The IMPACT Trade Union is worried about the outsourcing of some services in the health sector.
It is one of the main debating points at the unions annual conference which is ongoing in Wexford.
Spokesman Niall Shanahan says a lot of his members are the glue that keep the health service together a point acknowledged by Health Minister Simon Harris in his address to the gathering yesterday.
Niall Shananahan says IMPACT members perform vital functions.