Social Dialogue, Health, France

Eight public service trade unions – CFDT, CFE-CGC, CGT, FA, FO, FSU, Solidaires and UNSA – met on 24 January and issued a joint communique condemning the absence of any measures to increase public service pay, particularly in context of sustained inflation. The unions are calling for immediate negotiations to address issues around careers and salaries and have rejected President Emmanual Macron’s talk of better recognizing "merit" as a tactic to avoid the urgent need to improve pay and conditions. The unions have set 19 March as a national day of action, including strikes and other protests

Eight public service federations – CFDT, CFE-CGC, CGT, FA, FO, FSU, Solidaires and UNSA – have issued a joint statement on the need for urgent action to improve pay for civil servants and public sector employees. The unions argue that the five index-point increase for public sector workers implemented this year was already foreseen in 2023 and that no further increase is planned for 2024. The government has given no indication that any negotiations will take place to cover 2024 and in the light of this the unions were due to meet this month to consider what action to take, with the prospect of

The health unions CGT Santé et Action Sociale, FO Santé and UNSA Santé et Sociaux organised protests and strike action on 16 November in support of a range of demands for better pay and conditions, action on staffing and other issues. The unions are demanding measures to improve training and recruitment; a general pay rise; gender equality; increased funding for facilities and staff and a halt to all closures of establishments, services and beds. Better early retirement pension provision for arduous work and withdrawal of the new law on pensions were also part of the demands. EPSU sent a

The CGT and FO confederations organised demonstrations across France on 18 October calling for action to increase pay across all sectors, including an increase in the minimum wage. Their demands also covered pensions and social security and defence of the right to strike. The unions estimate that around 300,000 people joined the 180 actions around the country with 70,000 participating in the main demonstration in Paris. Also on the 18th, the CFDT organised strike action in the private health and care sector in protest at stagnating salaries in the face of increased profits for the big private

Trade unions representing health staff are planning protest action in September to highlight the major problems faced by the sector. They highlight the closures of beds and facilities that are reducing services to the public and are calling urgently for action on recruitment and training of staff and to deliver improvements to pay and conditions to make the sector more attractive to work in. The CFDT, UNSA and FO federations will meet in early September to confirm their plans while the CGT has already set 22 September as a date for national action.

As of 1 July, the index point used to calculate public sector salaries was increased by 3.5%. This is the first increase in the index since 2010 and while welcomed by trade unions, they underline the fact that the increase neither compensates for current inflation nor begins to compensate for long periods when the index has been frozen. The CGT has called for an increase of 10% while FO points out that there is a long-term fall in purchasing power of 25% that needs to be addressed. Both the CFDT and UNSA see the increase as inadequate but a first step.

In a joint statement, public service trade unions have called on the government to negotiate on a pay rise for public sector workers. On 14 March the public service minister announced that the index point upon which public sector salaries are based would be increased by the summer. This would be the first increase since February 2017. Public sector unions are calling for a minimum and immediate increase of around 4% to compensate for the current surge in inflation but to allow for negotiations over further increases in response to rising prices and the fall in real value of the index. With

On 18 January unions (UNSA, FO and CFDT) representing technical and administrative staff in health and social care organised national strike action over pay, with union leaders meeting representatives of the health ministry on the following day. The unions are angry that commitments to review pay were not met by the end of 2021 and that a meeting of unions and employers planned for January was further postponed. The unions are concerned that a range of professions working in health, eldercare and disabled care in the public and private sectors have yet to benefit from the major “Ségur”

On 13 July all nine trade union federations in the public service signed a new agreement on telework covering the whole of the public sector. The framework agreement requires employers across the three pillars of the public sector – local authorities, ministries and hospital services – to begin negotiations to implement the agreement at local level by 31 December this year. The agreement covers all the key issues relating to the voluntary nature and reversibility of telework, health and safety, gender equality, data security and privacy and working time and the right to disconnect. The

After action earlier in the month across health services, more action has taken place across the public service. On 15 June, there were strikes and mobilisations by workers in national ministries as well as by civil servants in the directorate of interdepartmental roads. In the former the main focus was on pay and the declining purchasing power of civil service salaries while in the latter the main concern was a decentralisation of the directorate to regional government. The union’s concern was about the impact of the decentralisation on staff with no guarantees on jobs and pay. Meanwhile

Trade unions in the health and social care sectors are continuing their campaigns and mobilisations to ensure that all workers in public and private sectors benefit from the provisions of the national “Ségur de santé” agreement on pay and conditions negotiated last year. Unions also want to see further measures to tackle urgent questions of understaffing and excessive working time. Actions took place on 3 June and further action is planned for 15 June. On 10 June unions also came together in a major demonstration to highlight the particular problems facing psychologists relating to

Nine trade union federations have sent a joint letter to the public services minister calling for immediate pay negotiations. The unions are concerned about the long-term erosion of purchasing power. At the beginning of this year the national minimum wage (SMIC) rose to EUR 10.25 an hour (EUR 1554.58 a month) and this meant pay rates at the bottom of the Category C public sector pay grade fell below the minimum. Instead of increasing the index point on which all public sector salaries are based, the government simply added two index points to these lowest pay rates. The unions point out that