Thursday, March 7, 2019

Jersey General Hospital and International Women's Day 8th March 2019


 
  

INTERNATIONAL WOMEN’S DAY 8 MARCH 2019

“Think equal, build smart, innovate for change”.
 The Jersey General Hospital is a particularly curious institution and is predominantly staffed by women.
It follows the Jersey Public Sector trend where twice as many women than men are employed.

 Currently Jersey Scrutiny is looking at the “Jersey Gender Pay gap” with a panel that is largely made up of women but their agenda is much wider then just ”equal pay.”
But shall this panel be looking at this strange health based institution as it exists now and how it might look  and function as a spanking new £billion edifice of architectural wonder and healthy well being in the future?

Of course “the hospital” extends beyond Gloucester Street to many locations already but I recently became a helpless patient there.
My female “friend” activated my Male GP – in spite of the non-working “out of hours telephone service” - so that I was promptly collected by a male/female ambulance team and delivered to Gloucester Street where a male porter wheeled me to a male part of a segregated M/F ward.

 There are, so I have discovered, a few female porters. There is no discrimination in recruitment but is there any other deterrent?
And that is the theme of this article which deals only with male and female genders. I encountered no evidence of policies or practices regarding other genders during my hospitalization either as employees or patients.

I was initially examined on admission by a 24 years old male doctor.
Subsequently I was seen by female and male doctors but noted that my own senior consultant was an older male as were most of those who visited other patients who were  in the 60s -70’s – 80s plus age group experiencing serious illnesses including dementia. There were no visibly young patients.
Most patients were discharged within a week but where they went I do not know for certain but I assume “home” mostly.

But this article is primarily about the staff.
 Why is it predominantly women who undertake this type of caring/ nursing employment?  Are they just driven by lack of other opportunities - and since noticeably too most have originated from outside of Jersey – is this just another example of “spud pickers” prejudice at work?
I encountered just one local student nurse on a “day out” work experience from her full-time class of about 10 at Highlands yet there is evidently and noticeably a severe health staff shortage.
Currently advertised are “staff nurse” vacancies for the private wing, junior sister for the gynecology unit, staff nurse for the renal unit, staff nurse for trauma unit, staff nurse for orthopedics unit and , specialist nurse for sexual heath unit.
All these vacancies are advertised as not needing 5 years prior-residence.
Almost anybody with the appropriate badge would it seems to accepted from anywhere in the world whereas a driver for the sterile services delivery vehicle would need 5 years residence to apply.

Yet why are the likely applicants for the nursing vacancies most likely to be female? What is lacking in the job that is so unappealing to so many men? Are men simply not suitable due to an inherent design defect?
Of course the “nursing” jobs described do require a professional qualification whereas the majority of staff employed on the wards are not qualified nurses at all but tend to be the cleaners – care assistants who undertake so many and varied tasks from serving food and changing soiled linen on beds  to counseling patients in distress etc. They provide an essential part of the care provided and could not be replaced by robots – but could they be equally replaced by men?

 There is visibly a shortage of staff on the wards but by what process they might be recruited, trained or rewarded was not at all clear during my brief confinement as a patient but I guess that there are more than twice as many women already employed in such jobs as men. Shall the “Gender Pay Gap” scrutiny panel be looking at such issues?

Since Jersey has created its own particular brand of discrimination to curtail “immigration” it is especially difficult to determine which recruitment factors are most important but in the UK just 11% of registered nurses are male. Yet the men are likely to receive higher pay and to be in the senior posts rather than their female colleagues.
How the “non registered” nursing /care assistant sector in the UK compares with Jersey’s I do not know but I guess that females are much more commonly employed than men

What is clear is that the “private” providers of care in Jersey have similar difficulties recruiting staff to provide basic services and it is a difficulty that is not going away.
In fact all proposed “immigration” controls which include discriminatory restrictions on housing and employment opportunities are likely to make the problem much worse both for to private and public sectors.
“Think equal, build smart, innovate for change” may be a catchy sounding slogan for International Women’s Day 2019 but it is unlikely to lead to a better understanding of working and recruitment policies in Jersey.

How it might impact upon the quality of care of patients in the existing hospital service – never mind the new one - is anybody’s guess.

1 comment:

  1. An excellent article Mr. Gruchy asking all the relevant questions and giving us pause for thought. I'm pleased you were able to overcome your illness and more pleased you are blogging again so soon. Keep up the good work!

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