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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.

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