Who's in charge - union members or union bureaucracy?
Unison is the largest and, arguably, most powerful trade union operating in the NHS - well resourced, well informed and politically connected, especially to Scotland's Labour establishment of senior councillors, Holyrood MSPs and Westminster MPs. Yet Unison, along with the other NHS trade unions, is managing to dig a very deep hole for itself over Agenda for Change (see earlier posts of 10 February and 26 April). Why? Because the principles of Agenda for Change are sound - they are intended to reward people for the day-to-day the skills they use in carrying out their jobs. But the implementation of this new grading structure is being badly mishandled at local level - largely due to a lack of professional advice and support to nurses and other NHS employees. The fact is that Unison and their union colleagues are jointly responsible for implementing Agenda for Change in local hospital and community settings - decisions are being made jointly with NHS managers about job profiles, new