Category Archives: Health and Social Justice

Higher Minimum Wage for Zero Hours Contracts

Introduce a bill to set a higher minimum wage for zero hours contracts

We call on the government to introduce a bill into parliament to set a minimum overtime rate of 1.25 times an employees standard hourly rate. This standard hourly rate must itself be no less than the national minimum wage in force at the time.
This would effectively set a higher minimum pay rate for zero hours and minimal hours contracts – that rate being 1.25 times the national minimum wage.
As well as those on zero hours contracts this would also benefit other staff who are flexible and routinely work overtime.

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We would suggest the following –

  • Every employee must (already) have an hourly rate of pay specified in their contract that applies to their contracted/standard hours. This rate may be no lower than the National Minimum or National Living Wage if it such a wage applies to the worker
  • Every employee should have standard working or contracted hours specified in the contracts.
  • For hours worked above the workers contracted hours the minimum pay rate must be at least 1.25 times the hourly rate specified for contracted hours (it being no lower than the national minimum wage).

Salaried Positions

The above rate not is not to apply to salaried positions where overtime is not paid.

Piecework/Tips and other non-hourly salaries
Where salaries have to be made up to the national minimum wage

  • Salaries up to the guaranteed hours of the employee will need to be made up to the national minimum wage
  • Where additional hours are worked these will need to be made up to 1.25 times the national minimum wage

Interpretation

The aim of this policy is to target employers who systemically provide employees with contracts for considerably fewer hours than they would normally be expected to work. The most extreme case of this is employers who widely use zero hours contracts.

In the example of a zero hours contract the minimum pay rate would be £9 per hour based on the current National Living Wage of £7.20.

In the case of an employer where the typical contracted pay rate was £12 an hour overtime would be paid at a minimum rate of £15 an hour.

There are expected to be multiple beneficial effects of this bill

  • There is a substantial incentive for employers paying close to the National Living Wage to offer employees contracts for the hours they work ensuring a degree of job security
  • Workers on flexible contracts will be guaranteed an incentive in terms of pay for that flexibility.
  • This will establish the principle that working overtime deserves extra pay to reward flexibility
  • This will encourage an employer to create more full or part time positions sooner rather than use casual labour or excessive overtime
  • There will be a reduction in state benefit requirements and administration costs by reducing income volatility
  • It will allow employees to plan for the future with a degree of certainty – increasing economic activity.

Will this penalise good companies

No if anything this will reward companies who offer employees security in work. It creates a fairer playing field – acknowledging that good employers shoulder risks on behalf of their employees.

It still allows for a flexible workforce with the overtime incentive being within reasonable limits.

Will this cause job losses/increase unemployment

This is unlikely. It may force employers to plan more carefully to give employees a more stable income. It will also help force out some of the worst practice such as bullying. Most employers should not see a material increase in cost. It should also help ensure a happier and more productive workforce.

Fairer Prescriptions

Introduce a bill to make prescription charges fairer

We call on the government to introduce a bill into parliament to make prescription charges fairer.

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The issues

While it is true there may be merit in having a prescription charge to reduce unnecessary visits to GPs the current system does not work well.

At the moment prescriptions are charged per item which is unfair for the following reasons

  • A person may need multiple cheap items to effectively treat a condition – for example eye drops and oral antibiotics.  They pay twice as much as someone who needs a single expensive drug.
  • A GP may need to try several treatments to find one that is effective. Medicine is to an extent trial and error. A patient should not really have to pay multiple times
  • A condition may require treatment over a period of several months. Even if medication is cheap a patient will have to make multiple payments
  • Persons with chronic or lifelong conditions have to pay for medication which effectively becomes a tax on the sick.

Detrimental impact on the NHS

The charges can have the effect that people do not receive the medication they need. For example £17.20 or £25.80 are significant sums for those on low incomes.

In this case simple to treat conditions can end up requiring significant management – and often hospital based treatment.

The Proposal

We propose that people are charged for treatment of a condition or episode as determined by the judgement of a GP rather than per item.

Interpretation and Implementation

We propose when issuing a prescription the GP selects whether it is ongoing treatment of a condition – or for a new condition. This is entirely at the discretion of the GP using their judgement.

Only prescriptions which are for a new condition are chargeable at the pharmacy.

In the case of a life long or chronic condition this would be considered a single course of treatment for a condition.

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