Staff at Medway Maritime Hospital say they are taking on shifts in pubs to cover their costs after the price of a day's parking at the Gillingham site rose by more than 60% at the same time as their extra-shift pay was cut.
The charge for a 24-hour stay increased from £9.20 to £15 on 1 August, with most other tariffs rising by at least £1. Two hours went up from £2.30 to £2.50, three hours from £3.50 to £4.50, four hours from £4.60 to £5.50 and five hours from £5.80 to £7. The first 30 minutes remains free, and a discounted weekly rate for relatives of patients on critical care and children's wards rose from £16.10 to £17.50.
The increase follows a 20% cut to bank shift rates in May, part of a move by NHS organisations across Kent and Medway to standardise the amount paid for extra shifts. Bank work functions as the main overtime route for many nursing, midwifery and support staff, and the combined effect of higher travel costs and lower additional earnings has, staff say, pushed some into second jobs.
One midwife at the hospital, who spoke anonymously, said she had previously budgeted about £150 a month to get to work and now expected to pay around £250. She said she had learned of the increase through an internal message.
"They're kicking us whilst we're down, and I could get more as a cleaner."
Medway NHS Foundation Trust says the additional income will fund repairs, lighting, CCTV, security and the replacement of payment machines and barriers. Interim chief executive Siobhan Callanan said the trust could not offer free parking to everyone.
"While we are unable to provide free parking for all colleagues, eligible staff can apply for an on-site parking permit to use designated staff parking areas," she said, adding that "a range of parking concessions remain available for eligible patients and visitors and the hospital is well served by public transport links". Free off-site parking and a shuttle bus service were available to all staff, she said.
The trust has not disclosed the monthly cost of a staff permit. Staff argue that the limited number of permits, restricted to eligible workers and still carrying a fee, means many are paying more simply to attend work, with early starts and night shifts falling outside convenient public transport and shuttle times.
It is not clear how many staff pay the full £15 daily rate, and the practical availability of permits and off-site parking is the central point of dispute between the trust and its workforce.
The decision has drawn criticism from Medway Council. Deputy leader Teresa Murray, who has asked to meet the trust's leadership, said: "The hospital has a £47m deficit and this is their decision to make, but overall, this is not making anything any better." The deficit figure was given by the council and has not been independently confirmed against trust board papers.
The bank pay changes have prompted unrest across the county. The Royal College of Nursing's senior regional officer for Kent, Cess Wigley, said the union was "in the process of lodging a collective grievance with each of the trusts". Unison's South East regional organiser, Abbey Hampshire-Boswell, warned that standardising bank pay "must not become a race to the bottom". Staff at trusts in east and west Kent have begun unofficially boycotting bank shifts, with some raising the prospect of industrial action.
Medway is not alone in raising charges. Darent Valley Hospital in Dartford increased its tariffs on the same day, with a 24-hour stay rising from £10 to £12.50, while Mid and South Essex NHS Foundation Trust raised fees at four sites on 31 July.
The trust is due to be led by a substantive chief executive, Mark Orchard, from the autumn.
Join the Discussion
Have something to say? Join the conversation!
Sign in to share your thoughts and engage with other readers.
Sign In Create AccountNo comments yet
Be the first to share your thoughts on this article!