Agreement on the healthcare contract: increases of 240 euros for nurses

Agreement on the healthcare contract: increases of 240 euros for nurses
ML Antonelli  / AGF

With the signature just arrived on the healthcare agreement, the negotiation process for the 2025/27 national contracts of the public employment sectors is closed. For the first time, the agreements for an entire round were completed halfway through the three-year reference period, leaving only the negotiations on managers for the coming months.

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In the paycheck

The healthcare agreement concerns 592,638 employees, distributing ongoing resources of 2.26 billion between the contract’s own funds (1.537 billion) and additional items for 723 million brought by the maneuvers and intended to strengthen the nursing specificity allowances (480 million), the “patient protection” (208 million), and Emergency Room (35 million) allowances. It is precisely the intervention of the allowances that determines the different effects produced by the agreement on the different categories of personnel. As always, the largest amounts concern nurses, who are about 270,000 and therefore represent 45% of the sector’s employees. The agreement foresees average ongoing increases of about 240 euros per month for them, and a one-time payment of 2,400 euros for arrears accrued between 2025 and the months of 2026 uncovered by the renewal, assuming that the renewal will be reflected in the November paycheck (after the agreement, checks by the Accounting Office and Court of Auditors follow before the final signature). For other employees, the average monthly increase is 209 euros, divided between 145 euros contractual and 64 euros additional items. These figures increase the paycheck by 7.76 percent.

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Record pace

The latest discussions concerned the calibration of some allowances, the mechanisms of economic differentials of professionalism, and some issues related to the eternal organizational knots on hours and rest. The agreement was reached after only three months of negotiations, confirming the accelerated pace already followed in this round for territorial entities and education, as well as for Central Functions.

Other news

The healthcare contract follows those precedents also for many of the regulatory innovations brought by the text. Among these, the recognition of allowances even on vacation days (here called “vacation allowance”), introduced by the latest renewals to close a dense dispute that resulted in rulings that pushed in this direction, deserves to be mentioned. Also in healthcare comes the group of rules on protection in case of use of artificial intelligence in personnel management and evaluations, the alignment of vacation for all staff, with the addition of two days for newly hired employees, and the review in July next year on any misalignments between the dynamics of inflation and those of wages. The text continued to be enriched, meeting after meeting. Among the latest additions, which will be discussed today, is the possibility to integrate funds for assignments and bonuses when staff increases, the introduction of the Disability Manager, responsible for the employment inclusion of people with disabilities, and the adjustment to the new rules on gender pay equality.

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