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Workforce<br />
There is a continuous review of the cost and reliance on agency staff to ensure that the level used is<br />
appropriate to meet the needs of service delivery and that agency use is reduced or service need met by<br />
the recruitment of staff paid directly when this is suitable.<br />
Particular attention will be paid to the further development and implementation of measures to support the<br />
recruitment and retention of nursing and midwifery staff in light of identified shortages.<br />
The Lansdowne Road Public Service Stability Agreement 2013–2018<br />
The LRA, which represents an extension of the Haddington Road Agreement (HRA), was negotiated<br />
between Government and unions in May 2015 and will continue until September 2018. The agreement is<br />
endorsed by the majority of health sector unions and provides for the commencement of a phased<br />
approach towards pay restoration, targeted primarily at those on lower pay scales.<br />
Strategic Review of Medical Training and Career Structure (MacCraith Report)<br />
The outstanding recommendations of this report will continue to be implemented and in particular the issue<br />
of friendly flexible working arrangements will, service dependent, be supported. The task transfer initiative<br />
will be concluded and implementation of revised work practices shall be prioritised.<br />
Outstanding recommendations on training, workforce planning and the consultant appointment process will<br />
be implemented.<br />
European Working Time Directive<br />
We are committed to maintaining and progressing compliance with the requirements of the European<br />
Working Time Directive including non-consultant hospital doctors (NCHDs) and staff in the social care<br />
sector. Key indicators of performance agreed with the European Commission include a maximum 24 hour<br />
shift, maximum average 48 hour week, 30 minute breaks every six hours, 11 hour daily rest / equivalent<br />
compensatory rest and 35 hour weekly / 59 hour fortnightly / equivalent compensatory rest. We will<br />
continue to progress improved performance against these targets within the overall parameters of the<br />
service plan.<br />
Staff health and wellbeing and occupational health<br />
Staff will be enabled to become healthier in their workplaces through improved staff engagement,<br />
accreditation of staff support services and updating of key national policies. Safer workplaces will be<br />
created and in 2017 we will:<br />
• Review and revise the HSE’s Corporate Safety Statement<br />
• Develop key KPIs in health and safety management and performance<br />
• Launch a new statutory occupational safety and health training policy<br />
• Develop and commence a national proactive audit and inspection programme.<br />
National Service Plan 2017 14