The 2022-2024 renewal

New doctors' contract signed: increases of 491 euro gross per month and 6,500 euro in arrears

The total available resources of EUR 1.2 billion ensure an average increase of 7.27%. Negotiations now open for the years 2025-2027

foto d’archivio - Inaugurazione del nuovo reparto di pediatria all'ospedale San Carlo a Milano (MATT CORNER, MILANO)

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

The National Collective Bargaining Agreement 2022-2024 for the Medical and Healthcare Executives Area has been signed at Aran, the Agency for the Negotiation Representation of Public Administrations, which concerns 137 thousand executives, including 120 thousand doctors and 17 thousand non-medical healthcare executives. The total resources available, amounting to 1.2 billion euros, ensure an average increase of 7.27%, translating into average increases of approximately 491 euros per month for 13 months and into average arrears estimated at 6,500 euros.

The negotiations, which started on 1 October, took place in a positive atmosphere and resulted in an agreement that was considered very satisfactory by most of the trade unions. Fp Cgil Medici and Fassid did not join. "Today's signature came a little over a month after the start of negotiations. Significant economic increases are guaranteed, including EUR 6,500 in average arrears. Today's go-ahead paves the way for the rapid start of negotiations for the three-year period 2025-2027. I thank the trade unions for their contribution and constructive confrontation," warns Aran president Antonio Naddeo. Who now says he is confident that the new contract will soon be signed: "The signing in record time opens the way for the 2025-2027 renewal. A new contractual round that can count on the resources allocated by the last budget law.

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"It was supposed to be a quick negotiation and so it was. At the fourth meeting at Aran, the pre-agreement was signed for the renewal of the National Collective Labour Agreement for doctors and healthcare executives for the three-year period 2022-2024," said Guido Quici, president of the Cimo-Fesmed Federation, recalling that the agreement provides for monthly increases ranging from 322 euro gross for basic positions to 530 euro for the directors of complex operating units in the surgical area, while arrears range from 8.066 euros and 13,480 euros, gross of the contractual holiday allowance already paid.

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"On the whole, we are satisfied with the result obtained, which accepts many of the requests we put forward," he emphasises. "As we had repeatedly hoped, the negotiations focused on the economic aspects, managing to allocate almost 90% of the resources to the fixed part of the salary. 'Now,' Quici concludes, 'it is essential to arrive as soon as possible at the final signing of the contract and to allow the regions to issue the directive for the start of negotiations for the three-year period 2025-2027.

Satisfaction was also expressed by the General Secretary of the CISL, Daniela Fumarola: "This is a significant result that concerns a crucial sector for the life of the country. "We are talking about professionals who, in recent years, also because of the pandemic and the reduction in staff, have guaranteed care and assistance to citizens with commitment, sacrifice and a sense of responsibility. To them goes our recognition and gratitude," the trade unionist added.

"Now it is necessary to continue with determination along the path that has been started. This is why we are calling for the immediate issuance of the guidelines for the three-year period 2025-2027, so as to start the new negotiations without delay and ensure continuity in the contractual renewals,' he continued. 'We hope that public healthcare and the professionals working in it will return to the centre of the country's political agenda. The National Health Service represents an achievement of civilisation that must be defended and strengthened, without retreating,' Fumarola concluded.

Rejection of the pre-agreement of the contract instead by Andrea Filippi, National Secretary Fp CGIL Doctors and Managers SSN: "It is worrying that, in the face of the flight from hospital and territorial health services of professionals in search of respect for the social value of their profession and better working conditions to improve the quality of care offered to citizens, we respond with a contract that is not addressed by a defined budget and does not address central issues for the organisation of services.

In the crosshairs contractual resources that "impoverish payrolls by as much as 10 percentage points, with a loss of 537 euro gross average monthly compared to inflation, a tabular increase of only 92 euro gross net of the advance, contractual increases of assignments, higher for top positions and extramoenia, compared to the lowest ones that have always been sacrificed, such as those of young people and new recruits, specificity indemnity, although already financed since January 2026, frozen until the next contract and still not adequately financed for healthcare executives, failure to finance the indemnity of exclusivity for healthcare professions executives, which has been waiting for a solution for years'.

"That is why," the CGIL continues, "we did not sign it and we are ready to radicalise our dispute by involving, with the general strike on 12 December, also the Medical, Veterinary, and Health Professions Managers who do not accept a contract imposed by the government, signed passively without any negotiation

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