Restructuring, Pay settlements, Latvia

The LVSADA health workers’ union reached an agreement with the Ministry of Health on 18 October that will deliver pay increases for doctors (10.6%), nurses (6.5%) and assistant nurses (6.9%) in 2024. This means that medical personnel will have seen pay rises of around 23-24% for the three-year period 2022-24. There will also be an additional €40 per month (gross, average) for non-medical personnel in 2024. The agreement was negotiated with the new health minister and resolves a long-standing dispute over pay.

After lengthy negotiations the LVSADA health workers’ union has secured an increase to the pay rises offered by the ministry of health. The agreement stipulates that the average monthly salary for medical practitioners will be increased by €120 from 1 April which equates to 6.1%, that is 2.4% higher than the initial offer. Nurses, midwives, physician assistants will see a 10.1% increase (an improvement of 3.9% on the initial offer) and junior staff, including nursing assistants, will benefit from a 16.1% pay rise (an improvement of 6.3%).

The LVSADA health union has managed to negotiate an agreement to tackle problems arising from a restructuring of the ambulance service. A reduction of night shifts meant an increase in waiting times particularly in the Latgale, Vidzeme and Zemgale regions, creating problems for staff and difficulties for patients. The union formally announced a dispute with the ambulance service management, highlighting the constitutional commitment to emergency medical care as a human right. However, it was possible to resolve the situation before the union took any action.