Slovak Republic, 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.

EPSU sent a letter to the Ministry of Health in support of demands by the LVSADA trade union that promised pay increases for health workers should be honoured. The union says that in April this year the Ministry made a commitment to award doctors a 4.5% pay increase this year along with pay rises for other medical staff. The union called for the increases to be applied from 1 July and then conceded 1 September as a fall-back date. However, the Ministry is now claiming that funding is not available for pay increases as the priority is to focus on increasing services. LVSADA is clear that unless

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 trade union confederations of the Czech and Slovak Republics – CMKOS and KOZ – have called national demonstrations on 8 October to call for action to tackle the cost-of-living crisis. They argue that their respective governments need to undertake urgent measures to support households in the face of soaring inflation and particularly high energy costs. They want to see increases in wages in general and particularly minimum wages and assurance that government budgets will include provisions to cover pay rises in public services.

The LVSADA health workers’ union organised two further warning strikes on 27 and 28 September following an initial action on 27 July. The union is pressing the government to agree to pay increases for all health workers in recognition of the work they continue to do under difficult circumstances. LVSADA says that both the European Commission and Organisation for Economic Co-operation and Development have acknowledged the need for action, including improvements to pay, to help tackle staff shortages. The union is angry that the government has unilaterally put forward a new pay system which

The SOZZASS health workers’ union has expressed concern over the way that the health ministry is addressing health workers’ pay and its failure so far to undertake proper negotiations with the unions. In its latest announcement the ministry has indicated its willingness to increase pay for nurses and refers to bringing average nurses’ pay up from 89% to 100% of average earnings. While SOZZASS welcomes a commitment to increase pay for nurses it says that this should be as the result of collective bargaining and that all health workers deserve a pay rise.

The LVSADA health workers’ union, supported by associations representing doctors and nurses, organised a warning strike and protest on 27 July, arguing that the government had failed to meet commitments to increase pay. The union says that a 10% increase should have been paid on 1 July on the current salaries of €1963 for doctors, €1183 for nurses, midwives and other professionals and €745 for support staff. LVSADA further argues that the government has also failed to meet a commitment from 2017 that would have seen these salaries reach €2327, €1396 and €931 respectively. Depending on the

The KOZ trade union confederation reports that collective agreements for state and public service workers have been negotiated for the period 1.1.2023-31.8.2024. Basic salary scales will increase by 7% from 1 January 2023 and by a further 10% from 1 September 2023. Amendments to higher-level collective agreements for 2022 provide civil and public servants with a one-off payment of €500 in August. Pay increases for health workers are still being negotiated. The latest collective agreements also include a range of social benefits, not least a reduction of working time for public employees