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Senior Executives

The lack of union representation for senior executives in our health and care services was at the heart of FDA’s and UNISON’s decision to launch MiP back in 2005 – and their needs and interests remain central to our work. 

Executive meeting
With hundreds of senior health executives in membership – including many chief executives, and running across and beyond the NHS – we have enormous expertise in handling the kinds of employment problems encountered at this level.

In particular, senior executives are vulnerable to political and media pressures, and they’re often badly treated in organisational change programmes, when specific service failures are discovered within their areas of responsibility, or when national bodies intervene in local decision-making. At these times, our national officers provide personalised, one-to-one support to ensure that members’ employment rights are respected and their careers protected.

Another common field of casework involves the Fit and Proper Person regulations: we regularly help members to address challenges brought under those rules. And we offer expert advice on the convoluted tax regime covering the pensions of senior health executives, ensuring that they receive the full benefits to which they’re entitled.

Meanwhile, we represent senior executive members collectively by engaging with national bodies and health organisations to improve career development, employment terms and pay structures; we are, for example, regularly asked to submit evidence to national pay review bodies. We play a key role in making policy on equalities issues within NHS management, working to ensure that the diversity of the wider workforce is reflected in senior positions. And we run campaigns to explain and demonstrate the value and importance of senior managers within our health and care services, challenging the popular narrative touted by journalists and politicians.

As well as our members within NHS trusts, MiP also serves senior executives working for private and voluntary sector health providers, social care providers, and commissioning bodies such as CSUs.

Steve McManus, Royal Berkshire NHS trust

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24 September 2024 | By Matt Ross
Interview
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Feature
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18 July 2024 | By Ramima Khanam
Feature
Headshot of Jenny Owen, 2024

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10 July 2024 | By Craig Ryan
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Dr Phil Hammond on stage, 2024

Doctor, comedian, broadcaster, writer, health campaigner and politician manqué, Dr Phil Hammond is now drawing up a manifesto to rescue the NHS and boost the nation’s health. On the eve of a watershed general election for the UK, he spoke to Healthcare Manager’s Matt Ross.

03 July 2024 | By Matt Ross
Interview
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Feature
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Feature
Cartoon image of NHS staff questioning politician as a patient looks on

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17 June 2024 | By Rhys McKenzie & Jon Restell
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20 May 2024 | By Jane Galloway
Tipster
Jon Restell portrait 2021

Are managers always to blame for the poor working culture in the NHS, or is that just a convenient excuse for politicians who find the root causes of our problems too hard to solve?

29 April 2024 | By Jon Restell
Leading Edge
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Agenda for Change, introduced 20 years ago, was supposed to put an end to inconsistency and unfairness in how NHS staff are paid. But staff shortages and tight budgets mean many staff are now graded below the level of the work they’re doing. It’s time to modernise the system, says Rhys McKenzie.
7th Oct 2024
By Rhys McKenzie
Feature
MiP has welcomed moves to speed up pay progression for Band 8 and 9 managers and tackle long-standing problems with the Agenda for Change pay system that deter staff from seeking promotion.
23rd Sep 2024
By MiP
News

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