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UNISON Ambulance The union for ambulance staff The Last 15 years Changing nature of ambulance services Introduction of Agenda for Change terms and conditions Professionalization agenda See and treat, hear and treat Cuts to


  1. UNISON Ambulance The union for ambulance staff

  2. The Last 15 years • Changing nature of ambulance services • Introduction of Agenda for Change terms and conditions • Professionalization agenda • See and treat, hear and treat • Cuts to NHS services • 2011> Conservative government • Devolution • Introduction of support grades to replace EMT • Paramedic skills increases

  3. Agenda for Change • National UK wide terms and conditions • 1.3 million NHS staff • Job Evaluation • UK wide pay rates with variation at country level • Defending Agenda for Change against attacks • 40000 ambulance staff on AfC • 25217 paramedics in UK

  4. Industrial factors • Privatisation agenda – Patient Transport Services • Devolution • Threats to Agenda for Change • Industrial action over pay and pensions • Reconfiguration of Ambulance Services (2005 – 2007) • Legacy issues • Options for paramedics outside ambulance services

  5. Factors leading to paramedic pay award • 2014/15 Industrial action • 2003 pay for 2015 skills • Ambulance Emergency Campaign – Keep your promises • Indicative ballot • NHS PRB evidence • Joint Trade Union strategy

  6. Government offer The Government offer included: 1.Recruitment and retention (JE and/or RRP) 2.50:50 pension top up – ERRBO 3.Retirement age changes and challenges

  7. National Ambulance Strategic Partnership Forum • England only • Sub groups • Employer buy-in • Employer issue to JE outcome if not funded • Joint approach to funding

  8. Ambulance Emergency Campaign – Keep your promises 1. Fair pay for ambulance staff 2. A safe and sensible retirement age 3. Healthier happier staff = healthier happier patients 4. Proper training, development and career progression for ambulance staff

  9. Consultative Ballot UNISON’s ballot results were: Q. I am prepared to take action short of strike action Yes 93.3% No 6.7% Q. I am prepared to take strike action Yes 77.4% No 22.6% Turnout 41%

  10. • Mechanism of move to band 6 • Retrospective application • Development of NQP role, CoL and including retro NQPs The • Fast track scheme agreement • Existing linked banding agreements • Funding • Urgent and Emergency Care Review • National Paramedic Job description • National Band 6 Paramedic JE role profile • Devolved nations differences

  11. Success factors • Joint Union working • Consistent aims and outcomes • Mixture of industrial strength, campaigning, influencing, negotiation • Joint approach to funding • Using the JE scheme • All parties signing up to Paramedic Banding agreement • http://www.nhsemployers.org/ambulance

  12. Ambulance staff salaries

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