Contracts and safeguards

Nurses: the Court of Cassation ‘secures’ the right of shift workers to meal vouchers

Benefit granted to healthcare staff working ‘shift work’ who are on duty for more than 6 hours

2' min read

Translated by AI
Versione italiana

2' min read

Translated by AI
Versione italiana

Shift-working healthcare staff who work for more than six hours are entitled to a meal voucher. Any other arrangement would contravene Article 8(1) of Legislative Decree No. 66 of 8 April 2003 (“Where the daily working hours exceed the six-hour limit, the worker must be granted a break, the arrangements and duration of which are laid down in collective labour agreements, for the purpose of regaining mental and physical energy and, where applicable, taking a meal”) and with Article 29 of the National Collective Labour Agreement for the healthcare sector of 20 September 2001 (“All employees are entitled to use the canteen”).

This was ruled by the Court of Cassation (Order No. 24866 of 2026), which dismissed the appeal against the judgement in which the Rome Court of Appeal had recognised the right of a shift-working nurse at a hospital to receive meal vouchers for working shifts lasting more than six hours. According to the company’s regulations, this entitlement would have applied ‘only in the case of shifts lasting eight hours’.

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The Supreme Court’s ruling

In its appeal against the Regional Court’s judgment, the Health Authority had, on the one hand, pointed out that collective labour agreements may stipulate a break duration shorter than the standard one (whilst setting the mandatory minimum at ten minutes, as laid down by law) in order to ensure the continuity of service. On the other hand, it had invoked Article 27(4) of the 2016–2018 National Collective Labour Agreement (‘Where the daily working hours exceed six hours, staff, provided they are not on shift, are entitled to a break of at least 30 minutes and, where applicable, to take a meal’), emphasising that ‘for the night shift, an allowance was already provided to compensate for the normal absence, during that shift, of the meal service’.

Course choice confirmed

An argument that missed the mark. The Supreme Court has confirmed the established position that the right to use meal vouchers:

- constitutes a welfare benefit, linked to the employment relationship only in a purely incidental manner, intended to reconcile the needs of the service with the employee’s day-to-day needs (Court of Cassation, judgement No. 5547 of 1 March 2021);

- This applies to workers who work a daily shift of at least six hours, regardless of whether their working hours are organised in shifts or not, and regardless of whether they are able to take a lunch break (Court of Cassation, Order No. 25525 of 17 September 2025).

Hence the decision in the narrative: ‘The following cannot be accepted (…) the assertion that the specific allowance enjoyed by night-shift employees is intended to compensate (…) for the normal absence, during the night, of services ordinarily provided during the day, including the provision of meals (…). Nor is it relevant that the workers are shift-working nurses, since the existence of an employer’s obligation to ensure that workers are granted certain breaks certainly does not mean that it is inevitable that all those workers will simultaneously leave their posts (…) leaving patients without care’.

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