subsidiary, Labor Berlin, have now suspended the action, pending negotiations over new collective agreements. The key points in the new deal at the Charité hospital include more than 700 additional nursing staff to be hired over the next three years and there will be new benchmarks for staffing for specific wards such as intensive care units, operating theatres and central emergency

Services union ver.di has strongly restated its demand for needs-based and binding staffing levels across all hospitals, following the publication of new research revealing a shortfall of up to 50,000 full-time employees in intensive care units. The union argues that this is a huge gap that endangers intensive care as well as the health of professional nurses. The study published by the Hans Böckler Foundation, calculates that in order to comply with the Nursing Staff Lower Limits Ordinance alone, the number of full-time positions would have to rise from 28,000 (as of 2020) to 50,800. If the

On 15 June the Labour Court in Bonn rejected an application by the local University Hospital to ban strikes being organised by the ver.di trade union. The strike action is part of what has so far been an eight-week campaign in six university hospitals in the North Rhine Westphalia region to secure a new collective agreement that addresses overwork and understaffing. The union wants a deal that covers all professional groups in the hospitals and has rejected an offer by the employers that would only cover nurses involved in direct patient care. Ver.di wants to see shift-specific minimum numbers

The ver.di services union and IG BCE industry union have negotiated a new 21-month agreement with the Uniper energy company. There is a 3% pay increase for all workers and trainees from 1 July this year, followed by a 4% increase on 1 April 2023. There is also a change to the pay structure so that trainees taken on as employees are not placed on a lower starting rate. In contrast, negotiations in the GASAG gas company are much more challenging with ver.di calling a warning strike for 27 June after six bargaining rounds that have failed to bring the two sides closer together. The union’s

After 11 weeks of strike action and more than 25 days of negotiations, health union ver.di and the six university hospitals in North Rhine Westphalia have agreed on the key points for a collective agreement that addresses excessive workloads and understaffing. The agreement will run from the beginning of 2023 and sets out the ratio of employees to patients required on each shift. If this ratio isn’t met or if other stressful situations occur, those affected receive stress points and then an additional day off for every seven points accumulated. In the first full year of implementation up to 11

While welcoming progress on addressing health and care staffing issues, public services union ver.di is calling for major improvements to the hospital care relief bill. The union worked with the German Hospital Association and the German Nursing Council to develop the PPR 2.0 instrument for needs-based personnel assessment in nursing and argues that this should form the basis of the legislation and not be mentioned only in the explanatory memorandum. Ver.di says that the basis for staffing must be the care needs of patients and these should be clearly formulated in the law, with minimum

Services union ver.di has welcomed the federal government’s statement that it wants to tackle skills shortages but argues strongly that in doing so it needs to address the big challenges in the public sector itself. Ver.di points out that education in kindergartens, schools – especially vocational schools – and universities, is key but the shortage of skilled workers in these sectors has long been a problem. Additional jobs and better working conditions in the public sector are needed. This not just about pay but about providing more training opportunities, better equipment and increased

A survey by the health and services union ver.di has revealed that the already high burden on employees in the emergency medical service has increased significantly since the beginning of the COVID pandemic. Around 7,000 workers replied to the questionnaire with 39% saying they would change professions immediately if they had the opportunity. There are serious problems with working hours, work intensity, physical and psychological stress and risk of physical assaults. Almost all respondents reported problems balancing work and private life. Staff shortages mean that 61% of employees are (very)