Stalled contracts for nurses and doctors: the Pa is not equal for all

What is the situation regarding the renewal of public health contracts? As is well known, the negotiations for the renewal of the sector's contract are at a standstill due to the failure to stipulate on 14 January; they will credibly resume after mid-April, at the end of the Rsu elections, in a scenario that, on the one hand, could see reconsiderations by some unions in light of the election results and, on the other, will have to take into account Minister Zangrillo's threat to apply the collective contract by law. In the meantime, in a joint Anaao-Cimo press release of 31 March, the two major unions of the Health Care Area recall that doctors and health care executives are waiting for the opening of the round table for the renewal of the 2022-2024 Ccnl, which has therefore already expired before negotiations have even begun.

In an article of 27 January, I wrote 'if there is anyone among the institutional actors - government, regions, Aran - who can answer this simple question: why to date have at least the two Guideline Acts not yet been drafted?' After two months, as expected, the question is still without reasonable answers. The Rsu elections or the diatribes between the confederations are completely irrelevant in the area of management, which could certainly have reversed a practice that is as consolidated as it is informal, which has always seen the closure of the sector before the management areas. The third collective bargaining agreement - that of the 5,000 professional, technical and administrative managers - is also on the high seas, but an interesting observation can be made with regard to these managers, as will be seen below.

In general, in the three months since the budget law was passed, nothing has happened that the dissenting trade unions have asked for, i.e., more resources than the 5.78% of the wage bill. But the request for additional funding also comes from the regions, as will be explained.

The recent PA 2025 decree, with its significant title on the 'functionality' of public administrations, completely ignored the companies and bodies of the SSN. But even with regard to the administrations that are directly affected - in order, the central and local functions - the occasion of conversion into law has generated, as is always the case, a chase after amendments. It was foreseeable that attempts would be made to supplement the decree in this sense and, in fact, on 19 March informal hearings began at the I and XI Joint Commissions with the rapporteurs Russo, Schifone and Nisini of numerous stakeholders including Anci, Aran, some trade union confederations, scholars such as Sabino Cassese and Lorenzo Zoppoli, and, specifically in the health sector, Cosmed and Nursind. On 25 March, three amendment proposals were announced by the representatives of the regions at the specific hearing concerning financial aspects and an increase in funds for the accessory salary, and this seems to be the only possible opportunity to increase contractual resources.

The President of the Aran, during the hearing of 24 March, touched on some important points, including one called 'Disparities between sectors'. In particular, he stated that 'it is quite clear that the local government sector continues to be disadvantaged, having never benefited from additional and specific resources': quite right, but it should be pointed out that it is the staff of the sector, because within the Local Functions Area the managers of the Ral section (Regions and Local Autonomies) continue to have a higher economic treatment than their colleagues in the Ssn section - the Pta managers mentioned above - and, in at least three aspects, they are decidedly unequal: the value of the position, the propines for lawyers and the calculation of the Tfr/Tfs.