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Healthcare and Doctors vs. Nurses: Salary Increases at Risk. The accusation: “I moved too many jobs”

the doctors Reverse nurses. The former accuses the latter of wanting to do proper health jobs that do not belong to them. The latter instead believes that the white coats want to prevent him from penetrating the glass ceiling, and ensure that nurses can take on management roles within health facilities. A side effect of the clash is the risk that the nurses and all remaining health workers, 600,000 people, will see the possibility of obtaining the envisioned increase in the new contract totaling 175 euros per month and arrears in some cases. Its value reaches 4 thousand euros. But let’s go in order. And the Cabinet gave the green light to the new health contract that affects all workers in the sector, except for doctors who have separate negotiations, last October 5. Now there is only the green light for Audit Bureau Then increases and arrears can be paid. Specifically, the doctors took their complaints to the accounting judges. Anaao-Assomed and Cimo-Fesmed both sent a letter to the Board of Auditors claiming that “health staff cannot manage clinical assistance and diagnostics operations, tasks which by law fall exclusively within the purview of graduates of medicine and surgery.”

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the passage

In short, the contract violates the law and can lead to disputes. Article 28 of the agreement the unions signed with Aran, the agency negotiating renewal for the government, has been targeted. The article in question is that which regulates the “tasks of the organizational function”. Basically, health and social health personnel can also be assigned administrative and managerial responsibilities.

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The nurses immediately sided against the doctors’ position. For Andrea Bottega, General Secretary of Norsend, “it is a real intervention, among other things,” he explains, “when the premise of the national collective agreement, signed before the summer, has already come under scrutiny by the government and the provinces.” But there’s more, Bottega says. “By their observations,” he adds, “the physicians demonstrate that they cannot read or do not know at all the premise of a sectoral contract which, of course, cannot be placed above or outside the law in the system of assignments.”

Even the president of Aran, Antonio Nadeo, was surprised by the position of the doctors’ unions. He explains that “it is worth noting” that in Article 24 of the same premise of the agreement, the powers of the managerial personnel, represented in the two unions, are guaranteed, provided that oversight within the company’s organization is the skills and responsibilities of the manager for all kinds of offices.” But above all, Nadeau asked himself, “Given that according to the two acronyms, this rule is very invasive for the competence of doctors (which it is not), because they realize it now, since the premise was signed on June 15, 2022, four months ago? ».
In fact, the new appointment system serves to contractually regulate the increasing administrative role of nurses in the Territory. According to an analysis by Fnopi, the National Federation of Nursing Orders and Professions, there are more and more nurses appointed as health district managers. If in 2018 only four managers were recruited from the ranks of nurses, in 2022 they became fifteen. There are also three general manager nurses for health companies, one general agreement and one private. Two nurses in Emilia-Romagna – the first region to formalize the role with regional law – were appointed care managers; Seven nurses with corporate social and health manager qualifications, as well as of course all nurses who are directors or directors of company-wide health professions services, are present in practically every facility where these numbers are projected.

Phil Schwartz

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