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July 29, 2013 - No. 93

Health Care Is a Right!

Stop Alberta Government's Reckless Cuts to Nursing Staff! Fight for Human-Centred Health Care!

Health Care Is a Right!
Stop Alberta Government's Reckless Cuts to Nursing Staff! Fight for Human-Centred Health Care! - Peggy Morton 
Tell Health Minister Fred Horne that Disappearing Nursing Jobs Is Simply Not Acceptable! - United Nurses of Alberta 

Education Is a Right! Increase Investments in Education!
Athabasca University Faculty and Tutors Issue Statement Opposing Wholesale Conversion to Call Centre Model - Dougal MacDonald
Government of Alberta Releases Initial Report on Teacher Workload - Kevan Hunter

Defend the Rights of Workers! Uphold the Rights of All!
Solidarity with the Fired Correctional Workers - Peggy Askin


Health Care Is a Right!

Stop Alberta Government's Reckless Cuts to Nursing Staff! Fight for Human-Centred Health Care!

United Nurses of Alberta (UNA) Local 301 held an information walk outside the University of Alberta Hospital on July 25. The walk was held to raise awareness about the impact that ongoing layoffs of nurses will have on safe patient care in Alberta hospitals. The reckless changes in staffing are yet another "austerity" measure being imposed by governments in the service of the rich.

UNA is demanding that Alberta Health Services (AHS) stop the cuts and reinstate all laid off registered nurses (RNs) and licensed practical nurses (LPNs).

Edmonton, July 25, 2013

More than 200 nurses in acute care hospitals in Alberta have received layoff notices in the past several months. AHS is using a new trick to disguise its ongoing cuts to all facets of the public health system. AHS claims that they are only "redeploying" nurses, not laying them off. Because there are so many vacant positions, nurses may be able to find other positions. But this does not change the fact that the number of staff caring for patients is being cut and the proportion of highly skilled staff drastically reduced. For example, in four affected units at the University of Alberta Hospital and the Royal Alexandra Hospital in Edmonton, 23 RNs and four LPNs are being laid off. They will be replaced by 16 health care aides and two managers.

Speaking about the layoffs, UNA President Heather Smith stated, "This is a massive reduction of frontline nursing care and substitution with unskilled workers. In today's reality of increased acuity and complexity it doesn't make sense to reduce nursing staff and dilute the skill mix."

"Our concern is that AHS is not being honest with Albertans about the effects of these position eliminations," said Smith. "These piecemeal cuts will have a huge impact on the quality of care that Albertans receive."

In an interview on Alberta Prime Time, UNA Vice-President Jane Sustrik explained the crucial role registered nurses play in bedside patient care. Their education and training enables them to pick up on subtle changes in a patient's condition, before a more serious problem develops. Albertans need these skilled individuals, she stressed.

Sustrik also explained the impact on nurses who have chosen a particular field in nursing for which they are passionate and have honed their skills. It is not only a personal loss, but a loss to their patients. Nurses in rural areas find themselves uprooted from their communities.

Sustrik pointed out that AHS declared a surplus in its budget this year, while claiming it has to reduce the number of staff and skill levels because it "has no money." At the same time that it is laying off nurses, AHS has just given five contracts to two private home care providers, CBI Home Health Ltd. for $235,707,695 and Bayshore Healthcare Ltd. for $136,105,945. These monopolies will seize millions of dollars of added-value created by health care workers and professionals for their role as labour brokers. The use of funds "recovered" through layoffs and other cuts to pay rich privateers shows the fraudulent nature of the government's austerity agenda.

AHS's "Workforce Transformation" is based on a capital-centred outlook in opposition to a human-centred outlook. The capital-centred outlook starts with the conception of patients and the staff who provide care and services as a "cost" to the owners of capital. It treats patient care like work on an assembly line with the aim of assigning each "task" to the lowest-paid staff possible. This violates all scientific assessment of the role nurses play in patient care and lowers the level of care. A human-centred outlook recognizes the necessity to further develop modern and humane relations between patients and their caregivers based on affirming the rights of all. It recognizes that health care workers including professionals are not a cost but create added-value to society, and does not permit this added-value to be seized as private profit.

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Tell Health Minister Fred Horne that Disappearing Nursing Jobs Is Simply Not Acceptable!

United Nurses of Alberta (UNA) is calling on Albertans to tell the government that its cuts to nursing are not acceptable. Through its campaign and website "Nurses Make a Difference," UNA explains this latest attack on high quality public health care:

"All across Alberta, Registered Nurse, Registered Psychiatric Nurse and Licensed Practical Nurse jobs are disappearing as the government of Alberta and Alberta Health Services implement staffing changes they call 'Workforce Transformation' and the 'Clinical Workforce Strategic Plan.' They're replacing educated and skilled nurses, whose profession is regulated, with non-professional and unregulated Health Care Aides.

"This contradicts all evidence of the best way to run a safe and effective health care system. Eliminating nurses and replacing them with non-professional aides lowers the quality of health care and increases risks for patients.

"Alberta Health Services has also combined this dangerous policy with offensive bargaining proposals in contract negotiations with nurses -- at the same time as they have a $106-million surplus in the AHS budget!

"Nurses are the key reason our health care system is safe and cost effective -- and $106 million is enough to hire well over 1,000 more full-time experienced Registered Nurses for a full year.

"How many nursing jobs have 'disappeared'? How many more will be eliminated? UNA wants Alberta Health Services to tell us and all Albertans what their intentions are, and how they will impact health care in Alberta.

"Tell Health Minister Fred Horne that disappearing nursing jobs is simply not acceptable!"

The UNA's website asks Albertans to send the following letter to Health Minister Fred Horne:

Dear Minister Horne,

I am writing you today about the changes taking place in hospitals and other health care facilities throughout Alberta. Because of significant staffing changes introduced by Alberta Health Services, skilled, highly trained and regulated nurses are being replaced by non-professional and unregulated health care aides. Many studies have confirmed that hospitals with more Registered Nurses provide better care. Hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes. This is not just happening in nursing homes and long-term care facilities, but in major surgical hospitals. Already close to 200 nursing jobs have been eliminated and hundreds or perhaps thousands of nurses' jobs could be impacted.

Reliance on unregulated and non-professional staff will result in danger and far worse health outcomes for patients, who could be any one of us. It is really irresponsible of Alberta Health Services and the Redford Government to allow such serious degradation to front-line health care to go on.

I hope that you will pay attention to the warnings of Alberta's nurses and direct Alberta Health Services not to do any more to harm the safe, quality front-line health care Alberta's nurses provide.

(To send a copy of the letter, go to http://nursesmakethedifference.squarespace.com)

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Education Is a Right! Increase Investments in Education!

Athabasca University Faculty and Tutors
Issue Statement Opposing Wholesale
Conversion to Call Centre Model

The full-time faculty and part-time tutors (contract teaching staff) at Alberta's online Athabasca University (AU) continue to oppose the administration's ongoing attempt to turn the university into a giant call centre. The administration's ultimate aim is to offset provincial underfunding by laying off employees, cutting classes and reducing salaries and wages, especially of the tutors who do the bulk of the online teaching. Tutors currently receive both a salary, called "block pay," based on class enrolment, plus added pay for marking assignments and exams, which is automatically recorded. AU wants to replace the tutor-learner model in three of AU's four faculties with what AU employees call the call centre model, even though the tutor-learner model is pedagogically sound and also develops the more personal relationships between tutors and their students which are critical to quality education.

The call centre model, first introduced into the AU Faculty of Business in 1998, maintains students as isolated individuals. Individual students must contact not their tutor but a generic call centre when they need something or have a problem and are then redirected to whoever the call centre respondent thinks is the appropriate person, perhaps an administrator, perhaps a course coordinator, perhaps the tutor. The call centre model not only eliminates the "electronic classroom" nature of the tutor-learner model but also the block pay salaried aspect of tutor compensation, turning everything tutors do into piecework. Under the call centre model, tutors have no salaried wages. Instead they must keep track of every minute they work and send a lengthy, detailed timesheet to the payroll department every month. As part of the ongoing battle against the call centre model, AU faculty and tutors in the Faculty of Humanities and Social Sciences (FHSS) issued the following statement on July 17, 2013:

Statement by Concerned Members of the Faculty of Humanities and
Social Sciences at Athabasca University

We, the undersigned members of the FHSS, regard the tutoring system as crucial to both student success and to the maintenance of high academic standards for our programs. Our ability to attract and retain students depends on our ensuring that students receive as much encouragement and assistance as possible in improving their critical thinking, writing, and reading skills as well as their knowledge of the materials in particular courses. In turn, our methods and standards of assessment need to be unimpeachable so that students are assured that the outside world recognizes grades awarded by Athabasca University as meaningful and reliable.

We are, as faculty and tutors, open to discussions about ways of altering and improving the tutor system, as we have demonstrated in past discussions on the issue. But we insist that pedagogical needs, not finances, must be paramount in any restructuring of tutoring in the FHSS. We have been assured that no changes will be imposed on our faculty, though that assurance sits uneasily with the call of the Acting Vice President Academic at his meeting with Athabasca University Faculty Association (AUFA) this past April for four million dollars to be removed from the tutor budget, an amount that he suggests could be achieved in large part by all faculties adopting the model of tutoring in use in the Faculty of Business, a model in which only the professors in one course within FHSS have so far been willing to participate. While that system may suit the needs of that faculty, we are not convinced that it offers a useful model for most courses offered in the FHSS. The manner in which cutbacks in university positions occurred this past spring has also created skepticism among teaching staff about the senior management's interpretation of the concept of consultation on important matters.

We reject any effort to impose a particular tutor model across the board in our faculty, either directly or indirectly (via a withholding of funds), without the approval of our FHSS Council, our dean, and the General Faculty Council, as well as the representatives of students and tutors. The importance of the tutor system to our academic credibility is of such a magnitude that changes should occur only when there is buy-in by all the groups involved, including FHSS faculty, FHSS tutors, Athabasca University Students Union, Canadian Union of Public Employees,[1] and AUFA, as well as management. Any effort that attempts to circumvent the established practices for academic governance at AU is illegitimate, in our view, and we will not cooperate in any effort to implement it. Indeed we will make every effort to involve all faculty, tutors, and students in FHSS to block unilaterally imposed changes by management.

Collegial, accountable governance and the practice of open and rigorous academic deliberation are essential to consideration of ANY teaching model change.

(Signed by 159 full time faculty and tutors).

Note

1. AU tutors are organized into CUPE Local 3911.

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Government of Alberta Releases Initial Report on Teacher Workload

Teachers in Alberta have been demanding action and real solutions to the problem of workloads for many years. The large numbers of students in each class and the increasing complexity of educational needs in the regular program as a result of decreased funding to education has made it more difficult for teachers to meet the needs of all students and provide an education at the level needed by society. Add to this the increasing number of non-teaching tasks required of teachers by Alberta Education and by school boards, and a completely unsustainable situation exists, teachers say. A recent independent study showed that the average teacher works 60.8 hours per week.

On June 28, 2013, the government of Alberta released its initial report on teacher workload. The report, investigating what tasks mandated by Alberta Education can be eliminated or modified to reduce teacher workload, was required by Bill 26, the Assurance for Students Act, which also legislated teachers' wages and working conditions and criminalized strikes until August 31, 2016.

The initial three-page report, part of an ongoing review by Alberta Education, identified five items which can be changed in order to benefit teachers.[1] A number of these changes may be welcomed by teachers. Curiously, the first change determined by the review is to redesign the curriculum! The report states: "Teachers will co-create a curriculum that is less dense and content driven to provide for deep, inquiry-based classroom learning that is cross-curricular in nature. Teachers have long been concerned that the curriculum was too difficult to cover in the time period provided but, more importantly, not consistent with the transformation of teaching practice aligned to Inspiring Education."

A great many teachers will welcome changes to the curriculum which favour the development of skills over the memorization of content. Nevertheless, to put this in the context of reducing workload is the height of absurdity. Had the Minister of Education ever taught in a classroom, he would know that a completely new curriculum brings more work and not less, as new lesson plans and course materials have to be created from scratch, and teachers often have to learn the subject matter for themselves at the same time. Secondly, the shift to inquiry-based learning requires more planning and preparation on the part of teachers, as students approach the subject matter from different angles, at different paces and in different ways. As well, curriculum redesign is a long process, involving years of preparation, followed by pilot testing and then the actual phase-in of the new curriculum, grade by grade, over a three to five year period. Curriculum redesign is a part of the education system that has to happen regardless.[2]

Another proposed change included as a workload reduction is one more sleight of hand. Alberta Education will discontinue a pilot project concerning Inclusive Education. Discontinuing a pilot project does not reduce workload.

Several changes proposed by Alberta Education may help to reduce unnecessary paperwork. The government has indicated it will simplify the process for accommodations and exemptions from Grade 12 standardized tests.[3] It has committed to further consultation to simplify the application process for funding for Early Childhood Services for students with severe disabilities. Other changes involve Individualized Program Plans (IPP), which teachers must write for students that have been identified as having special needs. Alberta Education will provide sample templates for IPPs with fewer sections, and possible reductions in the number of required components. These changes will be welcomed, particularly by teachers in administrative roles who are responsible for said paperwork.

These are extremely modest changes. In no way do they compensate for cuts to funding or significantly impact workload. Increased funding is needed to reduce teacher workload and provide education at the level society demands. More teachers will need to be hired, more schools built and more resources provided for those schools.

Only in a topsy-turvy fantasy world can a new curriculum be equated with a reduced workload. In fact, one of the reasons teachers need their workloads addressed is so that they have the capacity to teach in a new way. It appears Alberta Education is operating on the basis of business as usual. This is an authority which is out of step with the conditions of life.

The Redford government says that Albertans must submit to authority and that there is no alternative to austerity. Even as society requires education to be raised to a higher level, funding is slashed and the public education system subjected to death by a thousand cuts. Whatever private interests dictate goes, while the authority refuses to act to carry out its responsibilities and defend the public interest. The energy monopolies together with the banks and other monopolies with whom they are merged demand an ever-increasing claim on the wealth which the working class produces, including the added-value created by teachers and other educational workers. Faced with this unsustainable situation, teachers are not about to be pacified by such a crude attempt by the government to claim it has addressed teachers' concerns and the needs of students.

Notes

1. The full report is available here.
2. The last changes to the English Language Arts curriculum were in 2000. Social Studies was updated from 2005-2007. Elementary Science has not been updated since 1996, while most high school science courses were updated in 2005 and Junior High in 2009. New Math was phased in from 2008-2012. Most Fine Arts courses have not been updated since the 1980s.
3. A separate announcement promised to eliminate the existing standardized tests in Grades 3, 6 and 9, but the government has indicated that they will be replaced with something else.

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Defend the Rights of Workers! Uphold the Rights of All!

Solidarity with the Fired Correctional Workers

The Alberta Union of Provincial Employees (AUPE) Local 003 hosted a barbeque at the Edmonton Remand Centre on July 22. The barbeque was organized to support the three workers from the Fort Saskatchewan facility who have been terminated as a result of the wildcat strike which took place in April. AUPE is grieving the dismissals.

The barbeque was attended by Local 003 members, workers from other AUPE locals and others who came to show their support and to take a stand against the Redford government's acts of revenge. The three workers were fired despite public assurances from the Premier and other members of the Cabinet that there would be no acts of retribution against individual workers.

The Redford government is engaged in a witch-hunt where it is piling up charges against the union in an effort to cause financial difficulties so as to prevent it from defending its members. In addition to fines of $350,000 already levied against the union and paid, the government is demanding that AUPE be forced to pay the wages of police who staffed the prisons during the wildcat. The government has claimed that these costs exceeded $1.2 million per day, a huge sum which does not take into consideration that workers who were on strike were not paid for five days. The government provoked the strike by refusing to address the serious concerns raised by the union on behalf of the workers about safety in the remand centre. It has yet to deal with these concerns and instead wants to punish the workers by stealing their dues. The government is also seeking to stop deducting dues for all of AUPE's government services sector for a period of six months. This provision of the Alberta Labour Code has been used in the past against individual locals who took part in an "illegal" strike but now the government wants to go farther and stop collecting dues for all of the 22,000 government services members.

TML spoke with Local 003 President Clarke McChesney during the picket. He emphasized that the government witch-hunt is not having its intended effect to intimidate or discourage Local 003 or AUPE. The wildcat strike was held to draw attention to very serious health and safety concerns, virtually none of which has yet been addressed. The union is receptive to moving forward to address issues concerning health and safety and workload through their collective agreement. But the relationship is fractured and the government continues with its adversarial approach instead of working to actually solve problems. He stressed that AUPE will continue to keep up momentum on these issues.

McChesney and AUPE Vice-President Susan Slade told TML that the workers in the correctional facilities had received unprecedented support. The entire Alberta Federation of Labour Convention rallied at the Labour Board to show their support. Unions from across Alberta and Canada expressed their support and messages came from as far away as Korea, Australia and Scotland.

Clearly the Redford government is out of touch with reality in thinking its revenge-seeking and attempts at intimidation will silence workers in Alberta. TML joins with all other justice-minded people in demanding the immediate reinstatement of the three correctional officers and the restitution of all funds taken from the Alberta Union of Provincial Employees.

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