WRC Review of Implementation of ED Agreement
Wednesday, 16th March 2016
I refer to my previous update, in relation to the review of the recent Emergency Department (ED) agreement chaired by the Workplace Relations Commission (WRC).
As I pointed out, in my update on Tuesday, 15th March 2016, the WRC reconvened the parties (INMO/HSE/Department of Health) earlier today to address all matters of concern.
In this context, and following this further session, I can now confirm the following:
1. The HSE/Department of Health have reaffirmed their total commitment to implement all strands of the ED agreement.
2. In particular they have undertaken to reaffirm the requirement, of senior managers and clinicians, at both group and hospital level, to meet weekly, with INMO ED representatives, to constantly monitor, the implementation of the agreement, and, specifically, the operation of the Escalation Policy.
3. The management side also reaffirmed, at today’s review, that they will implement all elements of the agreement in relation to the filling of nursing posts. In that regard a circular will be agreed, next Monday, 21st March 2016, on this matter, with the INMO, and then issue to the system.
4. It was also agreed that discussions will commence, next week, leading to the establishment of the Taskforce, on Nurse Staffing in Emergency Departments, which, under the agreement, is to report in three months.
5. The implementation of all other elements of the agreement, including the advertising and filling of the ADON (ED - Patient Flow), CNM2 (Admitted Patients), and the appointment of seven CNM1 posts, within the ED, are all ongoing. In addition other issues such as the election of INMO Health and Safety Representatives, for each ED, together with the Hygiene and Security Audits are also to be initiated and completed swiftly.
6. It was also agreed, at today’s meeting, that the WRC will convene a second review of the agreement, involving the INMO/HSE/Department of Health at 10.30 a.m. on Friday, 15th April 2016.
In securing the reaffirmation of the management side’s commitment, to all elements of this agreement, the INMO remains acutely aware that levels of overcrowding continue to be very severe and totally unsatisfactory. However it is equally our view, as determined by members in the recent ballot, that the 24/7 operation of this ED agreement provides the best opportunity to minimise and respond to ED overcrowding. Members, in every ED, must now fully work, every element of the agreement, and demand from your local management complete compliance with the agreements requirements.
Finally I want to thank all the local ED representatives who attending the meetings last Monday, 14th March 2016, and today. The involvement of members, from the frontline in every ED, is vitally important in our campaign to ensure manageable workloads, safe practice and safe care for patients.
A further update will issue, following the direct meeting with management next week. Thank you for your attention to this newsletter.
With kind regards.