We’re proud of what MiP has done – managers need it more than ever
Twenty years ago, UNISON and the FDA created Managers in Partnership (MiP). It remains a unique joint venture among Britain’s trade unions. In our view, MiP has done what we hoped for in 2005—bringing thousands of NHS senior managers into a trade union that represents and speaks up for them with governments and in the media.
Why create a separate organisation for NHS managers in the first place? In the early 2000s, both unions had problems organising NHS managers into their membership. For the FDA, predominantly a civil service union, senior NHS managers did not have an obvious home in its structure and their employment needs were appreciably different from other members. They required more personal representation, especially during continual re-organisations of the NHS, which sadly still feature as much today as then. For UNISON, with its leading presence in the NHS, the needs of a tiny number of senior managers would always get lost in the campaigning work of a union representing the entire workforce.
Eureka moment
Unions facing these problems traditionally had three options: compete, merge or withdraw. The decision to collaborate on a solution, drawing on the strengths of both organisations, was one of those eureka moments and greatly to the credit of both unions’ leaders at the time.
Also groundbreaking, was the wide-ranging research into what NHS managers wanted from a union. The result was a unique organisation. While remaining part of the partner unions—its members belong to both UNISON and the FDA—MiP was given significant autonomy over how it represented members, individually and collectively with employers, and in public discourse. MiP would have its own identity, staff, budget and policies. It would be a specialist home for senior managers in the NHS and allied sectors.
How we did it was just as important as what we did. It took us a long time to build the trust needed to risk something so new and different. While both are rooted in our country’s public services, the two unions are very different in size and culture. That early investment in building trust has paid off. We have worked in quietly effective partnership ever since, never needing to fall back on hard agreements and proceeding by consensus. We have a shared strategic interest in MiP’s success, and have developed the understanding and relationships to deliver on that.

MiP’s membership has trebled, it now has 150 workplace reps, and a public reputation and influence out of proportion to its size. This success is built on the hard work and enthusiasm of MiP staff and member activists, supported by the
partner unions.
Your union home
That mindset flowed into the DNA of MiP: its reputation and influence are built on the thousands of relationships it has created through its partnership approach to representing its members and campaigning for the best possible management of our NHS and the wider care system.
We are proud of what MiP has done. At over 9,000, membership has trebled since the union’s formation. MiP now has more than 150 workplace representatives in NHS organisations across the UK. It has seats on both national and employer partnership forums. It has a public reputation and influence out of proportion to its size. It also campaigns for good management standards, fair treatment for members and respect and understanding for the critical role of managers in the whole health and care system. This success is down to evolution, rather than following a blueprint from another age. It is built on the hard work and enthusiasm of MiP staff and member activists, supported by the partner unions.
As the present leader of UNISON, I re-affirm our commitment to the MiP model. Managers need it now more than ever, as the NHS in England grapples with another seismic, chaotic and completely avoidable upheaval. Managers need a union voice speaking up for them against lazy stereotypes and ill-informed hostility about their role and value. The Daily Mail never takes a day off!
We also pay tribute to the work of MiP members. If this country is to get the NHS and the public services it needs, it will need the skill and dedication of managers and to invest in management capacity and capability. MiP is your union home, and it will stand by you, speak for you and campaign for better management and culture. By belonging to MiP you are already playing your part. Thank you for joining MiP and for making your voice as a manager heard. //
- Christina McAnea is general secretary of UNISON.
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