Signed the 2022-2024 agreement on general medicine: 300 million per year in the field
Scotti (Fimmg): 'Important step change but we are not yet at the finishing line, by June the 2025-2027 agreement'. Esposito (Fmt): transition agreement
Key points
The National Collective Agreement 2022-2024 on general medicine, continuity of care and 118 was signed in Sisac, which provides EUR 300 million per year. In economic terms, this translates into an overall increase in remuneration of close to 6%. Approximately 70 per cent of the increase is allocated to fixed capitated and hourly fees, while the remaining 30 per cent goes into a fund for the activities of the functional territorial aggregations (AFT), which is paid to doctors based on the achievement of objectives. Any unused resources of the fund will be reinvested in further projects, so as to avoid dispersion and maximise the impact on territorial care.
On the regulatory side, the agreement introduces targeted corrections in anticipation of a broader organisational revision in the next renewal. Among the priorities are greater flexibility for newly appointed doctors and specific forms of support for doctors in training holding temporary appointments, in order to facilitate entry and permanence in the primary care network. Attention is also paid to greater collaboration between the various branches with a reminder of the responsibility for direct prescription of examinations and check-ups, which must be appropriate by all the doctors involved in the process, including specialists.
Scotti (Fimmg): now open negotiations for 2025-2027
"Today's signature,' comments Silvestro Scotti, secretary general of the Fimmg, 're-launches the contractual season, which cannot be declared over: the hope is that the commitment to conclude the next negotiations by June 2026, as already announced by the president of the Conference of Regions Massimiliano Fedriga and by the president of the Sector Committee Marco Alparone during our Congress in October, can be respected.
The agreement comes less than a month after the Act of Guidance thanks also to the efforts of the Minister of Health, Orazio Schillaci, and the Mef with Minister Giancarlo Giorgetti, who quickly concluded the approval process of the acts within their competence. "This ACN," Scotti continued, "marks a change of pace for general medicine: the 2022-2024 backlog is recovered, including 150 million in social security contributions referring to 2024 and 2025, and the 2025-2027 site is opened immediately, so as to realign the renewals to the reference period.
In the manoeuvre funds for medical practice innovation
From the Fimmg, however, there is also a strong request for immediate support for the productive capacity of practices, teams, and technological equipment. "We need the new Policy Act immediately,' says Scotti, 'but not only that: we need an immediate injection of economic resources in the budget law that shows attention and trust in contracted personnel on the part of the government and the Ministry of Health. Resources that cannot be renounced if we want to generate fuel to run our organisation, practice staff, and equipment that we can no longer do without'. The Fimmg leader reiterates that it is necessary to get out of the paradox according to which "devising manoeuvres such as defiscalisation, reduction of the tax burden on variable quotas, or contribution concessions on staff recruitment is a taboo for contracted medicine, while it is an easy, congruous and consistent objective if it is in favour of salaried personnel".
