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Tasmanian Industrial Commission

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T9514

 

TASMANIAN INDUSTRIAL COMMISSION

Industrial Relations Act 1984
s.29 application for hearing of industrial dispute

Minister Administering the Tasmanian State Service Act 1984
(T9514 of 2001)

and

Tasmanian Salaried Medical Practitioners' Society

 

COMMISSIONER T J ABEY

HOBART, 14 May 2001

Industrial dispute - salaries and bans imposed in public hospitals - salaries arbitrated - Reference Group established

REASONS FOR DECISION

On 30 April 2001, the Minister Administering the Tasmanian State Service Act 1984 (the applicant) applied to the President, pursuant to Section 29(1) of the Industrial Relations Act 1984, for a hearing before a Commissioner in respect of an industrial dispute with the Tasmanian Salaried Medical Practitioners' Society (TSMPS) arising out of the imposition of industrial action in public hospitals in pursuit of wage increases for salaried medical practitioners.

On 30 April the President convened a hearing before myself at "Lyndhurst", 448 Elizabeth Street, North Hobart to commence at 2.00pm on Tuesday 1 May 2001.

When the hearing commenced Mr P Targett appeared for the Minister administering the Tasmanian State Service Act 1984. Mr D Lowe, together with Dr T Greenaway and Dr S Day, represented the TSMPS. Mr C Willingham intervened pursuant to Section 27[1] on behalf of the Minister for Justice and Industrial Relations.

In his opening submission Mr Targett explained that the application had been lodged as a result of the imposition of certain bans by the TSMPS. These bans fell into two categories. Firstly, bans relating to certain administrative procedures and, secondly, bans relating to elective surgery and appointments in specialist clinics.

Mr Targett also provided the Commission with a background summary of the negotiations which had occurred following the serving of a claim by the TSMPS in the latter part of 2000 for a range of salary increases for salaried medical practitioners employed under the terms of the Salaried Medical Practitioners Enterprise Agreement 1999 [the Agreement].

Following the opening submission from Mr Lowe the hearing was adjourned into private conference with the Commission present. As a consequence of this conference the TSMPS agreed to lift all bans relating to elective surgery and out patient clinics. This outcome enabled negotiations to recommence immediately. At the request of the parties the Commission was an active participant in the ensuing process.

A series of private conferences took place over the following days. A number of documents were exchanged and a substantial level of agreement was reached. Nonetheless a number of issues remained unresolved and the Commission was asked to determine these issues in accordance with Clause 14 of the Agreement relating to the Grievance and Dispute Settling Procedure.

This clause reads in part:

"If the grievance or dispute remains unresolved, the matter shall be referred to the Tasmanian Industrial Commission for decision, which shall be accepted by all parties as settlement of the grievance or dispute."

The hearing resumed on 11 May to hear submissions in relation to these unresolved issues. Both parties indicated that they would accept the Commission's finding on these outstanding matters.

Mr Targett tabled two documents. The first1 recorded the Government's position in relation to the matters which Mr Targett contended were provided for in the Agreement. The second document2 outlined the Department's proposed terms of reference for the Medical Workforce Planning Reference Group [the Reference Group]. Following preliminary submissions it was agreed that two issues remained unresolved. I now deal with each of these issues.

Base Salary Rates

The parties had previously agreed that the base salary rates for Salaried Medical Practitioners [excluding specialists] would be a total of 9% in three instalments between 1 February 2001 and 1 July 2002.

In the case of Specialist Medical Practitioners, the position reached following the series of private conferences was that the total salary adjustment over the life of the Agreement would be 16.5%. Of this total the first two instalments, namely 1 February and 1 July 2001, had been agreed at 3% and 6% respectively. The Commission was asked to determine the quantum for the 1 July 2002 adjustment, and by inference, the 1 July 2003 adjustment.

Mr Lowe said:3

"The process that Tasmanian Salaried Medical Practitioners has taken in determining what is required in the current circumstances was to look broadly at the medical workforce market across Australia and try and assess the extent to which, in general terms, both for non specialist and for specialist medical practitioners the existing enterprise agreement accommodated the needs or lacked accommodation of the needs for Tasmanian public hospitals to fill that market."

Mr Lowe submitted that on this basis the deficiency was in the region of 18.5% and that the objective of the TSMPS was to:4

"... narrow that gap as quickly as possible for the purposes of trying to arrest what appears to be a chronic leakage of some key specialist personnel within the state's public hospital and particularly at the Royal Hobart and Launceston General Hospital and to a lesser extent the North West Regional Hospital."

Mr Lowe contended that a 15% increase by I July 2002 was a crucial issue for salaried medical practitioners generally, in that it would take base salaries for specialists to a position which, whilst still falling short of rates paid elsewhere in the Australian medical workforce, would substantially narrow the gap.

In outlining the Government's approach to the TSMPS claim Mr Targett said:5

"The government has come from the perspective that because of issues that have been raised by the TSMPS in the negotiation process and in the claim that was originally put forward, that on this particular occasion it was quite evident that the State Services Wages Agreement was not going to be able to accommodate the needs of the salaried medical practitioners and for that reason, we would need to move away from what has been put in place for public servants generally and reach a special accommodation to suit the special needs that were being portrayed to us."

Mr Targett submitted that the acknowledgement of these circumstances had led to a departure from the State Service Wages Agreement but that this in turn had6 " impacted on the forward estimates, impacted on the financial situation of the department, ... and the position we are now in is attempting to minimise further impact and the impact we are talking about is a financial one".

Mr Targett asked the Commission to recognise both the substantial movement the Government had made together with the reality of the financial constraints.

I recognise that both parties have moved substantially from their initial positions and I suspect the creation of the Reference Group has been a significant factor in facilitating this movement. I also accept Mr Targett's submission that there is "no real science" to what is essentially a negotiated outcome. In essence the Commission is asked to arbitrate between two competing positions within a fairly narrow band.

Having regard to all the circumstances my strong recommendation is that the salary adjustment on 1 July 2002 be 6%. It follows that the consequential adjustment on 1 July 2003 will be 1.5%, having regard for the agreed "Leave Reserved" clause to apply from 1 April 2003.

The details of this decision, together with the previously agreed matters, are consolidated in Appendix 1.

Medical Workforce Planning Reference Group

The concept of the Reference Group was an initiative of the Department during the earlier private conference process. The terms of reference for this group had been closely analysed during the conference stage and were substantially agreed at the time of this hearing. Mr Lowe said7 "the principle of that body is roundly supported by the TSMPS representatives ..."

In seeking certain changes Mr Lowe said:8

"I don't want to in any way adversely reflect on where this document is heading in terms of a major new influence in assisting in the recruitment and retention of staff in the state's public hospital system."

Following a further proposal from Mr Targett the area of difference was reduced to one issue.

Mr Lowe submitted that the purpose of the Reference Group be expanded to give it a much more precise role in addressing issues relating to recruitment and retention strategies with particular emphasis on salaries and conditions, including matters within the Industrial Agreement.

There can be no doubt that a key function of the group will be to provide advice on "the medical workforce market and the medical workforce supply and demand within that market in the Tasmanian context".

In commenting on the role of the Reference Group, Mr Lowe said:9

"... it has the potential to be able to pinpoint shortages not only across hospitals but within individual disciplines.

And that is in recognition of the situation that the medical workforce is not a constant situation either across the workforce or within individual disciplines. Some disciplines Australia-wide, indeed worldwide are in serious short supply and Tasmania needs to compete to obtain at least key people in some of those areas.

In some of the other disciplines, the issue of supply is not so critical and therefore the sensitivities in relation to seeking to access the market is not as difficult."

In response Mr Targett observed:10

"I have attempted, in designing the document, quite clearly moved the issues that that group should look at as broadly as possible. I haven't attempted to filter it. I've quite clearly said, it has a role to play in providing advice on recruitment and retention, all those sorts of issues. I've attempted to give it as broad a role as possible in that context. I've attempted to demonstrate in the document that there is a medical workforce market and there are supply and demand issues and we do as a department need to obtain advice in that context and I have built that into the document."

Mr Targett went on to submit that this was a group established at a Departmental level, and that it was not appropriate to extend to it a purely industrial role which should remain the province of the Government. He said that this would not prevent any organisation from making submissions to Government on any issue including salaries and conditions. However to accept the TSMPS proposal "... is actually going one step too far in a whole of Government sense".11

I accept the submission of Mr Targett. I firmly believe that the Reference Group will have a pivotal role in addressing many, indeed most, of the issues raised by the TSMPS during these current negotiations. However the ultimate responsibility for determining the contents of the Industrial Agreement must rest with industrial partners, namely the Government and TSMPS.

The Terms of Reference for the group are shown in Appendix 2.

Bans

All medically related bans were lifted immediately following the initial hearing on 1 May. However I understand that at least one ban relating to an administrative function remains in place.

It is an integral part of this decision that I require any remaining bans to be lifted forthwith.

 

Tim Abey
COMMISSIONER

Appearances:
Mr P Targett for the Minister Administering the Tasmanian State Service Act 1984.
Mr C Willingham intervening on behalf of the Minister for Justice and Industrial Relations.
Mr D Lowe, with Dr T Greenaway and Dr S Day, for the Tasmanian Salaried Medical Practitioners' Society.

Date and Place of Hearing:
2001
May 1, 11
Hobart

              APPENDIX 1

INDUSTRIAL AGREEMENT ISSUES

1. The parties to the Salaried Medical Practitioners Enterprise Agreement 1999 will withdraw from that agreement under S61K of the Industrial Relations Act 1984.

2. The TSMPS and DHHS will enter into an Industrial Agreement under Section 55 of the Industrial Relations Act 1984 titled the Salaried Medical Practitioners Industrial Agreement 2001.

The contents of the Salaried Medical Practitioners Enterprise Agreement 1999 which are at variance with the Medical Practitioners (Public Sector) Award will be incorporated in the Salaried Medical Practitioners Industrial Agreement 2001.

3. The following salary adjustments will apply for the duration of this agreement:

 

Salaried Medical Practitioners
(excl. specialists)

Specialists

     

    from 1/2/01

3%

3%

    from 1/7/01

3%

6%

    from 1/7/02

3%

6%

    from 1/7/03

 

1.5%

 

9%

16.5%

4. Leave is reserved to the parties to reopen negotiations not earlier than 1/4/03 in light of circumstances applicable at the time. These negotiations may result in an additional salary adjustment to take effect not earlier than 1/7/03. It will be open to the parties to seek the assistance of a mutually agreed independent mediator to assist in these negotiations.

5. Salary Aggregation and Salary Sacrifice (in accordance with Government guidelines) currently available in Schedule 2 of the Salaried Medical Practitioners Agreement 1999 will be made available to permanent salaried medical practitioners under terms to be included in he Salaried Medical Practitioners Industrial Agreement 2001.

6. Within three months Salaried Medical Practitioners (working in PBI institutions) will have access to non superannuation salary sacrifice (Salary Packaging) up to approximately $17,000 grossed up. This benefit will be in accordance with the decision by the Government to allow the Public Hospital workforce to access such a benefit by virtue of the PBI status of these hospitals.

Provisions will be inserted into the Salaried Medical Practitioners Industrial Agreement 2001 to this effect.

     

              APPENDIX 2

MEDICAL WORKFORCE PLANNING REFERENCE GROUP

TERMS OF REFERENCE

Purpose

The Medical Workforce Planning Reference Group is an advisory body that provides strategic advice to the Agency Executive Committee on whole of Agency issues affecting the medical workforce.

Role and function

1.    The Medical Workforce Planning Reference Group is an advisory group established to generate ideas, identify issues and provide advice to the Agency Executive Committee, and the Secretary, Department of Health and Human Services in relation to:

  • The number, structure, balance and geographic distribution of the medical workforce in Tasmania;

  • The medical workforce market and medical workforce supply and demand within that market in the Tasmanian context;

  • Models for describing and predicting future medical workforce requirements based on population health status and practice developments.

  • Medical workforce recruitment and retention strategies to assist DHHS recruit appropriately qualified salaried medical practitioners to all establishment positions in the Tasmanian public hospital system;

  • Initiatives, which the reference group may consider appropriate to advise AEC upon.

2.     Membership

    The Medical Workforce Planning Reference Group will be chaired by the Director, Hospital and Ambulance Service.

    The Agency will be represented by:

  • Director, Community and Rural Health,

  • Chief Executive Officer, Royal Hobart Hospital,

  • Chief Executive Officer, Launceston General Hospital,

  • Chief Executive Officer, North West Regional Hospital,

  • Director, Human Resource Services.

    The Tasmanian Salaried Medical Practitioners' Society will nominate up to five members to the Reference Group who will provide a professionally and geographically balanced representation.

    Members of the Reference Group may send a nominee if they are unable to attend a meeting.

    There is the capacity for the reference group to co-opt ex officio members for specific requirements if required.

3.     Administrative support will be provided by Human Resource Services.

    Human Resource Services will be responsible for:

  • organising appropriate venue and equipment,

  • setting the agenda,

  • recording of minutes,

  • distribution of agendas, minutes and associated documents.

4.     Minutes are to be circulated within one week of the meeting being held. An agenda will be circulated at least three days prior to the next meeting.

5.     Meetings are to be held bimonthly or more frequently as determined by the Reference Group.

6.     Recommendations from the reference group will be taken to AEC by the Chair of the Reference Group and any resulting decision from AEC will be actioned in accordance with the decision.

 

1 Exhibit R1
2 Exhibit R2
3 Transcript p. 20
4 Transcript p. 20
5 Transcript p. 24
6 Transcript p. 24
7 Transcript p. 19
8 Transcript p. 22
9 Transcript p. 18
10 Transcript p. 27
11 Transcript p. 26