NHS workers strike in the UK

Royal College of Midwives and allies on the picket line.
Royal College of Midwives and allies on the picket line.

By Judy Haiven

October 13 saw a walkout of tens of thousands of staff at National Health Service (NHS) facilities up and down the UK. In a strike that lasted four hours, from 7 to 11 in the morning, cleaners, nurses, porters, paramedics, midwives, administrative officers and others struck most hospitals in the country.

Chester, a city of 120,000 in England’s northwest, was no exception. At the local hospital, the Countess of Chester Hospital, it was mainly midwives and midwives’ assistants who walked the picket line. For the first time in its 133 year history, the members of the midwives union, the Royal College of Midwives, walked out on strike. Midwives, who are responsible for care of pregnant women and deliver their babies at hospital and home births here in the UK, earn from £21,000 to £34,000 a year ($35 to $57,000 Canadian). I was on the picket line with Natalie, who had just qualified three weeks ago and is paid at the bottom of the scale.

An independent panel had recommended midwives and other NHS workers get a 1% wage raise (lower than the rate of inflation), but the government has refused. The midwives’ slogan ‘Enough is Enough’ was explained by their union’s chief executive Cathy Warwick, “At a time when MPs are set for a 10 per cent pay hike, we’re told that midwives don’t deserve even a below-inflation 1 per cent rise. And politicians wonder why the public does not afford them more respect. It feels to a great many people, including midwives, that there is one rule for them and another rule for everybody else.”

In fact, the central government’s offer was 1% only to those 40% of employees who have topped out their increment meaning for those already at the top of their wage scales. The offer for the other 60% (including almost all of the midwives) was zero. That’s right, zero. The unions had been asking for 3%, but the Health Secretary (Minister of Health) had publicly stated that the government could not afford to give the NHS workers more money, and that any increase would mean serious layoffs of staff.

Before walking out, midwives along with other essential workers negotiated emergency cover—and several women on the picket line were on-call even that morning.

The strike Monday was the start of what was to be a week of public service strikes. But the major unions including UNITE, UNISON and the GMB called it off. At first the unions mobilized around “a fair pay rise for Britain” especially for their members in local government, the civil service, school support services, job centres and more. But the central government made an offer of 2.2% over two years which has staved off a strike.

On Saturday October 18 the Trades Union Congress organized a protest march through London culminating in a mass rally of nearly a 100,000 at Hyde Park. The slogan was “Britain needs a pay rise.” Research shows that the average British worker is £50 (nearly $100) per week worse off now than in 2008, before the economic crash. Several people on the hospital picket line said they were not going to go down to London for the march – “What we really need is a general strike, not a march,” said a newly retired member of UNISON. “But the unions won’t do it.”

Judy Haiven teaches industrial relations at Saint Mary’s University in Halifax, NS. She never misses being on a picket line – even now that she’s on sabbatical in Chester, England.

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