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Seanad Éireann debate -
Wednesday, 4 Dec 1996

Vol. 149 No. 11

Adjournment Matters. - Physiotherapists' Remuneration.

I thank the Minister of State, Deputy Deenihan, for taking this Adjournment on behalf of the Minister for Health.

I have received many representations on pay conditions from people working in the area of physiotherapy. They are seeking parity with other health grade professionals. Physiotherapists must complete a B.Sc. or B.A. degree, which represents a high standard of attainment. Despite this, there are considerable differences in pay compared with other graduate health professionals. The top basic rate of pay for physiotherapists is £18,558 per annum, a level that is only achieved after ten years after graduation. By comparison, a social worker can earn £20,592 per annum after eight years. The top salary scale for a senior physiotherapist is £20,096 per annum, which approximates to the salary for Senators. By comparison, pharmacists can earn £24,701 after nine years, while a senior pharmacist can earn £27,854 at the top of the scale.

If one was cynical a factor which could be considered in explaining the difference in pay between the health professionals is the fact that the staff members of the physiotherapy profession are predominantly female. In my experience of working in the health services, females tend to earn a little less than their male counterparts. In addition, it has been 17 years since the last pay review for physiotherapists. If this were happening in any other profession there would be a revolt.

The job role of physiotherapists has changed greatly in the past number of years. They are now more specialised and there is a greater emphasis on technology. They play a vital role in modern health and community care and have a wide range of skills and specialisms. Doubtless in his days as a football player the Minister of State experienced their skills.

Two-thirds of the physiotherapists trained in Ireland in 1994 are currently working in the US or England. This is primarily because the pay and conditions are very poor in Ireland. Irish hospitals are finding it difficult to recruit physiotherapy staff. This is especially the case for County Donegal. The North-Western Health Board, which covers Counties Donegal, Sligo and Leitrim, has only approximately 35 physiotherapists to cover the three counties.

Pay negotiations with the Department of Health under the Programme for Competitiveness and Work have been ongoing for two years but little progress has been made. Will the Minister intervene to achieve genuine progress? The work of the physiotherapists is recognised as an integral part of health care. I hope the situation will be recognised by the Department and the Minister.

I am taking this Adjournment matter on behalf of my colleague the Minister for Health. I thank Senator Maloney for giving me this opportunity to respond to the issue he has raised on the pay claim by physiotherapists.

I owe a debt of gratitude to many physiotherapists who worked on my various injuries when I played football; they succeeded in extending my football career by at least five years. I am also fortunate to have no aches and pains today. I received several injuries at the hands of tough Dublin and Cork men but because of treatment by professional physiotherapists I am now free of injury.

Physiotherapists are highly professional people, providing a very important service that is becoming increasingly recognised and needed. Increasing numbers of people realise that treatment from qualified physiotherapists helps in the restoration of health and recovery from injury. There is now a greater appreciation of the value of physiotherapy than in the past.

I presume that the review referred to by the Senator is that of the 1978 working party established to examine the grading structure for physiotherapists in hospitals. The report of the working party was circulated in 1979, however, it was not a pay review.

Similar to all other paramedical professions, physiotherapists have benefited in full from all standard and special pay awards under the various national pay programmes. The relative position of physiotherapists, in terms of remuneration, has been maintained with those of their colleagues in other paramedical disciplines.

IMPACT is currently pursuing a claim under Clause 2(iii), Annex 1 of the Programme for Competitiveness and Work, on behalf of physiotherapists. These negotiations are complex and are ongoing under the auspices of the Health Services Employers Agency with a view to arriving at a mutually satisfactory conclusion as soon as possible. In these circumstances I am sure Senator Maloney will appreciate that any further comment would not be appropriate or helpful. However, I will convey his sentiments to the Minister for Health tomorrow.

I thank the Minister of State for his reply and also for the kind words he expressed regarding the treatment he received at the hands of physiotherapists.

I hope his opponents also received such treatment.

The Seanad adjourned at 8.50 p.m. until 10.30 a.m. on Thursday, 5 December 1996.

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