Latvia, North Macedonia

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 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 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

In contrast to the continuing challenge to get the central government to award a general pay rise to public service workers and sign a collective agreement, the SSM confederation reports that unions are having considerable success at local level. The UPOZ and SUTKOZ trade unions are negotiating collective agreements with municipalities and local utilities companies, securing the targeted pay increase of 2806 denari (€45) and even setting up new trade union organisations. Recent deals have been negotiated in Stip, Prilep and Struga.

The SSM trade union federation organised strike action across the public sector on 22 June. With inflation hitting double-figures, the federation is demanding a 2806 denari net (€45.5) increase for public sector workers in line with the increase in the national minimum wage. The union has been negotiating with the government with a view to achieving a pay increase this year had understood that the government would sign a collective agreement including a pay rise and discussions on future increases. However, it then became apparent that the resources to fund the pay rise had not been included

The LVSADA health workers’ union was planning to take strike action to put pressure on the government to deliver pay increases that were promised last year. The union had called for a 10% pay rise for health staff from the beginning of January this year but the Ministry of Health has failed to deliver. LVSADA argues that an increase is vital if health sector wages are to keep pace with rapidly rising inflation and average earnings. The union underlines how important protecting purchasing power is as part of the strategy to tackle the major staff shortages across the sector.