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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.

Basketball hoop set against the sky

As the UK’s largest employer and a major producer of greenhouse gases, the NHS has a huge role to play in meeting the government’s net zero target for carbon emissions. We report on the scale of the challenge post-COP26 and the transformations in services, attitudes and leadership needed to meet it.

19 May 2022 | By Matt Limb
Feature
Woman working at home

Eleanor recently joined the NHS as a senior manager at an acute trust in England. She’s full-time but has flexible hours and works from several locations, including home.

10 May 2022 | By Craig Ryan
Feature
woman working at laptop in kitchen

Hazel has been working flexibly for more than 20 years. After the birth of her first child, she considered putting her career on hold altogether, but “I didn’t think I’d have the confidence to go back after 20 years bringing up the kids,” she says.

10 May 2022 | By Craig Ryan
Feature
women working in a loftspace at home

Workers increasingly see flexible working as the norm, but it has proved notoriously hard to implement in the NHS. We assembled a panel of experts to discuss how the NHS can overcome the obstacles to offer people the flexible and attractive careers they want.

05 May 2022 | By Craig Ryan
Feature
Rob Webster WYP thumb

NHS bodies are now being asked to collaborate rather than compete. But top-down direction cannot foster genuine cooperation, West Yorkshire ICS chief Rob Webster tells MiP. Only through partnerships can health and care staff address the huge challenges they face.

21 April 2022 | By Matt Ross
Interview
You matter sign thumn

MiP's annual pay survey show that an above-inflation pay rise will help to tackle severe staff shortages and boost the morale of the thousands of managers who are on the brink of leaving the NHS.

20 April 2022 | By Craig Ryan
Analysis & opinion
Countess of Chester Hospital mosaic sign

Teams of doctors from different specialisms working shifts together helped the Countess of Chester Hospital to weather the Covid storm with increased patient satisfaction and better staff engagement. Here's how they did it.

10 January 2022 | By Matthew Limb
Managing Better Care
Diversity equality heads graphic

Cheryl Samuels and Dean Royles argue that equality, diversity and inclusion in the NHS are part of a wider social movement for change, in which line managers, leaders and trade union reps have a crucial role to play.

15 December 2021 | By Cheryl Samuels & Dean Royles
Analysis & opinion
BLSM logo no strap

Last year, we talked to black NHS managers from around the country about the Black Lives Matter movement, racism in the UK and tackling inequality in the NHS. After a tumultuous year, how do they feel now? And what progress do they think we’ve made?

10 December 2021 | By Craig Ryan
Feature
christina mcanae on balcony at UNISON HQ Sep 2021 697x 465

Christina McAnea, elected the first woman leader of UNISON in January, talks to MiP's Matt Ross about the crucial role of managers in the NHS and UNISON, the future path for the union and her pragmatic approach to negotiations and politics.

25 October 2021 | By Matt Ross
Interview
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Times are tough, but MiP's National Committee has set a challenging but optimistic agenda for the next two years – boosting our communications and influence, working to expand NHS management capacity and developing support for our rapidly growing network of workplace reps.
21st Jun 2022
By Jon Restell
Leading Edge
NHS Confed survey finds racism deters 60% of ethnic minority leaders from recommending NHS management careers, with racist abuse and discrimination most likely to come from colleagues.
22nd Jun 2022
By MiP
News

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