San Francisco General Hospital (Healthcare)

SEIU 1021

SFDPH nurses, SFMTA Service Critical workers ratify contracts with big improvements
By 86% and 95% margins respectively, the last two SEIU 1021 San Francisco City & County bargaining units have locked in gains despite challenging budget

The threat of a widespread San Francisco city worker strike is officially over: Large supermajorities of members of SEIU 1021, the union representing over 16,000 city workers, have voted to ratify agreements reached with the City and County across three collective bargaining units. 


San Francisco Region 2024 Convention Delegate Election Information

It’s that time again! SEIU 1021 members are invited to attend our 2024 member convention. The two-day event will feature inspiring workshops, delegate discussions, visionary keynote speakers, fun, and networking. The SEIU 1021 Member Convention will be held Saturday, Sept. 28, 2024, through Sunday, Sept. 29, 2024. 

What: SEIU Local 1021 Member Convention 2024

When: Saturday, September 28 & Sunday, September 29

Where: Sacramento, CA 


Nurses at SF public hospitals & community clinics vote by 99.5% to authorize a strike — then win tentative agreement within days

Registered nurses from across San Francisco Department of Public Health gathered at their union hall on May 17 to count ballots that asked members whether to allow their contract negotiations team to authorize the bargaining team to call a strike. The results: A 99.5% landslide in favor. 

That’s because SFDPH management had refused to take meaningful action to address chronic staffing undermining patient care.


San Francisco Department of Public Health Nurses to Vote Next Week to Authorize Strike
RNs at San Francisco’s public hospitals and community clinics say they need more than praise or pizza parties for National Nurses Week–they need safe staffing. 


Contact: Jennie Smith-Camejo,, (510) 710-0201; Ella Sogomonian,, (415) 686-5075

As National Nurses Week winds down, registered nurses and other frontline staff gathered outside Laguna Honda Hospital on Thursday afternoon. Even as they celebrated the critical role nurses and staff played in keeping the hospital open and moving it toward recertification with CMS, speakers struck a somber note – and a warning to SFDPH.


SF RNs storm health commission meeting demanding safe staffing

Registered nurses with San Francisco General Hospital (SFGH), Laguna Honda Hospital, and SF’s community clinics say tension is high, risk is up, and morale is low. They rallied outside of SFGH on April 23 against unsafe working conditions then boarded a bus to storm the SFDPH Health Commission meeting. They delivered 2,000 “assignment despite objection” forms documenting how short staffing is leading to serious risk to both patients and hospital workers. 


“Body found cold at SFGH”: RNs testify to management about the severity of staffing crisis
Dozens of SEIU 1021 SF RNs showed up to bargaining to plead for more staffing

Thursday, April 11, San Francisco Department of Public Health negotiators were met with a wave of impassioned testimonials from SEIU 1021 registered nurses from the city’s public hospitals and community clinics. Dozens of RNs filled the bargaining room, putting a face on the staffing crisis decimating patient care.


Nurses rally for safe staffing at San Francisco’s public hospitals

Hospital workers from both SF General and Laguna Honda with SEIU1021 took to the front steps of the city’s only level 1 trauma center on Tuesday, April 4, to demand safer working conditions for all.

Nurses are often short staffed and find themselves traumatized while outnumbered. Some have to defend themselves from attacks by unruly patients while doing their best to provide care.


Join us at 49 S. Van Ness Ave. Tues. 2/27 at 12 p.m.
No contract, no peace! Let's keep the pressure on!

Wow–we did that! SEIU 1021 San Francisco City and County members turned out in force January 17 at City Hall and again last Friday, February 16, at SF General Hospital. We were over 500 members strong Friday–and DPH heard us loud and clear.

We were united and our message was powerful: To provide the quality public services SF residents and visitors need, the City MUST fill its vacant positions and STOP wasteful contracting out.

Takeaways are still on the table. That means we have to keep the pressure on.


Over 500 San Francisco city workers rally against outsourcing at SF General Hospital
Amidst the City’s rejection of their latest demands to stop wasteful contracting out, city workers came together to say: “We don’t want to go on strike, but all options are on the table.”

Last Friday, February 16, over 500 San Francisco city workers represented by SEIU 1021, IFPTE Local 21, and other unions rallied outside of San Francisco General Hospital and Trauma Center to shed light on the dangerous impacts of understaffing. In bargaining with unions, the City administration has recently rejected demands to prevent wasteful spending on contracting out. 

View photos and videos on Facebook here.


SF Department of Public Health members speak out against budget cuts & contracting out at Health Commission meeting
Members pointed out that DPH's current approach to staffing is dangerous and not cost-effective

Tuesday, February 6, SEIU 1021 members who work for the San Francisco Department of Public Health (DPH) attended the monthly Health Commission meeting as DPH Chief Financial Officer Jenny Louie presented a budget proposal for fiscal years 24-25 and 25-26. To meet Mayor London Breed’s request for all City departments to cut their budgets by 10%, the budget proposal focuses on eliminating vacant positions and further contracting out.


SEIU 1021 members share their stories from the frontlines of SF’s drug addiction & overdose crisis on KQED Forum
Audrey Fisher, RN, and Claudia Mendez, behavioral health clinician, talk problems & solutions

December 21, 2023, SEIU 1021 members at the City and County of San Francisco were invited to share their experiences and perspectives working on the frontlines of the addiction and overdose crisis as part of an hour-long panel on the KQED Forum radio show.


WAITLIST: San Francisco Unity Event – Jan. 26, 2024
Join us to celebrate our hard work together in 2023

It’s that time of year! Join your fellow San Francisco region SEIU 1021 members for food, drinks, music and dancing, raffles, awards, and gift bags with the coolest SEIU 1021 swag (supplies are limited–first come, first served). 

When: Friday, Jan. 26, 2024, 6-10 p.m.
Where: Hilton Union Square, 333 O’Farrell St.

Members may bring one guest — please indicate below if you plan to bring a guest, as attendance is capped at 400.


No Hate in Healthcare
Nurses Condemn U.S. Department of Health and Human Services Rule Enabling Discrimination in Healthcare Services

Today nurses, joined by community allies, gathered in front of SF General Hospital’s historic Ward 86—the first dedicated AIDS clinic in the country—to speak out against the Trump Administration’s “conscience in healthcare” rule. The rule allows healthcare providers, insurance companies, hospitals and pharmacies to refuse healthcare based on personal beliefs.