The doctors of almost half of the autonomies are awaiting negotiations between the unions that represent them and their respective administrations to improve their working conditions and, with this, avoid the strikes that are announced for this month and for February, in the case from Navarre.

The main reasons for the strikes planned at the beginning of this electoral year are focused on the situation of healthcare pressure, the lack of professionals and poor working conditions, especially in primary care, although other regions also include demands for hospital professionals. .


The doctors in Madrid, with the Amyts-CESM union as the convener, have maintained the strike in primary care that began in November on


until Wednesday, January 11, when they have resumed negotiations with the Ministry of Health.


the agreement has not been possible and the union has decided to reactivate the strike.

After two and a half hours of trying to reconcile positions in what is already the seventh attempt,

Ángela Hernández, general secretary of Amyts

, has thanked "the effort of the people who, on behalf of the Administration, have been present at these meetings", but He added: "

It is clear that there is not a sufficient budgetary position

to encourage primary care in Madrid to become attractive again for Family doctors and paediatricians".


it does claim to have perceived progress, "very small, but in the right direction, positioning the deficit categories of Family and Community Medicine

, but it is so far from the breaches of September 2020 and those of decades, that

we have requested a mediation with three doctors of recognized prestige at the state level

to see if it is possible for the Ministry of Health and the government of the Community of Madrid to accept it and we can start a new path for primary care in Madrid", reports Carmen Torrente


To arrive at the temporary suspension of strikes, the Ministry undertook to analyze and assess the

increase in the value of the individual health card

(TSI-assigned population) to each professional, in the category of family doctor and pediatrician, which means , in the words of the Minister of Health Enrique Ruiz Escudero, a "salary improvement based on the population assigned to them".

In addition, the administration is studying


for the coverage of family doctor and pediatrician positions in

the afternoon shift


As this medium has been able to learn, the Ministry of Health offers a

remuneration supplement for the care burden for being a deficit category

(to Family doctors and pediatricians);

another complement linked to

the absorption of demand above 35 patients (Family doctors) and 25 (Pediatrics)

, together with the organization of the agendas;


a third complement for positions that are difficult to cover in the afternoon shift


The Ministry points out, in turn, that "Amyts only wants a linear increase for all Family doctors and pediatricians of 470 euros; they do not care about the rest of the issues."


Exactly two weeks after the physicians' strike called for January 25 and 26 by the Catalonian Doctors union (MC, Metges de Catalunya), the majority among the autonomous physicians, the Minister of Health of the Generalitat, Manel Balcells , has met with representatives of employers' associations and unions to implement a "protocol that contemplates the creation and deployment of the

Working Group to harmonize the working and economic conditions

of all the professionals in the centers integrated into the Comprehensive Health System of Public Use of Catalonia (Siscat, includes subsidized public and private centers)", reports Carmen Fernández


The objective of this working group will be to try to bring the conditions of the staff of the Catalan Institute of Health (ICS, with administrative management and statutory staff) and those of public and private subsidized centers (with business management and personal labor), which currently

have two collective agreements negotiated at two different tables


The new work table, which

under no circumstances can replace those of the ICS and concerted collective bargaining

, will formulate proposals so that the employer and union representatives of ICS and concerted adopt them or not in their respective agreements and conventions.

Xavier Lleonart, general secretary of MC, has declared to this newspaper that this table is "a

sideboard policy

. "


This union, Lleonart has confirmed, maintains the formally called strike for January 25 and 26 because "we have not negotiated anything."

Médicos de Catalunya gave the Government of Pere Aragonés a two-month period to sit down to negotiate and reach an agreement on the demands raised, including recovering the 35-hour work week and unifying the ordinary working day of all doctors in 1,533 hours per year ;

make annual studies of workloads discriminated by specialties and work centers;

25-28 patients on average per day and 12 minutes per face-to-face visit;

that doctors can allocate a third of their day to continuing education, teaching and research, and eradicate job insecurity.

In addition, MC has expressed its concern to the Department of Health of the Generalitat for one of the most pressing problems for the union: the lack of personnel due to the retirement of around 9,000 physicians in the next ten years.

The central maintains that this generational change will not be possible if the working and remuneration conditions of the doctors are not improved.

Valencian Community

In less than a week, on January 17 and 18, the strike was called by the Medical Union of the Valencian Community (CESM-CV), but for the moment it is waiting for the central to give an answer about the proposal that the Administration has presented to you.

Víctor Pedrera, general secretary of the center, is not very optimistic regarding the possible agreement: "There are

two red lines

in our negotiation -

bumping into the agendas in primary care and the guards in continuous care

- and it seems that the Administration's shots are not going Over there".

Pedrera has explained that before entering the last meeting they have been given a proposal collected in 11 pages that they have to study.

"After this study, we will see what position we take on the strike."

According to Pedrera, the plant has exposed in the meeting with the Administration "what changes are necessary and

now the ball is in the court of the counselor Miguel Mínguez

", reports Enrique Mezquita



After staging several days of protest last December, the primary care doctors in Aragon, together with the two most representative unions at the level, CESM-Aragón and Fasamet, have called

a strike for the 23rd and 24th of this month , just a few days before the one scheduled in Catalonia.

Stoppages that, for the moment, are also maintained, although the Administration and unions continue the negotiation and, according to


from union sources, "the rough edges are being ironed out."

These are the main demands of the unions: care for a maximum of 35 patients in Family Medicine and 30 in Pediatrics;

that breaks be guaranteed, not exceeding the established working hours limits, that their work be debureaucratic, reorganize staff;

and that bets on family reconciliation.

They also demand to make the working day more flexible and unify the closing hours of the health centers at 5:00 p.m.


Initially, the Extremadura Medical Union (Simex) had planned that primary care doctors would stop in the middle of Christmas dates (December 23 and 30), but, finally, the call is scheduled for the 26th and 27th of this month as well as every Monday from January 30.

These dates will be met as long as the Administration and union do not reach an agreement in the negotiation that they have open.

The work overload (they denounce that each doctor attends about 70 patients a day) due to the lack of personnel

and the "delicate" situation of public health in Extremadura, are the focus of their claims.

The union has asked the Extremadura Health Service not to delay any longer in the negotiation due to the "risk that the strike will finally materialize."


In the Andalusian community, the

primary care strike is called for January 20

, according to


, although it was initially scheduled for the 27th. But the protests already began days before Christmas and this Thursday, January 12, a concentration at the gates of the San Telmo Palace.

The demands of the Andalusian Medical Union, caller of the strike, include, among other issues, increasing funding for this level of care, that schedules be limited to a maximum of 35 patients a day, in the case of Family Medicine, and 25 for pediatricians and that patients who exceed that number automatically go to the afternoon shift.

In the opinion of the president of the Junta de Andalucía, Juanma Moreno, a new strike by the toilets of the public health system "would not be understood" by the public, especially at a time with "many spikes" in respiratory infections.

In statements collected by

Europa Press

, Moreno stated that it

is time for "a lot of dialogue and to avoid conflict, which only harms patients and users"

, and added that a significant effort has been made in the health sector table in stabilization of jobs and an increase in salaries and bonuses.


The Medical Union of Navarra (SMN) has advanced the doctors' strike that was scheduled for February 15 to the 1st of that month (pending ratification in the union assembly) and to which both primary and specialized care doctors are called .

The central claims

the "urgent" need to improve the working conditions of the group

, especially in regard to work overload and remuneration.

The plant is in full negotiation with the Navarrese administration that is trying to avoid unemployment.

For the moment, the SMN considers the proposal of the Department of Health insufficient.

Galicia and the Basque Country

, although they have not yet called strikes, do not rule them out.

In the case of the first, the Medical Union has requested by letter to the president of the Xunta, Alfonso Rueda, the opening of a negotiation "to reverse the unfortunate situation that Public Health has been going through in Galicia for years."

The central warns that if the requests raised in the letter are not met before this Tuesday, January 10, "it will begin to study an escalation of mobilizations in 2023."

In autonomies such as

Cantabria and the Region of Murcia

, the doctors managed to wrest an agreement from their respective administrations with which the strikes ended in the Cantabrian case and were called off in Murcia.

The same has happened in the

Balearic Islands

, where the Simebal medical union decided not to call strikes after reaching an agreement with Ibsalut that includes: an increase in the price of the hour on call;

salary increase for SUAP, 061 and mobile PAC professionals;

limitation of schedules both in Family Medicine and in Primary Care Pediatrics;

and the setting up of an office for a debureaucratization unit.

According to the criteria of The Trust Project

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