Riverina paramedics will strike for 24 hours next week, vowing only to attend to the most urgent, life-threatening cases.
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Health Services Union paramedics are planning the statewide stand for June 10 to demand better pay.
Last year paramedics were awarded "a paltry 0.3 per cent", according to the union, and this year's proposed 1.5 per cent pay offer was again less than inflation, which NSW Treasury forecasts at 2.2 per cent for the coming year.
HSU Riverina representative Mick Grayson said paramedics were on the front line of a pandemic, floods and raging bushfires, all in the last year.
"We are frustrated with how the government has dealt with our pay over a number of years," he told Australian Community Media.
"We have not taken this decision lightly, but we will only be responding to lights and sirens cases, so just emergencies.
"For far too long the government has utilised our goodwill, and enough is enough. We are drawing a line in the sand."
Mr Grayson said it would be incredible if the community could support their cause and contact their local state representatives to complain about the issues.
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Mr Grayson said they had flagged the action to avoid impacting life-threatening emergencies, but there will be significant disruption on the day.
A spokesperson for NSW Treasurer Dominic Perrottet said the impacts of the pandemic are still being felt across the economy, and while there are positive signs, there is still a long way to go."
"Last month, the full bench of the Industrial Relations Commission of NSW reaffirmed the government's plan to prioritise job-creation to keep as many people in jobs as possible as we get our economy back on its feet," he said.
"The government is focussed is on maintaining its first-class health response, which has allowed NSW to lead the nation's economic recovery from the pandemic.
In its judgment, the IRC said it did not accept that an increase of 2.5 per cent is justified on the evidence or that it would be in the public interest in all of the circumstances.
"We have decided to award an increase of 1.7 per cent," it read.
"In making this determination, we have taken into account the Crown's submissions that it would be open to the commission to find that an increase of 0.3 per cent, as awarded in Public Sector Salaries No 2, would be appropriate to create equality across the public sector."
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