Outsourcing, Health, Russia

The government and ministry of health have started to work on drawing up a more unified public sector pay system that will impact on healthcare in particular. Currently, there is considerable scope for variation of pay and allowances across the country. This had led to significant internal migration by health workers which has increased during the pandemic. Allowances for working in rural areas can vary from nothing to 25%, for example, while additional payments for night work range from 20% to 50%. The relationship between basic and total salary can also vary significantly. There is some

Latest data indicate that average salaries in healthcare across the country for the first six months of 2020 were 9% higher than for the same period in 2019.The healthworkers' union says that special payments for working with COVID-19 patients has contributed to this bearing in mind that many healthworkers would not be on full pay because of sickness or isolation measures. However, the union has made it clear to the government that there have been problems with ensuring the extra payments apply to all hours worked and that any change to the payments system has to guarantee the COVID bonus for

The health workers' union has raised serious concerns about the failure to ensure that medical workers get the appropriate compensation for the fight against COVID-19. The union has also had many reports from around the country about abuse of health workers' rights and argues that local institutions are failing to properly negotiate and consult with worker representatives. The union wants to see a much broader range of health workers who face risks of COVID-19 infection getting special payments and also appropriate support in terms of sickness insurance and provisions for recovery and

The HWURF health workers' union reports that special COVID-19 tax measures have been extended to doctors with personal income tax incentive payments for those facing special working conditions and additional workloads when working with patients with the virus and people at risk of infection. Meanwhile the FNPR trade union confederation has called for state-wide base salaries to be set across healthcare and other parts of the public service to end the wide variation in salaries between regions. The measure was due to be discussed at the Tripartite Commission for the Regulation of Social and

The HWURF health workers' trade union has raised concerns with the government that some health institutions are pressuring healthcare staff to take leave, in some cases, unpaid leave or are suspending workers on partial pay where there is a need for self-isolation or a lack of work where non-urgent care and procedures have been cancelled. The union argues that this is clearly in contravention of the labour code and urges workers who are faced with this situation to raise it with the relevant authorities and report to the labour inspectorate. The union has also written to the prime minister to

The health workers' union reports on official data for average wages in the health sector showing an overall average of 32815 rubles (EUR 463) a month in 2017, up by 5.9% from 2016. Doctors' pay averaged 56448 rubles (EUR 796) up 11.4% on 2016 while medical personnel saw their average pay increase by 7.4% to 30246 rubles (EUR 426). Average pay for junior medical staff was 21413 rubles (EUR 302), 16.1% higher than in 2016. Inflation during 2017 fell from 5% in January to 2% by the end of the year. Overall average wages across Russia were around 40000 rubles a month (EUR 564).

The health workers' union has called for increased funding for the sector to deal with the major problem of healthworkers' pay. The union reports that an analysis of wage developments in the first half of 2017 found that average pay for doctors and other medical staff actually fell in seven Russian regions while in contrast wages in industry increased. The wide range of salaries across the country is exacerbating staff shortages and the union highlights the fact that in many institutions the pay bill is the first to be cut in order to fund other areas of health spending.