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No job guarantees for nurses at foundation trusts


Nurses working for foundation trusts are at risk of compulsory redundancy because of the impending public sector spending squeeze, a leaked report suggests.

An internal briefing produced by the Foundation Trust Network, leaked to the union UNISON and seen by Nursing Times, proposes a host of radical changes to current employment conditions for NHS staff. It is based on a survey of the network’s members.

The document states there is now widespread recognition that natural wastage of jobs will fail to give the shape of workforce and skill mix required to sustain patient services in future, and that redundancies are likely to be needed – with the best case option being local voluntary agreements.

The document includes a list of 17 changes foundation trust employers wish the government to pursue to reduce workforce costs. These include:

  • Freezing increments on pay progression for 2-3 years 
  • Reducing the number of pay points on A4C bands
  • Changing Schedule k so that staff members are not able to opt back in to Agenda for Change after accepting local arrangements
  • The need for local robust sickness management
  • Making clear the NHS will not be able to offer employment to every trainee
  • Cap pensions for higher earners (over £100,000) and look at removal of other pensionable items such as London weighting
  • Stop clinical excellence awards

The document states: “Foundation trusts do not believe that, in the economic climate and given the system and reconfiguration challenges they are facing, it will be possible to offer any guarantees that compulsory redundancies will not be required. 

“However, all foundation trusts will want to fulfil their responsibilities as good employers in supporting staff to find suitable alternative employment in partnership with the local health economy as a whole.”

The leak was made public ahead of talks between unions and the employer representatives over the possibility of agreeing grater flexible working practices in return for protecting jobs.

UNISON senior national officer for health Mike Jackson said: “It is clear that the Foundation Trust Network have a lengthy shopping list of damaging NHS cuts and so-called reforms, that will do nothing to improve patient care or the lives of NHS workers.”

He said: “This is a bizarre way to deal with the challenges facing the NHS. The FTN has its own agenda and plans to try and torpedo today’s discussions.”


Readers' comments (3)

  • Patients, yet again, will take the brunt on this decision.
    How short sighted of the "powers that be" to make this incredibly stupid decision.
    If and when public expenditure is reduced and it surely will be. Why oh Why does someone not take the bull by the horns and make redundancies in the heirarchial levels, where salaries are super inflated for people whom are capable of innappropriate, stupid and downright dangerous decisions.

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  • Freezing increments is a pay cut. Agree to this for 2 or 3 years and it will become longer...
    Reducing the number of pay points would suit me fine - I would get to the top quicker. However, I suspect they also mean lowering the top - so another pay cut...
    By sickness management I suppose they mean institutional bullying to get people either back to work too early or dismissing them for being ill. We speak of compassion and empathy. go figure...
    Not offering jobs is fair enough - it is not a change...
    Messing with pensions is a cut at the lowest level. So many NHS staff put up with poor pay for decades to 'enjoy' their pension. Slicing it will be a true insult.

    I really hope the Trade Unions are going to be willing to fight these cuts tooth and nail.

    Will the executives lose their bonuses? That isn't a listed cut.

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  • I came out of the meeting the other day where lot of discussion went around the above issues including downgrading some of band 7's. At the end of the meeting one of the manager said that she has got an annoucement to make. And guess what it was? One of the other manager has worked hard and therefore she was to be upgraded to band 8a.

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