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Health department in last-minute bid to avoid stand-off with nurses over uniforms

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Nurses say they will work in their own clothes if problems with uniforms and uniform allowances are not resolved fast.
Nurses say they will work in their own clothes if problems with uniforms and uniform allowances are not resolved fast.
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  • Nurses in the public sector have threatened to work in their own clothes if problems over uniforms are not resolved this week.
  • The uniform allowance nurses have been getting since 2005 was to be replaced this year by the provision of uniforms by the Department of Health, in terms of a collective agreement in March.
  • According to Denosa, the department has now put forward a last-minute proposal for a temporary allowance.

The Department of Health is scrambling to avoid a stand-off with nurses who have threatened to work in their own clothes if a dispute over the provision of uniforms is not resolved.

According to GroundUp, since 2005, nurses had received an annual allowance to buy their uniforms.

But this ended on 31 March this year, after a new agreement was signed in the Public Health and Social Development Sectoral Bargaining Council in terms of which they would get uniforms instead.

As a result, nurses did not get the usual allowance in April - R2 600 per year, according to Democratic Nursing Association of SA (Denosa) spokesperson Sibongiseni Delihlazo.

Instead, they were supposed to be provided with uniforms by 1 October 2023.

The agreement stated in the first year, the government must provide nurses with four sets of uniforms, one pair of shoes, and one jersey.

In the second year, it must provide three sets of uniforms, one belt, and one jacket.

READ | Islamic medical association says proposed headscarf ban for nurses 'feels like an attack on our belief'

The plan was to centralise the procurement process. But at another bargaining council meeting, in June 2023, the health department said it would be difficult to provide the uniforms on time.

Then on 12 July, Sandile Buthelezi, the national department's director-general, issued a circular to all provincial health departments notifying them the uniforms would be provided from January 2024 to January 2025.

The circular stated the department would use a decentralised approach to providing uniforms by using provincial tenders.

"Provincial heads are responsible for participating and facilitating in tender processes through the bid specification in terms of colour, fabric composition and garment, development, review of the policy and monitoring and evaluation," Buthelezi wrote.

Until January 2026, the circular said, nurses would be expected to wear the new uniform from Monday to Thursday and wear their old one from Friday to Sunday.

From January 2026, when they would have both years' issue, nurses would be expected to wear the new uniforms every day.

Denosa responded to this a week later, and said the department's circular went against the bargaining agreement.

Delihlazo said they proposed if the department was unable to supply the uniform by 1 October, it must pay nurses an allowance as before.

If the department failed to provide uniforms or pay an allowance, Denosa added, its 84 000 members would embark on indefinite protest action by wearing their own clothes to work from 1 October.

Delihlazo said the yearly allowance did not cover the cost of a full uniform.

"Their uniforms are tearing, and the colour is fading. So how can you expect nurses to wear uniforms if you don't pay them a uniform allowance?"

He added the tender process meant the colour of the nurses' uniforms and the quality of the fabrics might differ from one province to the next.

The process also "opens a window of opportunity for corruption", Delihlazo said.

"Money may be given for uniforms but the tender process is porous."

Then, at a last-minute meeting of the bargaining council last Thursday, the department proposed to put on hold the supply of uniforms until 2024, according to a Denosa statement.

Meanwhile, the department will pay nurses an allowance of R3 153 by 30 November.

Denosa said the agreement should be signed by the end of the week.

If not, it added, nurses would work in their own clothes.

The department did not respond to GroundUp's questions.


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