Solidarity, Health, Italy

(January 2017) The FP CGIL public services federation has analysed employment data to show the impact of job cuts and recruitment freezes. It estimates that there are some 237000 fewer public sector jobs than in 2007 while the health service has seen a fall of 50000 jobs since 2009. The recruitment freeze has also contributed to an ageing workforce with average ages across the public sector over 50 and rising. The union wants to see these issues addressed in collective bargaining with an urgent need to recruit young workers and for action on staffing levels in the health service.The CISL FP

The three main public service trade unions in the health sector - Fp Cgil, Cisl Fp and Uil Fpl - took part in the first round of negotiations with the ARAN employers' organisation over renewing the collective agreement covering 550000 healthworkers. As well as ensuring that the basic pay agreement provides for the average €85 a month increase foreseen across the public sector, the unions are particularly concerned to address issues around work organisation and working time. They also emphasise that after eight years without any negotiations, there have been many changes in the sector in terms

The three health federations - FP CGIL, CISL FP and UIL FPL - have said they will mobilise workers and the community to prevent the threatened outsourcing of nursing and auxiliary jobs at the Umberto I university hospital in Rome. The federations have strongly condemned the proposal that could affect 700 workers, including nurses who work in intensive care and specialist departments most of whom have been at the hospital for many years. The federations also attacked the complete failure of the hospital to consult or negotiate with the trade unions and warned that workers' pay could fall by up

Unions report a high level of support - 70%-80% in some areas - for the strike by doctors and health managers on 12 December. The action involved many organisations in the sector including FP-CGIL, UIL-FPL and CISL Medici. The strike was called in support of negotiations to renew doctors' contracts after eight years without any bargaining. But the unions are also raising issues around precarious work and training for young doctors as well as the issue of funding. The unions are criticising the government for failing to increase health funding as a percentage of GDP.

The public sector federations, FP-CGIL, CISL-FP and UIL-FPL, have expressed their anger in delays to negotiations covering over a million workers in public health and local government. The unions argue that the basis for negotiations across the public sector were laid out in the framework agreement of November 2016 and there is no justification for not moving forward quickly with the sector-level negotiations. The three federations are planning a mobilisation for 5 February to put pressure on the government and employers.

After central and local government, the public health agreement covering 550000 has been the next to be signed by the FP-CGIL, CISL-FP and UIL-FPL trade union federations. The unions say that the agreement includes a number of important improvements including a pay rise of up to EUR 95 (average EUR 85) a month and provisions covering leave and training. But the agreement is seen as a first step in future negotiations that will aim to compensate workers for the freeze on pay and conditions over the past 10 years.

The FP CGIL public services federation has raised the alarm over violence against health workers quoting official data that each year there are about 1,200 acts of aggression against staff, including doctors, nurses, pharmacists and other professionals in the sector.The union gives a recent example from Naples where ambulance staff were followed by a group of motocyclists and found themselves surrounded by an angry crowd at the emergency centre. The trade union argues that proper measures need to be taken to protect health staff but that is a particular challenge in an environment marked by

The FP-CGIL trade union federation has met with public administration minister Giulia Bongiorno to set out four urgent priorities for action. These involve tackling precarious employment, increasing employment, negotiating the next collective agreement that will cover the years 2019-2021 and ensuring increased investment in staff training. The union argues that it is not enough to simply end the freeze on recruitment as more needs to be done to boost employment or run the risk of a further decline in the quality of services. FP-CGIL also wants a limit on health spending lifted to allow for

The three main unions representing the 20000 employees of the ANPAS non-profit national emergency and social assistance organisation have negotiated a new collective agreement covering the period 2017-2019. With a basic increase of EUR 85 (worth around 5.7% for emergency drivers) the agreement follows the pattern in the public sector. There are several other key provisions including improvements related to training, sickness and injury, quotas for fixed-term contracts, and rights for women who are the victims of violence. The unions hope that this will help push forward other agreements in the

The three main unions representing health workers - FP-CGIL, CISL-FP and UIL-FPL - have issued a joint call demanding urgent action to tackle doctor shortages across the health service. The three federations are particularly concerned about precarious employment, the need for more specialists and for a recruitment plan for doctors to be put in place as soon as possible. They made their case at a meeting with the Ministry of Health on 30 August where they highlighted the impact of austerity and recruitment freezes which have impacted emergency services above all. The unions have warned for many

Trade unions representing doctors, health managers, veterinary and other health staff have called a national demonstration on 17 October and a national strike on 9 November. The unions want to see additional funding for the health service in order to address the urgent need to recruit new staff, provide training, tackle precarious employment and renew the collective agreement.

The four main public service unions - FP-CGIL, CISL-FP, UIL-PA and UIL-FPL - have together launched a major campaign and petition calling for action to improve public services and deliver better employment conditions. The four unions have drawn up a document with 11 key proposals that cover calls for increased public investment; substantial recruitment of new workers and improved training provision; better union representation; finalising outstanding collective agreements for the 2016-2018 period and ensuring resources for the next round of agreements for 2019-21; bringing back privatised

Health federations from the CGIL, CISL and UIL confederations organising doctors, hospital managers and vets joined the call for 24-hour strike action on 23 November. The unions are angry that the collective agreement for this group of workers remains unchanged after 10 years and is the last of the public sector agreements to be renewed. They are also calling for urgent action to deal with low pay, lack of resources and understaffing. The pressure on staff is set to increase with the average age of workers at 53 and an estimated 10000 doctors and managers set to retire over the next two years.