Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Dáil Éireann díospóireacht -
Thursday, 11 Nov 1971

Vol. 256 No. 10

Committee on Finance. - Adjournment Debate: Psychiatric Nurses' Dispute.

When I gave notice that I was raising this matter on the adjournment I did so because I felt that the Labour Court would by now have reached some conclusion. I understand that the Labour Court is still in session and I do not wish to say anything that would exacerbate a very delicate situation. However, I have been approached by relatives of patients and I feel that, as a public representative, it is my duty and the duty of this House to express our grave concern and to request both bodies to find a solution at the earliest possible hour.

During the last seven or eight hours I and my fellow Deputies have been in contact with different mental hospitals throughout the State. The reports which we have been getting are constant and consistent inasmuch as they indicate that the good work of the psychiatric nurses, in relation to the improvement of patients, could be lost if a reasonable solution is not found at the earliest possible date. I am told that the patients who had the privilege of moving to tuck shops under reasonable escort are now confined. I am told that the patients who were undergoing occupational therapy are also confined. These people are not used to confinement and they are confused and their condition is deteriorating. I have medical opinion to the effect that unless a solution is found soon many years of good work will be lost.

It is with this background that I came into the House to appeal to both sides to exercise their good offices to arrive at a solution which will have this strike finished at the earliest possible hour or minute. Having said that, I feel that the Department of Health should recognise that the psychiatric nurses perform a duty that can be best described as a dedication or a vocation. I do not think there is any other group of people in the country who perform duties as dedicatedly as the psychiatric nurses. I believe these men and women perform quite a noble job. I am, personally, of the opinion that their claim is a reasonable one and without getting into the pros and cons of the Labour Court, and being deeply conscious of the part the Labour Court plays in the fabric of our society it would be extremely dangerous of me at this point of time to say anything that might weaken any one particular case or strengthen the other, nevertheless, on balance, I feel I am justified in saying that this strike never should have happened. It should have been attended to long ago. I am not concerned, nor do I wish to involve myself, in the arguments or the claims relating to monetary or other conditions of employment except to say that I cannot help thinking that the strike is now deadlocked on the question of promotion on seniority. I want to pose this question to the Minister. If promotion on seniority is wrong how many people over the number of years that we have had mental hospitals in operation have been bypassed? In what way has it failed?

How often has someone been selected on promise rather than on performance? I do not want to come down on any particular side but I feel justified in asking is it worthwhile to have a strike of such a national character and of such a serious nature on such an issue? I want to say that if anything can be done by the Minister to influence the powers-that-be or, indeed, if there are union representatives who can be influenced they should sit down and seriously consider a compromise on the question of promotion by seniority. My opinion is that, if I had the power to promote any person, that promotion would be on performance taking seniority into consideration. This is the crux of the whole matter. With that background, I wish to say that it has come to my attention that 500 patients in St. Brendan's Hospital today have been looked after by 14 nurses, some of whom could not find relief and stayed on until today when they were relieved. Some of them were on duty for 24 hours.

My information is that since the strike the nurses have been providing voluntary service. They have provided a skeleton service voluntarily and without pay. I want to say that all due credit is due to the nurses. They have recognised their duties to the patients and have acted in a most humane manner. Patients are not used to being neglected. I am told that in my own county there are no laundry facilities. But for the fact that the nurses and domestic staff took the precaution of having extra laundry provided before the strike the position would be chaotic at the moment. This position can only last a couple of days. The toilet facilities leave much to be desired. I am told that beds are not made in the manner in which they should be made. The geriatric patients are receiving all reasonable attention which the nurses can give them. It is very difficult for me to be critical of the Department of Health because if I do so I am then taking sides and I could be creating more difficulties than I am trying to solve. I know the Minister, Deputy Seán Flanagan, who is acting for the Minister for Health. reasonably well. I respected him as Minister for Health and I still respect him acting in that capacity tonight. I have every confidence that this appeal of mine will not go unheard when I ask him to take every measure possible to ensure that people will act reasonably.

If, in my opinion, the strike can be called off on this one point of promotion by seniority then I think the Minister will agree with me that is too frivolous a point on which to allow many of our people—who are the weakest section of our society and who do not even know what the strike is about—to bear the hardships involved. We, as human beings, should do our best to improve the position.

If this strike is not finished by the time the Dáil meets again, I will ask the Minister for Health to intercede. I should like to put on record that I would like an all-party deputation to go to St. Brendan's Hospital, which is the largest mental hospital in the country, tomorrow morning. Possibly we could meet here at 11 a.m. and go to St. Brendan's to see for ourselves what is happening. We must take an active interest so that we may solve the problem with the least possible delay.

I agree with the points put forward by Deputy Harte. I represent a constituency which has two psychiatric hospitals. If this strike is not brought to an early finish patients will suffer serious hardships in the not too distant future. In both hospitals voluntary nursing services have been available to look after the patients. We must remember that many of the patients are not in a desirable state in so far as hygiene and health are concerned. Steps should have been taken by the Minister and the Department to ensure that this strike did not take place. It is a well-known fact that people in the nursing profession, especially psychiatric nurses, have a delicate task to perform. In many cases such nursing is a unenviable occupation. Throughout the years these nurses have devoted themselves to this profession. They have done this job with pride and distinction. It is regrettable that, after all the years service which they have given to this profession, that a situation such as this should have been allowed to develop.

We all know that it is not adequate just to give drugs to the patients night and morning. The patients need more than that. Any break in their daily routine can be detrimental to them. Some patients might never recover from the ill-effects of a break in their treatment. More should have been done to prevent this crisis. I have the greatest confidence in Deputy Seán Flanagan. I regret that the Minister for Health was not in a position to be here tonight and also that he refused to intervene in this crisis. This strike is very serious. It affects many people throughout the country, many of whom are not in a position to look after themselves.

The Deputy is playing politics in this situation. No credit is due to him.

I do not intend to prevent Deputy Timmons from making any contribution which he wishes to make. I would be obliged if he would let me continue. I will not delay him very long.

We would like to refute that allegation.

Acting Chairman

Could we have Deputy Fox without interruption, please?

(Interruptions.)

I wish to refute the allegation that I came in here to introduce politics into this subject. Many of my constituents through no fault of their own, or of their fathers, mothers or of others near to them, are in jeopardy now. That is the reason I am speaking on their behalf as their elected representative. I wish to refute any allegation that I am introducing politics into this very delicate and unfortunate situation.

I wish to endorse what Deputy Harte and Deputy Fox have said. So far as we on this side of the House are concerned, we certainly do not want to make politics out of this issue. This matter has been under discussion for more than 11 years and it is a pity this strike was allowed to take place. However, it is only fair to say that Members of the Dáil did good work, because Deputy Noel Browne, Dr. Deputy O'Connell and the leader of Fine Gael tabled a Special Notice Question on Tuesday last asking the people concerned to sit down around a table and try to settle this strike. As we speak here tonight I think that is being done. The people who have met since early morning and who spent 11 hours yesterday in an effort to come to a satisfactory agreement are to be congratulated.

According to a letter of 26th June, 1970, the Minister suggested that "a certain number of permanent appointments could safely be made now in anticipation of the eventual settlement of the promotional issue". I would ask the Minister if it is true that the chief executive officers of the health board refused to carry out the Minister's recommendation? I have been told the representatives of the unions were prepared to accept the Minister's recommendation at that time, but it appears the CEOs were not prepared to do so. I should like to ask the Minister if they are acting as bureaucratic dictators?

This is no ordinary strike. The lives of the patients and the safety of the nurses are at stake. In some places one nurse has charge of from 80 to 100 patients where there should be nine or ten nurses to carry out the work. Wonderful co-operation and harmony has existed during the years among the staff, and if this strike is allowed to escalate this harmony could be damaged irreparably. I hope the Minister, the Department of Health and everyone concerned will make an allout effort to bring this unfortunate strike to an end immediately.

First, I should like to thank Deputies for their approach to this problem and to say that it is a very serious matter that there should be a strike in the psychiatric service. Nothing I shall say will in any way interfere with the negotiations which are going on at this moment and which we hope will lead to a settlement of the strike within a matter of hours.

With regard to the complaints made by Deputy Harte about conditions in particular hospitals, I should like to mention that the unions undertook to maintain a limited staff and a limited service, and if there are shortcomings it would be up to them to see that they are remedied. Of course, that is on the pessimistic basis that a settlement will not be forthcoming very quickly.

May I say it should be obvious to everyone that the two parties to a dispute of this kind could not possibly have allowed a strike situation to develop unless there was disagreement on something of fundamental importance to the service itself. I must remind the House about the meaning of the word "service" in regard to any kind of patient, and in particular in regard to mental patients. It is a service to patients and it is the longterm interest of the patients that everybody on management and staff should be concerned about. There is, and has been for some time, a deep divergence of opinion between the unions representing the staff and the management as to what is the proper structuring of the service to the patients from a longterm point of view. It would be wrong of us in this House to suggest that either side was anything but sincere in its views. What they are talking about now is not of a compromise, I would hope, but of a reasonable settlement of views as regards the betterment of the psychiatric service for the patients.

There were proposals put forward on which I shall not comment because I do not think it appropriate to do so. They are proposals which sought to deal with the promotional problem about which Deputy Harte is particularly concerned. As he knows, this is not a black-and-white problem; it is full of greys and different colours and I can only express the hope that the talks going on at the moment will result in a satisfactory settlement of that major issue.

There are many other issues also and I believe that, with goodwill on all sides, these can be settled. Might I say in the short term that, in view of the fact that these talks have been going on for so long and that there must be, and obviously is, good will on both sides to find a settlement, it would be a splendid gesture on the part of the two unions and the association concerned if they would say: "We believe we can find a solution and we ask our staff to go back to work immediately." I think it would be of practical help if the unions and the association were to ask their staff to do this and if they put their faith in the good sense and judgment of the two sides and in that way bring this strike to an end immediately.

The Dáil adjourned at 10.30 p.m. until 3 p.m. on Tuesday, 16th November, 1971.

Barr
Roinn